Pathways To Parenthood: Outcomes of Infertility Treatments in A Ghanaian University Medical Facility

Objective: This study evaluated the outcomes of infertility treatments among women attending the Gynaecology Clinic at Family Health Hospital in Accra. Methods: A two-year retrospective descriptive study was conducted using medical records of women who sought treatment for infertility from January 2021 to December 2022. Data included sociodemographic variables, including age, marital status, education, duration of infertility, cause of infertility, treatment, pregnancy achieved, miscarriage, and live birth. Data was extracted and analysed using SPSS version 25. Descriptive statistics, independent sample t-tests, and logistic regression analyses are reported in adjusted odds ratios, on forest plots. P-value was set at 0.05. Results: Among 347 women with infertility who visited the clinic, 307 received infertility treatments, with 93 (30.3%) achieving pregnancy. The most common treatment was hormonal drug therapy, administered to 99 (32.2%) patients, resulting in 30 pregnancies. In vitro fertilisation using autologous oocytes was performed in 67 (21.8%) women, resulting in 23 pregnancies. Myomectomy was performed for 38 (12.4%) cases, with 10 getting pregnant. There was a significant association between participants’ age group and cause of infertility. The logistic regression model had an ROC value of 78%. Conclusion: Approximately 30% of women receiving infertility treatment over the study period conceived following treatment using hormonal therapy, surgery and assisted reproductive technology. The findings underscore the need for increased awareness campaigns on infertility treatment options.