Study on causes of infertility

In: International Journal of Clinical Obstetrics and Gynaecology · 2021 · vol. 5(1) , pp. 427–429 · doi:10.33545/gynae.2021.v5.i1g.850 · W3166644447
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Abstract

Background: Infertile women are severely stigmatized by Indian society. A new definition of reproductive health envisages the provision of a woman's health package which includes family planning and healthy motherhood, the treatment of reproductive infections, and the support of infertile couples for the delivery of children.Objective: Prevalence of female infertility causes to be measured. To explore the various causes that affect women's infertility.Methods: Detailed history of the patient, thorough general examination, height, weight, speculum, TFT, urine routine, and USG abdominal and pelvic.Results: Majority of the patients belonged to the age group of 21 to 25 yrs with 38%. Majority of the patients were married for around 5 to 10 yrs around 53% of them. Family history was seen in 28% of the cases. Around 43% were overweight and 10% were obese. In 44% of the cases menstrual cycle was irregular. Dysmenorrhea was seen in 33% of the cases. Vaginal discharge was seen in 30% of the cases. During hysteroscopy tubal block was seen in 10% of the cases. In pelvic examination Foul smelling vaginal discharge was seen in 28% of the cases. Bulky uterus was seen in 10% of the cases. Fornixes tender restricted mobility was seen in 7% of the case. In USG examination PCOD was seen in 50% of the cases. Fibroid and Chocolate cyst was seen in 7.5% of the cases each and adenomyosis was seen in 2.5% of the cases. Conclusion: Female infertility causes should be systematically analyzed starting from history, analysis and research. The main cause of female infertility is polycystic ovarian disease (PCOD), which is rising because of lifestyle changes. PCOD is also easy to deal with and a good prediction of infertility relative to the other factors. Other medical conditions such as thyroid dysfunction and hyperprolactinemia will coexist with PCOD, which must be tested and treated accordingly for better outcomes.

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adenomyosisdysmenorrheainfertility

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