Original article
English
Saleh Taher
Department of Obstetrics and Gynaecology, Al-Jamahiriya Maternity Hospital and Al-Mokhtar Infertility Clinic, Benghazi
Garyounis Medical Journal Vol. 21, No.1. 2004:42-45
Abstract
Aims: To determine the incidence of treatment for independent pregnancy among infertile couples. To also evaluate the type of infertility that undergoes spontaneous cure and to compare our findings with other comparable studies, and Finally to assess the value of infertility diagnostic tests. Design: Observational prospective study. Results: During a five year period, 272 pregnancies occurred among 1360 infertile couples. In 52 couples the pregnancy was treatment-independent. The rate of treatment-independent pregnancies was 19.11 %. The most common aetiological factor for infertility was poor ovulation (48.1%) followed by multiple female factors (19.2%), combined with male and female factors (14.4%). Conclusion: Spontaneous pregnancy can be expected to occur in patients with poor ovulation either due to the long term effect of prior therapy with ovulation-inducing agents, or due to spontaneous correction of poor ovulation However, in couple with severe reproductive disorders, treatment appeared to be superior to expectant management as the treatment independent pregnancy in this group appeared to be very low. The standard investigation tests for infertility may not have a real prognostic value as 43 couples (86) in the present study were completely investigated prior to occurrence of spontaneous pregnancy.
Keywords: Spontaneous Cure of Infertility
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