The Profile of Infertility Couple at Kathmandu Model Hospital

Abstract

Introduction: To evaluate the demography and clinical profile of infertility couples attending OPD so that cause can be identified and treatment can be planned accordingly.

Methods: This was a prospective observational study done at Gynaecology department, Kathmandu Model Hospital from March to June 2023. Total of 64 patients with infertility were included in the study .Semen analysis of male partner was done after 3 days of abstinence. Baseline pelvic ultrasound of female partner was done on the same day to rule out any pelvis pathology. On 2nd or 3rd day morning of menstruation blood test of female partner was done for basal follicle Stimulating Hormone (FSH), leutinizing hormone (LH), estradiol (E2), thyroid stimulating hormone (TSH), prolactin, antimullerian hormone (AMH) and Blood sugar. Hysterosalphingography (HSG) was done on 7-10th day menstrual cycle.

Results: The mean age of female was 31.26 years and male was 33.98 years. Primary infertility was 62.5% and secondary infertility was 37.5%.Female cause of infertility was highest 46.88%, male factor was 21.88%, both factor was 20.31% and unexplained was10.94%. Ovulatory dysfunction and tubal factor infertility was high. Men had normal semen analysis in 57.81% and asthenozoospermia was found in 28.13%.

Conclusion: In the present study, ovulatory dysfunction was leading cause of female infertility followed by tubal pathology. In male asthenozoospermia was commonest.