WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Maryam Abdullah Ahmed, Azhar Esmael Al- Akeedy and Rafeal Sabah Abed Al- Shammari

ABSTRACT

Background: The WHO conducted a global epidemiological research to standardise infertile couple examination. Female secondary infertility was chosen to study its prevalence, characteristics, risk factors, and treatment. The aim of study to find out how many Baghdad/Al-karkh residents have secondary infertility. Characteristics of secondary infertile women. Possible secondary infertility causes. Method: At five primary health care centres (PHCC) in Baghdad/Al-Karkh city—Al-Bayaa, Hay-Al-adel, Hay-Al salam, Abed-Al-sahib, and Al-Abayachi—a cross-sectional study was conducted to achieve these goals.Using the researcher's questionnaire, 500 married women aged 15–49 were selected from these centres. The data was collected from January 1 to August 31, 2006. Results: Results indicated 14.8% female secondary infertility, with over half of them aged 30–39, most of them housewives with 6–12 years of schooling. They were associated with contraceptive usage, irregular menstrual cycle, pelvic infection, abortion, abdominal or pelvic surgery, and chronic medical illnesses including DM or renal disease. They may have one or more factors. Such issues were linked to psychological trauma. Many secondary infertile women have a normal final pregnancy, although others have postpartum complications after surgery. Their final child was breastfed. Conclusion: the study found that ovarian diseases, hormonal instability, pelvic infection, and unexplained infertility drive female secondary infertility, with few male reasons. Most infertile women underwent hormonal assay, ultrasound, and seminal fluid analysis for their husbands and took hormone therapy to conceive, which worked for 44 of the total 74 secondary infertile women. We detected recurrence of infertility in 2.8% of patients, possibly for the same reason.

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