Table 2 Primary health care physicians' opinions related to evaluation of infertile cases at primary care
Physicians' opinions concerning supportive treatment and proposals for infertile couples | Physicians' opinions related to evaluation of infertile cases at primary care | Total | ||
|---|---|---|---|---|
Appropriate* n = 291(38.9%) | Inappropriate** n = 457(61.1%) | n(%) 748(100) | p | |
1.I could administer rubella prophylaxis | 209(72.2) | 295(64.6) | 504(67.4) | 0.030 |
2.I could begin folic acid support | 262(90.0) | 401(87.7) | 663(88.6) | 0.336 |
3.I can encourage couples to avoid cigarettes, alcohol and drug abuse | 258(88.7) | 376(82.3) | 634(84.8) | 0.018 |
4.I can resolve obesity problems | 251(86.3) | 348(76.1) | 599(80.1) | 0.001 |
5.I can prevent testicular hypertermia by advising on appropriate clothing to be worn | 266(91.4) | 375(82.1) | 641(85.7) | 0.000 |
6.I can inform of coit order | 269(92.4) | 381(83.4) | 650(86.9) | 0.000 |
7.I can investigate the distress that childlessness causes | 255(87.6) | 349(76.4) | 604(80.7) | 0.000 |
Physicians' opinions concerning request for laboratory investigations at primary care level in evaluating infertility in couples | ||||
8.I have semen analyses done | 258(88.7) | 368(80.5) | 626(83.7) | 0.003 |
9.I evaluate one value progesterone hormone for ovulation between the 22. and 24. days of cyclus | 217(74.6) | 309(67.6) | 526(70.3) | 0.042 |
10.I request an evaluation of FSH, LH, E2 and Prolactin on the 2. and 4. days of the male's cycle | 193(66.3) | 292(63.9) | 485(64.8) | 0.498 |
11.I perform an ultrasonic folliculometric ovulation follow-up | 118(40.5) | 204(44.6) | 322(43.0) | 0.271 |
12.I diagnoses policystic ovary disease by means of folliculometric measure | 117(40.2) | 211(46.2) | 328(43.9) | 0.109 |
13.I diagnoses uterus anomalies by ultrasound | 123(42.3) | 226(49.5) | 349(46.7) | 0.055 |
14.I teach the patient to measure basal body temperature | 261(89.7) | 373(81.6) | 634(84.8) | 0.003 |
15.I investigate thyroid functions if the result of a physical exam is positive | 241(82.8) | 363(79.4) | 604(80.7) | 0.252 |
16.I investigate prolactine levels if there is a history of galactore history or if a physical exam is positive | 238(81.8) | 346(75.7) | 584(78.1) | 0.050 |
17.I have patient's adrenal hormones investigated if the results of hirsutismus or a physical exam are positive | 226(77.7) | 331(72.4) | 557(74.5) | 0.109 |
18.I evaluate vaginal or urethral discharge by microscope in cases with complaint | 194(66.7) | 284(62.1) | 478(63.9) | 0.209 |
19.I ask whether or not hysterosalpingographic study has previously been conducted and if tubes were open | 194(66.7) | 300(65.6) | 494(66.0) | 0.774 |
Physicians' opinions about treatment of infertile cases | ||||
20. I can treat sexually transmitted diseases | 278(95.5) | 412(90.2) | 690(92.2) | 0.007 |
21.I can guide patients I have diagnosed as infertile to a higher healthcare level, and can correlate a follow- up treatment for patients with that center | 270(92.8) | 388(84.9) | 658(88.0) | 0.001 |
22.I can administer clomiphen citrate treatment for ovulation | 107(36.8) | 136(29.8) | 243(32.5) | 0.046 |
23.I can administer bromocriptin in cases with hyperprolactinemia | 123(42.3) | 142(31.1) | 265(35.4) | 0.002 |
24.I can perform the treatment of hyperandrogenemia | 92(31.6) | 103(22.5) | 195(36.6) | 0.006 |
25.I can administer metphormine derived drugs for cases with policystic ovary disease | 111(38.1) | 137(30.0) | 248(33.2) | 0.021 |
26. I can administer gonodotrophinler for ovulation | 94(32.3) | 113(24.7) | 207(27.7) | 0.024 |
27.I can perform hormonal treatment for male infertility | 94(32.3) | 102(22.3) | 196(26.2) | 0.002 |
28. I can perform insemination with a males split ejaculation | 59(20.3) | 56(12.3) | 115(15.4) | 0.003 |