Determinants of Infertility Among Couples Seeking Treatment in A Selected Clinic in Dhaka City

Chowdhury, M.; Haque, Monoarul; Chowdhury, Shahanaz; Prodhania, Shafiullah

doi:10.3329/cmoshmcj.v13i3.21021

Cited by 10 publications

(12 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The final model of the study's logistic regression analysis indicates that the risk of infertility in Turkey is associated with the age of women, educational levels of couples, age at first marriage, age at first menstruation and the BMI of women. The age of women as a risk factor for infertility is well-documented, with the risk of infertility increasing as a woman's age increases (Van Noord-Zaadstra et al, 1991;Gougeon, 2005;Swanton & Child, 2005;Romero et al, 2008;Terävä et al, 2008;Adamson et al, 2011;Dhont et al, 2011;Bushnik et al, 2012;Chowdhury et al, 2014;Direkvand-Moghadam et al, 2015), and a similar result was found in the present study. The risk of infertility among women aged 35-39 was found to be higher by 30% compared with women aged 15-25.…”

Section: Discussionsupporting

confidence: 87%

Prevalence and Risk Factors of Infertility in Turkey: Evidence From Demographic and Health Surveys, 1993–2013

Saraç

Koç

2017

J. Biosoc. Sci.

View full text Add to dashboard Cite

SummaryThe inability to have children affects couples worldwide and causes emotional and psychological distress in both men and women. Turkey is a country that lays particular emphasis on the issue of infertility, especially after experiencing a dramatic fertility decline over the last two decades. This study aimed to understand the changes in the prevalence of infertility in Turkey using three different approaches: the DHS Approach, the Constructed Approach and the Current Duration Approach. Furthermore, the factors contributing to elevated risks of infertility as derived from the Constructed Approach were investigated using four different logistic regression models. The data came from the 1993, 1998, 2003, 2008 and 2013 Demographic and Health Surveys conducted by the Hacettepe University Institute of Population Studies. The findings of the Constructed and Current Duration Approaches suggested that the prevalence of infertility decreased markedly from 1993 to 2013 in Turkey. This decline was the result of improvements in maternal health care services in Turkey, as well as an increase in the use of Assisted Reproductive Technology (ART), from 1.9% in 2008 to 4.1% in 2013. The results of the final logistic regression model suggested that the risk of infertility was significantly higher among women aged between 35 and 49 (p<0.01), uneducated women (p<0.01), women whose age at first marriage was over 30 (p<0.01), women defined as overweight (p<0.05) and women whose age at menarche was less than 12 years (p<0.05). This is the first nationwide study to examine the prevalence of infertility and its socio-demographic risk factors in Turkey, a developing country; previous studies have established these risk factors mainly in developed countries.

show abstract

Section: Discussionsupporting

confidence: 87%

Prevalence and Risk Factors of Infertility in Turkey: Evidence From Demographic and Health Surveys, 1993–2013

Saraç

Koç

2017

J. Biosoc. Sci.

View full text Add to dashboard Cite

show abstract

“…In our study bilateral tubal block was in 7% of the infertile women where as in a study in Nigeria tubal occlusion was in 16.9% 14 and bilateral tubal blockage in 15.6% and 28.9% of the infertile women 15,3 which are quite high than our series. Anovulation was in 17% in our study and 22.3% 16 in other study.…”

Section: Discussionsupporting

confidence: 56%

Treatment Seeking Behavior and the Profile of Infertile Patients Attending the Tertiary Infertility Center at Dhaka

