Treatment Of Infertility: The Indian Experience

摘要

We report a series of 5 infertile couple who were seen in a free camp in India. The women were found to be clinically anaemic, treated with dietary supplements (Vitamin B12 and folic acid and Iron) 4 out of 5 couples treated conceived between 4 months and 1 year of treatment . The 5th couple is undergoing further treatments. Introduction Infertility has been seen as a social stigma since dark ages and still remains to be so in the deprived and uneducated population of the developing world. Anaemia is a common manifestation of economic deprivation in societies.Infertility has been a focus of research and groundbreaking advances have been made for its treatment. But basic clinical judgement and simple measures may still be more effective than most advanced treatment.We report a series of 5 women complaining of inability to conceive. 4 of whom conceived with improved nutrition and only one needed any further investigations to help with infertility. Case report 5 women were reviewed in a health camp organised in a poor deprived community organised by a Charity .They had all been complaining of inability to conceive. Clinically they all looked pale and were from low socio economic status, uneducated and a dietary history indicated a poor diet. They all had normal menstrual history and three of five women had one or more children while two had none. Haemoglobin was accessed in the camp and was fund to be low In all cases table 1 the slides indicated mixed iron and foliate B12 deficiency .The proposed management plan was to start with dietary supplements (Iron and Folic acid) and give dietary advise and a course of Albendazole ( due to high prevalence of helminthic infections ) in the first place and advise contraception for next few months as a pregnancy was not desirable with such low haemoglobin. Keeping in view the poor socio economic status and the family dietary history, nutritional supplements were distributed for the husband and children as well and the women were advised to visit with their husbands and children on the next visit.