Aspects epidemiologiques et etiologiques des couples infertiles a Abidjan

Objectif : Ce travail avait pour objectifs d'identifier les caracteristiques sociodemographiques des couples infertiles et de preciser les principales etiologies. Methode : Nous avons mene une etude retrospective descriptive portant sur 210 couples consultant pour infertilite dans les services de gynecologie du CHU de Treichville et d'une clinique privee de la place durant la periode 1er fevrier 2013 au 30 septembre 2014 (20 mois). Resultats. La prevalence de l'infertilite etait de 14;03%. L'age moyen etait de 34;31 ans chez les femmes et de 43;2 ans chez les hommes. La majorite des patientes avait atteint au moins le niveau d'etude secondaire (77;1%). Les couples residant hors d'Abidjan etaient de 15%; et les differentes couches socio-economiques etaient touchees par l'infertilite. La duree moyenne de vie commune des couples etait de 6;9 ans avec une duree moyenne d'infertilite de 6;3 ans. L'infertilite etait en general de type secondaire; touchant aussi bien les femmes (41%) que les hommes (30%). Les etiologies chez les femmes etaient d'origine uterine (47;06%); hormonale (22;79%) et tubo peritoneale (17;65%). Chez l'homme les troubles du sperme etaient domines par l'oligoasthenospermie (69;91%) d'etiologie generalement infectieuse. Conclusion. l'infertilite etait frequente dans nos services; touchant aussi bien les femmes que les hommes

Sterilite du couple a l'Institut Medical Chretien du Kasai

Introduction : Une etude transversale a ete menee de janvier 2004 a decembre 2007 a l'Institut Medical Chretien du Kasai. Objectifs : Definir le profil socioepidemiologique de la femme ayant consulte a l'Institut Medical Chretien du Kasai pour sterilite et determiner a partir des examens paracliniques simples la responsabilite de chaque conjoint et la cause de la sterilite. Resultats : 11des femmes ont consulte pour une notion de sterilite de minimum 2 ans. La moitie des sujets (50;8) est agee de moins de 35 ans; avec une moyenne d'age de 28 +/-3 ans. La sterilite feminine secondaire etait predominante (70;2) et la responsabilite mutuelle de l'homme et de la femme dans la sterilite a ete retrouvee dans 33des cas. Considere individuellement; l'homme est apparu avoir plus de responsabilite que la femme (34;6vs 21;4). Les femmes provenant du milieu urbain etaient majoritaires (62;1). Un niveau d'instruction ne depassant pas le cap de l'ecole secondaire apparaissait aussi comme un facteur frequemment associe a la sterilite (89.6). Les causes mecaniques ont ete plus frequentes que les causes fonctionnelles (81;2vs 18;8). L'oligo-asthenospermie a ete la cause gonadique masculine la plus importante dans notre serie (56;2). Conclusion : La sterilite du couple est un probleme de sante publique dans nos milieux a cause de sa frequence et de ses repercussions sociales. La prevention des infections sexuellement transmissibles pourrait concourir a contourner ce fleau

Pattern of Semen Fluid Abnormalities in Male Partners of Infertile Couples in Southeastern; Nigeria

Background: A retrospective study of all the semen samples of male partners of infertile couples sumitted for analysis to the microbiology laboratory of Nnamdi Azikiwe University Teaching Hospital; Nnewi Nigeria between 1 January 2006 and 31 December 2006 The reports of the semen fluid analysis were retrieved from the records department and suplemented with the laboratory register. Methods:Aretrospective study of all the semen samples of male partners of infertile couples sumitted for analysis to the microbiology laboratory of Nnamdi Azikiwe University Teaching Hospital; Nnewi Nigeria between 1 January 2006 and 31 December 2006 The reports of the semen fluid analysis were retrieved from the records department and suplemented with the laboratory register. Results :Out of the 348 semen sample reports evaluated; 237 (68.0) had semen fluid abnormalities. 104(30.0) had single factor abnormalities while 133(38.0) had combined factor anomalies. Asthenozoospermia 58(16.7) was the main single abnormality; while Astheno-oligozoospermia 51(14.7) and Astheno-oligoteratozoospermia (13.2) were the major combined factor abnormalities detected. Very few 5(1.4) of the patients had azospermia.Conclusion : The study showed a high rate of semen fluid abnormalities among the male partners of infertile women in our environment. The high preponderance of poor motility emphasizes the need to include men in programmes aimed at reducing sexually transmitted infections in Nigeria

