Epidemiological and Clinical Pattern of Patients with Female Infertility Prior Hysteroscopy at Yaoundé

Introduction: Intrauterine lesions are frequently observed in infertile women. Hysteroscopy is a key diagnostic and therapeutic tool for these lesions, underlining its pivotal role in infertility management. The main objective of our study was to determine the clinical profile of patients with female infertility due to uterine factors awaiting hysteroscopy in the Gynecological Endoscopic Surgery and Human Reproduction Teaching Hospital, Yaoundé. Methods and Materials: We conducted a cross-sectional descriptive study on women awaiting hysteroscopy during the period January 2016 - June 2023. Results: We retained 126 cases. The mean age of the patients was 37.9 years ± 5.5 years. The most common clinical symptoms reported were dysmenorrhea (41.3%), menorrhagia (27.8%), dyspareunia (18.3%), and amenorrhea (11.1%). Regarding past surgical history, we reported myomectomy (27.8%), polypectomy (1.6%), synechiae adhesiolysis (3.2%), and uterine septum resection (0.8%). Secondary infertility was predominant (73%) with a mean duration of 7.8 years. The main intracavitary anomalies observed were fibroids (65%), polyps (59.5%), and intrauterine adhesions (13.9%). Conclusion: Patients presenting with female infertility with uterine factors were young, having a long-lasting secondary infertility. Main intracavitary lesions included fibroids, polyps, and intrauterine adhesions.