Infertile Female

Talib, Waseem; Hafeez, Maimoona; Ikram, M. Arfan; Saeed, Muhammad

doi:10.29309/tpmj/2007.14.04.4805

Cited by 4 publications

(2 citation statements)

References 2 publications

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“…The numerous reproductive issues seen in infertile women are caused by an association between fat and hyperinsulinemia, hyperandrogenism, and abnormal hormone production, including leptin. 19 , 20 Factors related to nutrition and lifestyle that impact fertility encompass conditions such as anemia, weight imbalances, and smoking. The American Society for Reproductive Medicine emphasizes that 12% of infertility instances arise from being either underweight or overweight.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Baseline Characteristics, Sociodemographics, and Gynecological Risk Factors Associated with Secondary Infertility of Females in Pakistan

Fatima,

Akhtar,

Hanif

et al. 2024

Women's Health Reports

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Introduction: Secondary infertility is characterized by the inability to conceive for a period of 1 year, after having previously conceived at least once. Objectives: To explore the risk factors of secondary infertility and compare sociodemographics and anthropometric variables of each studied group. Methods: Study was conducted at University Institute of Public Health, Faculty of Allied Health Sciences, The University of Lahore, collecting data from Gilani Ultrasound Center in 18 months after approval of synopsis. Total 690 females (345 cases and 345 controls) were enrolled. Participants were included in case group if they were 20–45 years of age, having any parity, and confirmed diagnosis of secondary infertility. Results: The mean age of cases and controls was 33.08 ± 4.17 years and 31.37 ± 4.36 years, respectively. The mean body mass index (BMI) in cases was 27.61 ± 4.27 kg/m 2 , and in controls the mean BMI was 25.52 ± 4.30 kg/m 2 . There was not a significant difference among religion that shows no association ( p = 0.73) with secondary infertility as profession has association with it ( p = 0.01). History of polycystic ovary syndrome, pelvic inflammatory disease, endometriosis, uterine fibroids, menorrhagia, intermenstrual bleeding, and history of abortion are associated with secondary infertility. Conclusions: While several sociodemographic features and medical disorders have been associated to secondary infertility, it is vital to stress that not all of these factors are controllable by medical therapy. Factors like age and certain medical issues may be unaffected by intervention. However, for controllable variables like BMI and certain medical diseases, focused therapies and lifestyle changes may reduce the chance of subsequent infertility.

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Section: Discussionmentioning

confidence: 99%

Comparison of Baseline Characteristics, Sociodemographics, and Gynecological Risk Factors Associated with Secondary Infertility of Females in Pakistan

Fatima,

Akhtar,

Hanif

et al. 2024

Women's Health Reports

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“…In this study, patients who have secondary infertility had a mean age of 33.08 ± 4.17 years. A study conducted in 2010 by Nosheen et al ( 18 ) reported that the mean age in secondary infertility was 32 years, while Talib et al ( 19 ) reported in 2007 that the mean age of secondary infertility was 29.4 years in women. Factors related to nutrition and lifestyle that impact fertility encompass conditions, such as weight imbalances, anemia, and smoking.…”

Section: Discussionmentioning

confidence: 99%

Predicted risk factors associated with secondary infertility in women: univariate and multivariate logistic regression analyses

Fatima,

Akhtar,

Hanif

et al. 2024

Front. Med.

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IntroductionInfertile women are those who regularly engage in unprotected intercourse for a period of at least 1 year and are unable to become clinically pregnant. Primary infertility means the inability of couples to conceive, without any previous successful pregnancies. Secondary Infertility refers to the inability to get pregnant for 12 months, after having a previous pregnancy for one time at least. The objectives of the current study were to analyze risk factors for secondary infertility and compare the predictive accuracy of artificial neural network (ANN) and multiple logistic regression models.MethodsThe study was conducted at The University Institute of Public Health collecting data from Gilani Ultrasound Center 18 months after approval of synopsis. A total of 690 women (345 cases and 345 controls) were selected. The women selected for the case group had to be 20–45 years of age, had any parity, and had a confirmed diagnosis of secondary infertility.ResultsMultiple logistic regression (MLR) and ANN were used. The chance of secondary infertility was 2.91 times higher in women living in a joint family [odds ratio (OR) = 2.91; 95% confidence interval (CI) (1.91, 4.44)] and was also 2.35 times higher for those women who had relationship difficulties with their husband [OR = 2.35; 95% CI (1.18, 4.70)]. Marriage at an earlier age was associated with secondary infertility with β being negative and OR being < 1 [OR = 0.94; 95% CI (0.88, 0.99)]. For the logistic regression model, the area under the receiver operative characteristic curve (ROC) was 0.852 and the artificial neural network was 0.87, which was better than logistic regression.DiscussionIdentified risk factors of secondary infertility are mostly modifiable and can be prevented by managing these risk factors.

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Diagnostic Laparoscopy for Infertility

Ara

Zaibunnisa

Ara

et al. 2016

TPMJ

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Objective: To assess the causes of infertility by laparoscopy. Study design:Observational study. (Prospective). Place & Duration of study: Imdad hospital & MahnazLaparoscopy Center, Quetta from 1st Jan 2013 to 31st Dec 2013. Methodology: All the infertilepatients either with primary or secondary infertility was included after thorough evaluation.Diagnostic laparoscopy was done on these patients. Different causes were seen like tubalblockage, T.B, Endometriosis, adhesion of previous abdominal surgery, polycystic ovaries.Results: The study group consisted of 35 cases of infertile patients’ aged between 16 to 46years. 19 (54.3%) patients comprised primary infertility and 16 (45.7%) patients had secondaryinfertility because of tuberculosis (TB), pelvic inflammatory disease, endometriosis, polycysticovaries and previous surgery. 37.1% were asymptomatic, while irregular cycles, dischargeand dysmenorrhea were common symptoms Normal findings were in 3(8.6%) women.8.5% had unilateral blockage and 14.3% had bilateral blockage. 22.9% (8) cases had pelvictuberculosis and endometriosis was found in 3(8.6%) patients.11.4% (4) had pelvic adhesions.No major complication occurred except nausea, vomiting, pain and mild fever. Conclusion:Pelvic tuberculosis was most common pathology detected followed by Endometriosis, Pelvicinflammatory disease and adhesions.

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Infertile Female

Cited by 4 publications

References 2 publications

Comparison of Baseline Characteristics, Sociodemographics, and Gynecological Risk Factors Associated with Secondary Infertility of Females in Pakistan

Comparison of Baseline Characteristics, Sociodemographics, and Gynecological Risk Factors Associated with Secondary Infertility of Females in Pakistan

Predicted risk factors associated with secondary infertility in women: univariate and multivariate logistic regression analyses

Diagnostic Laparoscopy for Infertility

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