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Experience with a comprehensive university hospital‐based infertility program in Nigeria
Author(s) -
Orhue Augustine,
Aziken Michael
Publication year - 2008
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2007.09.034
Subject(s) - infertility , medicine , pregnancy , obstetrics , guideline , primary infertility , pregnancy rate , gynecology , assisted reproductive technology , female infertility , genetics , pathology , biology
Abstract Objective To assess outcome at an infertility management center in Nigeria. Methods Diagnoses were made for 1948 consecutive couples following the World Health Organization guideline on the investigation of infertile couples, treatment was provided, and the couples were followed up over a 10‐year period. Results The infertility was primary in 14.3% and secondary in 85.7% of cases. Treatment failed in 59.9% and succeeded in 40.1% of cases, resulting in pregnancy for 13.5% of the couples with female infertility factors alone, 6.5% of the couples with male infertility factors alone, and 3.6% of those with both male and female factors. The pregnancy rate was 16.6% for couples with idiopathic infertility. Conclusion Pregnancy outcome was relatively poor because conventional treatments did not cure the most prevalent causes of infertility, and assisted reproductive technology is therefore advocated.