خصائص الاناث المصابات بالعقم الثانوي الالتي يراجعن عيادة العقم بمستشفى النساء والتوليد التعليمي بمحافظة كربالء المقدسة – 2022

Rp- Characteristics of the Females Presented with Secondary Infertility Attending Infertility Clinic at Gynecology and Obstetrics Teaching – 2022.pdf

Background: Infertility is a worldwide public health issue, defined as the inability to conceive within one year despite regular unprotected intercourse. Primary infertility is the inability to conceive after a year of unprotected sexual intercourse without any previous conception, whereas secondary infertility refers to couples who are unable to conceive after a year of unprotected sexual intercourse after a previous pregnancy. About one-third or more of all cases of infertility are caused by female reasons, another third by male causes, and the remaining cases are brought on by mixed or unexplained factors.

Objectives: This study aimed to determine the characteristics of the females presented with secondary infertility attending infertility clinic at gynaecology and obstetrics teaching hospital in holy Kerbala governorate.

Patients and Methods: A cross-sectional study was conducted involving the women who attended the infertility clinic at gynaecology and obstetrics teaching hospital in holy Kerbala to evaluation and treatment. Among 400 women aged 18-48 years, the study was conducted from March 2022 to July 2022 using a self-administrated structured questionnaire in Kerbala governorate which is located in centre of Iraq.
Result: Regarding the characteristics of secondary infertility about 48% of the participants reported using contraception, 24.7% of the participants used oral contraceptive pills and about 12.3% of them used injectable type for more than one year, other characteristics of secondary infertility about 44.3% had irregularity of menstrual cycle, 43% had abnormal vaginal discharge,24% had dysmenorrhea,22% had polycystic ovarian syndrome,15.5% had tubal blockage,15.5% had pelvic inflammatory disease,3% had uterine fibroid,5% had diabetic mellitus and 5% had hypertension.
Conclusions: the findings of the study showed that significant association between body mass index of patients, ectopic pregnancy, diabetes mellitus, hypertension, family history of secondary infertility and age groups.