scholarly journals Ovarian risk factors of female infertility by transvaginal ultrasonography

2021 ◽  
Vol 15 (5) ◽  
pp. 1100-1104
Author(s):  
Syeda Khadija- Tul-Sughra ◽  
Syed Amir Gilani ◽  
Asif Hanif ◽  
Sabar Butt ◽  
Zain-Ul- Hasan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Semen Analysis ◽  
Resistive Index ◽  
Female Infertility ◽  
Transvaginal Ultrasonography ◽  
Transvaginal Sonography ◽  
Male Factor ◽  
Cross Sectional ◽  
Ovarian Artery ◽  
Follicle Size

Aim: To determine the Ovarian risk factors of female infertility by transvaginal ultrasonography Study design: Cross sectional validation study Methods: The study comprised women visiting the department with unexplained infertility for treatment during the period of 2018 to 2020. A total of 550 cycles were inducted primarily referred for ovarian assessment by ultrasound with patent tubes and normal utero-ovarian morphology. All those women having no conception with normal semen analysis of their husbands. Male factor infertility was also excluded. Baseline transvaginal sonography (TVS) was performed at proliferative phase, of the cycle. Mature follicles were studied by TVS. On an individual basis, the following parameters, that is, follicle size, ovarian volume and ovarian artery Doppler PI, RI were studied. Follicle size and ovarian artery Doppler flow were highly significant for a pregnancy. Results: In this research two types of infertility was compared with normal group as for as the primary infertile females were 99 (18.00%) and secondary infertile females were 144 (26.18%) and normal were 307 (55.82%). Out of 550 patients 243 (44.18%) patients were infertile and 307 (55.82%) were normal. Discussed in this research. Conclusions: Ovarian ultrasound assessment proved to be a simple, noninvasive and authentic to predict the ovarian environment and thereby helping in the prediction of the outcome in infertility. Keywords: Infertility, Doppler ultrasonography, Transvaginal ultrasonography, Resistive index, Pulsatility index

scholarly journals Determinants of Infertility Among Couples Seeking Treatment in A Selected Clinic in Dhaka City

2014 ◽  
Vol 13 (3) ◽  
pp. 42-45 ◽  
Author(s):  
Mossamat Afroza Chowdhury ◽  
Md Monoarul Haque ◽  
Shahanaz Chowdhury ◽  
Md Shafiullah Prodhania
Keyword(s):  
Family Income ◽  
Polycystic Ovary ◽  
Complex Problem ◽  
Female Infertility ◽  
Sexual Disorders ◽  
Infertile Couple ◽  
Dhaka City ◽  
Male Factor ◽  
Cross Sectional ◽  
The Government

Background: Infertility is a global health issue affecting approximately 8-10% of couples and has multidimensional problem with social, economic and cultural implications, which can take threatening proportions in countries with strong demographic problems. Objective: To investigate the determinants of infertility among couples seeking treatment. Methodology: A cross sectional study was conducted in selected private clinic of Dhaka city among 196 infertile couple by face to face interview using pretested semi structured questionnaire.Results: The sample studied consisted of 196 infertile couple. One third (38%) aged 26-30 years, majority Muslims (96%), housewives (72%) and one fourth (24%) had education level of secondary to higher secondary. Slightly more than half of their family income was taka 5361-21270. More than three fourth (66%) had primary infertility. Concerning the determinants of infertility polycystic ovary, hormonal imbalance, and fallopian tube blockage was 19%, 16% and 7% respectively but unexplained factors (28%) crossed the other factors. Only male factor was 10% and combined male and female factors were 10% among study subjects. Regarding the daily habits of the male participants, 18% were smokers.Conclusions: The determinants of female infertility are problems in the fallopian tubes and the uterus, disorders of menstruation, sexual disorders, age and ovarian failure. Female infertility is a complex problem that should be considered carefully by the government and stakeholders in each country in order to find effective interventions and solutions.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i3.21021

scholarly journals Explained infertility among the couple attending the infertility unit of Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh

2015 ◽  
Vol 23 (1) ◽  
pp. 114-120
Author(s):  
Arifa Sultana ◽  
Shaorin Tanira ◽  
Sanchita Adhikary ◽  
Kashfia Ahmed Keya ◽  
Sayeba Akhter
Keyword(s):  
Semen Analysis ◽  
Ovarian Dysfunction ◽  
Male Factor ◽  
Cross Sectional ◽  
Polycystic Ovarian Disease ◽  
Ovarian Disease ◽  
Tubal Occlusion ◽  
Fibroid Uterus ◽  
Common Causes ◽  
Medical University

