HEPATITIS B VIRUS SEROPREVALENCE AND IMPACT ON FERTILITY IN COUPLES AT THE GYNAECOLOGICAL ENDOSCOPIC SURGERY AND HUMAN REPRODUCTIVE TEACHING HOSPITAL, CAMEROON

Authors

  • Joseph Emmanuel Voundi Voundi Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
  • Claude Noa Ndoua Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
  • Esther Voundi Voundi Faculty of Medicine and Biomedical Sciences, University of Yaoundé
  • Etienne Belinga Faculty of Medicine and Biomedical Sciences, University of Yaoundé
  • Serge Nyada Gynaecological Endoscopic Surgery and Human Reproductive Teaching Hospital
  • Vanina Ngono Gynaecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Cameroon
  • Louise Nyimbe Mviena Gynaecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Cameroon
  • Celestin Roger Ayangma Higher Institute of Medical Technology
  • Raissa Kamga Nogue Gynaecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Cameroon
  • Nguefack Tsague Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
  • Michel Toukam Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon

DOI:

https://doi.org/10.53555/nnmhs.v8i4.1208

Keywords:

HBV, couple infertility, Impact, GESHRTH, Cameroon

Abstract

Introduction: Hepatitis B virus (HBV) has been shown to have adverse effects on fertility in both women and men. Objective: to determine the seroprevalence of the hepatitis B virus and its impact on fertility in couples followed for infertility at the Gynaecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Cameroon. Patients and methods: an analytical cross-sectional study was conducted over a period from January 1 to September 1, 2019, i.e., a period of 9 months at GESHRTH. Complete records were included in our study consecutively. Qualitative variables were compared using a Chi² test or Fisher’s exact test using Epi Info software version 3.5.4. The statistical significance threshold was set at 5%. Results and discussion: of the 279 couples selected, 54/558 (9.7%) people were positive for HBsAg including 33 (11.8%) women and 21 (7.5%).  HBsAg-negative women were 5.55 times more likely to have uterine myomas (p = 0.006) and HBV-infected men were 7 times more likely to develop a sperm abnormality (p = 0.002) and 4 times more likely to have oligospermia (p = 0.005). Conclusion: the prevalence of HBV infection in couples followed for infertility remains high.  HBV could have an impact on the occurrence of uterine myomas and sperm abnormalities.

References

World Health Organization. Hepatitis B. [Online] July 27, 2020; [accessed March 10, 2021]. Available: https://www.who.int/en/news-room/fact-sheets/detail/hepatitis-b

Kowo MP, Andoulo FA, Sizimboue DT, Ndam AWN, Ngek LT, Kouanfack C, Leundji H, Djanteng R, Ondo BE, Torimiro JN, Ndam EN, Njoya O. Seroprevalence of hepatitis B and associated factors among inmates: a cross sectional study in the Douala New Bell Prison, Cameroon. Pan Afr Med J. 2021 Apr 13; 38:355. Doi: 10.11604/pamj.2021.38.355.20386.

Garolla A, Pizzol D, Bertoldo A, Menegazzo M, Barzon L, Foresta C. Sperm viral infection and male infertility: focus on HBV, HCV, HIV, HPV, HSV, HCMV, and AAV. J Reprod Immunol. 2013 Nov;100(1):20-9. Doi: 10.1016/j.jri.2013.03.004. Epub 2013 May 10.

Farsimadan M, Motamedifar M. The effects of human immunodeficiency virus, human papillomavirus, herpes simplex virus-1 and -2, human herpesvirus-6 and -8, cytomegalovirus, and hepatitis B and C virus on female fertility and pregnancy. Br J Biomed Sci. 2021 Jan;78(1):1-11. Doi: 10.1080/09674845.2020.1803540. Epub 2020 Sep 7.

Karamolahi S, Yazdi RS, Zangeneh M, Makiani MJ, Farhoodi B, Gilani MAS. Impact of hepatitis B virus and hepatitis C virus infection on sperm parameters of infertile men. Int J Reprod Biomed. 2019 Sep 3;17(8):551-556. Doi: 10.18502/ijrm. v17i8.4820.

Wang Z, Liu W, Zhang M, Wang M, Wu H, Lu M. Effect of Hepatitis B Virus Infection on Sperm Quality and Outcomes of Assisted Reproductive Techniques in Infertile Males. Front Med (Lausanne). 2021 Nov 2; 8:744350. Doi: 10.3389/fmed.2021.744350.

Okafor NI, Joe-Ikechebelu NN, Ikechebelu JI. Perceptions of Infertility and In Vitro Fertilization Treatment among Married Couples in Anambra State, Nigeria. Afr J Reprod Health. 2017 Dec;21(4):55-66. Doi:10.29063/ajrh2017/v21i4.6.

Nachinab GT, Donkor ES, Naab F. Perceived Barriers of Child Adoption: A Qualitative Study among Women with Infertility in Northern Ghana. Biomed Res Int. 2019 Jun 9; 2019:6140285. Doi: 10.1155/2019/6140285.

World Health Organization. Infertility. [Online] September 15, 2020; [accessed March 10, 2021]. Available: https://www.who.int/en/news-room/fact-sheets/detail/infertility

Cates W, Farley TM, Rowe PJ. Worldwide patterns of infertility: is Africa different? Lancet. 1985;326(8455):596–8.

Abebe MS, Afework M, Abaynew Y. Primary and secondary infertility in Africa: systematic review with meta-analysis. Fertil Res Pract. 2020 Dec 2;6(1):20. Doi: 10.1186/s40738-020-00090-3.

Adedigba JA, Idowu BM, Hermans SP, Ibitoye BO, Fawole OA. The relationship between hysterosalpingography findings and female infertility in a Nigerian population. Pol J Radiol. 2020 Apr 13;85: e188-e195.

Colson, Marie-Helene. “Sexuality and pathologies of aging in elderly men and women”, Gérontologie et société, vol. 35/140, no. 1, 2012, p. 109-130.

Brandt JS, Cruz Ithier MA, Rosen T, Ashkinadze E. Advanced paternal age, infertility, and reproductive risks: A review of the literature. Prenat Diagn. 2019 Jan;39(2):81-87.

Matumo P, Bunduki G, Kamwira IS, Sihalikyolo J, Bosunga K. Spermogram abnormalities in premarital consultations and in infertile couples in Butembo, Democratic Republic of Congo [Abnormal semen analyzes in men undergoing premarital screening and in infertile couples in Butembo -Democratic Republic of Congo]. Pan Afr Med J. 2020 Oct 13; 37:155. English.

Qian L, Li Q, Li H. Effect of hepatitis B virus infection on sperm quality and oxidative stress state of the semen of infertile males. Am J Reprod Immunol. 2016 Sep;76(3):183-5.

Downloads

Published

2022-04-13

How to Cite

Voundi, J. E. V. ., Ndoua, C. N. . ., Voundi, E. V. ., Belinga, E. ., Nyada, S. ., Ngono, V. ., Mviena, L. N. ., Ayangma, C. R. ., Nogue, R. K. ., Tsague, N. ., & Toukam, M. . (2022). HEPATITIS B VIRUS SEROPREVALENCE AND IMPACT ON FERTILITY IN COUPLES AT THE GYNAECOLOGICAL ENDOSCOPIC SURGERY AND HUMAN REPRODUCTIVE TEACHING HOSPITAL, CAMEROON. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 8(4). https://doi.org/10.53555/nnmhs.v8i4.1208