The Pattern of Infertility Among Infertile Couples Visiting Kairuki Hospital Green IVF: A Retrospective Study
Abstract:
Background: Infertility or childless is a global reproductive health issue for female as well as male sexes yet often not discussed in public and most of the time neglected especially in the African setting.15% of reproductive-aged couples suffer from infertility problems worldwide. This study aimed to evaluate the pattern of infertility among infertile couples visiting Kairuki Hospital Green IVF in Tanzania.
Methods: A retrospective, descriptive cross-sectional study of infertile couples visiting Kairuki Hospital Green IVF, a busy IVF center serving patients in the Eastern zone, Dar es salaam Tanzania was conducted. The study included information retained from 1st September 2021 to 30th March 2024.Case notes of all eligible couples attending the Hospital during the study period were retrieved from AFYA BOX (Hospital information system) and relevant information was extracted and transferred onto a Microsoft Excel for subsequent computer analysis. Data were analyzed using R (version 4.3.2). Frequencies and Means were used to analyze qualitative and Quantitative descriptive data.
Results: The mean age of women was 38 years, the average BMI of women was 29.21Kg/m2, the median distribution of BMI was 29Kg/m2, the highest BMI was 52Kg/m2 and the lowest was 19Kg/m2. For menarche age, the lowest age was 9 years, and the highest was 20 years, Average age of menarche was 13.34 years, and the median was 13 years. The average duration of infertility was 7.48, and the median was 6, The highest duration was 31 years and the lowest was 1 year. The secondary infertility (52%) was the dominant type of infertility. The female factor responsible for infertility was 62.43%. The most common female factor of infertility was tubal factor 46.96%. The most abnormal spermatozoa condition in men was oligospermia 23.89%.
Conclusion: Our study revealed that the most common type of infertility is secondary infertility and in females, tubal factor which includes tubal blockage, hydrosalpinx, and peritubal adhesions was the commonest cause of infertility among women. Tubal diseases need to be reduced in our society to minimize infertility conditions among women.
