scholarly journals Trends in primary and secondary infertility prevalence since 1990: a systematic analysis of demographic and reproductive health surveys

The Lancet ◽  
2013 ◽  
Vol 381 ◽  
pp. S90 ◽  
Author(s):  
Maya N Mascarenhas ◽  
Seth R Flaxman ◽  
Ties Boerma ◽  
Sheryl Vanderpoel ◽  
Colin D Mathers ◽  
...  
1970 ◽  
Vol 1 (2) ◽  
Author(s):  
Shi Huihui

For objective, analyzing the pathogenesis of infertility patients in Zhengzhou and exploring the relevant influential factors. Method: selecting 264 infertility patients in our hospital and peripheral hospitals in the city from March of 2015 to October of 2016 to carry out relevant investigation & research so as to analyze the major pathogeny and related risk factors of 264 infertility patients. For result, for infertility patients, the occurrence of infertility is common in female whether it is primary or secondary. The primary infertility is usually caused by uterus factors, showing the congenital developmental abnormality of uterus. However, the primary cause of secondary infertility is tubal nowhere, commonly and mainly showing frequent abortion frequency.As to male infertility, the idiopathic infertility is mainly related to asthenospermia while the secondary infertility is mainly related to asthenospermia and oligospermia. Conclusion: clinically, there are more causes of infertility. Thus, the reproductive health education and direction need to be strengthened and completed on the male and female during the child-bearing period, and the timely and professional direction needs to be given to the patients with low incidence of infertility to diagnose and treat as early as possible so as to lower the incidence rate of infertility, worthy of attention.


Vaccine ◽  
2017 ◽  
Vol 35 (6) ◽  
pp. 951-959 ◽  
Author(s):  
Catherine Arsenault ◽  
Sam Harper ◽  
Arijit Nandi ◽  
José M. Mendoza Rodríguez ◽  
Peter M. Hansen ◽  
...  

Author(s):  
Yana van der Meulen Rodgers

In recent decades, the long arm of US politics has reached the intimate lives of women all over the world. Since 1984, healthcare organizations in developing countries have faced major cuts in US foreign aid if they perform or promote abortions as a method of family planning. The policy—commonly known as the global gag rule—is a hallmark of Republican administrations. The reinstatement and expansion of the global gag rule by Donald Trump in January 2017 caused a firestorm of debate. Proponents emphasize the importance of reducing abortions globally, while critics predict large increases in unsafe abortions and maternal mortality resulting from disruptions to family-planning services. How plausible are the various claims and projections? This question is surprisingly difficult to answer because there is little statistical evidence on the global gag rule. This book helps to fill the gap by conducting a systematic analysis of how the global gag rule affects women’s reproductive health across developing regions. The analysis yields three important messages: (1) in the majority of countries that receive US family-planning assistance, the global gag rule has failed to achieve its objective of reducing abortions; (2) there is no definitive relationship between restrictive national abortion laws and abortion rates; and (3) the 2017 expansion of the global gag rule will have adverse effects on a dashboard of health indicators for women, men, and children. These powerful messages should be heard by policymakers over the voices calling for an ideologically based policy that has counterproductive results.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sanni Yaya ◽  
Edward Kwabena Ameyaw ◽  
Dina Idriss-Wheeler ◽  
Gebretsadik Shibre ◽  
Betregiorgis Zegeye

Abstract Background One of the highest rates of adolescent pregnancies in the world is in sub-Saharan Africa. Most adolescent pregnancies in the region are unintended or unwanted, due to poor access to information and services on sexual and reproductive health for adolescents. Ethiopia has high adolescent fertility rates (AFR) with disparities across socioeconomic subgroups and regions. This study assessed the magnitude and trends of socioeconomic and area-based AFR inequalities in Ethiopia. Methods The 2000 and 2016 Ethiopia Demographic and Health surveys (EDHS) was analyzed using the World Health Organization’s (WHO) Health Equity Assessment Toolkit (HEAT) software. Adolescent fertility rates were disaggregated using three equity stratifiers (economic status, education and residence) and analyzed through four summary measures (Difference (D), Population Attributable Risk (PAR), Ratio (R) and Population Attributable Fraction (PAF)) to assess inequality. To measure statistical significance, point estimates were constructed using a 95% Uncertainty Interval (UI). Results Large socio-economic and urban-rural inequalities were observed within the 16-year period. Adolescents in less well-off socio-economic groups (PAF: -62.9 [95% UI; − 64.3, − 61.4], D: 96.4 [95% UI; 47.7, 145.1]), uneducated (R: 8.5 [95% UI; 4.8, 12.2], PAR: -76.4 [95% UI;-77.7, − 75.0]) and those from rural areas (D: 81.2 [95% UI; 67.9, 94.6], PAF: -74.2 [95% UI, − 75.7, − 72.7]) had a higher chance of pregnancy and more births than their counterparts. Conclusions Socioeconomic (education and economic status) and place of residence determine adolescents’ pregnancy and childbearing. Policies and programs should be directed at preventing child marriage and early fertility so that adolescents continue to access education, sexual and reproductive health care as well as access employment opportunities. More emphasis should be placed on subpopulations with disproportionately higher adolescent pregnancy and childbirth.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Shoujing Liang ◽  
Yuanhui Chen ◽  
Qian Wang ◽  
Huanhuan Chen ◽  
Chenchen Cui ◽  
...  

