[Frequency and causes of female infertility in Mbujimayi, DRC]

The main objective of thisstudywas to determine the frequency of femaleinfertility in ourenvironment and subsequently, to describe the socio-demographiccharacterstics of patients and to identifytheir possible etiologies.

This was a retrospective and cross-sectional descriptive study carried out in the general reference hospitals of Dipumba and Saint Sauveur in Mbujimayi the DR Congo. The study covered a period of 15 years as from January 2006 to December 2020. Our sample was of 354 cases.

The frequency of female infertility in our environment was of 9,6%. The median age of the patients was 32 years with a median duration of the marital union of 9 years. The history of abdomino-pelvicsurgery was found in 40,1% of cases, sexually transmitted diseases in 29,4% of cases and curettage in 20,6% of cases. The causes of infertility were more mechanical in 73% of cases followed by hormonal causes and/or mixed causes respectively in 10% and 9% of cases. In59,3% of cases, gynecological ultrasound was normal and hysterosalpingograhy showed tubal obstructions in 46,9% of cases followed by pelvicadhesions (13,0% of cases) and hydrosalpinx (7,1% of cases).

Female infertility is a reproductive health concern in our community and its causes are many more mechanical.