Abstract:
Background: The simplest assessment of male infertility is Semen Analysis (SA). Because of
cultural disparities, socioeconomic problems, and patriarchy that preclude reliable sampling and
analysis, male infertility rates may be understated. It can also make males feel anxious about being
associated with hegemonic masculinity. Therefore, this study aimed to assess the pattern of semen
analysis and associated factors among male partner of infertile couples in the last twelve months
in Addis Ababa, Ethiopia.
Objectives: The objective of this thesis assessed the prevalence of abnormal semen analysis and
associated factors among male partner of couple who came for infertility screening in selected
infertility centers in Addis Ababa, Ethiopia, 2023
Methodology: A facility based cross-sectional study was carried out among who visit for semen
analysis procedure in Addis Ababa from April 1 to 15, 2022. The multi-stage sampling technique
used to select samples for the study. Data was collected using semi structured questionnaire by
trained data collectors, checked by supervisors on site. Data was entered in to google form and
exported to SPSS version 26. Descriptive data was analyzed by frequency for categorical and
standard deviation for continuous variable. In order to investigate the association of independent
variable with dependent variable both bi variable and multivariable analysis were used the relation
of each independent variable with dependent variable if p< 0.25, those variable computed for
multivariable. Then multivariable p< 0.05 with 95% Confidence Interval was declare that
statistical significance.
Result: In this study the prevalence of semen analysis among male partner of infertile couple who
attend at infertility centers was 68.2% [63.2, 73.5, 95%CI]. From the overall health facilities in the
study area, social/ drug exposure who had history of smoking cigarette [AOR=0.175, 95%, CI:
0.06, 0.5] Whereas for urological variables the study indicated that history of Sexual Transmission
Infection, those who had history of gonorrhea had [AOR=0.08, 95%, CI: 0, 0.016] and history of
Urinary Tract Infection AOR=0.47, 95%, CI: 0.25,0.88, respectively.
Conclusion: The study was conducted to assess the prevalence and associated factors of pattern of
semen analysis and associated factors among male partner of infertile couples in the last six months
at Addis Ababa city infertility centers. Accordingly, the prevalence of pattern of semen analysis
was 68.2%.