Volume 7, Issue 3 (7-2009)                   IJRM 2009, 7(3): 117-122 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Aflatoonian A, Seyedhassani S M, Tabibnejad N. The epidemiological and etiological aspects of infertility in Yazd province of Iran. IJRM 2009; 7 (3) :117-122
URL: http://ijrm.ir/article-1-152-en.html
The epidemiological and etiological aspects of infertility in Yazd province of Iran
Abbas Aflatoonian * 1, Seyed Mohammad Seyedhassani2 , Nasim Tabibnejad2
1- Research and Clinical Center for Infertility, Shahid Sadoghi University of Medical Scienses, Yazd, Iran , aflatoonian@yazdivf.org
2- Research and Clinical Center for Infertility, Shahid Sadoghi University of Medical Scienses, Yazd, Iran
Abstract:   (2442 Views)
Background: Infertility is defined as one year unprotected intercourse without pregnancy. It greatly affects couples' quality of life and has great impact on their careers everyday activities sexual and non-sexual relationships.
Objective: To study the prevalence of both primary and secondary infertility and demographic characteristics of it in Yazd province.
Materials and Methods: We studied 5200 married defined couples in 260 randomized clusters. These couples were interviewed based on using a structured questionnaire. Then for etiological evaluation infertile couples were referred to the Research and Clinical Center for Infertility.
Results: Among these couples 277 cases of infertility were encountered and the overall prevalence of infertility was 5.52% (95% CI from 4.9% to 6.1%). In total 170 couples (3.48%) had primary and 107 (2.04%) had secondary infertility. The prevalence of infertility in rural and urban areas was 5.3% and 6.8% respectively. Female factors were more common (57.5%) in etiologic assessment of infertility.
Conclusion: Our data showed a lower total prevalence of infertility in our people compared to the other countries. Furthermore there was significant difference in infertility prevalence between geographic parts of the province. Female factors and among them ovarian disorders were the main cause of infertility in central part of Iran.
Keywords: Epidemiology, Etiology, Infertility, Yazd.
Full-Text [PDF 141 kb]   (567 Downloads) |   |   Full-Text (HTML)  (439 Views)  
Type of Study: Original Article |
References
1. Bentley GR, Mascie-Taylor CGN (Eds). Infertility in the modern world: Present and future prospects. Cambridge University Press, Cambridge, UK, 2000. [DOI:10.1017/CBO9780511613036]
2. Cates W, Farley TM, Rowe PJ. Worldwide patterns of infertility. Is Africa different? Lancet 1985; 2: 596-598. [DOI:10.1016/S0140-6736(85)90594-X]
3. Larsen U. Primary and secondary infertility in sub Saharan Africa. Int J Epidemiol 2000; 29: 285-291. [DOI:10.1093/ije/29.2.285]
4. Stephen EH, Chandra A. Declining estimates of infertility in the United States: 1982-2002. Fertile Steril 2006; 86: 516-523. [DOI:10.1016/j.fertnstert.2006.02.129]
5. Parsanejad ME, Alborzi S. Epidemiology and Etiology of Infertility in Shiraz. Journal of Shahid Sadoughi University of Medical Science and Health Services Special Issue on Infertility 1998: 58-64.
6. Nojomi M. Epidemiology of infertility in the west of Tehran in2000. J Am Med Womens Assoc 2002; 57: 219.
7. Vahidi S, Ardalan A, Mohammad K. The epidemiology of primary infertility in the Islamic Republic of Iran in 2004-5. Journal of Reproduction and Infertility 2006; 7:243-251.
8. WHO: World Health Organization laboratory manual for the examination of human semen and sperm-cervical mucus interaction. Fourth edition. New York: Cambridge University press: Cambridge, 1999.
9. Cates WJr, Rolfs RTJr, Aral SO. Sexually transmitted diseases, pelvic inflammatory disease, and infertility: an epidemiologic update. Epidemiol Rev 1990; 12: 199-220. [DOI:10.1093/oxfordjournals.epirev.a036054]
10. World Health Organization. Infertility: a tabulation of available data on prevalence of primary and secondary infertility. Geneva, Switzerland: WHO Programme on Maternal and Child Health and Family Planning; 1991:1-72.