Context: The causes of infertility vary from country to country among different cultural, environmental and socio economic groups. The aim of the study was to explain the causes of infertility among the couple attending infertility unit of Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh and to compare with previous studies of both local and abroad. Methods: This cross sectional study was carried out between September 2007 and March 2008 at infertility unit of BSMMU Hospital, Dhaka, among 110 couples, who had tried unsuccessfully for more than one year to reproduce. The data included history, physical examination and relevant investigations for female partners and male partners. Results: The age group of 25-30 years was the most vulnerable as they represented 52% of primary and 51.42% of secondary infertility. Among the 110 subfertile couples, 43.63% had female factor problems; 20% were suffering from male factor problems. In 21.81% of cases both male and female were responsible. In 14.54% cases, there were no causes, and, therefore, remain unexplained infertility. Among women, primary subfertility was 68.18%, secondary subfertility was 31.81% and among men, it was 79% and 21% respectively. Most of the infertile couples (43.64%) were trying for 2-5 years. In this study, most common cause was ovarian dysfunction (33.63%). Among them, anovulation with regular menstruation was found in 60%, polycystic ovarian disease in 32%, hyperprolactinaemia in 16% cases. Bilateral tubal occlusion was found in 8% and pelvic adhesions in 24% by doing laparoscopy. In addition, 10% of patients had endometriosis. Fibroid uterus was found in 26% cases. Among the primary subfertility cases, common causes were anovulation with regular menstruation (14.66%) and polycystic ovarian disease (12%). 40% of secondary subfertility was related with menstrual regulation (MR). Among male factors, azoospermia was found in 6.36% cases, oligozoospermia in 10.9% cases, asthenozoospermia 18.18%, teratozoospermia was in 6.36% cases. Conclusion: Primary subfertility cases were more common than secondary subfertility cases. Ovarian dysfunction was the common causes of subfertility. Other factors were abnormal semen analysis, endometriosis, tubal occlusion, pelvic adhesions and fibroid uterus. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22705 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 114-120

scholarly journals ASSOCIATION OF VARICOCELE WITH OLIGOSPERMIA AND AZOSPERMIA

1969 ◽  
Vol 3 (2) ◽  
pp. 303-307
Author(s):  
NAIK ZADA ◽  
SHAFI ULLAH KHAN ◽  
RIAZ AHMAD KHAN
Keyword(s):  
Sperm Count ◽  
Human Subjects ◽  
Semen Analysis ◽  
Cross Sectional Study ◽  
Semen Parameters ◽  
Male Factor ◽  
Cross Sectional ◽  
Seminal Parameters ◽  
The Mean ◽  
Age Range

OBJECTIVE: To determine the frequency of abnormal semen parameters among patients presenting withvaricocele1METHODS:It was a descriptive cross-sectional study conducted at the Department of Urology Institute ofkidney diseases Hayat Abad Medical Complex Peshawar and Cenna hospital Saidu Sharif Swat. The studywas carried out on 139 human subjects with clinical evidence of varicocele between age range of 15-45years.The diagnosis of varicocele was based on palpable and/or visible scrotal lump of testicular veins(pampiniform plexus) and was diagnosed on the basis of clinical examination. Semen analysis was carriedout in all these patients and information wascollected on pre designed proforma.RESULTS:The study included a total of 139 patients with varicocele. The mean age of patient was 30 years(15-45) among the patients having symptoms of varicocele. The Mean ±SD for duration of varicocelesymptoms was 9.32 ± 9.70 months. 6.5% (n=9) patients were having azoospermia and 20.1% (n=28)patients had oligozoospermia.CONCLUSION: Patients with varicocele have poor seminal parameters in terms of sperm count i.e.oligozoospermia and azoospermia responsible for male factor infertility in majority ofcases.KEYWORDS:varicocele;seminal parameters;sperm count, infertility

scholarly journals Prevalence and Patterns of Male Infertility Based on Semen Analysis in Patients Visiting Massawa Hospital; Eritrea: Cross-Sectional Study; 2020

