Female Infertility at the University Teaching Hospital of Bogodogo, Ouagadougou, Burkina Faso: Epidemiological, Clinical and Paraclinical Profile of 329 Cases
Context: Infertility is a public health problem, and the department of Obstetrics, Gynecology and Reproductive Medicine at the University Teaching Hospital of Bogodogo (UTH-B) initiated a fertility campaign to recruit couples for the inauguration of its assisted reproduction activities. Objective: To study the profile of female infertility in a cohort of couples in the city of Ouagadougou. Patients and Methods: This was a descriptive and analytical cross-sectional study conducted in the city of Ouagadougou from December 2022 to June 2023 among patients consulting for hypofertility in the Department of Obstetrics and Gynecology and Reproductive Medicine at the Bogodogo University Teaching Hospital. Results: The prevalence of female infertility was estimated at 28.72%. The mean age was 35.18 ± 5.22 years, with extremes ranging from 20 to 47 years. 237 patients (63.03%) presented with primary infertility, compared with 36.97% with secondary infertility. In terms of causes, hormonal disturbances predominated at 90.27%, followed by uterine anomalies (39.82%), then tubal anomalies (38.91%), ovarian anomalies (17.02%), and finally pelvic anomalies (6.08%). Associated factors were age, BMI and irregular menstrual cycle. Conclusion: In our study, complementary examinations were invaluable in profiling patients and classifying them according to susceptibility to therapeutic response. This will enable us to decide on the optimal treatment for the couple.
References
[1]
World Health Organization (WHO) (2023) Press Release Geneva. https://www.who.int/fr/news/item/04-04-2023-1-in-6-people-globally-affected-by-infertility
[2]
Walker, M.H. and Tobler, K.J. (2022) Female Infertility. StatPearls.
[3]
Foumsou, L., Damtheou, S., Gabkika, B.M., Dangar, D., Djongali, S. and Hissein, A. (2018) Prevalence and Profile of Couples Treated for Couple Infertility at N’Djamena Mother and Child Hospital. Kisangani Medical, 8, 314-318.
[4]
INSERM (National Institute of Health and Medical Research) (2019) Infertility: Difficulties in Conceiving from Multiple Origins. https://www.inserm.fr/dossier/infertilite/
[5]
Tiagha, A.R., Ngemenya, M., Enoh, J.E. and Nguedia, J.C.A. (2020) A Retrospective Study of the Prevalence of Female Infertility in the Southwest Region, Cameroon. Open Journal of Obstetrics and Gynecology, 10, 1728-1740. https://doi.org/10.4236/ojog.2020.10120156
[6]
Ministry of Health (2018) Burkina Faso. Statistical Yearbook 2016 and 2017, 303.
[7]
Kafando, J.G. (2020) Artificial Inseminations for Infertile Couples at the St Jérémie Clinic: Indications and Results from January 1, 2010 to December 31, 2019. Master’s Thesis, Joseph Ki Zerbo University.
[8]
Sakande, J., Sandjon, L., Ouedraogo, C., Konyaole, E., Kabre, E. and Sawadogo, M. (2012) Profil hormonal féminin et pronostic de la réponse à la stimulation ovarienne au cours de l’Assistance Médicale à la Procréation: Expérience du Burkina Faso. InternationalJournalofBiologicalandChemicalSciences, 6, 950-958. https://doi.org/10.4314/ijbcs.v6i3.4
[9]
Tiemtore-Kambou, B.M.A., N’de Ouedraogo, N.A., Zanga, M., Dao, B., Ouattara, B., Sanfo, S.V., et al. (2019) Ultrasonographic Pattern of Female Infertility in Ouagadougou. Health Science and Disease, 2, 30-34.
[10]
Kalume, M.A., Labama, L., Sergio, C. and Stone, S. (2014) Clinical and Etiological Profile of Female Infertility in Goma. Kisangani Medical, 5, 31-43.
[11]
Dembele, M., Kouma, A., Guindo, I., Berete, Z.C., Sanogo, S., N’diaye, M., et al. (2023) Ultrasound Causes of Female Infertility at the Fertilia Medical Clinic in Bamako. Open Journal of Medical Imaging, 13, 107-113. https://doi.org/10.4236/ojmi.2023.133011
[12]
Hakins, D. (2023) As Infertility Rates Rise, Data Shows Much of the US Lives in a Fertility Desert. https://www.wwno.org/public-health/2023-08-08/as-infertility-rates-rise-data-shows-much-of-the-us-lives-in-a-fertility-desert
[13]
Scaravelli, G. (2019) Overview of the Frequency of Infertility in Europe: Panorama of a Global Problem. Reproductive Medicine, 21, 204-208. Association des obstétriciens et gynécologues du Québec AOGQ 2023.
[14]
Tiagha, A.R., Ngemenya, M., Enoh, J.E. and Nguedia, J.C.A. (2020) A Retrospective Study of the Prevalence of Female Infertility in the Southwest Region, Cameroon. Open Journal of Obstetrics and Gynecology, 10, 1728-1740. https://doi.org/10.4236/ojog.2020.10120156
[15]
Leno, N.N., Kadio, K.J.O., Camara, A., Bley, Z.C.R., Ehora, D.A.O., Aganaye, A., et al. (2022) Prevalence, Associated Factors and Psychosocial Consequences of Infertility among Women of Childbearing age in Guinea: Case of a Cross-Sectional Study with an Analytical Aim Carried Out in the Five Municipalities of Conakry City in 2021. https://doi.org/10.21203/rs.3.rs-1690048/v1
[16]
Abebe, M.S., Afework, M. and Abaynew, Y. (2020) Primary and Secondary Infertility in Africa: Systematic Review with Meta-Analysis. FertilityResearchandPractice, 6, Article No. 20. https://doi.org/10.1186/s40738-020-00090-3
[17]
Liu, X., Chan, H.C., Ding, G., Cai, J., Song, Y., Wang, T., et al. (2015) FSH Regulates Fat Accumulation and Redistribution in Aging through the Gαi/Ca2+/CREB Pathway. AgingCell, 14, 409-420. https://doi.org/10.1111/acel.12331
[18]
Jeya Praba, L., Veera Rajeswari, G., Addline, D., Viji, M. and Bindu, B. (2023) Assessment of Female Infertility Problems Based on Hormonal Imbalance in Ramanathapuram District. Tamil Nadu, India. JournalofPopulationTherapeuticsandClinicalPharmacology, 30, 474-483.
