Medical Issues in the use of Assisted Reproductive Technologies among Christians in Nigeria
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Abstract
Christianity has a significant influence on attitudes towards technology, reproduction, and health in Nigeria, where infertility is predominantly perceived via spiritual and cultural lenses. To balance religion with medical progress, the Nigerian Churches have concerns about the theological and ethical issues that emanated as a result of the introduction of Assisted Reproductive Technologies (ARTs) such as IVF, PGD and surrogacy in solving infertility cases. Unfortunately, due to expensive prices, a lack of theological guidance, and significant cultural prejudices, ART acceptance is restricted in Nigeria; therefore, many couples turn to spiritual treatments and encounter ethical quandaries if they choose to explore advanced medical and technological procedures. In Lagos, 2572 Christians of different denominations participated in a mixed-method study that examined their views on ARTs from a medical and Christian perspective. Results revealed increasing awareness of ARTs but persistent moral and doctrinal confusion. Many participants viewed ARTs as medically beneficial yet spiritually questionable. Socio-economic barriers and emotional distress were also significant challenges for infertile couples. The Church should provide contextual theological education, pastoral counselling, and advocacy for ethical medical practice. Collaboration between clergy, bioethicists, and healthcare providers is vital for guiding couples responsibly. Integrating faith with medical science offers a compassionate, ethical, and practical path for addressing infertility among Nigerian Christians.
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Adeniyi, B. M., & Owolabi, T. J. (2022). Surrogacy, marriage and commodification of the womb: A relio-ethical perspective. International Journal of Research in Education and Sustainable Development, 2(5), 13–22.
Adeniyi, O., & Owolabi, M. (2022). Ethical considerations in surrogacy and reproductive technology. Ibadan: Spectrum Press.
Adeyokunnu, A. A. (1982). The incidence of Down’s syndrome in Nigeria. Journal of Medical Genetics, 19(2), 77–79. DOI: https://doi.org/10.1136/jmg.19.4.277
Aiken, C. E. M., & Brockelsby, J. C. (2016). Fetal and maternal consequences of pregnancies conceived using ART. Fetal and Maternal Medicine Review, 25(3–4), 281–294. https://doi.org/10.1017/S096553951600005X DOI: https://doi.org/10.1017/S096553951600005X
Alberts, B., Johnson, A., Lewis, J., Raff, M., Roberts, K., & Walter, P. (2008). Molecular biology of the cell (5th ed.). New York: Garland Science. DOI: https://doi.org/10.1201/9780203833445
Boulet, S. L., Mehta, A., Kissin, D. M., Warner, L., Kawwass, J. F., & Jamieson, D. J. (2015). Trends in use of and reproductive outcomes associated with intracytoplasmic sperm injection. JAMA, 313(3), 255–263. https://doi.org/10.1001/jama.2014.17985
French, D. B., Sabanegh, E. S., Goldfarb, J., & Desai, N. (2010). Does severe teratozoospermia affect blastocyst formation, live birth rate, and other clinical outcome parameters in ICSI cycles? Fertility and Sterility, 93(4), 1097–1103. https://doi.org/10.1016/j.fertnstert.2008.10.051 DOI: https://doi.org/10.1016/j.fertnstert.2008.10.051
Allahbadia, G. N. (2017). Intrauterine insemination: Fundamentals revisited. Journal of Obstetrics and Gynecology of India, 67(6), 385–392. https://doi.org/10.1007/s13224-017-1042-5 DOI: https://doi.org/10.1007/s13224-017-1060-x
Aminat Fatiregun, O. (2025). Demographic and population determinants, and consequences of cancer incidence and survival in Nigeria. IntechOpen. https://doi.org/10.5772/intechopen.1007881 DOI: https://doi.org/10.5772/intechopen.1007881
Ayeleke, R. O., Asseler, J. D., Cohlen, B. J., & Veltman-Verhulst, S. M. (2020). Intra-uterine insemination for unexplained subfertility. Cochrane Database of Systematic Reviews, 2020(3), Article CD001838. https://doi.org/10.1002/14651858.CD001838.pub7 DOI: https://doi.org/10.1002/14651858.CD001838.pub6
