Tavares Rachel, Cunha Gisele, Aguiar Lilian, Duarte Shaytner Campos, Cardinot Nilza, Bastos Elizabeth, Coelho Francisco
Centro de Infertilidade e Medicina Fetal do Norte Fluminense / Departamento de Medicina Reprodutiva do Hospital Escola Alvaro Alvim. Campos dos Goytacazes/RJ, Brazil.
Faculdade de Medicina de Campos dos Goytacazes. Campos dos Goytacazes/RJ, Brazil.
JBRA Assist Reprod. 2016 Aug 1;20(3):112-7. doi: 10.5935/1518-0557.20160026.
The number of couples seeking assisted reproduction services in pursuit of the dream of conceiving a child is growing. In developing countries 10 to 15% of couples of childbearing age cannot bear a child by natural means and the impossibility of conceiving a child has a significant impact on the health and well-being of the couple. The aim of this study was to evaluate the socioeconomic profile and the main causes of infertility of couples seeking assisted reproduction treatment through the public healthcare system.
We analyzed 600 medical records of couples who sought infertility treatment at the public healthcare system, and we divided them into three groups according to age: 35 years, 35 to 39, and 40 years or more. In each group we analyzed the cause of infertility, the number of children of the spouses, the education level and family income.
The main cause of infertility was male-related in 34%, followed by tubal factor in 31.5%. We found that 56% of the women were less than 35 years old and 58% of the couples earned less than 3 minimum wages.
The profile of the couples was: low-income, low education and less than 35 years of age. The cost of assisted reproductive treatment is still high, being restricted to couples of higher socioeconomic statuses. An effective public healthcare policy could minimize this problem by improving the quality of care for couples seeking infertility treatment at the public healthcare system.
寻求辅助生殖服务以实现生育梦想的夫妇数量正在增加。在发展中国家，10%至15%的育龄夫妇无法自然受孕，无法生育对夫妇的健康和幸福有重大影响。本研究的目的是通过公共医疗系统评估寻求辅助生殖治疗的夫妇的社会经济状况和不孕的主要原因。
我们分析了600对在公共医疗系统寻求不孕治疗的夫妇的病历，并根据年龄将他们分为三组：35岁以下、35至39岁、40岁及以上。在每组中，我们分析了不孕原因、配偶的子女数量、教育水平和家庭收入。
不孕的主要原因中，男性相关因素占34%，其次是输卵管因素占31.5%。我们发现，56%的女性年龄小于35岁，58%的夫妇收入低于3份最低工资。
这些夫妇的特征是：低收入、低教育水平且年龄小于35岁。辅助生殖治疗的费用仍然很高，仅限于社会经济地位较高的夫妇。一项有效的公共医疗政策可以通过提高公共医疗系统中寻求不孕治疗的夫妇的护理质量来尽量减少这个问题。
