Epidemiology and Clinical Profile of Male Infertility at the Fertilization Centre IRIFIV in Casablanca, Morocco, around 295 Cases
Annual Research & Review in Biology,
Objective: Male infertility is a scourge of the 21st century. Its management remains a real headache. The objective of this study is to describe the general profile of male infertility at the IRIFIV In Vitro Fertilization Center, Casablanca, Morocco.
Materials and Methods: This is a retrospective and descriptive study of 295 patient files seen in consultation for conjugal infertility of the couple between 2017 and 2018. The parameters studied were clinical elements and paraclinical explorations.
Results: The average age of the patients was 37.5 years. The average duration of evolution of infertility was 5.5 years. Infertility was primary in 70.9% of cases and secondary in 29.1% of cases. Clinically, varicocele was the most common abnormality in 65.9% of patients. The seminogram was disrupted in 72% of cases. The main disturbances were oligozoospermia in 40.20% of cases and asthenozoospermia in 37% of cases.
Conclusion: The general profile of infertility is polymorphic. The causes of male infertility noted are multifactorial. Male infertility usually results in a quantitative and/or qualitative abnormality of the sperm. The improvement of the management of infertility must go through new ways of research including genetic and immunological for a good identification of usually hidden causes of infertility.
- Male infertility
- in vitro fertilization
How to Cite
Cousineau TM, Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynecol. 2007;21(2): 293-308.
Thonneau P, Marchand S, Tallec A, Ferial ML, Ducot B, Lansac J and Spira A. Incidence and main causes of infertility in a resident population (1 850 000) of three French regions (1988–1989). Hum Reprod. 1991;6(6):811-816.
Jaoul M. The suffering of sterility among men: From objectal to identitaire suffering, how to give support journee SALF Mai; 2013.
EL Hajjami H. Male infertility: Epidemiological and clinical profile (About 123 cases). Faculty of Medicine and Pharmacy, Fez; 2017.
Dul EC, van Ravenswaaij-Arts CMA, Groen H, van Echten-Arends J, Land JA, Tyulenev Y, Klimova R. Poster Viewing session-andrology. Hum Reprod. 2011; 26(suppl_1):i123-i148.
Cooper TG, Noonan E, Von Eckardstein S, Auger J, Baker HW, Behre HM et al. World Health Organization reference values for human semen characteristics. Hum Reprod Update. 2010;16 (3):231-245.
World Health Organisation. WHO laboratory manual for the examination and processing of human semen, Fifth Edition, Genève, WHO. 2010;271.
Snick HK, Snick TS, Evers JL, Collins JA. The spontaneous pregnancy prognosis in untreated subfertile couples: The Walcheren primary care study. Hum Reprod (Oxford, England). 1997;12(7): 1582-1588.
Thomson E, Winkler-Dworak M, Spielauer M, Prskawetz A. Union instability as an engine of fertility? A microsimulation model for France. Demography. 2012;49(1):175-195.
Keiding N, Slama R, Ducot B, Blondel B, Bouyer J. The fertility of couples in France. Weekly Epidemiological Bulletin. 2012; (7-8-9):87-91.
Westoff CF. Fertility in the United States. Science. 1986;234(4776):554-559.
Ndoye M, Niang L, Labou I, Jalloh M, Kane R, Diaw JJ, Gueye SM. Azoospermia in Senegal: What care should be provided at the time of ICSI? Andrology 2008;18(3): 206.
Meng Q, Ren A, Zhang L, Liu J, Li Z, Yang Y, Ma L. Incidence of infertility and risk factors of impaired fecundity among newly married couples in a Chinese population. Reprod Biomed Online. 2015;30(1): 92-100.
Cherlin A. Marriage, divorce, remarriage. Harvard University Pressp; 2009.
Oberdörster G, Maynard A, Donaldson K, Castranova V, Fitzpatrick J, Ausman K, Olin S. Principles for characterizing the potential human health effects from exposure to nanomaterials: Elements of a screening strategy. Particle and fibre toxicology. 2005;2(1):8.
Macleod J. Seminal cytology in the presence of varicocele. Fertility and Sterility.1965;16(6):735-757.
Aafjes JH, Van der Vijver JC. Fertility of men with and without varicocele. Fertil Steril.1985;43:901–904.
Sigman M, Jarrow JP. Ipsilateral testicular hypotrophy is associated with decreased sperm counts in infertile men with varicoceles. J. Urol.1997;158:605–607.
Reteif AE, Van Zyl JA, Menkveld R. Chromosome studies in 496 infertile males with a sperm count below 10 million/ml. Hum Genet. 1984;66:162–164.
Jarrow JP, Espeland MA, Lipshultz. Evaluation of the azoospermic patient. J. Urol.1989;142:62–65.
Belker AM, Steinbock GS. Transrectal prostate ultrasonography as a diagnostic and therapeutic aid for ejaculatory duct obstruction. J. Urol. 1990;144:356–358.
Abstract View: 1966 times
PDF Download: 714 times