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Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

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Characteristics of infertile couples.

S Akhter¹, H Alam, N N Khanam

¹Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka, Bangladesh.

Mymensingh Medical Journal : MMJ

|January 18, 2011

Summary

Female factors, particularly anovulation and Polycystic Ovary Syndrome (PCOS), are the leading causes of infertility. Secondary infertility is linked to fibroids, tubal block, and pelvic inflammatory disease (PID).

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Fertility Preservation in Patients with Severe Ovarian Dysfunction

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Area of Science:

Reproductive Medicine
Clinical Epidemiology
Public Health

Background:

Infertility affects a significant number of couples globally.
Understanding the sociodemographic characteristics and etiological factors of infertility is crucial for targeted interventions.
Previous studies in the region have provided insights, but continuous evaluation is necessary.

Purpose of the Study:

To evaluate the sociodemographic characteristics of couples experiencing infertility.
To determine the primary causes of infertility among patients attending an infertility unit.
To differentiate etiological factors between primary and secondary infertility.

Main Methods:

A descriptive observational study was conducted.
Data were collected from patients attending the infertility unit at Bangabandhu Sheikh Mujib Medical University (BSMMU).
Sociodemographic data and infertility causes were analyzed using SPSS software.

Main Results:

Female factors accounted for 71.46% of infertility cases, with anovulation (52.16%) and Polycystic Ovary Syndrome (PCOS) (29.90%) being the most common.
Male factors contributed to 13% of cases, with Oligozoospermia being the most frequent cause.
Secondary infertility showed higher incidences of uterine fibroids, bilateral tubal block, and Pelvic Inflammatory Disease (PID) (p<0.001).
Primary infertility was significantly associated with endometriosis and unexplained infertility (p<0.001).

Conclusions:

Female factors, especially anovulation and PCOS, are the predominant causes of infertility in this population.
Specific etiological factors differ significantly between primary and secondary infertility.
These findings highlight the need for tailored diagnostic and treatment strategies based on infertility type.