Male Infertility, Its Aetiologic and Therapeutic Angle at the Luxembourg University Teaching Hospital, Bamako

Abstract

Introduction: Infertility is defined as the inability to conceive a child after at least 12 months of normal, regular, complete and unprotected sexual intercourse. It affects around 180 million people worldwide. This study focuses on the aetiological and therapeutic aspects of male infertility at the Luxembourg University Teaching Hospital in Bamako. In order to avoid having fragmented results on infertility, we initiated this work. Methodology: This was a prospective cross-sectional study over a 12-month period (January 1st 2021 to December 31st 2021). The study was conducted in the Urology Department of the Luxembourg University Teaching Hospital of Bamako. It focused on men who consulted for childbearing during the study period. Results: The most represented age group was the 30 - 39 year olds at 56%, with merchants being the most represented at 32%. Primary infertility accounted for the majority of cases (72%) compared with 28% with secondary infertility. Smoking, exposure to pesticides and heat were the main risk factors. The main history of urogenital infection was urinary schistosomiasis (36%), followed by orchitis (28%). Varicocele was the main cause of occurrence and the sperm profile was that of oligoasthenoteratozoospermia.