Abstract Background Infertility is a reproductive health problem which affects not only individuals, families and social populations. Recently, the infertility rate in China has a trend of increase year by year, and few studies have reported the infertility rate in Henan Province, China. The aim of this study was to investigate the current prevalence and associated factors of infertility among women of childbearing age in Henan Province, China. Methods This cross-sectional study was conducted from March 2019 to October 2019. We sampled 765 women who were 20–49 years old in eight hospitals of four cities in Henan Province, China. This survey included a questionnaire, physical examination, vaginal ultrasound examinations, and serum anti-Mullerian hormone (AMH) assessment, all of which were conducted under uniform standards by trained personnel. According to the data collected from questionnaire, participants were divided into infertile and fertile groups and analyzed associated factors. Results Among all the 765 participants in this study, the prevalence of infertility was 24.58%. The prevalence of primary infertility was 6.54%, and the prevalence of secondary infertility was 18.04%. In logistic multivariate regression analyses, infertility was associated with age (p < 0.001), history of gynecological surgery (p < 0.001), sweet food (p = 0.003) and decreased ovarian reserve (DOR) (p < 0.001). After further analyses, factors associated with primary infertility were age of marriage (p = 0.006), age of first sexual intercourse (p = 0.003), long-term air-conditioning environment (p < 0.001), decreased ovarian reserve (p = 0.005) and age (p = 0.002). And factors associated with secondary infertility were history of gynecological surgery (p < 0.001), decreased ovarian reserve (p = 0.002), waist-to-hip ratio (WHR) above 0.85 (p = 0.043), delivery times (p = 0.001) and ages (p < 0.001). Conclusion The prevalence of infertility among women aged 20–49 was 24.58% and only 61.17% infertile women sought medical help in Henan Province, China. Age, history of gynecological surgeries and DOR may increase the risk of infertility. Local public health departments and medical professionals need to discharge their duty of reducing the high incidence of infertility and protecting women’s reproductive health.


AYUSHDHARA ◽  
2021 ◽  
pp. 3457-3460
Author(s):  
Bhavsar Megha Nandkishor ◽  
Mehere Seema Chandrakant

Secondary infertility indicates previous pregnancy but failure to conceive subsequently. Incidences of secondary infertility are increasing day by day. Many factors like age, hectic schedule, stress, diet, unhealthy lifestyle are responsible for it. Psychological stress disturbs overall health of women by inducing generation of reactive oxygen species and thereby oxidative stress. This oxidative stress may hamper the health of ovaries, oocyte quality and causes female reproductive health disorders. Aim: To study the effect of Ayurvedic treatment in management of unexplained secondary infertility. Objective: To access the effect of Ayurvedic management of unexplained secondary infertility. Methodology: It is a single case study of unexplained secondary infertility. Case description: A 38 years old female Hindu patient came in YMT OPD of Streeroga and Prasutitantra anxious for child since 3 years. She had a history of 2 MTPs, one before and one after her 5 year old female child. Her last MTP was done in 2015. After that she was actively trying to conceive around last 3 years but couldn’t conceive again in spite of regular unprotected coitus. She was advised to do ovulation study and HSG but she was not willing to do investigations, but as per history, her schedule was very hectic and stressful treatment: She was advised Ayurvedic oral medications along with Panchkarma. Outcome: After four months of treatment she conceived. Conclusion: Ayurvedic management can act as an anti-stress and antioxidant agent thereby improving the reproductive health of women and increasing their chances of conception.


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