Determinants of Primary Infertility among Women of Reproductive Age Group in a Tertiary Care Hospital in Hyderabad, Andhra Pradesh, India

Authors

  • Lavanya KM Rao GSL Medical College, Rajahmundry
  • Madhu Keerthi Osmania Medical College, Hyderabad
  • Nageswara Rao Vutharkar GSL Medical College, Rajahmundry
  • Usha KM Rani Gautam College of Physio., Bengaluru

Keywords:

Infertility, primary, women, reproductive, sexual act, fertility rate

Abstract

 Background: Infertility is an emerging public health issue. However there are sparse data on the prevalence of primary infertility in India, especially from Southern parts of India. Hence a sincere attempt has been made to describe the prevalence of primary infertility and associated socio-demographic factors among women of reproductive age group in a tertiary care hospital in Hyderabad, Andhra Pradesh.

Material and Methods: Cross sectional study in a tertiary Care Maternity Hospital, Hyderabad

Results: Prevalence of Primary Infertility was 132 (10.71%) and was significantly more in the Upper middle class (43.18%) (Chi square 22.82 p value 0.0001) and among Hindus (52.3%). Mean age at menarche (14.11 yrs), Mean age at first sexual activity (19.32) and mean number of unprotected sexual acts in the previous three months (36.69) was significantly higher in women with primary infertility while mean years of marriage (8.31) significantly higher in fertile women. Women with abnormal vaginal discharge were at decreased odds of infertility, where as women with genital ulcer, HSV 2 antibodies and syphilis were at increased odds of infertility compared to others.

Conclusions: Primary infertility is increasing and is emerging as a new public health problem which needs immediate attention before it goes out of hand.

References

World Health Organization. Infecundity, infertility, and childlessness in developing countries. DHS Comparative Reports No 9. Calverton, Maryland, USA: ORC Macro and the World Health Organization; 2004.

Sciarra J. Infertility: an international health problem. Int J Gynaecol Obstet 1994; 46: 155-63.

Population Council. Infertility. Looking back, looking for-ward: a profile of sexual and reproductive health in India. New Delhi, Population Council; 2004. p. 67-72.

Farely TMM, Baisey EM. The prevalence of a etiology of infertility. Proceedings, African Population Conference. 28 November 1988; Senegal, Dakar; 1998.

Fathalla MF. Reproductive health: a global overview. Ann NY Acad Sci 1991; 626: 1-10.

Van Balen F, Gerrits T. Quality of infertility care in poor-resource areas and the introduction of new reproductive technologies. Hum Reprod 2001; 16: 215-9.

World Health Organization. Reproductive health indicators for global monitoring: Report of the second interagency meeting, 2001. Geneva: World Health Organization; 2001. p.23.

Inhorn MC. Global infertility and the globalization of new reproductive technologies: illustrations from Egypt. Soc Sci Med 2003; 56: 1837-51.

Talwar PP, Go OP, Murali IN. Prevalence of infertility in different population groups in India and its determinants. In: Statistics and demography. New Delhi: National Insti-tute of Health & Family Welfare & Indian Council of Medi-cal Research; 1986.

Unisa S. Childlessness in Andhra Pradesh, India: Treatment-seeking and consequences. Reprod Health Matters 1999; 7: 54-64.

Zargar AH, Wani AI, Masoodi SR, Laway BA, Salahuddin M. Epidemiologic and etiologic aspects of primary infertili-ty in the Kashmir region of India. Fertil Steril 1997; 68: 637- 43.

Kumar D. Prevalence of female infertility and its socio-economic factors in tribal communities of Central India. Ru-ral Remote Health 2007; 7: 456.

International Institute for Population Sciences (IIPS), 2010. District Level Household and Facility Survey (DLHS-3), 2007-08: India. Andhra Pradesh: Mumbai, IIPS; 2010

ADAMSON et al: Prevalence & Correlates Of Primary Infer-tility In Mysore, India. Indian J Med Res 134, October 2011, pp 440-446

Jejeebhoy, Shireen J: Infertility in India - levels, patterns and consequences: Priorities for social science research. Journal of Family Welfare, June 1998; 44(2):15-24.

Jacobson JL: "The other epidemics, Sexually transmitted diseases, "LinksnHealth and Development Report, 9(5) (Winter) :3-5, 30 (1993).

Cherpes TL, Wiesenfeld HC, Melan MA, Kant JA, Cosentino LA, Meyn LA, et al. The associations between pelvic in-flammatory disease, Trichomonas vaginalis infection, and positive herpes simplex virus type 2 serology. Sex Transm Dis 2006; 33 : 747-52.

Wald A, Zeh J, Selke S, Warren T, Ryncarz AJ, Ashley R, et al. Reactivation of genital herpes simplex virus type 2 infec-tion in asymptomatic seropositive persons. N Engl J Med 2000; 342 : 844-50.

Bezold G, Politch JA, Kiviat NB, Kuypers JM, Wolff H, An-derson DJ. Prevalence of sexually transmissible pathogens in semen from asymptomatic male infertility patients with and without leukocytospermia. Fertil Steril 2007; 87 : 1087-97.

Kapranos N, Petrakou E, Anastasiadou C, Kotronias D. De-tection of herpes simplex virus, cytomegalovirus, and Ep-stein-Barr virus in the semen of men attending an infertility clinic. Fertil Steril 2003; 79 (Suppl 3): 1566-70.

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Published

2017-04-30

How to Cite

1.
Rao LK, Keerthi M, Vutharkar NR, Rani UK. Determinants of Primary Infertility among Women of Reproductive Age Group in a Tertiary Care Hospital in Hyderabad, Andhra Pradesh, India. Natl J Community Med [Internet]. 2017 Apr. 30 [cited 2024 Nov. 21];8(04):183-7. Available from: https://njcmindia.com/index.php/file/article/view/659

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Original Research Articles