Assessment and Evaluation of Etiological Factors in Cases of Female Primary Infertility

Objectives: The aim of the study is to assessment and evaluation of etiological factors in case of female primary infertility.

Place of Study: Gynaecologyopd, Sree Balaji Medical College and Hospital, Chennai.

Period of Study: August 2016 to February 2018 (18 months).

Study Design: Prospective study.

Materials and Method: All the reproductive age group women coming to Gynaecologyopd out patient clinic with history of anxious to conceive.

Those patients who satisfy the above criteria are to be selected for the study.

The test has to be carried out in hospitalized patients.

1. A detailed history was taken.

2. General physical and systemic examination was done.

3. Ovarian factors and uterine factors ruled out

4. Fortubal cannulation

The data collection technique adopted in this technique is structured questionnaire on the evaluation of infertility in couple of less than 35 years of age in a period of infertility less than 5 years from infertility OPD for one and half years of Sree Balaji Medical College and Hospital. Detailed history obtained from the couple and evaluate, inform at ion with the help of various investigation in evaluating an infertile couple.

Results: The prevalence of infertility in the age group 21–29 years were about 76% in women. This showed that maximum number of female attain menarche at the age group of 12 to 14 years. In our study, it is observed that there is a strong relation of infertility with BMI, the prevalence of infertility increases as BMI Increases in population. 22% of thew omen has BMI above 30 (obese). In our study, 8% of the women has hydrosalpinx, 4%of the women had fibroids and 6% of the women haspolyps. We observed that 4% of the women had unilateral fallopian tubal block and 2% had bilateral fallopian tubal block.

Conclusion: In modern era of economically growing world we have concluded that the prevalence of infertility is about 76% in women age group of 21-29, 40% of the women have attained menarche at 12-14 years, observed hydrosalpinx in 8%, polyps in 6% and fibroids in 4%.