title: Study of Infertile Couples Attending a Teaching Hospital in Eastern Nepal.
abstract: Infertility is a global health issue and a socially destabilizing condition for couples with several stigmas including medical, social, psychological burdens and a marital disharmony. The aim was to study the incidence of infertility in couples attending outdoor of Nobel Medical College and to know the contributing factors among the infertile couples.
  
  
  
  A prospective cross-sectional study was carried out in the outpatient department of a teaching hospital July 2015-June 2016, where the incidence of infertility and the contributing factors for the same were evaluated.
  
  
  
  The incidence of infertility in this study was 5.45% and it was dominated by secondary infertility. The most important cause was male factor in 37.39%. Majority of male factor abnormality was due to exposure to heat as these male work abroad in Arabian Countries.
  
  
  
  The study shows a dominance of secondary infertility and male factor being a major contributor. The most common semen abnormality was oligospermia.
authors.affiliation: Department of Obstetrics and Gynecology, Nobel Medical College, Biratnagar, Nepal.
authors.forename: S
authors.initials: S
authors.lastname: Subedi
authors.affiliation: Department of Obstetrics and Gynecology, Nobel Medical College, Biratnagar, Nepal.
authors.forename: S
authors.initials: S
authors.lastname: Lamichhane
authors.affiliation: Department of Obstetrics and Gynecology, Nobel Medical College, Biratnagar, Nepal.
authors.forename: M
authors.initials: M
authors.lastname: Chhetry
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006784:Hospitals, Teaching; D006358:Hot Temperature / Q000009:adverse effects; D006801:Humans; D015994:Incidence; D007246:Infertility / Q000453:epidemiology / Q000209:etiology*; D007248:Infertility, Male / Q000453:epidemiology / Q000209:etiology; D008297:Male; D009390:Nepal / Q000453:epidemiology; D009845:Oligospermia / Q000150:complications; D011446:Prospective Studies
keywords: infertility; incidence; oligospermia; semen.