Abstract

Purpose: To study the marital infertility in the obstetrics and gynecology service of the C.H.U of Point "G" Bamako / Mali.

Patients and Methods: It was a cross-sectional study that took place in the gynecology department of CHU Point G from June 1, 2013 to May 31, 2016.On one hand were included in our study, all women in union or in couples received for consultations at least 2 times in which primary or secondary infertility has been diagnosed. On the other hand, were excluded all couples who carried out only a single gynecological consultation with or without a check-up, those who did not follow-up and couples whose treatments were not completed. The data were entered and analyzed using SPSS 12.0 software. The statistical test used was that of Chi2, the statistical significance threshold was fixed at 5%.

Results: During the study period, we recorded 8,295 outpatient consultations including 1,050 cases of marital infertility among which 535 cases of infertility were retained for this study making an overall frequency of 12.7%.The female infertility was the most common with 62.8% followed by the male infertility 13.5%; the mixed infertility represented 12.9% of couples. At the end, for 10.8% of infertility cases no cause has been found. The risk factors for marital infertility were represented by the age, the pregnancy rate decreased from 35 years old with Chi-square: 16.08; P: 0.00; the type of infertility, the pregnancy rate was lower in the case of primary infertility with Chi-square: 9.72; P: 0.02; the duration of infertility, the longer the duration of infertility was, the less pregnancy was obtained with Chi-square: 24.04; P: 0.00. The causes of female infertility found in this work were: tubal abnormalities in 216 cases (40.4%), hormonal disorders, 122 cases (22.8%), uterine abnormalities in 69 cases (12.9%). No cause could be identified for 128 patients (23.9%). The causes of male infertility were sperm abnormalities, 26.35% (141 cases), the aftermaths of STIs, 11.8%. (63 cases) and testicular and penis abnormalities, 11.40% (61 cases). However in more than 50% of the cases (270 cases) no cause of male infertility has been found. The treatment was purely medical in 75.5% (383/535), a combination of surgery and medical treatment in 3.7% (20/535) and surgery alone in 24.6% (132/535). The pregnancy rate for these different treatment options was 19.32% (74/383) respectively; 10% (2/20) and 19.69% (26/132).

Conclusion: Marital infertility is a public health problem with the rise of sexually transmitted infections.

Keywords: Marital Infertility; TPC

References

1. WHO: WHO laboratory manual for the examination and the processing of human semen. Fifth edition.
2. Kamini R. All principles and practice of assisted reproductive technology (ART) (2014): 148-157.
3. Belaisch Allart Infertilité dite inexpliquée: quel bilan en 2009? Livre du CNGOF mise à jour en Gynécologie Médicale. Eds, Vigot, Paris (2009).
4. RPC prise en charge de l’infertilité CNGOF Journal of Gynecology Obstetrics and Human Reproduction (2010): 39.
5. Boivin J., et al. “International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care”. Human Reproduction 22.6 (2007): 1506-1512.
6. Wright KL. “Définir l’infertilité”. FHI (network en Francais) (2004): 4-12.
7. Practical Guide in Infertility 23rd ISAR First Edition (2018): 407-413.
8. Hodonou A., et al. “La stérilité conjugale enmilieu africain au CHU de Lomé.Ses facteurs étiologiques (à propos de 976 cas)”. Médecine d'Afrique Noire 30.12 (1983): 533-542.
9. CNGOF. Recommandations pour la pratique Clinique. Myoma management (2011).
10. Human reproduction 26 (2011):11. 
11. Porcu G., et al. Prise en charge d’une infertilité du couple (Exploration Chez la femme) 42 (2001): 63-67.
12. World Health Organization. Infertility: a tabulation of available data on prevalence of primary and secondary infertility. Geneva (1991).
13. Brennan D., et al. Human reproduction 27 (2012): 5. 
14. NICE clinical guideline. Guidance.nice.org.uk/org156. Assessment and treatment for people with 156 (2013).
15. ICMART (International Committee for Monitoring Assisted Reproductive Technology) and the World Health Organization (WHO) revised glossary of ART terminology (2009).
16. Human reproduction (2010). 
17. Family Heath International: Préserver la fertilité (2004).
18. Demouzon J. Epidémiologie de l’infécondité du couple. Immunoanal biol. Spec (1990):11-12.
19. Guibert J. Suspicion d’infertilité du couple Revue du praticien, Médecine générale; CNRS, INIST diffusion (2007): 445- 448.
20. V Bigouroux., et al. “Utilisation du citrate de clomifène en médecine de ville dans la région Midi-Pyrénées: qualité du bilan explorant la stérilité, de la prescription et de surveillance du traitement. Gynécologie obstétrique and fertilité 32 (2004) 954-960.

Citation

Citation: Kanté I., et al. “Epidemiology and Treatment of Marital Infertility in the Gynecology and Obstetrics Department of Point G BAMAKO / MALI About 535". Acta Scientific Medical Sciences 4.2 (2020): 206-211.

Copyright

Copyright: © 2020 Kanté I., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.