Epidemiology of infertility in the Fez -Morocco-(About 258 couples)

Fouad Ech chouyekh *, Sofia Jayi, Yassine belhaj, FZ Fdili Alaoui, Hikmat Chaara and MA Melhouf

Department of Obstetrics Gynecology II, Hassan II university hospital center, Sidi Mohamed Ben Abdellah Faculty, Fes, Morocco.
 
Research Article
International Journal of Science and Research Archive, 2024, 13(01), 1972–1978.
Article DOI: 10.30574/ijsra.2024.13.1.1852
Publication history: 
Received on 22 August 2024; revised on 01 October 2024; accepted on 03 October 2024
 
Abstract: 
Introduction: This work aimed to illustrate the epidemiology of infertility in the Fes region, taking into account the socio-psychological impact of this entity, which remains very poorly experienced, especially in Moroccan society.
Patients and methods: This is a retrospective, observational and analytical study, involving 258 couples, within the Gyneco-Obstetrics II department of the Hassan II University Hospital in Fes. Data collection was carried out in September 2018. as of March 2021 based on a questionnaire written for this purpose.
Results:
•         The average age of women was 32 years with extremes ranging from 22 to 42 years.
•         the time taken for consultations for the first time varying between 18 months and 4 years with an average of 02 years and 09 months
•         82% of couples had primary infertility and 7.59% had secondary infertility.
•         The duration of infertility varies between 1 year and 17 years with an average of 9 years, of which 26.6% of couples have infertility for more than 10 years.
•         Origin of infertility in our study is male in 44%, female in 36.6%, mixed in 6.6% and unexplained in 12.4% of couples.
•         The female etiology of infertility is: 25.5% of tubal origin, 31.5% of low ovarian reserve, 1.5% of premature ovarian failure, 29.3% of polycystic ovary syndrome, 4.5% of endometriotic origin and 7.5% of uterine origin.
•         In men the most common anomaly is asthenospermia in 36.1% of spouses.
•         therapeutic care :20 patients benefited from laparoscopy,either 7.8%, surgical HSC performed in 3.1%(8 patients),7 patients benefited from ovarian stimulation followed or not by intrauterine insemination, 2 of whom had a biochemical pregnancy. .
•         in Vitro Fertilization was indicated in 54 couples, or 20%, due to lack of resources, only 3 couples, or 5.6%, benefited from an in Vitro Fertilization attempt, one of which carried a pregnancy to term, giving a living child.
Conclusion: This study showed that infertility is the result of several causes and that a considerable percentage of etiologies require assisted procreation techniques which are very expensive, which blocks the support of couples, 94.4% of whom are still awaiting the creation of a local center and medical coverage allowing patient care
 
Keywords: 
Infertility; IVF; Ovarian reserve; Polycystic ovary; Asthenospermia
 
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