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Psychosocial Impact of Infertility Among Women of Reproductive Age Attending Irrua Specialist Teaching Hospital, Edo State, Nigeria

Mary Saidu, Phoebe Nwamaka Kanikwu, and Juliana Afemikhe

Abstract

Infertility is a significant reproductive health challenge with profound psychological and social consequences, particularly among women in cultures where motherhood is strongly linked to social identity and marital stability. This study assessed the psychosocial impact of infertility among women of reproductive age attending Irrua Specialist Teaching Hospital, Edo State, Nigeria. A quantitative descriptive cross-sectional design was employed among 199 women diagnosed with primary or secondary infertility and attending the Gynaecology and Fertility Clinics of Irrua Specialist Teaching Hospital. Participants were selected using a purposive sampling technique. Data were collected using a structured questionnaire assessing socio- demographic characteristics, psychological impact, and social consequences of infertility. Data were analyzed using descriptive statistics and Pearson’s correlation at a significance level of p < 0.05. Findings revealed that infertility was associated with substantial psychological distress among respondents, including anxiety, depressive symptoms, emotional isolation, reduced self- esteem, and feelings of hopelessness. A strong positive relationship was observed between duration of infertility and psychological impact (r = 0.717, p < 0.01). The study also demonstrated significant social consequences, including stigma, weakened relationships, avoidance of social gatherings, and feelings of societal failure. Duration of infertility was significantly associated with social consequences (r = 0.728, p < 0.01). Infertility constitutes a major psychosocial burden among women of reproductive age, extending beyond reproductive difficulties to affect emotional well-being and social functioning. The findings highlight the need for integrating mental health assessment, counselling services, family-focused interventions, and stigma reduction strategies into infertility care to improve the overall well-being of affected women.

Keywords

Infertilitypsychosocial impactwomen of reproductive ageNigeria.

References

Adane, T. B., & Alemu, H. M. (2024). Infertile women of Ethiopia: Psychological challenges and coping strategies. Medicine, 103(16), e169012. https://doi.org/10.1097/MD.00000000000227360 Adelosoye, A. A., Fasipe, O. J., Medunoye, E. I., Adelosoye, O. C., & Sunday, E. O. (2020). Assessment of family function impact on depression severity among infertile women attending a teaching hospital in South-South Nigeria. Future Science OA, 6(8), FSO595. https://doi.org/10.2144/fsoa-2020-0033 Bell, A. V. (2019). Overcoming (and maintaining) reproductive stigma: Lessons from infertile women. Social Science & Medicine, 232, 278–284. https://doi.org/10.1016/j.socscimed.2019.05.017 Ekpor, E., Traore, A., Dao, M., & Diallo, A. (2025). Experience of infertility-related stigma and coping among women in Mali: A mixed-methods study. International Health. Advance online publication. https://doi.org/10.1093/inthealth/ihaf060 Ezeh, N. C., & Okeke, F. N. (2023). Coping with infertility in Nigeria: A pluralistic perspective. African Journal of Psychological Studies, 9(1), 55–68. Maduakolam, I. O. (2021). Coping strategies of infertility clients attending a gynaecology clinic in North Eastern Nigeria. Nigerian Journal of Medicine, 30(10), 751–759. https://doi.org/10.1097/NJOM.0000000000000761 Mboga, M., Ochieng, P., & Ndegwa, M. (2023). Cultural stigma and coping mechanisms among infertile women in Kenya. East African Medical Journal, 100(3), 150–159. https://doi.org/10.1353/eamj.2023.0015 Moutzouroulia, A. M., Kim, H., Reddy, S., & Domar, A. D. (2025). The impact of infertility on the mental health of women undergoing IVF. Journal of Affective Disorders, 350, 123– 132. https://doi.org/10.1016/j.jad.2025.01.012 Obianyo, N. E., Okoye, N. M., & Eze, C. A. (2022). Religious coping among infertile women in Southeast Nigeria. Journal of Religion and Health, 61, 921–936. https://doi.org/10.1007/s10943-021-01295-5 Okonkwo, C. A., & Ilechukwu, G. (2022). Social exclusion and identity loss among infertile women in Southeastern Nigeria. BMC Women's Health, 22, 145. https://doi.org/10.1186/s12905-022-01721-7 Okonofua, F. E., Omo-Aghoja, L. O., & Onemu, S. O. (2023). Trends in infertility and access to treatment in Nigeria: A review. African Journal of Reproductive Health, 27(2), 27–35. https://doi.org/10.29063/ajrh2023/v27i2.3 Roomaney, R., & van der Merwe, A. (2024). A scoping review of the psychosocial aspects of infertility in African countries. Reproductive Health, 21, 158. https://doi.org/10.1186/s12978-024-01858-2 Seifer, D. B., Petok, W. D., Agrawal, A., Glenn, T. L., Bayer, A. H., Witt, B. R., & Lieman, H. J. (2021). Psychological experience and coping strategies of patients in the Northeast US delaying care for infertility during the COVID-19 pandemic. Reproductive Biology and Endocrinology, 19(1), 150. https://doi.org/10.1186/s12958-021-00721-4 Tadesse, S., & Tesfaye, B. (2025). Prevalence and determinants of depressive symptoms among infertile women in East Africa: A systematic review and meta-analysis. Frontiers in Medicine, 12, 1477483. https://doi.org/10.3389/fmed.2025.1477483 IJMEPR World Health Organization. (2023). Infertility prevalence estimates, 1990–2021. https://www.who.int/news/item/04-04-2023-1-in-6-people-globally-affected-by- infertility--who-finds