Abstract
Introduction: Infertility has been rising steeply as the prime health issue among women around the world these days. This study aims to investigate the causes, hormonal profi le, and clinical spectrum of infertility.Materials and Methods: This is a descriptive cross-sectional study conducted throughout a one year duration in an infertility clinic. The couples meeting the inclusion criteria were included and a pre-formed proforma was used to collect the data regarding history, examination, and investigations.Results: A total of 118 infertile couples were analyzed. The mean age of the females was 28.3±4.5 years. There were 72.1 %cases of primary infertility and 27.9 %of secondary infertility. Regarding obesity status,35.5% were overweight and 15.2 % were obese. Thirty-one (26.2%) males were smokers, 41 (34.7%) used to consume alcohol, and 14 (11.8%) had a habit of chewing tobacco. Among the different fi ndings of semen analysis, 21.1% asthenozoospermia, 9.3% oligoasthenozospermia,7.6% oligospermia, 1.6% azoospermia. Female factor accounted for 45.3%, the malefactor for 28% and in 19.3% the defi nite factor was not determined. The ovulatory disorder was diagnosed in 38.6% of females and hysterosalpingography (HSG) revealed that around 10% had a unilateral block and 1.7% had a bilateral block.Conclusions: Infertility is becoming a global issue affecting a signifi cant number of young couples. About forty-six percent were female aging more than thirty years. The female factor for infertility was more common than the male factor among which ovulatory disorder was the commonest one. Asthenozoospermiawas the commonest abnormal fi nding on semen analysis in a male partner.
Highlights
Infertility has been rising steeply as the prime health issue among women around the world these days
Infertility is becoming a global issue affecting a significant number of young couples
The female factor for infertility was more common than the male factor among which ovulatory disorder was the commonest one
Summary
Infertility has been rising steeply as the prime health issue among women around the world these days. This study aims to investigate the causes, hormonal profile, and clinical spectrum of infertility. Infertility has become a global challenge with increasing trends each year. Infertility implies the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Secondary Infertility is described in couples who have previously. Clinical Spectrum of infertile couple been pregnant at least once but had not been able to achieve another pregnancy. Infertility can result due to male factors, female factors and in many couples both male and female factors are present. Infertility usually manifests if both partners are subfertile.[2] These couples may seek assisted reproduction which includes all the methods used for fertilization.[3]
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