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Only one in four men has optimal semen quality, fertility expert says

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A Consultant Gynaecologist and Chief Executive Officer of Nordica Fertility Centre, Victor Ajayi, has said only one in four men currently has optimal semen quality, citing research that points to a steady decline in male fertility over recent decades.

Mr Ajayi made the remark during a webinar organised by the fertility centre on Saturday. The webinar was themed “The Forgotten Men: Conversation on Infertility.”

The News Agency of Nigeria (NAN) reports that the fertility specialist cited a 2012 study which found that only about 25 per cent of men had semen quality considered optimal for natural conception.

He said periodic studies by the World Health Organisation (WHO) have also shown a global decline in male reproductive potential, with sperm counts falling by more than 50 per cent over the past five decades.

According to him, only a small proportion of men now produce the minimum sperm concentration considered adequate for natural conception, compared to the much higher sperm counts commonly recorded decades ago.

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Mr Ajayi warned that if the trend continues, it could have serious implications for human reproduction.

Causes of declining sperm quality

He attributed the decline to obesity, unhealthy lifestyles, sperm DNA fragmentation, prolonged exposure of the testes to heat, psychological factors and other underlying medical conditions.

The fertility specialist also challenged the widespread belief that infertility is primarily a woman’s problem.

He said that infertility had been culturally and socially framed as a female problem, leaving women to bear stigma, undergo investigations and shoulder emotional burdens.

He noted that male infertility remained largely overlooked in spite of evidence showing that men contributed significantly to infertility cases.

“It is time to bring men into the conversation about reproductive health, not as bystanders, but as equal participants whose fertility matters,” he said.

The fertility specialist said many of the factors affecting sperm quality were preventable and could be addressed through sustained lifestyle changes.

He called for increased public awareness, early intervention and proper counselling to address male infertility and encourage shared responsibility in reproductive health.

Also speaking, Pilot Gbolahan, Clinical Psychologist at Nordica Fertility Centre, said men rarely displayed their emotional problems.

Mr Gbolahan noted that many men were emotionally distant while suffering from depression caused by infertility and equally avoided therapy.

“Infertility is a medical condition not a reflection of masculinity or strength.

“Male factors contribute to 50 per cent of infertility cases, yet many men delay in seeking fertility evaluation.

“Breaking the silence is the first step towards finding a solution”, he said.

ALSO READ: Nigeria’s fertility rate drops to 4.8 children per woman — NDHS

The psychologist said early assessment could make a significant difference. He advocated for routine psychological services within fertility clinics and reproductive healthcare settings across Nigeria.

Jesse Atongo, Consultant Gynecologist, Nordica Fertility Centre, added that many men equated sexual function to reproductive capacity.

Mr Atongo stated that infertility could be diagnosed through medical history, physical examination and semen analysis.

The gynaecologist noted that male infertility treatment was individualised based on the identified etiology, severity of sperm impairment and the couple’s overall fertility profile.

According to him, infertility could be managed through medications, surgery and assisted reproduction. He encouraged men to eschew illicit substances, excessive heat, alongside alcohol, and maintain a healthy weight and safe sex.

(NAN)


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Health

EXCLUSIVE: Ebola: 34-year-old pilot, wife identified as suspected cases who tested negative in North-east Nigeria

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A 34-year-old pilot and his wife, a medical doctor, were the two people investigated for suspected Ebola Virus Disease (EVD) in Adamawa State after developing symptoms including fever, vomiting, fatigue, headache, cough, bleeding gums and nosebleeds.

Although Nigerian officials said two suspected Ebola cases were being investigated in the state and eventually turned negative, their identities were not disclosed. PREMIUM TIMES can now disclose the officials’ identities, though we are redacting their names.

An internal memo from the Adamawa State Ministry of Health and Human Services, obtained exclusively by PREMIUM TIMES, said the couple were admitted to the isolation centre of the Modibbo Adama University Teaching Hospital (MAUTH), Yola, on 29 October.

The memo, dated 30 October 2026 and signed by the State Epidemiologist, Jones Kadabiyu, said the Adamawa State Public Health Emergency Operations Centre (PHEOC) received the report at 6:45 a.m. following a clinician’s report from MAUTH.

The development came as health authorities intensified surveillance following Nigeria’s confirmation of its first Ebola case in the current outbreak.

The Nigeria Centre for Disease Control and Prevention (NCDC) had on Saturday announced that two suspected Ebola cases had been identified in the North-east, but did not initially disclose the state where the cases were detected.

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However, the agency later confirmed that the two suspected cases were in Adamawa, noting that the laboratory tests on samples from both individuals were negative for Ebola after two rounds of testing.

In a statement signed by its Director-General, Jide Idris, the NCDC said it was working with the Adamawa State government to investigate the suspected cases.

The agency said it isolated the two individuals and immediately activated public health measures while collecting samples for laboratory testing.

“Fortunately, the samples turned out negative for EBV after two rounds of testing,” Mr Idris said.

The NCDC said there is currently no laboratory-confirmed Ebola case in Adamawa State, adding that the previously confirmed case in the Federal Capital Territory (FCT) remains the only confirmed case in Nigeria.

