Acta Scientific Medical Sciences (ISSN: 2582-0931)

Research Article Volume 4 Issue 2

Epidemiology and Treatment of Marital Infertility in the Gynecology and Obstetrics Department of Point G BAMAKO / MALI About 535

Kanté I1*, Traoré M1, Sima M1, Coulibaly A1, Théra T1, Bocoum A2, Fané S2, Traoré O3, Traoré Y2 and Teguété I2

1Obstetric Gynecology Service of the C.H.U of Point “G”, Bamako Mali
2Obstetric Gynecology Service of the C.H.U Gabriel TOURE”
3Common Reference Health Center V

*Corresponding Author: Kanté I, Obstetric Gynecology Service of the C.H.U of Point “G”, Bamako Mali.

Received: January 09, 2020; Published: January 30, 2020

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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

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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): 01-06.



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