PROBLEMS OF MANAGEMENT OF INFERTILITY IN SUB SAHARAN AFRICA: THE EXAMPLE OF SENEGAL
Journal Title: World Journal of Pharmaceutical and Medical Research - Year 2017, Vol 3, Issue 5
Abstract
Objectives: to determine the problem of the management of infertility of the couple in Senegal. Materials and methods: retrospective study carried out in the department of Gynecology and Obstetrics of the National Hospital Center of Pikine. All cases of infertility of the couple during the period from January to December 2014 had been collected 146 cases. The data was collected from the medical records of the patients seen on an outpatient basis by completing a data collection form for each patient. Results: the prevalence of infertility in our structure was 14%; The mean age was 32 ± 1 years (18 and 46 years). Primary infertility accounted for 56.2% of cases. The duration of infertility greater than or equal to 5 years concerned 51.3% of women. The female pathologies found were dominated by uterine abnormalities that were in the foreground (41.8), followed by tubal and ovarian abnormalities in 26.7% each. The spermogram was only performed in 24 cases. Medical treatment was dominated by antibiotic therapy (49.3%); Surgical treatment was dominated by laparoscopy (13%) and myomectomy in 6.8% of cases. There were 15 cases of post-treatment pregnancy (10.3%); 119 treatment and / or sight loss (81.5%) and 12 patients who were still receiving treatment (8.2%). Conclusion: There is a real information problem about infertility and a lack of participation and involvement of men in the diagnostic procedure. The etiologies are dominated by uterine abnormalities and treatment must be based on the prevention of infections.
Authors and Affiliations
Dr. Abdoul Aziz Diouf
Keywords
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