Study of factors contributing to female infertility
Keywords:Infertility, Primary infertility, Secondary infertility, PCOS
Background: Infertility is a global issue in reproductive health. All over the world, infertility is viewed as a social stigma, which causes social, economic and psychological consequences.
Methods: A prospective, observational study was conducted at south central railway hospital, Secunderabad in 100 women aged between 18-40 years with complaints of primary and secondary infertility. We aimed to find the incidence of different causes of infertility in the females attending Gynaecology OPD over a period of 2 years.
Results: Different causes of infertility were studied. In the present study ovarian factors (50%) was the most common factor for infertility followed by tubal factors (22%), uterine factors (20%) and peritoneal factors (19%) respectively.
Conclusions: PCOS was found to be a contributing factor in both primary and secondary infertility, maybe because of increased sedentary lifestyle and physical inactivity and the study population being from an urban background.
Hoffman BL, Schorge JO, Bradshaw KD, Halvorson LM, Schaffer JI, Corton MM. William’s Gyneacology. 3rd ed. New York: McGraw Hill; 2017: 427.
Roupa Z, Polikandrioti M, Sotiropoulou P, Faros E, Koulouri A, Wozniak G, et al. Causes of infertility in women at reproductive age. Health Sci J. 2009;3(2):80-7.
Cooper TG, Noonan E, Eckardstein SN. World Health Organization reference values for human semen characteristics. Hum Reprod Update. 2010;16(3):231-45.
Duignan NM, Jordan JA, Coughlan BM, Logan-Edwards R. One thousand consecutive cases of diagnostic laparoscopy. J Obst Gynecol Br C Wealth. 1972;79(11):1016-24.
Templeton AA, Kerr MG. An assessment of laparoscopy as the primary investigation in the sub fertile female. Br J Obst Gynecol, 1977:84(10):760-2.
Sortey KD, Dhurandhar J. Laparoscopic evaluation of infertility. J Obstet Gynaecol India. 1989;39:809-11.
Pal M, Devgun P, Chalana H, Kaur H, Biswas A, Sen S. A study of prevalence and socio-demographic profile of infertile couples in field practice area of a tertiary care centre, Amritsar, Punjab, India. Int J Community Med Public Health. 2016;3(6):1472-6.
Daddenavar AV, Daddenavar VM. Infertility analysis by hysterolaparoscopy. Int J Reprod Contracept Obstet Gynecol. 2016;5(5):1472-5
Verma I, Sood R, Juneja S, Kaur S. Prevalence of hypothyroidism in infertile women and evaluation of response of treatment for hypothyroidism on infertility. Int J Appl Basic Med Res. 2012;2(1):17-9.
Nandhini V, Murugalakshmi. Role of diagnostic hysterolaparoscopy in primary infertility. IOSR J Dent Med Sci. 2016;15(8):25-8.
Bhide AG. Laparoscopic evaluation of the etiopathology of infertility. J Obstet Gynecol India. 1990;40:680-2.
Hema KR, Lalitha HS. Evaluation of role of laparoscopy in determining etiology of infertility. Int J Reprod Contracept Obstet Gynecol. 2017;6(12):5322-6.
Sholapurkar ML. Primary amenorrhoea. A clinical and laparoscopic study. J Obst Gynaecol India. 1986;36:1052.
Sud K, Malan R, Saxena P, Thakur K. Analysis of 300 diagnostic laparoscopies. J Obstet Gynaecol India. 1987;37:156.
Prabhu JR, Sivaraman R, Srinivasan O, Rajarathnam, S. Diagnostic laparoscopy. A review of 800 case. The J Obstet Gynaecol India. 1988;38:205.