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Infertility

Infertility is defined as the absence of pregnancy in a couple of reproductive age till 24 months of regular and unprotected sexual intercourses. Several factors were identified: demographic, socioeconomic, psychological and medico-surgical factors. Gabon distinguishes itself by a low birthrate (3.5%) and a low demography (1,500,000 inhabitants in 2005). In our context, managing infertile couples is difficult and not organized. Difficulties lie in the low level of the social status of most of our patients which provides with a limited access to modern means for investigating infertility, in addition to which there is the scarcity of technical support centres. Conventional radiography and ultrasound are currently available. Thus we can easily perform a Hysterosalpingography (HSG) or a Pelvic Ultrasound (PU). HSG is a first line examination in our practice in this case. Every previous series carried out in Gabon and in the rest of sub-Saharan Africa showed the impact utero-tubal affections in the occurrence of infertility. We report the results of a descriptive study of women in infertile couples Libreville. (SIMA OLE B, MAYI TSONGA S,BANG NTAMACK J,AMBOUNDA N, MEYE JF (2013) Analysis of 122 Cases of Hysterosalpingography on Women Infertile in Libreville (Gabon).
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