TITLE:
Therapeutic Approach out of IVF of Ovulation Disorders in Sub-Saharian African
AUTHORS:
Fanny Mohamed, Dia Jean-Marc, Adjoussou Stephane, Fomba Minata, Aka Edele, Koffi Abdoul, Konan Jean Marie, Olou Luc, Guie Privat, Kone Mamourou
KEYWORDS:
Infertility, Dysovulation, Ovulation Inducers
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.7 No.11,
October
20,
2017
ABSTRACT: 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.