2021 ◽  
Author(s):  
Berhe Tesfai ◽  
Fitsum Kibreab ◽  
Hailemichael Gebremariam ◽  
Liwam Abraham
Keyword(s):  
Male Infertility ◽  
Sperm Motility ◽  
Sperm Count ◽  
Semen Analysis ◽  
Male Factor Infertility ◽  
Male Factor ◽  
Cross Sectional ◽  
Semen Volume ◽  
Primary Type ◽  
Study Participants

Abstract Background Semen analysis is the first step to identify male factor infertility. World Health Organization estimates that male factor accounts for 50% of couple sub-fertility. The objective of this study was to determine the prevalence and patterns of male factor infertility based on semen analysis in patients visiting Massawa Hospital with infertility complaints. Methods It was a retrospective, descriptive cross sectional hospital based type of study with a census sampling method. Patient’s medical records and hospital laboratory register were used to retrieve semen analysis results of patients from June 2018 to June 2020. Ethical approval was obtained from the Ministry of Health Research and Ethical Review Committee. Confidentiality of patients records kept was secured and consent was obtained from study participants to use their data. Results were presented in frequency, tables and p value < 0.05 was considered significant. Results A total of 112 patients data was analyzed in the study with 49.1% were aged between 20 to 30 years. The prevalence of male factor infertility in these patients was found to be 42% and 79.5% of them had primary type of infertility. Of the study participants; 63 (56.3%), 72 (64.3%) and 70 (62.5%) had sperm count < 15 million sperms/ml, sperm motility < 40 % and morphology of < 60% respectively. One tenth, 15 (13.4%) of the patients had a semen volume of < 1.5ml/ejaculate, out of which 13(86.7%) had primary type of infertility. Moreover; 72 (64.3%) patients had total sperm count/ejaculate of < 39 million and 59 (82%) of these had primary type of infertility. In addition; 50.8% and 50% of patients aged 20 to 30 years had a sperm count < 15 million/ml and sperm motility of < 40% respectively. Conclusion The prevalence of male factor infertility was slightly higher and was dominated with primary infertility. Most patients had lower sperm count, sperm motility but higher semen volume, and majority of the patients with abnormal sperm results were aged between 20 to 30 years. Further prospective researches to determine the risk factors for male infertility and introducing assisted type of fertility in Eritrea are highly recommended.

scholarly journals Abnormal semen parameters among males in infertile couples: a cross sectional study from a tertiary care centre

2020 ◽  
Vol 9 (8) ◽  
pp. 3398
Author(s):  
Jyoti Garg ◽  
Rachana Meena ◽  
Shailaja Shukla ◽  
Sunita Sharma ◽  
Riva Choudhury
Keyword(s):  
Semen Quality ◽  
Semen Analysis ◽  
Tertiary Care ◽  
Sperm Concentration ◽  
Semen Parameters ◽  
Medical Attention ◽  
Male Factor Infertility ◽  
Male Factor ◽  
Cross Sectional ◽  
Infertile Couples

Background: In India, the prevalence of primary infertility ranges from 3.9% to 16.8%. Male factor contributes 40-50% of this. Male factor infertility is indicated by decreased sperm concentration, reduced motility, vitality or abnormal sperm morphology. Semen analysis is the single most important investigation to detect male factor infertility. The aim of this study was to analyse the prevalence of abnormal semen parameters among males in infertile couples and their association with contributing factors.Methods: This cross-sectional hospital-based study was carried out in the Department of Pathology at Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital. A total of 400 cases were analyzed during a period of 6 months. Detailed history of the couple was taken. Semen analysis was done using automated semen analyzer (SQA-vision) after 3 days of abstinence according to the WHO 5th edition 2010 guidelines. The results were analysed using excel sheet and SPSS software.Results: In the present study, 122 cases (30.5%) out of 400 cases had abnormal semen parameters. Most common abnormality detected was asthenozoospermia (14.3%) followed by oligozoospermia (13.8%), azoospermia (10.5%) and teratozoospermia (10.5%). There was significant association of alcohol intake, obesity and trauma with abnormal semen parameters.Conclusions: Asthenozoospermia was the most common abnormality noted in this study. Lifestyle modifications along with timely medical attention in male partners of infertile couples can improve the semen quality.

scholarly journals Etiology and Risk Factors Associated With Infertility

2019 ◽  
Vol 7 (3) ◽  
pp. 346-353 ◽  
Author(s):  
Azam Moridi ◽  
Nasibeh Roozbeh ◽  
Halimeh Yaghoobi ◽  
Shirin Soltani ◽  
Sareh Dashti ◽  
...  
Keyword(s):  
Risk Factors ◽  
Medical Science ◽  
Underlying Disease ◽  
Cross Sectional Study ◽  
Male Factor ◽  
Cross Sectional ◽  
Factors Associated ◽  
Validated Questionnaire ◽  
Pregnancy And Postpartum ◽  
Common Causes

