Infertility Rates and Contributing Factors Among Tunisian Women: prospective study on the impact of infertility on female sexual function

Ben Ammar T, Alimi A, Ben Ahmed Y, Abid S, Khelifi A, Hidar S, Ben Abdessalem MR, Ncibi R

Published September 26, 2025 IIRRM 2025 Congress, Zagreb

RRM Academy Synopsis

Male factors were the leading cause of infertility in Tunisian women

Male factors were the leading cause of infertility among 50 Tunisian women, about 4 out of 10. A 2025 congress poster from a Sousse hospital reports a prospective study. Factors in both partners explained about 3 out of 10, and female factors about 2 out of 10.

Key Findings

  • Fifty women attending an infertility clinic at Farhat Hached Maternity in Sousse were enrolled from February to April 2024.
  • Infertility had lasted nearly 4 years on average, with a range of 6 to 168 months.
  • Male factors led the causes at 38%. Combined factors in the couple followed at 32.0%, then female factors at 22.0%.
  • 92% of participants underwent treatment for infertility.

Interpretation

The poster describes a prospective analytical study of 50 women at one hospital. Part of its results text is illegible in the available copy. Questionnaires included two scales, one for anxiety and depression and one for sexual function. The legible text gives no scores for either. The authors call the leading role of male factors consistent with earlier studies. They add that Africa and Central/Eastern Europe have the highest rates of male infertility.

RRM Context

Restorative reproductive medicine evaluates both partners for the cause of infertility. A male factor was the largest single category in this group. A woman-only workup would have missed it. The authors also call for care that addresses medical and psychological needs together. That matches the whole-person aim of RRM.

Abstract

This poster presents findings from a study on infertility and female sexual function, focusing on the prevalence and causes of infertility among Tunisian women undergoing fertility treatment, highlighting the distribution of male, female, and combined etiologies, as well as the duration of infertility and the utilization of various medical and traditional treatment modalities.

Materials and Methods

This prospective analytical study involved 50 women seeking infertility consultation at Farhat Hached Maternity in Sousse, Tunisia, between February and April 2024. Participants completed a comprehensive questionnaire in Arabic or French, encompassing sociodemographic and clinical information, the Hospital Anxiety and Depression Scale (HADS), and the Female Sexual Function Index (FSFI).

Results

The average duration of infertility among participants was nearly 4 years, ranging widely from 6 to 168 months. Male factors (38%) were the leading cause, followed by combined factors in the couple (32.0%) and female factors (22.0%). Among participants, 92% underwent treatment, mainly ovulation induction (76%) and IVF (38%).

Conclusion

Infertility significantly affects Tunisian women, with male factors being the most prevalent cause. The majority seek medical treatment, often combining it with traditional methods. Addressing both medical and psychological aspects is crucial for comprehensive care. (Abstract compiled from the legible text of a photograph of the poster.)

Related research

Ben Ammar et al. 2025, Ben Ammar 2025