In-vitro Fertilization, Gamete Donation and Surrogacy: Perceptions of Women Attending an Infertility Clinic in Ibadan, Nigeria

Folasade A. Bello, Opeyemi R. Akinajo, Oladapo Olayemi


Infertility affects 20% of couples in Nigeria. Assisted reproductive techniques (ART) offered in Nigeria include in-vitro fertilization (IVF), gamete donation and surrogacy. This cross-sectional questionnaire study aimed at assessing the acceptability of ART to women seeking infertility treatment at the University College Hospital, Ibadan, Nigeria. Of the 307 respondents, 58.3% were aware of IVF and 59.3% would accept it as treatment; 35.2% would accept donor eggs and 24.7% would accept donor sperms—a smaller proportion anticipated acceptability by their husbands. Thirty five percent were aware of surrogacy, 37.8% would accept it as treatment; most preferring a stranger as a surrogate. Most felt surrogates should not be paid. Acceptance of ART was associated with older age, longer duration of infertility, previous failed treatment and women without other children. As chances of successful pregnancy are improved in younger individuals, counselling towards overcome barriers to accepting gamete donation and surrogacy should be instituted early. Afr J Reprod Health 2014; 18[2]: 127-133).


Keywords: infertility, IVF, gamete donation, surrogacy, Nigeria



L'infertilité touche 20% des couples au Nigeria. Les techniques de la reproduction assistée (TRA) disponibles au Nigeria comprennent la fécondation in-vitro (FIV), le don de gamètes et la maternité de substitution. Cette étude fondée sur le questionnaire transversale vise à évaluer l'acceptabilité de la TRA pour les femmes qui recherchent un traitement de l'infertilité au Centre Hospitalier Universitaire d’Ibadan au Nigeria. Parmi les 307 interviewées, 58,3 % étaient au courant de la FIV et 59,3 % l’accepteraient comme traitement; 35,2 % accepteraient un don d'ovules et  24,7 % accepteraient des spermatozoïdes - une proportion plus faible ont prévu l’acceptabilité par leurs maris. Trente-cinq pour cent étaient au courant de la maternité de substitution, 37,8 % des acheteurs l’accepteraient comme traitement ; la plupart préféraient un étranger comme un substitut. La plupart ont pense qu’il ne faut pas payer les substituts.   L’acceptation de la TRA a été associée avec l'âge,  à  l'infertilité de plus longue durée, au traitement précédent échoué et à des femmes sans autres enfants. Comme les chances de réussite d'une grossesse sont améliorées chez les sujets jeunes, il faut tot mettre en place des conseils qui permettront de surmonter  les obstacles à l’acceptation du don de gamètes et la maternité de substitution. Afr J Reprod Health 2014; 18[2]: 127-133).

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