Benbella Amal, Aboulmakarim Siham, Hardizi Houyam, Zaidouni Asmaa, Bezad Rachid
Assisted Reproductive Technology Unit of the Reproductive Health Centre, University Hospital Ibn Sina, Rabat, Morocco.
Laboratory of Medical Biotechnology (Med Biotech), Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
Pan Afr Med J. 2018 Jul 5;30:195. doi: 10.11604/pamj.2018.30.195.13849. eCollection 2018.
Infertility is responsible for a major cost burden for patients and health care systems. Therefore identifying preventable risk factors for infertility may contribute to the development of more cost-effective approaches to solving the infertility problem. However, such investigations have never been conducted in Morocco. Thereby, the objective of the present study was to determine the occurrence and distribution of these factors among Moroccan infertile couples. This retrospective study included 1265 infertile couples who attended the Assisted Reproductive Technology Unit of the Reproductive Health Centre of the University Hospital Ibn Sina in Rabat. All couples had been infertile for at least 1 year and both partners were fully investigated. Couples had primary and secondary infertility in 77.2% and 22.8% of cases, respectively. Women were overweight in 47.9% of cases and obese in 25.8% of cases while men were overweight in 44.6% of cases and obese in 14.7% of cases. 18.9% of women and 17.5% of men had a previous abdominopelvic or urogenital surgery. A history of sexually transmitted infection was reported by 7% of men and 5.8% of women. A history of tuberculosis was found 9.3% of women and 4.8% of men. In addition, 31.7% of men were cigarette smokers and 8.4% consumed alcohol. The study showed that preventable risk factors of infertility are common among Moroccan infertile couples. However, additional studies are required to investigate each factor and its relation to infertility in the Moroccan population.
不孕症给患者和医疗保健系统带来了巨大的成本负担。因此，识别不孕症的可预防风险因素可能有助于开发更具成本效益的方法来解决不孕症问题。然而，摩洛哥从未进行过此类调查。因此，本研究的目的是确定这些因素在摩洛哥不孕夫妇中的发生率和分布情况。这项回顾性研究纳入了1265对不孕夫妇，他们前往拉巴特伊本·西那大学医院生殖健康中心的辅助生殖技术科就诊。所有夫妇不孕至少1年，双方均接受了全面检查。夫妇中，原发性不孕和继发性不孕的比例分别为77.2%和22.8%。女性超重的比例为47.9%，肥胖的比例为25.8%；而男性超重的比例为44.6%，肥胖的比例为14.7%。18.9%的女性和17.5%的男性曾接受过腹部盆腔或泌尿生殖系统手术。7%的男性和5.8%的女性报告有性传播感染史。9.3%的女性和4.8%的男性有结核病病史。此外，31.7%的男性吸烟，8.4%的男性饮酒。该研究表明，不孕症的可预防风险因素在摩洛哥不孕夫妇中很常见。然而，需要进一步的研究来调查摩洛哥人群中每个因素及其与不孕症的关系。
