Close Menu

Books in a Library

An Audit of the Epidemiology, Investigation and Management of Fertility Patients Attending the Gynaecology Clinic of the Public Hospital in Barbados

Journal Authors: 


Objectives: To determine the throughput of infertility patients in the gynaecology clinics at the Queen Elizabeth Hospital, Barbados as the lone public referral centre, and to determine whether these cases are being investigated and treated appropriately.

Methods: We reviewed all notes available prior to gynaecology clinics between February and April 2014. Using the NICE 2013 Fertility guideline as our standard, we collected data on clinical evaluation, advice, investigation and management of those patients with infertility. Upon completion of the study period, the data was reviewed and analysed.

Results: 79 of 1492 notes were fertility related – a 5.4% prevalence. 61.3% had secondary infertility, while 37% had primary. Most (31%) had an infertility duration of 1 year. Anovulation (32.3%) was the most common individual cause. The average female age was 30.9±6.6. Very few individual audit items approached 100%, suggesting room for improvement. 56.4% of patients might have benefitted from a tertiary care referral.

Conclusion: Fertility related referrals represent the fifth-most common problem seen in the gynaecology outpatients department. The majority of these have secondary infertility, and anovulation is the most common diagnosis. Male evaluation is lacking due mainly to non-attendance. Improvement in our practice might be facilitated through education on the guidance available.

11 Jan, 2016
PDF Attachment: 
e-Published: 23 Feb, 2016


Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Top of Page