Publication: Clinical pattern of Infertility among Couple in Reproductive Age Group Attending in a Tertiary Care Centre
Date
2025
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Infertility is the inability to conceive after a period of one year of regular unprotected
intercourse. The problem of infertility has affected about 10-15% of couples
worldwide including Nepal. About 6.9-9.3% is the approximate prevalence of
infertility in developing countries.
Objective
To investigate the age distribution and ethnicity, factors of infertility, and association
between age of marriage and infertility among infertile couples attending infertility
clinic in the tertiary care.
Method
A Descriptive Cross-Sectional study was carried out among the participants (n=156)
those enrolled between 1st March 2024 and 30thMay 2024 among reproductive age
group couples attending in Infertility clinic of Paropakar Maternity and Women’s
Hospital. Data was collected and analyzed in by using SPSS version 17.0.
Result
Among 156 infertile couples,19% Brahman, 34% were Chhetri followed by 24%
Newar, 16% Mongolian and 7% Madhesi. The study revealed that infertility in 34%
of cases was female, 30.1% was male, 22.4% is both male and female, and 13.5%
is unknown. The study found that out of 53 infertile females, 41.51% had tubal
abnormalities, followed by ovarian, multiple, and uterine abnormalities. The most
common problem studied in male was semen abnormalities like asthenozoospermia,
oligozoospermia, azoospermia, and teratozoospermia. The mean age of male was
33.37 years with minimum age being 20 years and maximum 48 years. In case of
female subjects, mean age was 30.56 years with youngest age being 18 and oldest
being 44.
Conclusion
Infertility is a global health challenge as the fertility rate has been steadily falling
since 1976. The incidence of secondary infertility was found to be 6.9-9.3%. This
may be linked to changes in people’s socioeconomic situations, such as women not
having better access to healthcare and education, as well as the successful execution
of government policy resource. Fertility varies, nevertheless, depending on factors
including caste/ethnic group, religion, ecological zone, and residential region. We
should aim to raise the nation’s literacy rate and begin the improvement at the local
level.
KEY WORDS
Couple, Fertility, Infertility, Lifestyle, Menstrual period, Sedentary
Description
Thapa J, Adhikari SP, Sedhain N, Shrestha S
Department of Obstetrics and Gynaecology
Paropakar Maternity and Women’s Hospital
Thapathali, Kathmandu
Keywords
Couple, Fertility, Infertility, Lifestyle, Menstrual period, Sedentary