Document Type : Original Research Article
Authors
1 Department of Obstetrics and Gynecology, Da Nang Hospital for Women and Children, Viet Nam, Department of Obstetrics and Gynecology, The School of Medicine and Pharmacy, The University of Danang
2 Department of Obstetrics and Gynecology, Da Nang Hospital for Women and Children, Viet Nam
Abstract
Objective: To determine the causes of infertility of couples examined at Da Nang Hospital for Women and Children.
Methods: A cross-sectional descriptive study included 512 reproductive-age couples diagnosed with infertility and treated at Da Nang Hospital for Women and Children from August 2018 to August 2020.
Results: The mean age of the men and women was 31.0 ± 4.4 years and 33.5±5.0 years, respectively. Primary infertility accounted for 70.9%, whereas secondary infertility was only 29.1%. The mean time of infertility was 3.0±2.5 years. Male factor infertility accounted for the highest rate (39.6%), followed by female infertility (30.5%). Infertility due to both male and female factors was18.0%. Among the causes of male infertility, abnormal semen analysis accounted for the highest rate (57.6%), followed by varicocele (19.3%). Among the abnormalities of semen parameters, oligo-astheno-teratozoospermia (OAT) represented the highest rate (37.5%). There were 46 cases of azoospermia, accounting for 9.0%. Endometriosis accounted for the highest rate (17.6%) among causes of female factor infertility, followed by PCOS (15.6%). There were 51 cases of diminished ovarian reserve, accounting for 9.9%.
Conclusion: Male factor infertility accounted for the highest rate in this study. Among the causes of male infertility, abnormal semen analysis had the highest rate. Endometriosis and PCOS were common causes of female infertility.
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