Introduction:

International data on the prevalence of infertility are not very exact, with important geographical differences, which are explained by environmental, cultural and socioeconomic influences. Few studies have been carried out in Cuba and none on a large scale. Objective: To determine the prevalence of female infertility in Cuba.

Methods:

A specific questionnaire was applied to 16,500 women between the ages of 15 and 49 in the period from January to December 2018, belonging to 39 health areas and 330 family doctor's offices. The non-equiprobabilistic design took in to account the population reported in the Demographic Yearbook of Cuba, 2017. The prevalence ratios and their 95% confidence intervals were calculated, using the Wald test and its associated p-value for the significance of the coefficients.

Results:

The prevalence at the country level was estimated at 4.0% of women of child bearing age, being 4.0% in urban areas and 3.6% in rural areas, higher in the central region and lower in the eastern region. The prevalence of primary infertility was estimated at 1.1% and secondary at 2.9%. In infertile women, the mean age was 30 years for primary and 34 for secondary, at the time of diagnosis the age was 38 years. White skin color predominated, high educational level.

Conclusions:

It was estimated that the prevalence of female infertility in Cuba is 4.0% of women of child bearing age.

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