The Magnitude of Secondary Infertility and Associated Factors among Married Women Attending Outpatient Clinics, in Addis Ababa, Ethiopia

Abstract Background Infertility is the inability to attain a pregnancy in a woman (15–49 years) with regular unprotected sexual intercourse for one year. Globally, 10% − 15% of couples suffer from infertility. Infertility is a current threat to the social, economic, and psychological well-being of couples in most countries including Ethiopia. This research article aimed to assess the magnitude of secondary infertility and its associated factors among infertile women in two hospitals in Addis Ababa, Ethiopia. An institution-based cross-sectional study design was used to assess factors affecting fertility. The study enrolled 355 cases aged 15 to 49 years in two teaching hospitals. Results Secondary infertility accounts for 33.2% of cases in the study area. Low educational status (primary to secondary school level) (AOR = 2.67; 95% CI: (1.15, 6.22), history of abortion (AOR = 4.56; 95% CI: (1.54, 13.5), previous contraceptive utilization (AOR = 2.87; 95% CI: (1.37, 6.03), history of pelvic inflammatory disease (AOR = 3.49; 95% CI: (1.22, 10.2) and previous pelvic surgery (AOR = 9.3; 95% CI: (2.89, 30.14) were significantly associated with secondary infertility among the study participants. Conclusion Women who have low education, previous history of abortion, use of contraception, and pelvic inflammatory disease had increased risks of developing infertility.