Keywords
Environmental Factors,
Female of reproductive Age
How to Cite
Abstract
Infertility is a major reproductive health concern with profound medical, social, and psychological implications, particularly for women in northern Nigeria, where stigma and cultural blame are common. This study investigated the biological, environmental and healthcare access, influencing infertility among women of childbearing age in Sokoto Metropolis. A cross-sectional study design was employed, and data were collected from 247 respondents using structured questionnaires. Descriptive statistics, chi-square tests, t-tests, logistic regression, and ANOVA were used to analyze the data. The findings revealed that menstrual cycle irregularity and history of infections were significant biological predictors of infertility treatment-seeking, while prolonged time trying to conceive was the only significant environmental factor. Access to fertility services and prior treatment use were significant healthcare predictors. Logistic regression confirmed balanced diet, cultural beliefs, and partner support as the most significant predictors of help-seeking behaviors. The study concludes that infertility management in Sokoto is shaped by a combination of medical, environmental, and healthcare access, playing central roles. It recommends expanding fertility services and strengthening awareness campaigns on reproductive health.