How do Egyptian gynecologists manage infertility? Cross-sectional study

Aim: The purpose of this study was to determine the knowledge and practices of a sample of Egyptian gynecologists with respect to the management and diagnosis of infertility and the variation between gynecologists according to qualifications. Methods: A questionnaire assessing knowledge, practice habits, and perception towards the management of infertility was distributed to gynecologists. Data were collected during the annual meeting of the Clinical Society of Obstetricians and Gynaecologists, which was held in Mansoura, Egypt. Two hundred and fifty-eight gynecologists attended the meeting. Two researchers distributed the questionnaires to the clinicians. Clinician responses to questions were assessed according to the National Institute of Clinical Excellence (NICE) fertility guidelines. The main outcome measures were knowledge and adherence of gynecologists to NICE infertility guidelines. Results: Significant differences were identified between clinicians with Master degree/Diploma and those with higher degrees (MD or PhD) with regard to knowledge as well as management options of different causes of infertility. Conclusion: There is a need to develop and implement national strategies, including mandatory update of reproductive medicine curricula as well as providing continuous professional development programs, in order to boost infertility management in developing countries such as Egypt.