Bergh, C., Romundstad, L. B., Aittomäki, K., Pinborg, A., Loft, A., Wennerholm, U., & Söderström-Anttila, V. (2016). Surrogacy: Outcomes for surrogate mothers, children, and the resulting families—A systematic review. Human Reproduction Update, 22(2), 260–276. https://doi.org/10.1093/humupd/dmv046 DOI: https://doi.org/10.1093/humupd/dmv046
Boomsma, C. M., Cohlen, B. J., & Farquhar, C. (2019). Semen preparation techniques for intrauterine insemination. Cochrane Database of Systematic Reviews, 2019(11), Article CD004507. https://doi.org/10.1002/14651858.CD004507.pub5 DOI: https://doi.org/10.1002/14651858.CD004507.pub4
Boulet, S. L., Mehta, A., Kissin, D. M., Warner, L., Kawwass, J. F., & Jamieson, D. J. (2015). Trends in use of and reproductive outcomes associated with intracytoplasmic sperm injection. JAMA, 313(3), 255–263. https://doi.org/10.1001/jama.2014.15690 DOI: https://doi.org/10.1001/jama.2014.17985
Boynukalin, F. K., Turgut, N. E., Gultomruk, M., Ecemis, S., Yarkiner, Z., Findikli, M., & Bahceci, M. (2020). Impact of elective frozen vs. fresh embryo transfer strategies on cumulative live birth: Do deleterious effects still exist in normal and hyper responders? PLOS ONE, 15(6), e0234481. https://doi.org/10.1371/journal.pone.0234481 DOI: https://doi.org/10.1371/journal.pone.0234481
Bujo, B. (1998). The ethical dimension of community: The African model and the dialogue between North and South. Paulines Publications Africa.
Bujo, B. (2001). Foundations of an African ethic: Beyond the universal claims of Western morality. Crossroad.
Butt, I. (2025). Understanding Down Syndrome in Africa: A guide for families, caregivers, and communities. Retrieved from https://www.datelinehealthafrica.org/understanding-down-syndrome-in-africa#:~:text=The%20prevalence%20of%20Down%20syndrome,1%20in%20555%20in%20Egypt
Chimbatata, C. B. W., & Malimba, C. (2016). Infertility and childbearing in African contexts. African Journal of Reproductive Health, 20(3), 96–102.
Chimbatata, N. B. W., & Malimba, C. (2016). Infertility in Sub-Saharan Africa: A woman’s issue for how long? A qualitative review of literature. Open Journal of Social Sciences, 4(11), 96–102. https://doi.org/10.4236/jss.2016.411010 DOI: https://doi.org/10.4236/jss.2016.48012
Calhaz-Jorge, C.; et al. (2016). "Assisted reproductive technology in Europe, 2012: results generated from European registers by ESHRE". Human Reproduction (Oxford, England). 31 (8): 1638–52. doi:10.1093/humrep/dew151. DOI: https://doi.org/10.1093/humrep/dew151
Critchley, H. O., & Saunders, P. T. (2009). Hormone receptor dynamics in a receptive human endometrium. Reproductive Sciences, 16(2), 191–199. DOI: https://doi.org/10.1177/1933719108331121
Daud, N., & Gustia, K. (2023). The concept of surrogate mother and its practice in some selected countries. International Journal of Academic Research in Business and Social Sciences, 13(6), 1497–1505. DOI: https://doi.org/10.6007/IJARBSS/v13-i6/17570
Enitan, A. O., Ajani, A. A., Olasode, O. A., Olasode, B. J., Bello, H., Oripelaye, M. M., & Umeaku, U. (2022). Pattern of cutaneous lesions in individuals with oculocutaneous albinism in South-Western Nigeria. Nigerian Journal of Dermatology, 12(1), 24–31.
Esteves, S. C., Miyaoka, R., & Agarwal, A. (2018). An update on the clinical and laboratory techniques used in male infertility evaluation and treatment. Asian Journal of Andrology, 22(2), 202–210.
Ezenwa, B. N., Ibrahim, U., Moronkola, O. A., Fajolu, I. B., Ndukwu, L., Oleolo-Ayodeji, K. O., Ibe, A. A., & Ezeaka, V. C. (2024). The growing trend of surrogacy in Nigeria: Implications for quality newborn care: A case report. Nigerian Medical Journal, 65(5), 792–799. https://doi.org/10.60787/nmj.v65i5.515
Fadare, J. O., & Adeniyi, A. A. (2015). Ethics of IVF practice in Nigeria. Developing World Bioethics, 15(1), 10–20.