Objectives: Infertility is one of the important complications in gynecology and the aim of the present study was to investigate the etiology and risk factors associated with infertility in the southern region of Iran. Materials and Methods: This cross-sectional study was conducted in infertility centers of Hormozgan University of Medical Science (HUMS). Totally, 250 infertile couples were included. The variables including socio-demographic characteristics, smoking, body mass index (BMI), and infertility status (e.g., type of fertility, duration, etc.) were assessed by a self-administered and validated questionnaire. Data analysis was carried out using SPSS version 22.0. Results: The most common causes of male and female infertility were varicocele (49.4%) and ovulation disorders (57.5%), respectively. There was a significant association between female factor infertility and level of education, age of women, women’s age at marriage, number of abortions, alcohol consumption, presence of an underlying disease, and BMI (P<0.005). There was also a significant relationship between male factor infertility and men’s job, addiction, smoking, and presence of an underlying disease (P<0.005). Conclusions: Considering various risk factors for infertility, an important step forward can be taken towards reducing the incidence of these risk factors by providing different education classes during pre-marriage, pre-partum, pregnancy and postpartum periods so as to inform couples of controllable risk factors.

scholarly journals Success Rates of Vaginal Sonography and Hysteroscopy for Diagnosis of Intrauterine Pathologies in Female Infertility

2019 ◽  
pp. 1-8
Author(s):  
Mahnaz Yavangi ◽  
Marzieh Farimani ◽  
Firozeh Zonoori ◽  
Nooshin Mohammadpour ◽  
Mohamad Ali Dayani
Keyword(s):  
Endometrial Hyperplasia ◽  
Cross Sectional Study ◽  
Standard Test ◽  
Female Infertility ◽  
Transvaginal Sonography ◽  
Success Rates ◽  
Sectional Study ◽  
Cross Sectional ◽  
Infertile Women ◽  
Vaginal Sonography

Background and Aim: Uterine anatomical pathologies play important roles in causing female infertility. This study was conducted to survey the efficiency of hysteroscopy and vaginal sonography in detecting the intrauterine pathologies in infertile women. Methods: This cross-sectional study was conducted on all the infertile women referring to the Endometriosis Research Center between December 22, 2013 and August 22, 2015. Forty five women were recruited and the data on the examinations of uterine lesions were analyzed by transvaginal sonography (TVS), hysteroscopy, and pathology as the standard test. Data analysis was conducted by SPSSv16 using t-test and Mann-Whitney test, and the sensitivity and specificity were measured with reference to the standard test. Findings: For diagnosing polyp, endometrial hyperplasia, and myoma, TVS showed the 75%, 25%, and 85.71% sensitivity, respectively, and specificity of 92.30%, 92.30%, and 56.97% respectively. For them, hysteroscopy showed the 60%, 75%, and 75.71% sensitivity respectively, and specificity of 71.65%, 30.92%, and 56.97% respectively. Conclusion: According to the findings of this study, the sensitivity of TVS and hysteroscopic findings in diagnosing uterine pathologies is relatively high, but the sensitivity of TVS was low to diagnosis of endometrial hyperplasia.

scholarly journals Selected Risk Factors and Pattern of Semen Abnormality in Male Partners of Infertile Couples in Eastern Nepal: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (229) ◽  
Author(s):  
Sita Pokhrel ◽  
Ashima Ghimire ◽  
Manisha Chhetry ◽  
Sabina Lamichane ◽  
Rupesh Kumar Shreewastav
Keyword(s):  
Risk Factors ◽  
Semen Analysis ◽  
Chemical Exposure ◽  
Cross Sectional Study ◽  
Semen Parameters ◽  
Male Partners ◽  
Sectional Study ◽  
Infertile Male ◽  
Cross Sectional ◽  
Gulf Country