11. Gerais AS, Rushwan H. Infertility in Africa. Popul Sci 1992; 12: 25-46.
12. Thonneau P, Marchand S, Tallec A, Ferial ML, Ducot B, Lansac J, et al. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988-1989). Hum Reprod 1991; 6: 811-816. [DOI:10.1093/oxfordjournals.humrep.a137433]
13. Razzak AH, Wais SA. The infertile couple: a cohort study in Duhok, Iraq. East Mediterr Health J 2002; 8: 234-238.
14. Serour GI, EI Ghar M, Mansour RT. Infertility: a health problem in the muslim world. Popul Sci 1991; 10: 41-45.
15. Schrijvers D, Dupont A, Meheus A. Prevalence and type of infertility in Gabon. Ann Soc Belg Med Trop 1991; 71: 317-323.
16. Larsen U, Masenga G, Mlay J. Infertility in a community and clinic-based sample of couples in Moshi, Northern Tanzania. East Afr Med J 2006; 83:10-17. [DOI:10.4314/eamj.v83i1.9355]
17. Zargar AH, Wani AI, Masoodi SR, Laway BA, Salahuddin M. Epidemiologic and etiologic aspects of primary infertility in the Kashmir region of India. Fertil Steril 1997; 68: 637-643. [DOI:10.1016/S0015-0282(97)00269-0]
18. Dunson DB, Baird DD, Colombo B. Increased infertility with age in men and women. Obstet gynecole 2004; 103: 51-56. [DOI:10.1097/01.AOG.0000100153.24061.45]
19. Cisse CT. A too-early pregnancy could lead too sterility. Pop Sahel 1990; 13: 22-23.
20. Hall JE, Welt CK, Cramer DW. Inhibin A and inhibin B reflect ovarian function in assisted reproduction but are less useful at predicting outcome. Hum Reprod 1999; 14: 409-415. [DOI:10.1093/humrep/14.2.409]
21. Scott RT, Opsahl MS, Leonardi MR, Neall GS, Illions EH, Navot D. Life table analysis of pregnancy rates in a general infertility population relative to ovarian reserve and patient age. Hum Reprod 1995; 10:1706-1710. [DOI:10.1093/oxfordjournals.humrep.a136159]
22. Leke RJ, Oduma JA, Bassol-Mayagoitia S, Bacha AM, Grigor KM. Regional and geographic variations in infertility: Effects of environmental, cultural and socioeconomic factors. Environ Health Perspect 1993; 101:73-80. [DOI:10.1289/ehp.93101s273]
23. Lunenfeld B, Insler V. Infertility: the dimension of the problem. In: Insler V, Lunenfeld B, eds. Infertility: male and female. 2nd ed. Edinburgh: Churchill Livingstone, 1993:3-7.
24. Omu AE, Ismail AA, Al-Qattan F. Infertility in Kuwait. Int J Gynaecol Obstet 1999; 67:113-114. [DOI:10.1016/S0020-7292(99)00110-1]
25. Shagufta S. Prevalence of infertility factors in Pakistan. Pak J Obstet Gynaecol 1993; 6:1.
26. Isaksson R, Tiitinen A. Present concept of unexplained infertility.Gynecol Endocrinol 2004; 18: 278-290. [DOI:10.1080/0951359042000199878]
27. Collins JA, Rowe TC. Age of the female partner is a prognostic factor in prolonged unexplained infertility: a multicenter study. Fertil Steril 1989; 52:15-20. [DOI:10.1016/S0015-0282(16)60781-1]
28. Assaf S, Khawaja M, DeJong J, Mahfoud Z, Yunis K. Consanguinity and reproductive wastage in the Palestinian Territories. Paediatr Perinat Epidemiol 2009; 23:107-115. [DOI:10.1111/j.1365-3016.2008.00988.x]
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by : Yektaweb