Epidemioclinical profile and psychological experience of women consulting for primary infertility at the university hospital of angre about 160 cases

Background: Infertility is a real public health problem today with clinical and psychological aspects. Objective: To improve the care and monitoring of women with primary infertility at the Angré University Hospital Center. Materials and method: This was a cross-sectional and descriptive study over a period from January 1, 2021 to December 31, 2023. It concerned all women who came to consult for an inability to procreate dating back more than one year without using a contraceptive method, having regular and complete intercourse and having never become pregnant. Results: Out of 7,348 gynecological consultations during the study period, 595 or 8% were related to infertility. The average age of the patients was 34.46 years (±5.9). Women with a higher education level were 56.3%. They were obese in 29.3% of cases. Genital infection (53.3%) was the main medical history in 53.3% of cases while the surgical history was dominated by myomectomy (44.7%) and appendectomy (38.3%). Among the causes of infertility, there was tubal obstruction (36.5%) followed by cycle irregularity and fibroids at 29% each. The main psychological disorders observed were anxiety (81.9%), sexual disturbances (56.3%) and stress (71.9%). Conclusion: Primary infertility is becoming increasingly common in our context and affects increasingly younger women. It would be wise to now include its medical and psychological management in an inclusive health program for all through universal health coverage.