Management of infertility in low resource countries
Article first published online: 4 SEP 2009
© 2009 The Authors Journal compilation © RCOG 2009 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Special Issue: International Reviews
Volume 116, Issue Supplement s1, pages 77–83, October 2009
How to Cite
Sharma, S., Mittal, S. and Aggarwal, P. (2009), Management of infertility in low resource countries. BJOG: An International Journal of Obstetrics & Gynaecology, 116: 77–83. doi: 10.1111/j.1471-0528.2009.02311.x
- Issue published online: 4 SEP 2009
- Article first published online: 4 SEP 2009
- Accepted 13 July 2009.
- low-resource settings, IVF;
- sexually transmitted diseases
Infertility is a global problem, but the highest prevalence is in low resource countries, particularly in sub-Saharan Africa where infection-related tubal damage is the commonest cause. Most infections causing tubal damage are preventable and assisted conception can treat the infertility. However, assisted conception, despite being available for nearly three decades is either unavailable or inaccessible to most residents of resource poor countries. Infertility has social, economic and personal effects, which go beyond childlessness, and women bear the major brunt of the burden. There is urgent need for a comprehensive sexual and reproductive healthcare initiative involving maternal and child health, safe abortions, family planning and infertility prevention and management. The provision of low cost assisted reproduction for couples in poorly resourced countries also needs to be revisited.