Therapeutic Approach out of IVF of Ovulation Disorders in Sub-Saharian African
| Autor: | Dia Jean-Marc, Olou Luc, Konan Jean Marie, Koné Mamourou, Aka Edele, Koffi Abdoul, Guie Privat, Adjoussou Stephane, Fanny Mohamed, Fomba Minata |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Gynecology
Infertility medicine.medical_specialty 030219 obstetrics & reproductive medicine Obstetrics business.industry media_common.quotation_subject Gynecology department Overweight medicine.disease Polycystic ovary 03 medical and health sciences Therapeutic approach 0302 clinical medicine Follicular phase medicine medicine.symptom business Body mass index Ovulation media_common |
| Zdroj: | Open Journal of Obstetrics and Gynecology. :1116-1123 |
| ISSN: | 2160-8806 2160-8792 |
| DOI: | 10.4236/ojog.2017.711112 |
| Popis: | Objectives: To describe our management strategy of ovulation disorders. Patients and methods: From a retrospective collection of data from the records, we identified over a period of one year (January 2016-December 2016), 47 patients followed in gynecology department of University and Hospital Centers of Yopougon and Treichville in Abidjan (Cote d’Ivoire) for ovulation disorders. The diagnosis of dysovulation was made following a hormonal check up and a follicular monitoring ultrasound. These patients underwent a specific treatment according to the type of dysovulation they presented. Results: The average age was 31.9 years with a significant proportion of nulliparous (66%). Body mass index was high in 44.7% of patients, of whom 19.1% were obese and 25.6% overweight. The hormonal balance was disrupted in 48.9% of cases. Polycystic ovary syndrome (WHO type IIb dysovulation) was the most common pathology (36%). The proposed treatments were dominated by clomiphene citrate (31.9%) and gonadotrophins (25.5%). 14.9% of pregnancies were obtained. Conclusion: This study allows us to offer better management of ovulation disorders, but this necessarily entails a careful exploration and an appropriate treatment. |
| Databáze: | OpenAIRE |
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