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Results:

Contestations tended to relate to 5 main themes: the cause of the infertility and who was to blame; male apathy; reluctance to provide semen samples for evaluation; an absentee husband due to work pressure; and finance relating to the cost of infertility treatment.

Discussion:

This is the first study to highlight the contestations that arise between couples regarding their decision-making about alleviating their infertility via 3 different types of fertility clinics in Accra, Ghana. It is apparent that globalization and changing norms of family life have to a large extent, accounted for the changing ideas and practices surrounding infertility in urban Ghana.