Fadare, J., & Adeniyi, A. (2015). Ethical issues in newer assisted reproductive technologies: A view from Nigeria. Nigerian Journal of Clinical Practice, 18(7), 929–934. https://doi.org/10.4103/1119-3077.163233 DOI: https://doi.org/10.4103/1119-3077.170823
Flinter, F. A. (2001). Preimplantation genetic diagnosis. BMJ, 322(7293), 534–537. https://doi.org/10.1136/bmj.322.7293.534 DOI: https://doi.org/10.1136/bmj.322.7293.1008
Giddens, A., & Sutton, P. (2021). Sociology (10th ed.). Cambridge: Polity Press.
Gilson, H. (2008). Gamete intra-fallopian transfer (GIFT). Embryo Project Encyclopedia. https://embryo.asu.edu/pages/gamete-intra-fallopian-transfer-gift?mbstx=isywy
Ginsburg, E. S. (2021). Procedure for intrauterine insemination (IUI) using processed sperm. UpToDate. https://www.uptodate.com/contents/procedure-for-intrauterine-insemination-iui-using-processed-sperm?mbstx=isywy
Golombok, S. (2015). Modern families: Parents and children in new family forms. Cambridge University Press. DOI: https://doi.org/10.1017/CBO9781107295377
Greil, A. L., Slauson-Blevins, K., & McQuillan, J. (2011). The experience of infertility: A review of recent literature. Sociology of Health & Illness, 33(1), 140–158. https://doi.org/10.1111/j.1467-9566.2010.01244.x DOI: https://doi.org/10.1111/j.1467-9566.2009.01213.x
Hansen, M., Bower, C., Milne, E., de Klerk, N., & Kurinczuk, J. J. (2005). Assisted reproductive technologies and the risk of birth defects—A systematic review. Human Reproduction, 20(2), 328–338. https://doi.org/10.1093/humrep/deh593 DOI: https://doi.org/10.1093/humrep/deh593
Harris, I. D., Fronczak, C., Roth, L., & Meacham, R. B. (2011). Fertility and the aging male. Reviews in Urology, 13(4), e184–e190.
Jain, M., Fang, E., & Singh, M. (2025). Assisted reproductive technology (ART) techniques. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK576409/
Kamel, R. M. (2013). Assisted reproductive technology after the birth of Louise Brown. Journal of Reproduction & Infertility, 14(3), 130–136.
Katiyar, A. S. (2021). Surrogacy: A hope to childless couples along with a challenge to law. International Journal of Law and Legal Jurisprudence Studies, 1(6), 54–60.
Keating, D., Cheung, S., Xie, P., Kocur, O. M., Rosenwaks, Z., & Palermo, G. D. (2023). Chapter 26 – Intracytoplasmic sperm injection. In Management of infertility: A practical approach. Academic Press. https://doi.org/10.1016/B978-0-12-818617-1.00026-X DOI: https://doi.org/10.1016/B978-0-323-89907-9.00002-8
Klein, N. A. (2021). Prevention of infertility source document: The impact of age on female fertility. American Society for Reproductive Medicine. https://www.asrm.org/globalassets/asrm/asrm-content/learning--resources/patient-resources/protect-your-fertility3/age_femaleinfertility.pdf
Kumari, R. (2021). Final report: Surrogate motherhood – Ethical or commercial. Centre for Social Research.
Kunhiyop, S. W. (2008). African Christian ethics. Nairobi: Zondervan.
Kuznyetsov, V., Madjunkova, S., Antes, R., Abramov, R., Motamedi, G., Ibarrientos, Z., & Librach, C. (2018). Evaluation of a novel non-invasive preimplantation genetic screening approach. PLOS ONE, 13(5), e0197196. https://doi.org/10.1371/journal.pone.0197196 DOI: https://doi.org/10.1371/journal.pone.0197262
Ladomato, D. (2012). Protecting traditional surrogacy contracting through fee payment regulation. Hastings Women’s Law Journal, 23(2), 245–268.
Lambert, D., et al. (2020). Factors affecting success in frozen embryo transfer: A focus on age and embryo quality. Fertility and Sterility, 114(2), 302–309. https://doi.org/10.1016/j.fertnstert.2020.05.040 DOI: https://doi.org/10.1016/j.fertnstert.2020.05.040
Lee, V. C. Y., Chow, J. F. C., Lau, E. Y. L., Kwong, A., Leung, S. Y., Yeung, W. S. B., Ho, P. C., & Ng, E. H. Y. (2016). Preimplantation genetic diagnosis for hereditary cancer syndrome: Local experience. Hong Kong Medical Journal, 22(3), 234–240. DOI: https://doi.org/10.12809/hkmj144499
Li, Q., & Pantano, J. (2023). The demographic consequences of sex-selection technology. Quantitative Economics, 14(2), 1–25. https://doi.org/10.3982/QE812 DOI: https://doi.org/10.3982/QE2088
Magesa, L. (1997). African religion: The moral traditions of abundant life. Orbis Books.
