SUBFERTILITY;

Abstract

Objectives: To determine the frequency of different aetiological factorsresponsible for subfertility. Study Design: Cross sectional descriptive case series. Setting:Baqai institute of reproduction and developmental sciences (BIRDS). Period: January 2013-December 2013. Methods: All the couples presented with subfertility and had undergonethe required investigations were included in this study. Results: Among 982 couples majority730(74.33%) had primary and 252(25.66%) had secondary subfertility. Female factors wereresponsible in 44.60%, male in 34.31%, combined in 19.85% and unexplained in 1.22%. Themost frequent cause of female subfertility was anovulation found in 50.39% followed by tubalblockage in 47.39%. Among male factors39.84% had asthenospermia while 19.92% hadoligospermia, 12.96% had obstructive azospermia. Conclusion: Significant number of femaleswith primary subfertility had anovulation while majority with secondary subfertility had tubalblockage. Male factors were also predominent cause of subfertility. In most of the couples ARTsare the only means to achieve a child.