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A mosaic of Risk Factors for Female Infertility in Pakistan.
Author(s):
1. Dua Zhaira: College of Medical Lab Technology, Rawalpindi Medical University, Rawalpindi, Pakistan
2. Asma Nafisa: Department of Pathology Benazir Bhutto Hospital and Rawalpindi Medical University, Rawalpindi, Pakistan
3. Nadeem Ikram: Department of Pathology Benazir Bhutto Hospital and Rawalpindi Medical University, Rawalpindi, Pakistan
4. Shagufta Saeed: Department of Gynae/Obs Benazir Bhutto Hospital and Rawalpindi Medical University, Rawalpindi, Pakistan
5. Sumaira Kausar: College of Medical Lab Technology, Rawalpindi Medical University, Rawalpindi, Pakistan
6. Bushra Kiani: Department of Gynae/Obs Benazir Bhutto Hospital and Rawalpindi Medical University, Rawalpindi, Pakistan
7. Feroza Hamid Wattoo: Arid Agriculture University, Rawalpindi, Pakistan
Abstract:
Background: To identify different risk factors for female infertility including hormonal imbalance (FSH, LH and Prolactin) Methods: Infertile women were enrolled in this prospective study. A questionnaire was designed to collect information regarding socio-demographic and clinical characteristics of the study participants. Serum FSH, LH and Prolactin levels were estimated between 1-5 days of post menstrual period. Independent sample t- test, Spearman correlation and multivariate logistic regression were performed to find the association of different risk factors with female infertility. Results: Highest percentage (57.7%) of infertile females was in the age bracket of 26 to 35 years. The prevalence of primary infertility was 60.4% . Mean levels of LH and prolactin were significantly higher in women with primary infertility compared to those with secondary infertility. No significant difference was observed in the mean level of FSH . A significant positive correlation was found between infertility and age , marital history and infertility duration. On multivariate logistic regression analysis women with secondary infertility were more likely to be hypertensive(OR=2.126,95%CI:1.020-4.474, pvalue0.044), using contraceptive OR?=?5.876, 95% CI: 2.491-13.86, p-value .001),have hyperprolactenemia (OR=1.289,95%CI:0.960-1.996,p-value0.001) and have marital history of more than 16 years OR=12.166,95%CI:5.048-29.322, p-value0.001). Conclusion:Highest prevalence of infertility was seen in the age group of 26-35 years. Advanced age, hypertension, hyperprolactemia, use of contraceptive and marital history of more than 16 years are significantly associated with female infertility
Page(s): 80-84
DOI: DOI not available
Published: Journal: Journal of Rawalpindi Medical College, Volume: 23, Issue: 2, Year: 2019
Keywords:
Hyperprolactenemia , Luteinizing hormone , Hypertension , Folliclestimulating hormone
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