Epidemiology and Clinical Profile of Male Infertility at the Fertilization Centre IRIFIV in Casablanca, Morocco, around 295 Cases

Abstract

Objective: Male infertility is a scourge of the 21st century. Its management remains a real headache. The objective of this study is to describe the general profile of male infertility at the IRIFIV In Vitro Fertilization Center, Casablanca, Morocco. Materials and Methods: This is a retrospective and descriptive study of 295 patient files seen in consultation for conjugal infertility of the couple between 2017 and 2018. The parameters studied were clinical elements and paraclinical explorations. Results: The average age of the patients was 37.5 years. The average duration of evolution of infertility was 5.5 years. Infertility was primary in 70.9% of cases and secondary in 29.1% of cases. Clinically, varicocele was the most common abnormality in 65.9% of patients. The seminogram was disrupted in 72% of cases. The main disturbances were oligozoospermia in 40.20% of cases and asthenozoospermia in 37% of cases. Conclusion: The general profile of infertility is polymorphic. The causes of male infertility noted are multifactorial. Male infertility usually results in a quantitative and/or qualitative abnormality of the sperm. The improvement of the management of infertility must go through new ways of research including genetic and immunological for a good identification of usually hidden causes of infertility.