Akhter S, Alam H, Khanam N N, Zabin F
Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka, Bangladesh.
Mymensingh Med J. 2011 Jan;20(1):121-7.
The objective of the study was to evaluate the sociodemographic characteristics and to find out the causes of infertility among the couple attending out patient department of infertility unit in Bangabandhu Sheikh Mujib Medical University (BSMMU) from January to December 2007. This is a descriptive observational study. Data were analyzed done manually and statistical analysis was calculated by Statistical package for social sciences (SPSS) program. During this period 3184 patients were attended out patient department (OPD) of infertility unit (IU-I & II). Among them primary infertility was present in 1971(61.90%) and secondary infertility in 1213(38%) cases. One thousand four hundred and two (1402) patient's complete data were reviewed from OPD register book of IU-I. The mean duration of the infertility was 4.7(4.52) years. The mean age of female patient was 26.5±5.35 years. The mean age of male patient was 34.56±6.33 years. A positive male factor problem alone was found in 13% couples, female factors in 71.46% couples and unexplained infertility in 15.47% couples. Among the male factor Oligozoospermia (33.33%) was the most common cause of male infertility. Anovulation (52.16%) was the most common cause of female infertility and major cause of anovulation was Polycystic ovary syndrome (PCOS) (29.90%). Fibroid uterus, Bilateral tubal block and Pelvic inflammatory disease (PID) were significantly (p<0.001) higher in secondary infertility. Endometriosis and unexplained infertility were significantly (p<0.001) higher in primary infertility. Distribution of other causes of infertility was same for both primary and secondary infertility.
该研究的目的是评估社会人口学特征，并找出2007年1月至12月期间在班加班杜·谢赫·穆吉布医科大学（BSMMU）不孕症科门诊就诊的夫妇中不孕的原因。这是一项描述性观察研究。数据通过手工进行分析，并使用社会科学统计软件包（SPSS）程序进行统计分析。在此期间，3184名患者到不孕症科（IU-I和II）门诊就诊。其中，原发性不孕患者有1971例（61.90%），继发性不孕患者有1213例（38%）。从IU-I的门诊登记册中查阅了1402例患者的完整数据。不孕的平均持续时间为4.7（4.52）年。女性患者的平均年龄为26.5±5.35岁。男性患者的平均年龄为34.56±6.33岁。仅男性因素导致的阳性问题在13%的夫妇中被发现，女性因素在71.46%的夫妇中被发现，不明原因不孕在15.47%的夫妇中被发现。在男性因素中，少精子症（33.33%）是男性不孕最常见的原因。无排卵（52.16%）是女性不孕最常见的原因，无排卵的主要原因是多囊卵巢综合征（PCOS）（29.90%）。子宫肌瘤、双侧输卵管阻塞和盆腔炎（PID）在继发性不孕中显著更高（p<0.001）。子宫内膜异位症和不明原因不孕在原发性不孕中显著更高（p<0.001）。原发性和继发性不孕中其他不孕原因的分布相同。
