Aspects Psycho-Sociaux chez Patients Infertiles à la Maternite Principale de l'Hopital Central de Yaoundé, Cameroun

Nana, Paul Alain; Wandji, J. C.; Fomulu, Joseph Nelson; Mbu, Robinson Enow; Leke, Robert J. I.; Woubinwou, M. J.

doi:10.4303/cmch/c100601

Cited by 25 publications

(23 citation statements)

References 7 publications

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“…In this study, young age 15-25 years was protective of tubal infertility. This is consistent with the literature which states that women over 35 years generally have twice the risk of unexplained infertility, ovulatory dysfunction and tubal factor infertility [21] The study in Cameroon corroborates the fact that most infertile women were in the 30 to 40 years age bracket [9].…”

Section: Sociodemographic Variables Associated With Tubal Infertilitysupporting

confidence: 91%

“…However, in Africa, and Cameroon, in particular, this prevalence has been underestimated because infertile patients do not readily seek medical attention for various reasons including lack of awareness or knowledge, lack of resources as well as cultural and religious reasons [6][7][8]. It has been reported, previously, in Yaoundé, Cameroon that the female factor accounts for 30% of infertility; with infectious causes mainly Chlamydia, accounting for 48.9% [9]. There are few studies in Cameroon that report the risk factors associated with infertility.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors of tubal infertility in a tertiary hospital in a low-resource setting: a case-control study

Egbe

Nana-Njamen

Elong

et al. 2020

Fertil Res and Pract

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Background: Infertility is the inability to sustain a pregnancy in a woman with regular (2-3 times per week) unprotected sexual intercourse for a period of 1 year. This is a major public health problem that remains underrecognised in Cameroon and most countries in sub-Saharan Africa. This study aimed at identifying the risk factors associated with tubal infertility in a tertiary hospital in Douala, Cameroon. Methods: We conducted a case-control study at the Obstetrics, Gynaecology and Radiology Departments of the Douala Referral Hospital from October 1, 2016, to July 30, 2017. We recruited 77 women with tubal infertility diagnosed using hysterosalpingography and 154 unmatched pregnant women served as controls. Data on socio-demographic, reproductive and sexual health, and radiologic assessments were collected using a pretested questionnaire. The data were analysed using the Statistical Package for the Social Sciences (SPSS) software version 24.0. Logistic regression models were fitted to identify demographic, reproductive health factors, surgical, medical and toxicological factors associated with tubal infertility. The adjusted odds ratios (AOR) and their 95% confidence interval were interpreted. Statistical significance set at p < 0.05. Results: Sixty-one per cent of respondents had secondary infertility. Following multivariate logistic regression analysis, respondents who were housewives (AOR 10.7; 95% CI: 1.68-8.41, p = 0.012), self-employed (AOR 17.1; 95% CI: 2.52-115.8, p = 0.004), with a history of Chlamydia trachomatis infection (AOR 17.1; 95% CI: 3.4-85.5, p = 0.001), with Mycoplasma infection (AOR 5.1; 95% CI: 1.19-22.02, p = 0.03), with ovarian cyst (AOR 20.5; 95% CI: 2.5-168.7, p = 0.005), with uterine fibroid (AOR 62.4; 95% CI: 4.8-803.2, p = 0.002), have undergone pelvic surgery (AOR 2.3; 95% CI: 1.0-5.5, p = 0.05), have undergone other surgeries (AOR 49.8; 95% CI: 6.2-400, p = 0.000), diabetic patients (AOR 10.5; 95% CI 1.0-113.4, p = 0.05) and those with chronic pelvic pain (AOR 7.3; 95% CI: 3.2-17.1, p = 0.000) were significantly associated with tubal infertility while the young aged from 15 to 25 (AOR 0.07; 95% CI: 0.01-0.67, 0.021), those in monogamous marriages (AOR 0.05; 95% CI: 0.003-1.02, p = 0.05), as well as those with a history of barrier contraceptive methods (condom) (AOR 0.17; 95% CI: 0.03-1.1, p = 0.06) were less likely to have tubal infertility.

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Section: Sociodemographic Variables Associated With Tubal Infertilitysupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Risk factors of tubal infertility in a tertiary hospital in a low-resource setting: a case-control study

Egbe

Nana-Njamen

Elong

et al. 2020

Fertil Res and Pract

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“…Getting pregnant after infertility management is a more challenging situation in some under equipped sub-Saharan area. In spite of the high prevalence of infertility (25% -30%), relevant care, represented by Assisted Reproductive techniques (ART) are not only generally unavailable, but more expensive in most of those settings where they are implemented [1] [2]. Resorting to former attitudes without ART is then the rule.…”

Section: Introductionmentioning

confidence: 99%

Getting Pregnant after Infertility Management without Assisted Reproductive Technology in a Low-Income Setting

Mboloko¹,

Apangwa²,

Nzau-Ngoma³

et al. 2019

OJOG

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Getting pregnant after infertility management is a more challenging situation in some under equipped sub-Saharan setting. To highlight the determinants of conception without Assisted Reproductive technology (ART) in a lowincome area. The current study concerned 2958 patients who sought care for infertility in the University Clinic of Kinshasa et the Centre Medical Edith, from January 2003 to December 2013. For them, any technique of ART was used. Age of patients ranged from 18 to 49 with average of 33.2 ± 5.6 years old. After treatment, 249 (9%) patients conceived (clinical pregnancy). Most of the patients who conceived were less than 36 years, without history of illegal abortions et who suffered from genital infections. The treatments closely associated with conception were antibiotics (73%), hydrotubation (12%) ovulation inductors (11%) and gynecologic surgery (4%). In that setting, ART is a must. Very few infertility problems, apart from infection and its consequences, can get solution.

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“…In many communities, the burden of infertility relies on the woman inside the couple. The subsequent stigma can lead to depression, divorce, ostracism or economical vulnerability [2,3]. In SSA where the main reason of marriage is often childbearing, these consequences can be worse.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of the Infertility Among Couples in Ouagadougou (Burkina Faso): a Population-based Survey

Eric¹,

Boncoungou²,

Jean³

2016

TOPHJ

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Aspects Psycho-Sociaux chez Patients Infertiles à la Maternite Principale de l'Hopital Central de Yaoundé, Cameroun

Cited by 25 publications

References 7 publications

Risk factors of tubal infertility in a tertiary hospital in a low-resource setting: a case-control study

Risk factors of tubal infertility in a tertiary hospital in a low-resource setting: a case-control study

Getting Pregnant after Infertility Management without Assisted Reproductive Technology in a Low-Income Setting

Prevalence of the Infertility Among Couples in Ouagadougou (Burkina Faso): a Population-based Survey

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