Introduction: Semen analysis is an initial basic step in evaluating and diagnosing male infertility. Multiple risks factors in combination or alone are responsible for abnormal semen parameters. The present study aimed to study certain risk factors and semen parameters of infertile male. Methods: It was a descriptive cross-sectional study. We consecutively enrolled 186 male partners of infertile couple who underwent certain risk factors evaluation and semen analysis according to WHO guideline. Results: Multiple risk factors were present like Gulf country migration, smoking, chemical exposure and heat exposure in infertile male partners. Forty six percent of our patients were gulf workers. Eleven percent patients had azoospermia, 27% had abnormal sperm morphology and 23% had <25% motile spermatozoa. Conclusions: Surprisingly 46% of our patients were Gulf country workers and abnormal semen analysis is very important factor for infertility. Large prospective studies need to be carried out involving Gulf migrant workers only.

scholarly journals Clinical Spectrum of Infertile Couple: a Retrospective Study at Teaching Hospital

2020 ◽  
Vol 3 (2) ◽  
pp. 375-378
Author(s):  
Hima Rijal ◽  
Suvana Maskey
Keyword(s):  
Semen Analysis ◽  
Male Partner ◽  
Cross Sectional Study ◽  
Clinical Spectrum ◽  
Infertile Couple ◽  
Male Factor ◽  
Cross Sectional ◽  
Chewing Tobacco ◽  
One Year ◽  
Unilateral Block

Introduction: Infertility has been rising steeply as the prime health issue among women around the world these days. This study aims to investigate the causes, hormonal profi le, and clinical spectrum of infertility.Materials and Methods: This is a descriptive cross-sectional study conducted throughout a one year duration in an infertility clinic. The couples meeting the inclusion criteria were included and a pre-formed proforma was used to collect the data regarding history, examination, and investigations.Results: A total of 118 infertile couples were analyzed. The mean age of the females was 28.3±4.5 years. There were 72.1 %cases of primary infertility and 27.9 %of secondary infertility. Regarding obesity status,35.5% were overweight and 15.2 % were obese. Thirty-one (26.2%) males were smokers, 41 (34.7%) used to consume alcohol, and 14 (11.8%) had a habit of chewing tobacco. Among the different fi ndings of semen analysis, 21.1% asthenozoospermia, 9.3% oligoasthenozospermia,7.6% oligospermia, 1.6% azoospermia. Female factor accounted for 45.3%, the malefactor for 28% and in 19.3% the defi nite factor was not determined. The ovulatory disorder was diagnosed in 38.6% of females and hysterosalpingography (HSG) revealed that around 10% had a unilateral block and 1.7% had a bilateral block.Conclusions: Infertility is becoming a global issue affecting a signifi cant number of young couples. About forty-six percent were female aging more than thirty years. The female factor for infertility was more common than the male factor among which ovulatory disorder was the commonest one. Asthenozoospermiawas the commonest abnormal fi nding on semen analysis in a male partner.

scholarly journals Study on Transvaginal Sonographic Diagnosis of Infertility of Infertility: A Comparative Outcome With Clinical Correlations

2012 ◽  
Vol 18 (Number 1) ◽  
pp. 9-19
Author(s):  
T Begum ◽  
F Begum ◽  
Md. N Islam
Keyword(s):  
Semen Analysis ◽  
Cyst Formation ◽  
Normal Range ◽  
Male Factor ◽  
Cross Sectional ◽  
Obstetrics And Gynaecology ◽  
Clinical Correlations ◽  
Medical University ◽  
Renal Abnormalities

A cross sectional comparative study was doneon ran.cvaginal sonographic (TVS) findings to diagnose infertility in 110 patients attended theta t.patient department of Obstetrics and Gynaecology at Bangabandhu Sheikh Mt jib Medical University (BSMM1.1). The study was done with an object ro asses the role of traavvaginal ultra sonography as a sensitive detector for the diagnosis of poly cystic ovarian disease. endonteriomas. leontyomas.retroversion of itterus.pelvic inflammatory disease. adnegal mass or pelvic tumour. congenital abnormalities of paramesonephric (niillarion)ducts and also its association with renal abnormalities. The age of the study patients ranged from 19-40 yrs. They were grouped into three categories. Amongst them 58 cases was represented with primary infertility which is 47.27 % Mike total cases. In this study 37 patients was diagnosed by TVS as having PCOD amongst them II patients presented with oligomenorrhoea. Comparison between clinical correlation and TVS findings were done in which 15 patients clinically seemed to have with endometrioma with cyst formation which correlates 10 cases of TVS findings. TVS findings were normal in 21 patients. But they had come only with primary or secondary infertility. This study included only those patients Otiose husband's semen analysis is within normal range and no other male factor. These are the unexplained infertility.

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