Authors : Kitungwa Muteba Fidèle; Mudekereza Musimwa Aimée; Tamubango Kitoko Hermann; Kakoma Sakatolo Jean Baptiste
Volume/Issue : Volume 6 - 2021, Issue 1 - January
Google Scholar : http://bitly.ws/9nMw
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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