Clinical Spectrum of Infertile Couple: a Retrospective Study at Teaching Hospital

Abstract

Introduction: Infertility has been rising steeply as the prime health issue among women around the world these days. This study aims to investigate the causes, hormonal profi le, and clinical spectrum of infertility.Materials and Methods: This is a descriptive cross-sectional study conducted throughout a one year duration in an infertility clinic. The couples meeting the inclusion criteria were included and a pre-formed proforma was used to collect the data regarding history, examination, and investigations.Results: A total of 118 infertile couples were analyzed. The mean age of the females was 28.3±4.5 years. There were 72.1 %cases of primary infertility and 27.9 %of secondary infertility. Regarding obesity status,35.5% were overweight and 15.2 % were obese. Thirty-one (26.2%) males were smokers, 41 (34.7%) used to consume alcohol, and 14 (11.8%) had a habit of chewing tobacco. Among the different fi ndings of semen analysis, 21.1% asthenozoospermia, 9.3% oligoasthenozospermia,7.6% oligospermia, 1.6% azoospermia. Female factor accounted for 45.3%, the malefactor for 28% and in 19.3% the defi nite factor was not determined. The ovulatory disorder was diagnosed in 38.6% of females and hysterosalpingography (HSG) revealed that around 10% had a unilateral block and 1.7% had a bilateral block.Conclusions: Infertility is becoming a global issue affecting a signifi cant number of young couples. About forty-six percent were female aging more than thirty years. The female factor for infertility was more common than the male factor among which ovulatory disorder was the commonest one. Asthenozoospermiawas the commonest abnormal fi nding on semen analysis in a male partner.

Determinants of infertility in couples attending maternity hospital

“…Among the women attending the infertility clinic, tubal factors are the most important abnormality because of their complexity in the management. The current study revealed tubal pathology as the commonest as compared to ovarian (35.16% and 32.03% respectively) which is similar to the previous studies 12,13 and contrary to the finding of another study 14 where ovarian pathology was the leading factor for infertility among Nepali women. This higher rate of tubal pathologies are mainly due to reproductive tract infections.…”

Bacteriospermia in Men Among Infertile Couples in Nepalese Population

“…The most common characteristic in this study was teratozoopermia as with previous studies [14,23]. However, asthenozoospermia [22,24], and oligozoospermia [16] were also found to be the most common semen characteristics in Nepal.…”