Infertility means not being able to become pregnant after a year of unprotected sexual intercourse. The actual rate of infertility in Bangladesh (BD) in still unknown but World Infertility Survey revealed that in South Asian Country stated 4% in Bangladesh and 15% of woman in the age of 45-49 years. In BD, infertility remains a neglected issue due to problem of overpopulation and rural childless women experienced social isolation, strong stigma, feelings of guilt, role failure, loss of self-esteem, abandonment by the family rather than urban childless woman. Poverty, tuberculosis, malnutrition and anemia and reproductive tract infection are the main risk factors of infertility here. Sexual transmitted diseases (STD), late marriage, improper medication and general hygienic condition, random use of oral contraceptives for long time are the causes of human infertility in BD. The treatment of infertility is not available in local hospitals, except Dhaka, due to lack of specialist and treatment unit. Assisted Reproduction Technology (ART) is one of the treatment options in Dhaka Bangladesh, besides In vitro Fertilization (IVF), Embryo Transfer, Intra Uterine Insemination (IUI), Surgical Sperm Retrieval; Blastocyst Transfer etc. are accessible here. In reproductive health research and treatment findings of hormonal imbalance, chromosomal abnormality and genetics is a common thing but this type of research works is not available in BD, may be, due to the lack of high facility research laboratory, politics, socioeconomic condition and not interest on research of our doctors. Even infertility has become a matter of trade and business in the last decade among practitioners.
SalaUddin GM*, Anwarul Haque, Nejum MdR and Wahed II
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