关键词: PCOS PID menorrhagia risk factors secondary infertility

来  源:   DOI:10.1089/whr.2023.0145   PDF(Pubmed)

Abstract:
UNASSIGNED: Secondary infertility is characterized by the inability to conceive for a period of 1 year, after having previously conceived at least once.
UNASSIGNED: To explore the risk factors of secondary infertility and compare sociodemographics and anthropometric variables of each studied group.
UNASSIGNED: 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.
UNASSIGNED: 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/m2, and in controls the mean BMI was 25.52 ± 4.30 kg/m2. 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.
UNASSIGNED: 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.
摘要:
继发性不孕症的特征是无法怀孕1年,在之前至少构思过一次之后。
探讨继发性不孕症的危险因素,并比较每个研究组的社会人口统计学和人体测量学变量。
研究是在大学公共卫生研究所进行的,联盟健康科学学院,拉合尔大学,在批准摘要后的18个月内从吉拉尼超声中心收集数据。共纳入690名女性(345例和345例对照)。如果参与者年龄在20-45岁,则将其纳入病例组。有任何奇偶校验,并确诊为继发性不孕症。
病例和对照组的平均年龄分别为33.08±4.17岁和31.37±4.36岁,分别。病例的平均体重指数(BMI)为27.61±4.27kg/m2,对照组的平均BMI为25.52±4.30kg/m2。宗教之间没有显着差异,表明与继发性不孕无关(p=0.73),因为职业与之相关(p=0.01)。多囊卵巢综合征病史,盆腔炎,子宫内膜异位症,子宫肌瘤,月经过多,经期出血,流产史与继发性不孕有关。
虽然一些社会人口统计学特征和医学疾病与继发性不孕症有关,必须强调的是,并非所有这些因素都可以通过药物治疗来控制。年龄和某些医疗问题等因素可能不会受到干预的影响。然而,对于可控变量,如BMI和某些医学疾病,集中治疗和生活方式的改变可能会减少随后不孕的机会.
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