What PREMIUM TIMES learnt

According to the memo, the pilot developed symptoms on 13 October, while his wife developed similar symptoms on 25 October.

The names of the two patients are contained in the documents seen by PREMIUM TIMES. However, this newspaper is withholding their identities to protect their privacy.

A preliminary report dated 31 October from Yola North Local Government Area (LGA), Adamawa State, said the pilot travelled to Kenya “for personal reasons” on 14 October and returned to Nigeria on 25 October. It said he had developed a fever before his trip and was treated for malaria.

“Prior to his departure, he reportedly developed a fever on 13 October 2026 and was treated for malaria. He reportedly remained well while in Kenya,” it noted.

However, upon returning to Yola, he developed symptoms including fever, nausea and vomiting, fatigue, headache, cough, bleeding gums and nosebleeds. His wife subsequently developed similar symptoms after caring for him at home.

They were both admitted at the MAUTH isolation centre.

The state health authorities collected samples from both patients on 30 October and transported them to the National Reference Laboratory for testing, according to the report.

Contacts traced

The memo report said 18 contacts had been identified, traced and line-listed, while the preliminary report dated 31 October put the number at 17.

The PHEOC also notified the State Rapid Response Team, the State NCDC office, Local Government Disease Surveillance and Notification Officers, the World Health Organisation (WHO) and UNICEF.

The state health authorities recommended continued contact tracing, infection prevention and control measures, enhanced surveillance and coordination with relevant authorities.

The NCDC has urged Nigerians to remain calm and avoid spreading unverified information.

It also advised people who develop symptoms such as fever, severe weakness, headache, muscle pain, vomiting, diarrhoea or unexplained bleeding, particularly after a relevant exposure, to seek immediate medical attention.

READ ALSO: Ebola: Saudi Arabia suspends travel to Kenya, halts visa issuance

Ebola outbreak

Nigeria is one of five countries that have detected Bundibugyo virus disease during the current outbreak, which began in the Democratic Republic of the Congo (DRC) in May.

The outbreak has remained concentrated in the DRC but has spread beyond the country.

Nigeria’s first confirmed case of Ebola in 2026 was a woman who travelled from Uganda to Abuja and tested positive on 20 October. She was subsequently medically evacuated to Switzerland for continued treatment.

The NCDC’s latest situation report said 62 contacts linked to Nigeria’s confirmed case had been identified and were being monitored.

The Coordinating Minister of Health and Social Welfare, Muhammad Pate, had said genomic analysis showed that the virus detected in the Nigerian patient was closely related to the strain identified in Kenya’s first imported case. He, however, said the finding did not establish that the Nigerian patient was infected in Kenya.

WHO’s latest update reported 10,274 confirmed cases and 4,992 deaths in the DRC as of 28 October. Kenya had recorded nine confirmed cases and two deaths, while Nigeria had one confirmed case at the time of the update.

Ebola is a viral disease that can cause severe illness and spreads mainly through direct contact with the blood or other body fluids of an infected person.


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Ebola: No new cases in Nigeria as two suspected cases in North-east test negative

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The Nigeria Centre for Disease Control and Prevention (NCDC) has said two suspected Ebola cases identified in Adamawa State have tested negative for the virus.

The development came hours after the agency announced that two suspected Ebola cases had been identified in Nigeria’s North-east, without disclosing the state where they were found.

In a statement signed by its Director-General, Jide Idris, on Saturday evening, the NCDC said the samples collected from the two individuals tested negative for Ebola virus after two rounds of testing.

The agency said the suspected cases were reported in Yola, Adamawa State, on 30 October after the two individuals presented with symptoms suggestive of Ebola.

“Fortunately, the samples turned out negative for EVD after two rounds of testing,” Mr Idris said.

Mr Idris said there is currently no laboratory-confirmed Ebola case in Adamawa State.

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He added that the index case previously confirmed in the Federal Capital Territory remains the only confirmed Ebola case reported in Nigeria to date.

Ebola outbreak

The development comes 11 days after Nigeria confirmed its first case of Ebola disease caused by the Bundibugyo virus.

Nigeria is one of five countries that have detected Bundibugyo virus disease during the current outbreak, which began in the Democratic Republic of the Congo (DRC) in May.

The outbreak has remained concentrated in the DRC but has spread beyond the country.

Nigeria’s first confirmed case of Ebola in 2026 was a woman who travelled from Uganda to Abuja and tested positive on 20 October. She was subsequently medically evacuated to Switzerland for continued treatment.

READ ALSO: Ebola: No new cases in Nigeria as two suspected cases in North-east test negative

The NCDC’s latest situation report said 62 contacts linked to Nigeria’s confirmed case had been identified and were being monitored.

The Coordinating Minister of Health and Social Welfare, Muhammad Pate, had said genomic analysis showed that the virus detected in the Nigerian patient was closely related to the strain identified in Kenya’s first imported case. He, however, said the finding did not establish that the Nigerian patient was infected in Kenya.

WHO’s latest update reported 10,274 confirmed cases and 4,992 deaths in the DRC as of 28 October. Kenya has recorded nine confirmed cases and two deaths, while Nigeria has one confirmed case at the time of the update.


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