MALE INFERTILITY
ETIOLOGICAL, THERAPEUTIC AND EVOLUTIONARY ASPECTS IN THE UROLOGY DEPARTMENT OF CHU LE LUXEMBOURG
According to the World Health Organization (WHO), infertility is defined as the absence of conception after at least 12 months of normal, regular, complete and unprotected sexual intercourse.It affects around 180 million people worldwide, and approximately one couple in six is faced with primary or secondary infertility. According to the WHO, 1/3 of cases of infertility in couples are attributable to the man, 1/3 to the woman and 1/3 are mixed.Infertility remains a major socio-cultural problem in Africa in general, and particularly in Mali, where the main purpose of marriage is procreation.For a long time, women were considered to be primarily responsible for marital infertility. This confusion, linked to ignorance of the etio-pathogenic data on marital infertility, has left many women marginalized or even repudiated, and many men, especially if their sexual behaviour is satisfactory, find it hard to admit that they may be the cause of the couple's infertility.Since the 1970s, there has been a qualitative and quantitative decline in sperm parameters.
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