Comparison the Socio-Demographic and Menstrual-Reproductive factors between Secondary Infertile and Fertile Women: CaseControl Study in Southeast of Iran

فصلنامه پزشكي باروري و ناباروري

دوره 18 - شماره Suppl.1

Article Type: Original Article
Abstract: Background: Infertility can cause some problems for the couples involved, particularly the women. Due to emotional and psychological problems pertain to both primary and secondary infertility study about this issue in different aspects is too important. This study was aimed to Comparison the Socio-Demographic and Menstrual-Reproductive factors between secondary infertile and fertile women.
Methods: In this case-control study, 125 secondary infertile women as case group and 140 fertile women as control group were investigated in 2015. The subjects were selected from the fertility clinics and private office of the gynecologists in Zahedan, southeast of Iran. The data were collected using a structured questionnaire including reproductive history, socio-demographic variables, physical activity and Pittsburgh sleep quality. To analyze the data were used Chi-square and multiple logistic regression with Hosmer&Lemeshow method.
Result: By adjusting for potential confounders the secondary infertile women were more likely to have had higher BMI and be overweight (OR=2.89, 95%CI: 1.15-10.1) than fertile women. In this study the women with secondary infertile relationships were more likely to have had higher age of menarche (adjusted OR = 1.21, CI =1.07-6.1). The multiple logistic regression model showed that the cases were more likely to have had the first conception in older age (adjusted OR = 1.71, CI=1.12-5.3) and on the other hand the women with irregular menstruation have more chance to have got SI (adjusted OR=3.91, CI= 1.5-6.7). As the results of multiple logistic regression present in this study the contraceptive pills consumption before first pregnancy for at least 6 months analysis was not considered as independent related factor for SI. Also the educational level, income and job status distribution was similar in both cases and controls groups.
Conclusion: As socio-demographic factors were not associated with secondary infertility in this study, thus it could be concluded that the menstrual-reproductive variables can influence directly the obstetric events and fertility. However, decreasing weight and increasing physical activity, having higher age at menarche and age of first conception and also having irregular menstruation are all likely to increase the likelihood of secondary infertility in women.