Objective: To determine the percentage of Spanish and immigrants that consult for sterility, the reasons and assisted reproductive technology indicated. Material and Methods: 130 couples were recruited that consulted for sterility. They were compared among Spanish and immigrant the following parameters: antecedents, tobacco, obesity, serologic tests, hormone profiles, ultrasound, hysterosalpingography, seminal quality and assisted reproductive technology stated. Results: 65,4% (85) were Spanish couples, 22,3% (29) immigrants and 12,3% (16) mixed. The most frequent nationality in immigrants was Latin American. The average age and educational level was lower for immigrants. Spanish women smoked more (21,3 vs 12,2%) presented more under weight (10,1 vs 2,4%), endometriomas, uterine malformations and reduced ovarian reserve (9% vs 4,9%). The immigrants presented more overweight (21,3 vs 43,9%), pelvic inflammatory disease (0 vs 7,3%), double Hepatitis B that Spanish (4,5 vs 9,8%), one case of syphilis (2,4%), five non-immune to rubella (12,2%), more anovulation (41,6 vs 48,8%), myomas, hydrosalpinx (2,2 vs 14,6%) and the double bilateral tubal obstruction. Immigrants males were more smokers (42,2 vs 26,8%), carriers of hepatitis B (5,2 vs 18,2%), one case of syphilis was found (3%), more testicular varices (4,1 vs 12,1%) and worse seminal quality (29,9 vs. 45,5%). Conclusion: Immigrants consulted before for sterility. The more frequent cause of sterility, in Spanish and immigrants, was female. In one in five Spanish women the cause of their sterility was not found. Immigrants required more IVF-ICSI that the Spanish.

Sterility Immigration Assisted reproductive technology

infertility Reproduction educational status sperm South and Central America immigrant human immigration controlled study obesity hysterosalpingography smoking male hormone Spain female tobacco testis disease uterine tube occlusion intracytoplasmic sperm injection endometrium tumor ovarian reserve uterus malformation myoma Syphilis echography Article underweight major clinical study adult hydrosalpinx serology age Fertilization in Vitro rubella hepatitis B virus carrier Anovulation pelvic inflammatory disease infertility therapy