Document Detail

The epidemiology of infertility: a review with particular reference to sub-Saharan Africa.
MedLine Citation:
PMID:  798639     Owner:  NLM     Status:  MEDLINE    
The problem of infertility, with particular reference to Africa south of the Sahara, is reviewed. In many areas, up to 40% of women are reported to have completed their reproductive years without bearing a child. The condition is widely distributed, but also often localized in pockets corresponding to geographical or tribal units. Most available demographic data provide estimates of childlessness but it is not sufficient to define the problem in terms of primary and secondary infertility, pregnancy wastage, and infant and child mortality. The major underlying cause for the high levels of infertility appears to be the sequelae of Neisseria gonorrhoeae infection in both men and women, manifested as obstructive azoospermia and tubal occlusion. Other infections, such as those that may follow abortion or delivery, or systemic infections, may be important in some areas. The available data suggest that different patterns of infertility and pregnancy wastage, and different etiological agents and processes, contribute to the problem of infertility in the different areas. The need for a systematic, standardized research approach in several areas is clearly indicated.
M A Belsey
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Bulletin of the World Health Organization     Volume:  54     ISSN:  0042-9686     ISO Abbreviation:  Bull. World Health Organ.     Publication Date:  1976  
Date Detail:
Created Date:  1977-05-12     Completed Date:  1977-05-12     Revised Date:  2010-10-26    
Medline Journal Info:
Nlm Unique ID:  7507052     Medline TA:  Bull World Health Organ     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  319-41     Citation Subset:  IM    
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MeSH Terms
Abortion, Spontaneous / epidemiology
Africa, Central
Africa, Western
Fetal Death / epidemiology
Gonorrhea / complications
Infertility / epidemiology*,  etiology
Infertility, Female / etiology
Infertility, Male / etiology
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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