STUDY ON INFERTILITY – AETIOLOGY, MEDICAL THERAPY AND OUTCOMES IN A TERTIARY CARE HOSPITAL

Objectives– To study the aetiology, medical therapy and assess the outcomes associated with infertility. Materials and Method- A prospective observational study was conducted from September 2015-February 2016 at a Tertiary Care Hospital, Pune. Couples diagnosed with either primary or secondary infertility, age ranging from 18- 49 years were enrolled in the study. The details like Couple's socio demographic data, aetiology& risk factors associated to infertility, management with current medications, procedures and outcomes were documented using a self-pre-designed infertility patient profile Pro forma. Result- During the study, 100 couples diagnosed with either primary or secondary infertility were included in the study. The female patients were in age group of 19-38 years with an average age&S.D of 25.64± 4.07 years. The male patients had age range of 24-43 years with a mean age&S.D. of 30.59 ± 4.17 years. Primary infertility contributes 59.13% and secondary infertility 40.86%. In women, Ovulatory disorders were chiefcause followed by unexplained factor whereas, in males semen abnormalities was the principalcause followed by unexplained. Medical therapy involves standard drugs and IUI. Conception rate and method of conception are calculated in percentage. From the available data the positive outcome i.e., the patients got conceived was found to be 19%. Conclusion - The present study has provided substantial information on all the aspects like socio-demographics and etiological factors, management and outcomes associated with infertility. The treatment has shown positive outcomes resulting in conception