Fatima

Hossain

Rahman

et al. 2017

J. Bangladesh Coll. Phys.

View full text Add to dashboard Cite

Background: Motherhood is an integral part of womanhood and being childless is a devastating experience for a woman in developing countries like Bangladesh. Majority of patients in developing countries have virtually no access to treatment. Few health facilities have provision for proper diagnosis and treatment for infertility. There is a general lack of awareness among the public regarding infertility. In the quest for conception, many couples adopt for alternative therapies and religious rituals killing crucial age and time.Objective: To find out the treatment seeking behavior and the profile of infertile patients attending a tertiary infertility center at Dhaka, Bangladesh . Results: Treatment seeking behavior of infertile patients attending Center for Assisted Reproduction, (CARe) Dhaka revealed 30% of the patients initially go to the traditional healers for the relief of infertility, 36% consult both traditional healers and doctors and 32% consulted with GP and Gynae specialist, and only 2% came straight to the tertiary center( CARe) for their subfertility. 55% of the patients attending the clinic were from urban area and 45% were from rural area. The maximum number of patients were from Dhaka division followed by Chittagong, Khulna, Barisal, Sylhet and Rajshahi. The overall primary and secondary infertility were in 63.34% and 36.66% of the patients respectively. 90% of the patients were Muslim and 9% were Hindu and 1% were from other religion. Only 32.37 % of the patients took treatment in the clinic for their infertility. Male factor problems as identified among the male partners of the infertile couples were azoospermia in 18%, abnormal semen parameter in 24%,and normal semen parameter in 58 %. Among the female partners completing investigations, 17% suffered from anovulation, 20% from premature ovarian failure and 3% from ovarian failure , with a total of 40% of the women suffering from ovarian factor, 8% suffered from endometriosis, 7% from bilateral tubal block, 3% from uterine factor problem. In 42% women there was no apparent cause in the females. Untreatable causes of infertility among the infertile couples were in 3.75% of the patients. Ovarian failure was in 3% cases, testicular failure in 0.5% and uterine factor in 0.25% of cases. 75% of the women were less than thirty five years of age where as 29 % of the males were less than 35 years. MethodsConclusion: Causes of infertility vary from region to region so also social and cultural conditions. Financial condition also affects the health seeking behavior of the patients. For the purpose of management of infertile couples the cause of infertility is important to understand so that the options of treatment and the prognosis can be discussed with the patients.

show abstract

“…According to the findings of different studies, reproductive system disorders like sexually transmitted disease and endometrial and ovarian dysfunction, genetic factor, age, alcohol consumption, smoking, obesity, irregular menstrual cycle, age at menarche, age at marriage, and dysmenorrhea are found to be factors affecting infertility [3,10,11].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Infertility among Married Women Attending Dessie Referral Hospital and Dr. Misganaw Gynecology and Obstetrics Clinic, Dessie, Ethiopia

Bayu

Egata

Kefale

et al. 2020

International Journal of Reproductive Medicine

View full text Add to dashboard Cite

Background. Infertility is the inability to become pregnant after one year of sexual intercourse without the use of contraception. Epidemiological data suggest that 10 to 15% of couples around the world are suffering from infertility. The exact meaning of marriage is mainly fulfilled if the couple conceives and bears children. Failure of this often leads to unhappy married lives, divorces, and high levels of psychiatric morbidity. There is scarcity of data about determinants of infertility in Ethiopia. Therefore, the aim of this study is to identify the determinants of infertility among married women attending Dessie Referral Hospital and Dr. Misganaw gynecology and obstetrics specialty clinic, Dessie, Ethiopia, 2019. Methods. An institution-based case-control study was conducted on 281 participants. The participants were selected by a systematic random sampling technique. Data were collected using a structured interviewer-administered questionnaire. Data were entered into EpiData version 3.1 and exported to SPSS version 23 for analyses. Variables with p<0.25 in bivariable logistic regression were entered into multivariable logistic regression. Odds ratio with its 95% confidence interval was estimated to measure the direction and strength of the association. The level of statistical significance was set at p<0.05. Results. The determinants of women’s infertility were age at the first pregnancy (AOR=2.89; 95% CI: 1.105, 7.564), age at menarche (AOR=3.2; 95% CI: 1.278, 7.975), menstruation flow in days (AOR=4.17; 95% CI: 0.062, 0.929), multiple sexual partners (AOR=5.33; 95% CI: 2.124, 13.397), and history of STI (AOR=2.79; 95% CI: 1.088, 7.159). Conclusion. Age at the first pregnancy, age at menarche, multiple sexual partners, number of days of menstruation flow, and history of STI were determinants of women’s infertility. Infertility may bring about unhappy married lives, divorces, and high levels of psychiatric morbidity. Therefore, couples need to have heath education about risk factors for infertility.

show abstract

Determinants of Infertility Among Couples Seeking Treatment in A Selected Clinic in Dhaka City

Cited by 10 publications

References 5 publications

Prevalence and Risk Factors of Infertility in Turkey: Evidence From Demographic and Health Surveys, 1993–2013

Prevalence and Risk Factors of Infertility in Turkey: Evidence From Demographic and Health Surveys, 1993–2013

Treatment Seeking Behavior and the Profile of Infertile Patients Attending the Tertiary Infertility Center at Dhaka

Determinants of Infertility among Married Women Attending Dessie Referral Hospital and Dr. Misganaw Gynecology and Obstetrics Clinic, Dessie, Ethiopia

Contact Info

Product

Resources

About