Characteristics of infertile couples attending OPD of a teaching hospital
Keywords:Infertility, Male factors, Female factors, Semen analysis, Ovulatory factors, Tubal patency tests, Socio-economic factors
Background: Infertility is defined as failure to conceive even after one year of regular, frequent and unprotected intercourse. Infertility has, in the last few years surfaced in society as a significant problem affecting as many as 15% of couples. This study aimed at identifying the characteristics of infertility among Indian couples.
Methods: The present study was carried out on 100 infertile couples attending the OPD of upper India sugar exchange maternity hospital attached to GSVM medical college, Kanpur, other hospital and nursing homes of Kanpur. Both the partners were completely evaluated by taking proper history, examination and investigation to assess the cause of infertility.
Results: Majority of female partners were between ages of 25-29. Female factors were found in 45% couples and male factors in 30 % couples. Among female factors, tuboperitoneal factor was found in 32% cases and ovulatory factor was found in 40% cases. Oligospermia was the commonest cause in male factor infertility.Conclusions: From this study we concluded that infertility is a public health problem in India and the main infertility pattern is a primary rather than secondary infertility.
Hammond SH. Evaluation of infertile couple. Obstet Gynecol Clin North Am. 1986;14(4):821-30.
Templeton AA, Penny GC. The incidence characteristic and prognosis of patients whose infertility is unexplained. Fertil Steril. 1982;37:175-82.
James M, Wheeler, Marry Lake Polan. Etiology of infertility female factors. In: James M, Wheeler, Marry Lake Polan, eds. De.Cherneys a Textbook of Infertility. 8th ed. New York, NY: New Hope Fertility Ctr; 2012.
Rowland M. Infertility therapy-effect of innovations and increasing experience J Reprod Med. 1980;25:42-6.
Pepperell RJ. Rational approach to ovulation induction. Fertil Steril. 1983;40:1-14.
Cox LW. Infertility a comprehensive programme. BJOG. 1975;82(1):2-6.
Kaufman FR, Kogut MD, Donnell GN, Goebelsmann U, March C, Koch R. Hypergonadotropic hypogonadism in females with galactocemia. N Engl J Med. 1981;304:994-8.
Summaria V, Speca S, Mirk P. Ovarian factor infertility. Ray (Italy). 1998 Oct-Dec;23(4):709-26.
Westron L. Incidence, prevalence and trends of acute PID and its consequence in industrialized countries. Am J Obstet Gynecol. 1980;138:880-92.
Buttram VC, Reiter RC. Uterine leiomyoma; etiology, symptomatology and management. Fertil Steril. 1981;36:433-45.
Berkeley AS, Decherney AH, Plan ML. Abdominal myomectomy and subsequent fertility. Obstet Gynecol. 1983;156:319-22.
Mohmad A, Aboulghar, Rajan T, Mansoor, Gamali, Saron. Ovarian super stimulation and IUI for treatment of unexplained infertility. Fertil Steril. 1985;16:3.
Collins JA. Diagnosis assessment of the infertile female partner. Cirr Probi Obstet Gynecol Fertil. 1988;11:36-42.
Wentz AC, Herbert CM III, Mexon WS, Hill GAP, Pittaway DE. Cycle of conception endometrial biopsy. Fertil Steril. 1986;46:1996-9.