Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Apr 2000)
Assessment of infertility reasons & some effective factors on infertile couple, Babol, 1999
Abstract
Objective: One of the significant problems in modern gynecology is infertility that may cause emotional stresses leading to destructive effects on community and family. In order to find a solution to this social problem and to evaluate the causes of infertility we conducted this study. Methods: This is a cross-sectional (Descriptive-analytical) study using individual medical history, clinical examination and paraclinical investigation. In this evaluation 920 files of couples referred to Babol infertility center were used. At the first time variables such age couples, type of infertility, duration of infertility, family relation of the couples, family history, and family causes infertility of with respect to sex were investigated. Correlation of these variables and with causes of infertility was investigated. Findings: 76.8% have primary infertility. 78.5% of women and 80% of men were between 20-34 and 25-36 years old, respectively. More than 30% of couples had a family history of infertility specially in their immediate family. The average of infertility duration was 5.6±4.25 years. On the whole, 43.3% of the causes of infertility were associated with the females, and for men it was 22.6% and 27.2% for both sexes, 7% were diagnosed to have idiopathic infertility. The most significant factors of infertility were found to be, ovulation disorders (45.7%) and uterine cause (4.6%) among women and idiopathic asthenospermia and azoospermia due to insufficient primary testis (8.8%) for men. This investigation shows a meaningful relation between age and duration of infertility of any kind. Despite the meaningful relation between causes of infertility and factors such as age, duration and the kind of infertility in women, age was not a significant factor in men. Conclusion: With respect to the high prevalence of primary infertility and ovulation disorder and azoospermia, compared to other studies, treatment strategies should be planned to defect and manage the causes. However, factors such as age, duration and kind of infertility should relating to infertility should necessarily be considered in its medical intervention.
