Abstract

Introduction: Infertility is a health problem that does not cause death, disability or physical pain; however, it is a crisis for couples who see their life plans threatened and suffer not only at the time of diagnosis and during treatments, but in multiple daily situations. Scientific Problem: There are no published studies on the characteristics of the infertile patient who has required surgical treatment, which is attended at the Territorial Center for Assisted Reproduction, Cienfuegos. Objective: To characterize the patients with infertility diagnosis who underwent surgical treatment and were treated at the Territorial Center for the care of the infertile couple in the province of Cienfuegos. Methodological Design: A descriptive, prospective, cross-sectional study of a series of cases was carried out at the Territorial Center for Assisted Reproduction, inserted in the Department of External Consultation of the General University Hospital, Dr. “Gustavo Aldereguia Lima” in Cienfuegos, in the period from January 2015 to December 2016. The variables studied were: age, skin color, pelvic inflammatory disease, personal pathological history, number of pregnancies, number of deliveries, number of abortions, age of the first sexual relations, cause of infertility, time attending the consultation, previous pelvic surgery, preoperative diagnosis, type of surgery, type of treatment and results of the surgery. Results: A predominance of age was obtained between 26 and 35 years of previous pelvic inflammatory disease, Bronchial Asthma as a personal pathological antecedent, previous pelvic surgery, number of pregnancies between 1 and 2, induced abortion among other results.

Highlights

  • Infertility is a health problem that does not cause death, disability or physical pain; it is a crisis for couples who see their life plans threatened and suffer at the time of diagnosis and during treatments, but in multiple daily situations

  • It was concluded that the majority of infertile women were between 26 and 30 years of age, the first sexual relations were more common in adolescence

  • Minimal access surgery is a variant of effective importance and a good alternative, especially in patients who seek a solution to their reproductive problem in order to fulfill their life purpose, so that medical treatment and assisted reproductive techniques are interrelated. complex manner, showing the need for multidisciplinary management, which depend on the severity of the disease, and the woman's desire to conceive

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Summary

Introduction

Infertility is a health problem that does not cause death, disability or physical pain; it is a crisis for couples who see their life plans threatened and suffer at the time of diagnosis and during treatments, but in multiple daily situations. The variables studied were: age, skin color, pelvic inflammatory disease, personal pathological history, number of pregnancies, number of deliveries, number of abortions, age of the first sexual relations, cause of infertility, time attending the consultation, previous pelvic surgery, preoperative diagnosis, type of surgery, type of treatment and results of the surgery. Infertility is a health problem that does not cause death, disability, or physical pain; it is a crisis for couples, who see their life plans threatened and suffer at the time of diagnosis and during treatments, but in multiple everyday situations. The most frequent causes of infertility in women are: tubal obstructions, polycystic ovary syndrome, anovulation, hyperprolactinemia, cervical stenosis, uterine fibromatosis, endometriosis, malformations in the genital tract, etc. and others that may not be identified [4]

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