Clinical Evaluation of Primary Infertility in Rural Population of India

Background: Primary infertility is a serious health issue which has a profound socioeconomic and health implication on both the couple and society. The present study aims to provide analysis of the aetiologies of female infertility in rural women presenting to tertiary medical college. Introduction: Infertility is a serious health issue affecting 8-10% of couple worldwide, probably 25% (15-20 million) are in India alone. According to world health organisation (WHO), one in every four couples in developing countries are affected by infertility. The main challenges in estimating the etiological factors of infertility are due to paucity of population based studies, the varying sensitivity and specicity of the tests utilised. Aims and Objectives: To clinically evaluate couples with primary infertility and to ascertain the cause for primary infertility. Materials and Methods: This is a prospective study conducted at KIMS, Narketpally involving 65 patients with primary infertility and were evaluated for the potential causes for primary infertility. Results: The majority of the women belonged to 25-29 years of age group. The aetiology of infertility in 65 couples revealed female factor in 49.2%, a male factor in 33.84% and and an unexplained cause in 16.9% of couples.