Female Sterility and Her Paraclinical Care in Lubumbashi: Inventory from 1998 to 2001

Authors : Kitungwa Muteba Fidèle; Mudekereza Musimwa Aimée; Tamubango Kitoko Hermann; Kakoma Sakatolo Jean Baptiste

Volume/Issue : Volume 6 - 2021, Issue 1 - January

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According to the WHO, the number of infertile couples in the world is estimated at 48.5 million, thus revealing that infertility is a global health problem that deserves more particularly to be addressed in developing countries where the rates infertility are higher. The goal of this study was to establish an inventory of female sterility and its management in our environment. He acted Does a descriptive cross-sectional study from July 1998 to July 2001 in the obstetrics and gynecology department of the university clinics of Lubumbashi. It concerned 125 women who came for consultation for maternity reasons. Only 25 women had performed at least 5 paraclinical examinations as part of the exploration of infertility during the study period, namely ; hysterosalpingography, pelvic ultrasound, basal temperature curve, cervical mucus and inflammatory workup. Data collection was carried out using survey sheets which had made it possible to collect information concerning the patients on the one hand, and their results of the various explorations carried out on the other hand. the data entry was done using Epi Data version 3.1 and analyzed by SPSS software version 21.0. The mean age of the women was 29 ± 5.6 years. Twenty-eight percent of the patients presented with primary infertility and 72% with secondary infertility. Patients with secondary education were the most numerous (59/125 = 47.2%). On hysterosalpingography, the most common uterine lesions were salpingitis (60%) and tubal obstructions (40%). Pelvic ultrasound, which was normal in 33.33% of cases, and in the remainder of the cases, it revealed the following associated pathologies : myomas in 30.30%, ovarian cysts in 27.27 % and tuboovarian abscesses in 9.09% of cases. Primary sterility was associated with salpingitis, a monophasic thermal curve, absence of fern leaf crystallization of cervical mucus and hyperleukocytosis. The statistical difference being significant only for the fougerisation . On the other hand, secondary sterilities were grafted onto tubal obstructions ( tubo-ovarian abscess ), ovarian cysts, uterine myomas as well as hyperleukocytosis.  Conclusion The management of female infertility requires many additional examinations ; ultrasound was the most common exploration, secondary infertility was the most common, and it was grafted on tubal obstructions, ovarian cysts, myomas and hyperleukocytosis. Hence the management of female infertility requires the complementarity of the gynecologist / radiologist must be exercised in the direction of greater efficiency for the patients

Keywords : Female Infertility, Exploration s Para Clinical s Lubumbashi


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