Clinical epidemiological profile and management of male infertility at the teaching hospital point G. Bamako / Mali

Abstract

Aim:To study male infertility in the gynecology and urology departments of the C.H.U du Point "G". Patients  and Methods: This was a cross-sectional study which took place in the 2 departments of the University Hospital Center at Point G from June 01, 2017 to May 31, 2020. All the couples who came to consult for aconsultation were included in the study, infertility during this period, having a complete medical record with at least two spermograms. Data were entered and analyzed on SPSS 12.0 software. The statistical test was Chi square, P <5% was significant. Results: During the study period, 8,295 outpatient consultations in the gynecology and andrology departments of the Point G University Hospital Center were performed, including 1,287 cases of marital infertility. In total, based on the inclusion criteria, 535 (6.4%) couples were selected; 752 (9.0%) couples were excluded either for incomplete files or for files not found. Female infertility was the most common at 62.8% followed by male infertility 13.5%; mixed infertility affected 12.9% of couples. Finally, for 10.8% of infertility cases no cause was found. The risk factors for marital infertility were represented as the type of infertility with Chi2: 9.72; P <0.05; duration of infertility with Chi-square: 24.04; P <0.01. The causes of male infertility were sperm abnormalities, 26.35% (141 cases), sequelae of STIs, 11.8% (63 cases) and testicular and penile abnormalities, 11.40% (61 cases). However, in more than 50% of cases (270 cases) no cause of male infertility has been found. Treatment was pure medical in 75.5% (383/535), a combination of surgery plus medical treatment in 3.7% (20/535) and surgery alone in 24.6% (132/535). Conclusion: Male infertility is a public health problem with the rise of sexually transmitted infections.