Authors: Mazumder U, Sultana N, Akhter Y
Background: Worldwide more than 70 million couples suffer from infertility, the majority being residents of developing countries. Negative consequences of childlessness are experienced to a greater degree in developing countries when compared with Western societies. There are numerous factors such as anatomical, physiological and genetic factors that cause infertility. Bilateral tubal occlusion due to sexually transmitted diseases and pregnancyrelated infections is the most common cause of infertility in developing countries, a condition that is potentially treatable with assisted reproductive technologies (ART).
Objective: To determine the demographic background, causes and the clinical pattern of primary subfertility among couples seeking treatment.
Methodology: A cross sectional study was carried out on 95 couples of primary subfertility attending in Infertility clinic of Dhaka Medical College Hospital by interview technique using in a structured questionnaire during January 2018 to December 2018.
Results: In this study, demographic profiles of primary subfertility were assessed on 95 couples with Mean age of female participants were 26.9 ± 5.2. Concerning the etiology of infertility, female factors were the major determinants followed by unexplained factors. Among the female factors, polycystic ovary was the major cause followed by hormonal imbalance, hypothyroidism and fallopian tube blockage respectively. For primary subfertility female factors (54%) were more responsible but the male factors (12%) were not negligible.
Conclusion: Subfertility treatment is sometimes placed at the back of the health agenda in developing countries. ART and other expensive treatment facilities should be available in Government sector to treat the underprivileged groups. Also, we can reduce the wastage of valuable time of treatment by timely referral of patients to infertility specialist. An appropriate guideline should be established for the developing countries to prevent inappropriate use of OID.
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