Abstract
<span style="color: #000000;"><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><span style="color: #231f20;"><em><strong>Background: </strong></em></span><span style="color: #231f20;">Infertility is a global medical problem with important psychological, economical, social, marital and medical implications. Majority of the infertile couples live in resource-poor countries, with limited access to the sophisticated assisted reproductive techniques. Also high-quality, low-cost infertility clinics are not available in the public sector. This study is to evaluate infertile couples in a resource limited setting; in which giving maximum benefit and reducing the treatment costs were the major stand.</span></span></span></span><span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><em><strong></strong></em></span></span></span> <span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><em><strong>Aims:</strong></em> - To evaluate the cases of infertility in rural area with available resources in order to find the etiology.</span></span></span> <span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: small;">- To manage the cases of infertility in rural area with available resources.</span></span></span> <span style="color: #000000;"><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><span style="color: #231f20;"><em><strong>Method: </strong></em></span><span style="color: #231f20;">A total of hundred patients, including both primary and secondary infertility, were evaluated right from history and further investigations and interventions as and when required. A note was made of every visit so as to minimize the treatment time and cost of the couple.</span></span></span></span> <p style="margin-bottom: 0in;"><span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><em><strong>Result: </strong></em>A conception rate of 19% was achieved with the available limited resources.</span></span></span> <p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><span style="color: #231f20;"><em><strong>Conclusion: </strong></em></span><span style="color: #231f20;">Stepwise management of an infertile couple with proper planning of all the visits and judicial use of the available resources would give maximum positive outcome</span></span></span></span><span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"> and minimize the treatment cost to an appreciable extent.</span></span></span> DOI: <a href="http://dx.doi.org/10.4038/sljog.v35i1.5998">http://dx.doi.org/10.4038/sljog.v35i1.5998</a> <span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><em>Sri Lanka Journal of Obstetrics and Gynaecology </em></span></span><span style="font-family: Times New Roman,serif;"><span style="font-size: small;">2013; </span></span><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><span style="font-weight: normal;">35</span></span></span><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><span style="font-weight: normal;">:</span></span></span><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"> 16-21</span></span>
Highlights
Infertility is a global medical problem with important psychological, economical, social, marital and medical implications
In patients of secondary infertility, 63.6% patients had regular menstrual cycles, 27.3% had irregular menses and 9.1% cases were of ammenorrhoea
We found that a total of 360 of 5534 (6.5%) patients presenting to the ObGy outpatient department (OPD) of our Institute had infertility; comparable with the prevalence reported by Abbas et al (2009)[5] (5.5%)
Summary
Infertility is a global medical problem with important psychological, economical, social, marital and medical implications. Majority of the infertile couples live in resource-poor countries, with limited access to the sophisticated assisted reproductive techniques. This study is to evaluate infertile couples in a resource limited setting; in which giving maximum benefit and reducing the treatment costs were the major stand. - To evaluate the cases of infertility in rural area with available resources in order to find the etiology. - To manage the cases of infertility in rural area with available resources. A note was made of every visit so as to minimize the treatment time and cost of the couple. Conclusion: Stepwise management of an infertile couple with proper planning of all the visits and judicial use of the available resources would give maximum positive outcome and minimize the treatment cost to an appreciable extent
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