Marshburn, P. B., Alanis, M., & Matthews, M. L. (2009). A short period of ejaculatory abstinence before intrauterine insemination is associated with higher pregnancy rates. Fertility and Sterility, 93(1), 51–54. https://doi.org/10.1016/j.fertnstert.2008.02.097 DOI: https://doi.org/10.1016/j.fertnstert.2009.07.972
Mokra, K. (2023). Pronuclear stage tubal transfer (PROST). IFG-IVF. https://ifg-ivf.com/blog/pronuclear-stage-tubal-transfer-prost.html?mbstx=isywy
Niemann, H., & Kues, W. (2003). Application of biotechnology in reproduction. Reproductive Biology and Endocrinology, 1(291), 1–12.
Ogunbiyi, D. O. (2024). Socio-religious issues in alcoholic consumption among Christians in selected Orthodox churches in Surulere Lagos Government, Lagos State. RERUM: Journal of Biblical Practice, 4(1), 38–66. https://doi.org/10.55076/rerum.v4i1.518 DOI: https://doi.org/10.55076/rerum.v4i1.518
Ogunbiyi, D. O. (2025). Socio-religious issues in the use of assisted reproductive technologies among church members in Lagos Mainland Diocese (Anglican Communion) (Unpublished doctoral thesis). Redeemer’s University, Ede, Nigeria.
Ogunbiyi, D. O., & Adedibu, B. A. (2025). Redefining Contemporary African Pentecostalism: Church of Nigeria (Anglican Communion) in Sociological Retrospect. African Journal of Religious and Theological Studies, 5(1), 32-53. https://doi.org/10.62154/ajrts.2025.05.013 DOI: https://doi.org/10.62154/ajrts.2025.05.013
Ogunbiyi, D. O. (2025). Infertility and the Christian Attitudes to Assisted Reproductive Technologies in Nigeria: A Psychological Investigation. International Journal of Independent Research Studies, 14(1), 10–18. https://doi.org/10.55220/2304-6953.v14i1.724 DOI: https://doi.org/10.55220/2304-6953.v14i1.724
Ogunbiyi, D. O., & Olajugbagbe, O. M. (2025). AI and colour symbolism in Nigerian religions: A religio-ethical study. African Journal of Religious and Theological Studies, 5(1), 105–124. https://doi.org/10.62154/ajrts.2024.05.01017 DOI: https://doi.org/10.62154/ajrts.2025.05.01017
Ogunbiyi, D. O., Adeyemo, A. A., & Olajugbagbe, O. M. (2025). Ethical concerns of depression among youths: A socio-religious implication in contemporary Nigeria. African Journal of Religious and Theological Studies, 3(1), 65–84. https://doi.org/10.62154/ajrts.2025.03.010687 DOI: https://doi.org/10.62154/ajrts.2025.03.010687
Ogunbiyi, D. O., Adeyemo, A. A., Olajugbagbe, O. M., & Oyebanji, I. T. (2025). Polygamy and its implications on Christianity in Southwest Nigeria: A sociological perspective. MAHABBAH: Journal Religion and Education, 6(1), 45–69. https://doi.org/10.47135/mahabbah.v6i1.111 DOI: https://doi.org/10.47135/mahabbah.v6i1.111
Ogunbiyi, D. O., Oyebanji, I. T., & Olajugbagbe, O. M. (2025). The sociological impact of youth restiveness on Christianity in Mushin, Lagos State. African Journal of Religious and Theological Studies, 3(1), 15–34. https://doi.org/10.62154/ajrts.2025.03.010618 DOI: https://doi.org/10.62154/ajrts.2025.03.010618
Ogunbiyi, D.O. (2025). The sociological effects of cashless policy on church income in Surulere archdeaconry, Diocese of Lagos Mainland (Anglican Communion). MAHABBAH: Journal Religion and Education, 6(2), 100-119 https://doi.org/10.47135/mahabbah.v6i2.118 DOI: https://doi.org/10.47135/mahabbah.v6i2.118
Orobator, A. E. (2008). Theology brewed in an African pot. Orbis Books.
