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Aetiology of infertility in the Came Roune.


 Involuntary infertility is a public health problem for couples in Africa where a suspected belt of low infertility stretches across Gabon, Cameroon, Peoples Republic of Congo, Central African Empire, Zaire, Uganda and Southern Sudan. No single factor has been isolated as the cause, however, secondary infertility is highly correlated with induced or spontaneous abortion. 388 patients were seen over a 2 year period in Cameroon. 149 were primary and 238 were secondary cases of infertility. Ages of patients ranged from 16-40 years. The majority of secondary cases had delivered their babies in private or public health facilities. It was hypothesized that an infection was contracted in the hospital. Puerperal infection was studied at the Central Maternity in Younde. Neisseria gonorrhoea was found to be 25% incidence, high enough to be considered an epidemic. Improved facilities for diagnosis and neonatology, particularly the prevention of prematurity, are needed. Women in Cameroon are more afraid of infertility than of cancer.
