Bahar Morshed Behbahani; Leila Doryanizadeh; Mohammad Ebrahim Parsanezhad; Mohammad Hossein Dabbaghmanesh; Azam Jokar; Seyede Zahra Ghaemi; Marjan Zare; Parvin Ghaemmaghami
Abstract
Background: Hysterosalpingography is a vital diagnostic method for identifying anatomical causes of infertility, often used as a cost-effective screening test. This study aimed to investigate hysterosalpingography results in infertile women.Methods: A quantitative, descriptive, and analytic cross-sectional ...
Read More
Background: Hysterosalpingography is a vital diagnostic method for identifying anatomical causes of infertility, often used as a cost-effective screening test. This study aimed to investigate hysterosalpingography results in infertile women.Methods: A quantitative, descriptive, and analytic cross-sectional study was conducted on 180 infertile couples referred to Ghadir Maternal and Child Hospital in Shiraz, Iran between February and July 2015-2016. Data were collected from patient records and hysterosalpingography findings. A questionnaire encompassing demographic information and hysterosalpingography results was utilized. Qualitative and quantitative variables were described using frequency and mean± standard deviation. Data were analyzed using Kolmogorov-Smirnov normality test, Chi-square, and generalized linear models via IBM SPSS version 22.Results: Hysterosalpingography (HSG) revealed that 145 women (80.6%) exhibited normal uterine and tubal findings, while 35 women (19.4%) displayed abnormal results (classified as normal and abnormal HSG findings). Women with abnormal hysterosalpingography were observed to have a higher likelihood of primary infertility (OR=3.8, 95%CI (1.427-10.10), P=0.008). Furthermore, the study assessed the impact of Body Mass Index (BMI) and identified that women in the abnormal HSG group had a higher body mass index (OR=0.89, 95%CI (0.794-0.992), P=0.035).Conclusions: Tubal adhesion stemming from undiagnosed and untreated sexual infections can lead to primary infertility. Limited resources may hinder timely detection and treatment access, exacerbating the issue. The correlation between obesity and infertility could be attributed to an unhealthy lifestyle in low-income families. Encouraging health education within low to middle-income communities is recommended to prevent sexually transmitted infections and promote healthier lifestyles, ultimately reducing the incidence of primary infertility.
Najmeh Maharlouei; Bahar Morshed Behbahani; Leila Doryanizadeh; Maryam Kazemi
Abstract
Context: Infertility is a complex reproductive issue worldwide. Knowledge about the prevalence of any health problems like infertility is the first step towards policymaking in order to make effective decisions. Methods: An electronic systematic review was conducted in 2019 through search in PubMed, ...
Read More
Context: Infertility is a complex reproductive issue worldwide. Knowledge about the prevalence of any health problems like infertility is the first step towards policymaking in order to make effective decisions. Methods: An electronic systematic review was conducted in 2019 through search in PubMed, Scopus, Web of Science, Science Direct, and EMBASE data bases. Following the evaluation of the articles by the research team, 11 articles were accepted based on the inclusion criteria of the study. The information was analyzed utilizing Stata software version 11. Results: The results of analysis on 58,746 participants showed that the prevalence of primary infertility was 5.0% (95% CI: 4.0, 6.0%; I2: 98.20%) and the prevalence of secondary infertility was 2.0% (95% CI: 1.0, 3.0%; I2: 98.48%). The prevalence of primary and secondary infertility by gender was higher in women (6% and 3%, respectively). The prevalence of primary infertility was more common in people under the age of 35. Conclusions: In Iran, the pattern of infertility presents a higher prevalence of primary infertility, which is probably due to the differences in the pattern of sexual relations in Iran. The more prevalence is primary infertility and infertility in women under the age of 35, the more attention should policymakers pay to provide effective plans for reducing infertility in the future.
