Evaluation and management of cases of infertility in a limited resource rural setup

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>