بررسی داده‌های رجیستری نازایی در زوجین نابارور جنوب ایران: 1401-1396

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشیار گروه زنان و زایمان، مرکز تحقیقات باروری و ناباروری، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران.

2 دانشیار گروه مامایی، مرکز تحقیقات مراقبت‌های مادر و کودک، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران. مرکز تحقیقات سلول‌های بنیادی و پزشکی بازساختی رایان، شرکت روان سازه، تهران، ایران.

3 گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران. دانشجوی دکتری بهداشت باروری، گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

4 استادیار گروه مامایی، مرکز تحقیقات مراقبت‌های مادر و کودک، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران.

5 کارشناس مامایی، مرکز تحقیقات باروری و ناباروری، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران.

6 مربی گروه مامایی، دانشکده پرستاری و مامایی، علوم پزشکی مشهد، دانشگاه آزاد اسلامی، مشهد، ایران.

چکیده

مقدمه: ناباروری آسیب جدی بر پیکره بهداشت باروری وارد می‌سازد. مقرر گردیده است که همه کشورها، ناباروری را در برنامه‌های اولویت‌دار مربوط به سلامت باروری قرار دهند. مطالعه حاضر با هدف بررسی داده‌های رجیستری نازایی در زوجین نابارور جنوب ایران انجام شد.
روش‌کار: این مطالعه توصیفی مقطعی و گذشته‌نگر بین سال ­های 1401-1396 انجام شد. در این مطالعه، داده­ های رجیستری 634 زوج نابارور مراجعه کننده به مرکز ناباروری بندرعباس در جنوب ایران استخراج گردید. داده‌ها با استفاده از چک‌‌لیست پژهشگر ساخته بر اساس اطلاعات در سامانه ریجستری جمع‌آوری شد. تجزیه و تحلیل داده­ ها با استفاده از نرم‌افزار آماری SPSS (نسخه 25) انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: سیکل قاعدگی در 171 مورد (97/26%) نامنظم ثبت شده بود. در بین زنان مراجعه کننده، 61 مورد (62/9%) دیس‌پارونی، 37 مورد (83/5%) گالاکتوره، 322 مورد (79/50%) هیرسوتیسم و 141 مورد (24/22%) دیسمنوره داشتند. از میان زوجین مراجعه کننده، 257 نفر (54/40%) با علت زنانه، 189 نفر (81/29%) با علت مردانه و 156 نفر (60/24%) ناباروری با علت نامشخص داشتند و 32 نفر (05/5%) هر دو زوج مشکل داشتند. شایع‌ترین علل ناباروری زنانه به‌ترتیب کاهش ذخیره تخمدانی (40/35%)، سندرم تخمدان پلی‌کیستیک (63/34%)، انسداد لوله ­های فالوپ (11/10%)، هیدروسالپنکس (50/3%)، اندومتریوز (61/6%) و سایر موارد (72/9%) بود.
نتیجه­ گیری: فاکتور زنانه، یکی از عوامل مهم ناباروری و فاکتور مردانه در رتبه بعدی قرار دارد. با توجه به تأثیر برخی ریسک فاکتورهای مؤثر بر ناباروری و وجود بیماری ­های کشف شده در زنان نابارور، می‌توان با اصلاح بیماری­ های زمینه‌ای و مدیریت صحیح فاکتورهای مرتبط، احتمال بارداری را افزایش داد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Infertility registry data of infertile couples in southern Iran: 2017-2022

نویسندگان [English]

  • Maryam Azizi Kutenaee 1
  • Nasibeh Roozbeh 2
  • Samaneh Dabagh Fekri 3
  • Mojdeh Banaei 4
  • Amireh Aji 5
  • Dina Abadi Bavil 6
1 Associate Professor, Department of Obstetrics and Gynecology, Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
2 Associate Professor, Department of Midwifery, Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran. Rayan Stem Cells and Regenerative Medicine Research Center, Ravan Sazeh Company, Tehran, Iran.
3 Department of Midwifery, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran. Ph.D Student of Reproductive Health, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
4 Assistant Professor, Department of Midwifery, Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
5 B.Sc.in Midwifery, Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
6 Instructor, Department of Midwifery, School of Nursing and Midwifery, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
چکیده [English]

Introduction: Infertility causes serious damage to the reproductive health system. It has been decided that all countries should include infertility in priority programs related to reproductive health. The present study was performed with aim to investigate infertility registry data of infertile couples in southern Iran.
Methods: This cross-sectional descriptive and retrospective study was conducted in 2017-2022. The registry data of 634 infertile couples referring to Bandar Abbas infertility center in southern Iran were extracted. The data was collected using the researcher's checklist based on the information in the registry system. The data were analyzed using SPSS software (version 25). P<0.05 was considered statistically significant.
Results: Irregular menstrual cycle was recorded in 171 cases (26.97%). Among the referring women, 61 cases (9.62%) had dyspareunia, 37 (5.83%) galactorrhea, 322 (50.79%) hirsutism and 141 (22.24%) dysmenorrhea. Among the referring couples, 257 cases (40.54%) were due to female causes and 189 (29.81%) male causes, and 156 (24.60%) had infertility due to unknown causes, and 32 (5.05%) had problems with both couples. The most common female causes of infertility were reduced ovarian reserve (35.40%), polycystic ovary syndrome (PCOS) (34.63%), fallopian tube obstruction (10.11%), hydrosalpinx (3.50%), endometriosis (6.61%), and other cases (9.72%), respectively.
Conclusion: The female factors are one of the important factors causing infertility, followed by male factors. Considering the effect of some risk factors affecting infertility and the presence of diseases discovered in infertile women, it is possible to increase the probability of pregnancy by correcting underlying diseases and properly managing related factors.

کلیدواژه‌ها [English]

  • Infertile couples
  • Infertility
  • Registry

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 3
خرداد 1403
صفحه 10-20

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