title: Experience with a comprehensive university hospital-based infertility program in Nigeria.
abstract: OBJECTIVE
  To assess outcome at an infertility management center in Nigeria.
  
  
  METHODS
  Diagnoses were made for 1948 consecutive couples following the World Health Organization guideline on the investigation of infertile couples, treatment was provided, and the couples were followed up over a 10-year period.
  
  
  RESULTS
  The infertility was primary in 14.3% and secondary in 85.7% of cases. Treatment failed in 59.9% and succeeded in 40.1% of cases, resulting in pregnancy for 13.5% of the couples with female infertility factors alone, 6.5% of the couples with male infertility factors alone, and 3.6% of those with both male and female factors. The pregnancy rate was 16.6% for couples with idiopathic infertility.
  
  
  CONCLUSIONS
  Pregnancy outcome was relatively poor because conventional treatments did not cure the most prevalent causes of infertility, and assisted reproductive technology is therefore advocated.
authors: Human Reproduction Research Program Unit, Department of Obstetrics and Gynecology, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria. aaeorhue@yahoo.com
authors: Augustine
authors: A
authors: Orhue
authors: Michael
authors: M
authors: Aziken
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006785:Hospitals, University; D006801:Humans; D007246:Infertility / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D007247:Infertility, Female / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D007248:Infertility, Male / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D015995:Prevalence; D012661:Semen