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 ...
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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, ...
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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.
Abbas Saremi; Alireza Bahrami; Mohammad Parastesh; Mina Ranjbar
Abstract
Background: Identification of body mass and physical activity status in women may be helpful for improving their reproductive health. The purpose of the current research was to analyze and compare the body mass index (BMI) and physical activity level (PAL) among women with and without infertility. Methods: ...
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Background: Identification of body mass and physical activity status in women may be helpful for improving their reproductive health. The purpose of the current research was to analyze and compare the body mass index (BMI) and physical activity level (PAL) among women with and without infertility. Methods: This descriptive-analytical research was conducted on 150 infertile women who referred to therapeutic centers of Shahrekord to treat infertility and 150 fertile women using filed study method. Physical activity questionnaire was then filled in by these women. The height and weight were measured using Seca stadiometer and digital scale based on standard methods, and then, BMI was calculated and the values were compared. The Mann-Whitney test was used to analyze data and the significance level was considered p <0.05. Results: The physical activity score of infertile women was estimated to be low in this study that indicates sporting inactivity or very low PAL in subjects. The overall prevalence of underweight, normal weight, overweight, and obesity in infertile subjects were 8.7%, 26.7%, 34.7%, and 30%, respectively. The frequency of overweight and obesity was reported to be significantly higher in these subjects. The physical activity score of fertile women was estimated to be medium, and the prevalence of underweight, normal weight, overweight, and obesity in fertile subjects were 29.8%, 40.4%, 17.2%, and 11.3%, respectively. Conclusion: Results from the study emphasize the importance of body composition and creation of interest among women to do exercise and gain normal weight and keep it off to achieve healthy fertility
Ardeshir Bahmanimehr; Bahia Namavar Jahromi; Najmeh Moein-Vaziri
Abstract
Background: Assisted reproductive technology (ART) helps infertility treatment. In this study, the researchers tried to find several prognostic factors for ART success.
Methods: Data of 189 couples that had undergone ART at Qadir-Mother and Child hospital, were retrospectively explored. Cycles were ...
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Background: Assisted reproductive technology (ART) helps infertility treatment. In this study, the researchers tried to find several prognostic factors for ART success.
Methods: Data of 189 couples that had undergone ART at Qadir-Mother and Child hospital, were retrospectively explored. Cycles were classified as succeeded/failed and female/male/combined causes. Three classes of ovarian response based on the number of retrieved oocytes were determined. Duration of ovarian stimulation, dosages of gonadotropins, and sperm parameters were evaluated. Chi square, t-test and Pearson correlation were used for the analysis.
Results: Couples with male factor infertility had a higher success rate. Female age had a negative correlation with follicle count (r = -0.25), retrieved oocytes (r = -0.25), fertilized oocytes (r= -0.2), and clinical pregnancy (r = -0.21). Female age was negatively correlated with AMH, although not significant. The fertilization rate had a reverse correlation with the basal FSH (r = -0.22, P= 0.01) and LH (r= -0.18, P= 0.05). Finally, ART success rate was positively correlated with the number of follicles before (r = 0.18, P = 0.05) and after retrieval (r = 0.15, P = 0.05) and fertilized oocyte (r = 0.23, P = 0.01).
Conclusions: Female age, the number of mature follicles before retrieval, the number of retrieved oocyte, and fertilized oocytes are predictive factors in ART outcomes.
Ali Sahraian; Arsalan Bahmanipoor; Sedighe Amooee; Hossain Mahmoodian; Arash Mani
Abstract
Background: Twenty percent of married couples at reproductive age suffer from infertility. This common problem might cause significant problems in couples’ mental health and quality of life.
Objectives: Accordingly, the goal of the present study is to evaluate the frequency of marital maladjustment ...
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Background: Twenty percent of married couples at reproductive age suffer from infertility. This common problem might cause significant problems in couples’ mental health and quality of life.
Objectives: Accordingly, the goal of the present study is to evaluate the frequency of marital maladjustment in these patients in Shiraz, Iran.
Patients and Methods: This cross-sectional study was performed on 100 infertile couples (with a mean age of 33.39 ± 6) randomly selected from those referred to Ghadir Mother and Child hospital, from March 2011 to March 2012. All of them completed the dyadic adjustment scale (DAS) and a demographic questionnaire. Data were analyzed using SPSS software, using frequency, percent, and t-tests.
Results: All the patients declared that they had maladjustment in their marital relationship. Although the cut-off point of the questionnaire is 100, the mean score was 51.32. This maladjustment revealed no gender differences, but in the dyadic consensus score, patients who lived in urban areas and were employed had a significantly higher mean than those who resided in rural areas and were unemployed. In addition, highly educated couples had a higher level of marital adjustment.
Conclusions: Marital adjustment is one of the most important factors impacted by the infertility of one or both partners. Marital adjustment impairment is affected by the social, economic, and demographic characteristics of couples. Strategies that target lifestyle modifications may improve the marital life of infertile couples and save their marriages from corruption.
Fatemeh Jafarzadeh; Mahmood Golzari; Farhad Jomehri; Seyedeh Leyla Poursamar; Kimia Sahraian
Abstract
Background: Nowadays infertility issue has become a social concern and is associated with numerous social and psychological problems. Infertility can influence interpersonal, marital and social relationships.
Objectives: The aim of this study was to determine the type of coping strategies regarding ...
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Background: Nowadays infertility issue has become a social concern and is associated with numerous social and psychological problems. Infertility can influence interpersonal, marital and social relationships.
Objectives: The aim of this study was to determine the type of coping strategies regarding stress and the level of marital satisfaction in infertile women associated with their infertility factors and to obtain the relationship between these two variables.
Materials and Methods: The sample group included 50 women with female infertility factor and 50 women with male infertility factor. The participants contacted upon their treatment course with Assisted Reproductive Technology (ART) in Mehr infertility clinic, Tehran, Iran. Enrich marital satisfaction questionnaire and standard scale for measuring coping strategies were used during this study.
Results: Data analysis showed that coping strategies and marital satisfaction were different in the two groups of participants based on their infertility factors. The women with female infertility factor used more "emotion- focused" and "less useful coping strategies" than the women with male infertility factor (P < 0.001). The women with male infertility factor had significantly more marital satisfaction than their infertile counterparts (P = 0.019).
Conclusions: The results provided useful evidence about the types of coping strategies in infertile women. Also considering infertility factor, a significant relationship was found between the type of coping strategies and marital satisfaction in infertile couples.