Considering Childbearing in the Age of Highly Active Antiretroviral Therapy (HAART): Views of HIV-Positive Couples

Objectives: Based on a qualitative study conducted in Bulawayo; Zimbabwe; this article examines how the availability of HAART since April 2004 may impact the views and choices of HIV-positive couples on childbearing. Methods: In-depth interviews were conducted with 15 couples where at least one partner was HIV positive. All respondents were of reproductive age and had or were confronting reproductive and sexual decision-making. Results: HAART seems to have had a profound impact on the subject of childbearing among those who still desire to have children. Where hitherto individuals had only a desire for a child many are now; as a result of the availability of HAART; actively planning to have one. HAART has not only transformed their physical state but it has also transformed mostly what had been desire into intention. The impact; however; has not been uniform. Some respondents still desired to have a child but were not yet convinced about the efficacy of HAART in preventing vertical transmission. Some respondents felt that HAART may have a negative impact on the foetus and as such were against childbearing by HIV-positive people. No respondent indicated that their desire or intention to have a child had been extinguished by the advent of HAART. Conclusion: Based on the findings of the study; HAART seems to have had a differential but nonetheless significant role in the reproductive plans of HIV-positive couples. The study also notes that there is a need to make available complete and unbiased information on HAART; mother-to-child transmission risk (MTCT) and pregnancy to HIV-positive couples so as to enable them to make informed decisions

Assistance medicale a la procreation : indications et perceptions par les couples presentant une infertilite au centre hospitalier universitaire de Dakar

Objectifs. Identifier les indications d'assistance medicale a la procreation (AMP) au CHU de Dakar; Analyser les connaissances; attitudes et perceptions des patientes infertiles par rapport a l'AMP. Patientes et Methodes. Il s'agit d'une analyse retrospective de 1718 dossiers d'infertilite selectionnant les cas susceptibles de relever d'une AMP; completee par une enquete d'opinion sur l'AMP chez 209 patientes infertiles. Resultats. Les facteurs etiologiques d'infertilite cervico- vaginaux (26;7) et tubaires (20;9) predominaient chez la femme alors que chez l'homme les azoospermies etaient dominantes (24;5). Sous traitement classique; le taux de grossesse clinique etait de 3;8et le taux d'abandon de 47;1. Les indications d'AMP ont ete estimees a 98;8des cas dont 3;14pour l'insemination artificielle; 95;7pour la fecondation in vitro (FIV). Environ 18;21des couples auraient pu concevoir grace a ces methodes contre 3;8de grossesses obtenues dans notre serie sans AMP. Pourtant; la perceptionde l'AMP etait favorable : 78;9des patientes etaient pretes a y recourir mais seulement 24;9des femmes pouvaient mobiliser les ressources necessaires. Conclusion. Le plaidoyer pour la faisabilite de l'AMP en milieu hospitalier public doit s'appuyer sur les indications potentielles de ces techniques modernes documentees dans ce travail

Gender-Wise Comparison on Emotional Intelligence and Marital Satisfaction

The research aims at exploring and comparing the marital satisfaction and emotional intelligence of people between age 25-65. Tools used were namely Marital Satisfaction Scale (MSS) and Exploring Emotional Abilities (EEA). A fairly representative data of 316 respondents was collected from Maharashtra; India. The analysis indicates a significant gender difference on certain areas of emotional intelligence; namely; openness to criticism; self management and empathy. A significant gender difference is also noted on two areas of marital satisfaction; namely; sexual relations and sharing household responsibilities; which can be traced to the socio-cultural influences. This has helped in understanding the relationship of gender with core traits of one's emotionality; which influence the marital relationship