The causes of infertility in women presenting to gynaecology clinics in Harare, Zimbabwe; a cross sectional study
نویسندگان
چکیده
Abstract Background Infertility affects 48.5 million couples globally. It is defined clinically as failure to conceive after 12 months or more of regular unprotected sexual intercourse. The contribution various aetiological factors infertility differs per population. causes have not been assessed in Zimbabwe. Our objectives were determine the reproductive characteristics, and outcomes women presenting for care. Methods A retrospective prospective study who had conceived within a year having intercourse private public facilities Harare was done. diagnosis made based on history, examination results whenever these deemed sufficient. Data analysed using STATA SE/15. total 216 recruited. Results Of recruited, two thirds (144) them primary infertility. overall period ranged from 1 21 years with an average 5.6 ± 4.7 whilst 98 (45.4%) experienced 2–4 94 (43.5%) experience 5 About irregular menstrual cycles 10 amenorrhoea at least year. Almost half participants (49%) overweight obese. most common cause ‘unexplained’ 22% followed by tubal blockage 20%, male factor 19% anovulation 16%. 49 (22.7%) 21(9.7%) live birth while 23 (10.7%) ongoing pregnancy end follow up. Thirty-seven (17.1%) Assisted Reproduction Techniques (ART) form Invitro-fertilisation/Intracytoplasmic Sperm Injection (IVF/ICSI) Intra-Uterine Insemination (IUI). significantly associated conception. Conclusion Most present when chances natural spontaneous conception are considerably reduced. This shows almost equal between blockage, unexplained female constituted mixture two. Improved access ART will result improved rates. Programs should target comprehensive assessment both partners offer ART.
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ژورنال
عنوان ژورنال: Fertility Research and Practice
سال: 2021
ISSN: ['2054-7099']
DOI: https://doi.org/10.1186/s40738-020-00093-0