Incidence of infertility in females and Evaluation of its Causes Using Ultrasonography

Incidence and Causes of Infertility in Females

Authors

  • Hamna Shahzad University Institute of Radiological Sciences and Medical Imaging, The University of Lahore, Gujrat Campus
  • Akash John University Institute of Radiological Sciences and Medical Imaging, The University of Lahore, Gujrat Campus
  • Abid Ali Allied Health Sciences, The University of Lahore, Gujrat Campus
  • Attia Ashraf University Institute of Radiological Sciences and Medical Imaging, The University of Lahore, Gujrat Campus
  • Muhammad Ahmad Naeem University Institute of Radiological Sciences and Medical Imaging, The University of Lahore, Gujrat Campus

DOI:

https://doi.org/10.54393/pbmj.v5i4.342

Keywords:

Infertility, Submucosal fibroid, polycystic ovarian syndrome, Primary infertility

Abstract

Infertility is a condition in which a woman is not able to conceive following 12 months of regular and unprotected intercourse. It is a major health issue that affects 186 million people worldwide. Objective: To determine the incidence and causes of infertility in females using ultrasound. Methods:  It is a cross-sectional study conducted in a private diagnostic Centre in Gujrat, Pakistan, over a period of 4 months. A sample size of 75 was calculated using a convenient approach after informed consent. Patients subjected to ultrasonography were married, diagnosed infertile women between 20–45 years. Patients with hysterectomy or congenital ovarian abnormalities were excluded. Collected data was analyzed using SPSS version 20. Results: The study showed that the incidence of infertility is higher in 20-25 age group and least in 41-45 age group. The majority of females 51(68%) had primary infertility while 24(32%) had secondary infertility. The majority of infertile women were from a moderate socioeconomic background. The common cause of infertility was due to submucosal fibroid 25(33.3%), hormonal imbalance in 16(21.3%) and PCOS in 14(18.17%). Conclusions: The study concluded that the incidence of infertility is highest in 20-25 age groups. Submucosal fibroid, hormonal imbalance, and PCOS are the most common causes of infertility in females.

References

Lindsay TJ, Vitrikas K. Evaluation and treatment of infertility. American family physician. 2015;91(5):308-314.

Aflatoonian A, Baghianimoghadam B, Partovi P, Abdoli A, Hemmati P, Tabibnejad N, et al. A new classification for female infertility. Clin Exp Obstet Gynecol. 2011;38(4):379-381.

Vander Borght M, Wyns C. Fertility and infertility: Definition and epidemiology. Clinical biochemistry. 2018;62:2-10.

https://doi.org/10.1016/j.clinbiochem.2018.03.012

Zorrilla M, Yatsenko AN. The genetics of infertility: current status of the field. Current genetic medicine reports. 2013;1(4):247-260.

https://doi.org/10.1007/s40142-013-0027-1

Abdallah H-EA-AM. Study of Female Infertility in Sudanese using Ultrasonography: Sudan University of Science and Technology; 2019.

Mohammed A, MAYSA SE, Keriakos N. Ultrasound Role in Management of Female Infertility. The Medical Journal of Cairo University. 2020;88(September):1523-1530.

https://doi.org/10.21608/mjcu.2020.116243

Elhussein OG, Ahmed MA, Suliman SO, Adam I. Epidemiology of infertility and characteristics of infertile couples requesting assisted reproduction in a low-resource setting in Africa, Sudan. Fertility research and practice. 2019;5(1):1-5.

https://doi.org/10.1186/s40738-019-0060-1

Organization WH. WHO fact sheet on infertility. LWW; 2021. p. e52.

https://doi.org/10.1097/GRH.0000000000000052

Wasilewski T, Łukaszewicz-Zając M, Wasilewska J, Mroczko B. Biochemistry of infertility. Clinica Chimica Acta. 2020;508:185-190.

https://doi.org/10.1016/j.cca.2020.05.039

Peres H, Foss M, Pereira L, VIANA C. An Update-The Role of Nutrients Crucial in the Infertility of Couples-New Insights for the Effects of Iodine, Selenium, Omega 3 Fatty Acids and Magnesium. J Nutrition Health Food Sci. 2017;5(7):1-6.

https://doi.org/10.15226/jnhfs.2017.001116

Walker MH, Tobler KJ. Female Infertility. 2020.

Inhorn MC. Global infertility and the globalization of new reproductive technologies: illustrations from Egypt. Social science & medicine. 2003;56(9):1837-1851.

https://doi.org/10.1016/S0277-9536(02)00208-3

Turner KA, Rambhatla A, Schon S, Agarwal A, Krawetz SA, Dupree JM, et al. Male infertility is a Women's health issue-research and clinical evaluation of male infertility is needed. Cells. 2020;9(4):990.

https://doi.org/10.3390/cells9040990

Ahmed HM, Khan M, Yasmin F, Jawaid H, Khalid H, Shigri A, et al. Awareness regarding causes of infertility among out-patients at a tertiary care hospital in Karachi, Pakistan. Cureus. 2020;12(4).

https://doi.org/10.7759/cureus.7685

Stentz NC, Koelper N, Barnhart KT, Sammel MD, Senapati S. Infertility and mortality. American Journal of Obstetrics and Gynecology. 2020;222(3):251. e1-. e10.

https://doi.org/10.1016/j.ajog.2019.09.007

Podolska M, Bidzan M. Infertility as a psychological problem. Ginekologia Polska. 2011;82(1).

Sadow CA, Sahni VA. Imaging female infertility. Abdominal imaging. 2014;39(1):92-107.

https://doi.org/10.1007/s00261-013-0040-6

Zeinalabdeen MZ, Gar-Elnabi ME. Characterization of Infertility using Ultrasonography. 2020.

https://doi.org/10.36347/sjams.2020.v08i10.021

Klenov VE, Van Voorhis BJ. Ultrasound in infertility treatments. Clinical obstetrics and gynecology. 2017;60(1):108-120.

https://doi.org/10.1097/GRF.0000000000000263

Barbieri RL. Female infertility. Yen and Jaffe's Reproductive Endocrinology: Elsevier; 2019. p. 556-81. e7.

https://doi.org/10.1016/B978-0-323-47912-7.00022-6

Mustafa M, Sharifa A, Hadi J, IIIzam E, Aliya S. Male and female infertility: causes, and management. IOSR Journal of Dental and Medical Sciences. 2019;18:27-32.

Goodarzi MO, Dumesic DA, Chazenbalk G, Azziz R. Polycystic ovary syndrome: etiology, pathogenesis and diagnosis. Nature reviews endocrinology. 2011;7(4):219-231.

https://doi.org/10.1038/nrendo.2010.217

Ranjan P, Ranjan R. Role of Imaging in Female Infertility. World Journal of Surgical Research. 2016;5(6).

Olpin JD, Kennedy A. Imaging Assessment of Infertile Couples: Why and When. Current Radiology Reports. 2015;3(11):1-13.

https://doi.org/10.1007/s40134-015-0124-x

Abdelsalam M. Characterization of FemaleInfertilityusing Ultrasonography: Sudan University of Science and Technology; 2021.

Majumdar MG, Bansal R. Protocols and Various Imaging Modalities in Female Infertility.

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Published

2022-04-30

How to Cite

Shahzad, H. ., John, A. ., Ali, A. ., Ashraf, A. ., & Ahmad Naeem, M. . (2022). Incidence of infertility in females and Evaluation of its Causes Using Ultrasonography: Incidence and Causes of Infertility in Females. Pakistan BioMedical Journal, 5(4), 55–58. https://doi.org/10.54393/pbmj.v5i4.342

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