The Prevalence of Explained and Unexplained Subfertility— A Case Study: Kirkuk City (Iraq) Fathi Eman I* Department of Obstetrics and Gynecology, College of Medicine, University of Kirkuk, Kirkuk, Iraq *Corresponding Author: Dr. Eman I Fathi, Department of Obstetrics and Gynecology, College of Medicine, University of Kirkuk, Kirkuk, Iraq, Phone: +964 (0) 7723147446, Email: faithfathi@yahoo.com
Online published on 19 August, 2019. Abstract Infertility refers to the inability of a sexually active non-contracepting to get pregnancy in a one year. The diagnosis of explained infertility is performed via standard fertility investigations, which encompasses: assessment of ovulation, semen analysis and tubal patency test. The infertility is considered as an unexplained when the standard fertility evaluation fails to identify an abnormality. This study aims to determine the prevalence and main causes of subfertility. In this study, a multicentre survey is carried out at the infertility centre at the Azadi teaching hospital in Kirkuk, Iraq during the period January 2016-October 2018. For this aim, 1023 patients are involved in this case-control study: where the females are ranging in age from 18 to 45 years. The results show that (55.35%) have primary subfertility, whereas (44.5%) have secondary subfertility. Additionally, (44.5%) and (75.65%) have primary and secondary subfertility respectively. Furthermore, (75.65%) are explained while unexplained subfertility cases are found in (24.34%). The main causes of female subfertility: 46.64% are ovulation disorders, (21.18%) are primary and (21.18%) are secondary. Besides, out total (774 explained) patients, there is (15.24%) has tubal causes, (6.84%) are primary and (8.39%) are secondary. Moreover, in (20%) the cause is due to male factor, (12.4%) are primary and (7.62%) are secondary. Additionally, in (1.16%) of subfertility is caused by endometriosis, (0.09%) and (0.03%) is primary and secondary subfertility respectively. (16.92%) have multiple disorders found in both partners. Also, in explained subfertility in (63%), the females were responsible for the subfertility, male factor alone is in (20%), (52.66%) are primary and (47.33%) are secondary. Finally, regarding male factor subfertility, the outcomes shows follows: azoospermia in (7.1%), asthenozoospermia in (21.93%), (55.48%) has oligospermia, (8.38%) has oligo-terato-asthenozoospermia and (7.1%) has teratozoospermia. Top Keywords Infertility, azoospermia, oligospermia, asthenozoospermia, teratozoospermia. Top |