Incidence and etiologic factors responsible for anovulation in infertility cases
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20181357Keywords:
Amenorrhoea, Anovulation, Endometrial biopsy, Infertility, OligomenorrhoeaAbstract
Background: Chronic anovulation is a common cause of infertility. Anovulation leads to a long-term problem such as hyperandrogenism. Anovulation usually associated with amenorrhoea about 20% and oligomenorrhoea of women with ovulatory dysfunction. Present study was designed to assess the incidence and etiological factors responsible for anovulation in infertility cases.
Methods: Study comprised of one hundred patients attending the outdoor clinic of the department for infertility either primary or secondary with regular and irregular menstrual cycles and patients of secondary amenorrhoea.
Results: Among the total cases Polymenorrhoea was seen in 10% of cases, oligomenorrhea in 14% cases, secondary amenorrhoea in 3% and 73% cases had normal menstrual cycle. cervical mucus viscosity in ovulatory group to be low in 84.6% cases, moderate in 8.5% cases and high in 38% cases. In anovulatory cycles findings were reversed with viscosity at 14th day it was moderate in 27.27% and higher in 54.54% cases.
Conclusions: Cervical mucus is a good indicator of the cyclical changes in ovarian hormonal as no false positive results were found. Endometrial biopsy is the mainstay in infertility studios as it provides information regarding the ovulating status.
References
Saha TC. Aetiological factors of sterility in India. Indian J Obstet Gynec. 1961;II:225.
Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. Plos Med. 2012;9(12):e1001356.
Scarneciu I, Lupu S, Scarneciu C. Smoking as a risk factor for the development of erectile dysfunction and infertility in men; evaluation depending on the anxiety levels of these patients. Soc Behav Sci. 2014;127(1):437-42.
Rahim R, Majid S. Aetiological factors of infertility. JPMI. 2004;18:166-71.
Palihawadana TS, Wijesinghe PS, Seneviratne HR. Aetiology of infertility among females seeking treatment at a tertiary care hospital in Sri Lanka. Ceylon Med J. 2012;57(2):79-83.
Mayyar DM, Boyers SP, Marshall JR, Abraham GE. Regular menstrual cycles and premenstrual molimina as indicators of ovulation. Obstet Gynecol. 1979;53:441.
National Institute for Health and Clinical Excellence. Fertility: assessment and treatment for people with fertility problems. National Collaborating Centre for Women’s and Children’s Health. London: RCOG Press; 2004.
Israel R, Mishell Jr R, Stone SC, Thorneycroft IH, Moyer DL. Single luteal phase serum progesterone assay as an indicator of ovulation. Am J Obset Gynecol. 1972;112:1043.
Luciano A, Lanzone A, Goverde A. Management of female infertility from hormonal causes. Int J Gynecol Obstet. 2013;123:S9-S17.
Cates W, Farley T, Rowe P. Worldwide patterns of infertility: is Africa different. Lancet. 1985;2:596-8.
Dhont N, Luchters S, Muvunyi C. The risk factor profile of women with secondary infertility: an unmatched case-control study in Kigali, Rwanda. BMC Womens Health. 2011;11:32.
