DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20171936

Results of the multicentric management of infertility couples in Abidjan (Cote d’Ivoire)

Jean Marc Dia, Telly Sy, Eric Bohoussou, Mouhideen Oyeladé, Gerard Okon, Privat Guié, Simplice Anongba

Abstract


Background: The management of infertile couples has seen many advances characterized today by the different techniques of medically assisted procreation (MAP) that are increasingly practiced in the developed countries. The objective of present study is to describe our experience of multicentric management of infertile couples in our ivorian context.

Methods: This is a retrospective and cohort study with descriptive purpose over 210 couples treated for infertility in the gynecology services of the University and Hospital Center of Treichville and a private clinic in Abidjan, from 1st February 2013 to 31st January 2017 (48 months).

Results: The frequency of infertility was 14%, and the average age was 34.3 years for women and 43.2 years for men. The etiologies were found in 199 couples (94.8%), particularly in 136 women and 113 men. The main causes were uterine (58.1%), and hormonal (26.5%) in women and of infectious origin in men (79.7%). The majority of the patients (113 women and 97 men) received an etiologic treatment, dominated by myomectomia in women (67 patients) and targeted antiobitherapy in men (84.5%). Moreover 113 couples (53.8%) received a medically assisted procreation. After the management 110 couples (52.4%) got pregnant.

Conclusions: The multicenter management has enabled infertile couples to have access to modern methods in their care.


Keywords


Etiologies, Infertility couple, Medically assisted procreation, Treatment

Full Text:

PDF

References


Larsen U. Primary and secondary infertility in Sub-Saharan Africa. Int J Epidemiol. 2000;29:285-9.

Blumenthal LJ, Hertzanou F, Mendelsohn DB, Golgdberger S. Epidemiology of infertility. S Africa Johannesburg Med. 1984;21:854-6.

Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Hum Reprod. 2007;22(6):1506-12.

Boudhraa K, Jellouli MA, Kassaoui O, Ben Aissia N, Ouerhani R, Triki A, et al. Interest of hysteroscopy and laparoscopy in the management of infertile coulpe: about 200 cases. Tunis Med. 2009;87(1):55-60.

Bang Ntamack JA, Mayi-Tsonga S, Sima Ole B, Meye JF. Pregnancy after myomectomy in Libreville, Gabon. Clin Mother Child Health. 2009;6(2):1101-6.

Miller DA. Is advanced maternal age an independent risk factor for uteroplacental insufficiency? Am J Obst Gynecol. 2005;192(6):1974-80.

Martin A, Maillet R. Pregnancy after 40 years. Excerpt from Updates in Gynecol Obstet. 2005;29:65-92.

Adamson GD; Baker VL. Sub fertility: causes; treatment and outcome. Best Pract Res Clin Obst Gynecol. 2003;17(2):169-85.

Gandji S, Adisso S, Atrevi N, Dougnon TV, Bankolé HS, Hontonnou F, et al. Diagnosis of the etiological lesions of secondary infertility in Cotonou: role of hysterosalpingography and pelvic ultrasound. J Appl Biosci. 2013;68:5349-55.

Zeghal D, Ayachi A, Mahjoub S, Boulahya G, Zakraoui A, Ben Hmid R, et al. Fibrome et grossesse: les complications. La Tunisie Medicale. 2012;90:286-90.

Niang L, Ndoye M, Labou I, Jalloh M, Kane R, Diaw JJ, et al. Epidemiological and clinical profile of male infertility in the general hospital of Grand-Yoff, Senegal: about 492 cases. Andrologie. 2009;19:103-7.

Moreira P, Fall C, Dieng T, Fall A, Diouf A, Moreau JC. Medically assisted procreation: indications and perceptions by couples with infertility at the Dakar University Hospital Center. Mali Med. 2008;23(1):50-6.

Ayaud O, Bijaoui G, Huynh B. Genital Bacterial Infections Associated with Papillomavirus: Screening and Treatment Basis, Contraception. Fertil Sex. 1993;21:149-52.

Mieusset R. Cell-tropic germs (Chlamydiae, Mycoplasma) and disturbance of sperm fertility. Andrologie, 1994;4:406-13.

Darcq C, Hermabessiere J. Etiology of secondary infertility in man. Androl. 2006;16(2):155-9.

Audebert A. Varicocele and male hypofertility: current data. Obst Gynecol. 1993;1(5):487-9.

Khallouk A, Tazi MF, EL Fassi MJ, Farib MH. Male infertility: pathophysiology, assessment and management. Esperance Médicale. 2010;17(170):421- 9.

Ndoye M, Niang L, Labou I, Jalloh M, Kane R, Ndiaye JJDA, et al. Azoospermie in Senegal: what kind of care is available in ICSI? Androl. 2008;18(3):206-9.

Ouaggag B. La procreation medicalement assistee experience du secteur prive de marrakech. Universite cadi ayyad Faculty of Medicine and Pharmacy marrakech Thèse N° 66 soutenue publiquement en; 2007.