ORIGINAL RESEARCH article
Front. Reprod. Health
Sec. Reproductive Epidemiology
This article is part of the Research TopicBeyond Contraception - Advancing Research and Innovations in Sexual and Reproductive Health to Better Meet the Needs of Women in Low-and Middle-Income CountriesView all 5 articles
Epidemioclinical profile and psychological experience of women consulting for primary infertility at the University Hospital of Angre about 160 cases
Provisionally accepted
Akpa Yei Eleonore Gbary-Lagaud*
Carine Houphouet-MwandjiRamata Kouakou-KouraogoDenis EffohRoland Adjoby- Félix Houphouët-Boigny University, Abidjan, Côte d'Ivoire
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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. Material 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.
Keywords: Infertility, Upper genital infection, Cycle disorder, Fibroid, Anxiété, Sexual disorders, access to care
Received: 21 Mar 2025; Accepted: 28 Nov 2025.
Copyright: © 2025 Gbary-Lagaud, Houphouet-Mwandji, Kouakou-Kouraogo, Effoh and Adjoby. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Akpa Yei Eleonore Gbary-Lagaud
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