Causes and related factors of female secondary infertility

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جامعة الشيخ عبدالله البدري
Abstract: Objectives: This study aimed to determine the causes and some related factors of female secondary infertility. Materials and method: In this comparative cross-sectional descriptive study, 100 cases of secondary infertile women were recruited and compared to 100 cases of primary infertile women, who have got examination and treatment at Hue Center for Reproductive Endocrinology and Infertility, Hue University of Medicine and Pharmacy hospital from March 2019 to March 2021. Results: Women with secondary infertility had an mean age of 34.7 ± 5.6 years, mean BMI of 21.5 ± 2.7 kg/m2 , dura tion of infertility of 4.96 ± 3.1 years. Ovulation disorders accounted for 60%, polycystic ovary syndrome accounted for 44%. The rate of tubal diseases was 37%, in which 19% of cases are abnormal in both fallopian tubes. Uterine causes accounted for 19% and endometriosis was present in 8%. Some related factors for secondary infertility in women were female age, BMI, menstrual irregularity and history of gynecological surgery (p<0.05). There was a statistically signifi cant correlation between history of gynecological, abortion surgery and tubal pathology in secondary infertile women (p<0.05). No statistically significant differences were found among secondary infertility and occupation, genital infec tion or history of abdominal surgery (p > 0.05). Conclusion: Ovulation disorder and tubal pathology are two most common causes of secondary infertility in women. Women’s age, BMI, irregular menstruation, history of gynecological surgery and abortion are predictive variables that decrease the risk of infertility among women with secondary infertility.