Orobator, A. E. (2011). Ethics and theology in Africa. In E. Katongole (Ed.), African theology today (pp. 115–132). Paulines Publications Africa.
Palermo, G., Joris, H., Devroey, P., & Van Steirteghem, A. C. (1992). Pregnancies after intracytoplasmic injection of single spermatozoon into an oocyte. The Lancet, 340(8810), 17–18. https://doi.org/10.1016/0140-6736(92)90412-T DOI: https://doi.org/10.1016/0140-6736(92)92425-F
Pena, V. N., Kohn, T. P., & Herati, A. S. (2020). Genetic mutations contributing to non-obstructive azoospermia. Best Practice & Research Clinical Endocrinology & Metabolism, 34(6), 101377. https://doi.org/10.1016/j.beem.2020.101377 DOI: https://doi.org/10.1016/j.beem.2020.101479
Peterson, B. D., et al. (2008). The relationship between coping strategies and infertility-related distress in infertile men and women. Journal of Psychosomatic Obstetrics & Gynecology, 29(2), 89–97. https://doi.org/10.1080/01674820801942817
Piyamongkol, S., Mongkolchaipak, S., Chaidaroon, W., Pantasri, T., Sirapat, R., Suriya, W., Tongsong, T., & Piyamongkol, W. (2022). Pre-implantation genetic testing for oculocutaneous albinism type 1 using karyomapping. Clinical and Experimental Obstetrics & Gynecology, 49(5), 510–514. https://doi.org/10.12891/ceog4792.2022 DOI: https://doi.org/10.31083/j.ceog4905120
Reznik, O. M., & Yakushchenko, Y. M. (2020). Legal considerations surrounding surrogacy in Ukraine. Wiadomości Lekarskie, 73(5), 1031–1036. DOI: https://doi.org/10.36740/WLek202005139
Romito, K. (2022). Gamete and zygote intrafallopian transfer (GIFT and ZIFT). MyHealth Alberta. https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw202763&mbstx=isywy
Sani, H., & Yahya, H. (2023). Cutaneous dermatosis in persons living with albinism in Kaduna—Northwestern Nigeria. Nigerian Journal of Dermatology, 13(2), 49–56. https://nigjdermatology.com/index.php/NJD/article/view/233
SCD. (2024). Sickle Cell Foundation Nigeria marks 2024 World Sickle Cell Day with a town hall meeting: National director’s message. https://sicklecellfoundation.com/news/full-read/8#:~:text=It%20is%20also%20estimated%20that,to%20bring%20SCD%20to%20heel
Spar, D. L. (2006). The baby business: How money, science, and politics drive the commerce of conception. Harvard Business Review Press.
Sullivan-Pyke, C., & Dokras, A. (2018). Preimplantation genetic screening and preimplantation genetic diagnosis. Obstetrics and Gynecology Clinics of North America, 45(1), 121–132. https://doi.org/10.1016/j.ogc.2017.11.001 DOI: https://doi.org/10.1016/j.ogc.2017.10.009
Van Voorhis, B. J. (2007). Clinical practice: In vitro fertilization. New England Journal of Medicine, 356(4), 379–386. https://doi.org/10.1056/NEJMcp065743 DOI: https://doi.org/10.1056/NEJMcp065743
Wang, L., & Zhang, L. (2021). Embryo transfer techniques and success rates in IVF: A review of current literature. Chinese Journal of Reproductive Medicine, 26(5), 378–385. https://doi.org/10.3760/cma.j.cn115992-20210505-00430
Weijerman, M. E., & de Winter, J. P. (2010). Clinical practice: The care of children with Down syndrome. European Journal of Pediatrics, 169(12), 1445–1452. https://doi.org/10.1007/s00431-010-1214-3 DOI: https://doi.org/10.1007/s00431-010-1253-0
Yawn, B. P., Buchanan, G. R., Afenyi-Annan, A. N., Ballas, S. K., Hassell, K. L., James, A. H., et al. (2014). Management of sickle cell disease: Summary of the 2014 evidence-based report by expert panel members. JAMA, 312(10), 1033–1048. https://doi.org/10.1001/jama.2014.7990 DOI: https://doi.org/10.1001/jama.2014.10517
Zhu, T. (2011). Zygote intrafallopian transfer. Embryo Project Encyclopedia. https://embryo.asu.edu/pages/zygote-intrafallopian-transfer