Unraveling Infertility in Northern Iran Insights from ART Patients and Risk Factor Analysis

Introduction

Study Overview and Key Findings

Conducted across two infertility treatment centers in Sari, Iran, the study evaluated 330 women from 2015 to 2017, analyzing factors contributing to primary and secondary infertility.

Key Findings:

  • Age Group: 54.5% of the women were aged 30-39.
  • BMI: 44.5% were overweight (BMI 26-30 kg/m²); over 11% were obese.
  • Education: A majority (54.5%) held a diploma or associate degree.
  • Residency: 63.6% lived in urban areas.
  • Type of Infertility: 74.5% experienced primary infertility.
  • Common Risk Factors:
    • Polycystic Ovarian Syndrome (PCOs) – 19.42%
    • Pelvic Inflammatory Disease (PID) – 16.81%
    • Poor Ovarian Reserve – 13.91%
  • Thyroid Disorders: Most prevalent underlying disease, affecting 54.5%.

Broader Medical Context

Research Implications

The study draws connections between:

  • Urban residency and shorter infertility duration.
  • Lower education levels and higher endometriosis incidence.
  • Thyroid disorders and increased miscarriage risks (22%).

This highlights the importance of tailored reproductive healthcare strategies, especially in iodine-deficient and underserved regions.

Relevant Internal Resources

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