Abstract (EN):
Introduction: There are no epidemiological studies of Portuguese Public Hospitals in relation to infertility and its treatments. Objectives: We characterized the infertile couple of a northern region of Portugal that uses a Public Hospital. Materials and methods: A retrospective, epidemiological, observational and descriptive study was performed of couples attending infertile consultations at the Hospital Centre of St. John, Porto. A data-base was constructed and analyzed for the period 2005-2011. Results: Of the 1660 couples, 69% belonged to the district of Porto. The majority of the women were under 35 years of age (55%), were well-educated (74%), were eutrophic (55%), did not smoke (83%), presented high levels of alcohol consumption (56%) and primary infertility (74%), and the male factor was the main cause of infertility (44%). Of the 2245 treatment cycles performed, 60% were by intracytoplasmic sperm injection (ICSI): 21% by in vitro fertilization, 9% by preimplantation genetic diagnosis, 9% by intra-uterine insemination and 1% by ovulation induction. The clinical pregnancy rates were similar to the European means (30%, 37%, 16%, 18% and 39%, respectively). Conclusions: The age of the ovary, smoking and obesity were not determinant factors of the infertility status. On the contrary, it is mandatory to increase the knowledge regarding the toxic effects of alcohol drinking. Primary infertility and male factor predominated, and as consequence the ICSI technique was the most used.
Language:
English
Type (Professor's evaluation):
Scientific
No. of pages:
9