The present study determined some critical information about the prevalence of HBsAg, HCV & HIV antibodies among infertile couples in southern Iran. Background: Without doubt the problem of infertility is important not just for the individual couple, but in many cases it has a wider effect on human life which may lead to social disorganization if not addressed in the future if not addressed in the future. Objectives: Since the screening of the hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) antibodies of infertile couples has not been studied in our area; this study was conducted to determine the prevalence of HBsAg, HCV & HIV antibodies among infertile couples. Patients and Methods: This was a retrospective cross sectional study and its setting was an in vitro fertilization (IVF) ward. The population study included all of the couples (712) admitted to the infertility center of Ahvaz Imam Khomeini Hospital in 2007-2008 (12 month period). Intervention was an analysis of the data containing the patients' demographic characteristics and included their HBsAg, HCV and HIV serostatus, which were routinely screened during this period. The main outcome measure was the prevalence of HBsAg, HCV and HIV antibodies among the infertile couples referred to the infertility center. Results: The age range of the men and women was 18 to 62 years and 16 to 46 years respectively. 11 (0. 77 %) of the infertile couples, including 6 (0. 8) women and 5 (0. 7%) men were HBsAg positive. 9 (0. 63 %) infertile couples, 6 (0. 8) women and 3 (0. 4%) men were HCV antibody positive. No cases of HIV were observed in this study. Conclusions: Although the frequencies of hepatitis B and C infections found in this study were small, it still seems logical from the statistical analysis to screen for both viruses as well as for HIV, while a future study using a larger sample size of infertile couples is also recommended.

Background: Acute Fatty Liver of Pregnancy (AFLP) is one of the serious complications of the pregnancy period. Surveying the laboratory and clinical signs is effective in timely prognosis and fast treatment of this illness. Objectives: The current study aimed to evaluate AFLP among the hospitalized subjects. Patients and Methods: This retrospective study was conducted on clinical and preclinical records of 25 females with AFLP for maternal and perinatal prognosis from 2000 to 2009. The data was analyzed using SPSS ver. 19. Results: The patients aged 16-45 years old with one to four pregnancies; they were 24 to 39 weeks pregnant with the mean of 33.56 weeks, and 56% were multifarious. The most prevalent clinical symptoms were nausea, vomiting, abdominal pain, headache, pruritus, and icterus. The laboratory signs included disorders of liver, coagulation, kidney, and hypoglycemia. Nausea and vomiting in the first and second age groups (Group 1, patients were < 25 years; Group 2, patients were 25-35 years) and abdominal pain (100%) in the third group (Group 3, patients were > 35 years.) were the most prevalent symptoms. No patient had fever, ascites, and polydipsia. There was one case of mother and fetal death. Conclusions: In the current study, the clinical and paraclinical signs of AFLP were mostly-liver, coagulation, kidney, and hypoglycemia disorders. Considering that patients mostly refer in three phases of clinical, laboratory, and complications, it is essential to evaluate the suspected ones who present clinical symptoms especially nausea, vomiting and abdominal pain.

Background: The phenomenon of infertility may be derived from different factors - either in males or females or both genders, including few unexplained factors. It is generally managed by medical and surgical treatments. Objective: To find a relation of occurrence of spontaneous pregnancy (SP) with effective factors in infertility. Materials and Methods: This cross-sectional study was conducted at two referral infertility centers (university and privacy center) in the southwest of Iran from March 2015 and March 2016 on 655 infertile couples, who were divided in two groups of with (n = 31) and without (n = 624) SP. The variables included female and male age, male smoking, male job, the place of living, the causes of infertility, the type and duration of infertility, and the subgroups of infertility causes. Results: Infertility may be caused due to both male- and female- related factors (47.5%). While female-related infertility was found in 31.5%, male-related infertility in 14.5%, and infertility due to unexplained factors in 6.6% of our patients. The rate of SP was 4.7%, which had a significant relation with the duration of infertility (p = 0.01), with women’s age (p = 0.048), unexplained infertility (p = 0.001), and husband’s job (p = 0.004). Conclusion: The occurrence of SP in infertile couples was related to age of the female partner, the duration of unexplained infertility, and the male partner’s job. Key words: Male infertility, Female infertility, Spontaneous pregnancy, Epidemiology, Etiology.

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