Factors associated with secondary infertility

Abstract

Infertility is an experience that strikes at the very core of a woman’s life and as a whole her family and society. Studies in Bangladesh to evaluate the factors are difficult to come by. This case control study was carried out from Jan 2010 to June 2010 to find out the factors associated with secondary infertility. A total of 70 cases were selected from the infertility unit of Bangabandhu Sheikh Mujib Medical University and 70 unmatched controls from the same hospital attending the pediatrics unit with their children were also recruited. Data were collected by interview and review of documents. No age difference was noticed between the cases (29.26 ± 4.13) and controls (29.21 ± 3.95). Association of secondary infertility was found with body mass index (p=0.036), previous bad obstetric history (p = 0.011) and previous caesarian delivery (p=0.044). Women with secondary infertility were more than four times more likely to have gynecological problem(s) than their fertile counterparts [OR 4.76 with 95% CI (2.018-11.270)]. The factors identified in this study might help the policy makers in designing prevention and health care programmes and thus reducing the hidden burden of secondary infertility. Ibrahim Med. Coll. J. 2011; 5(1): 17-21 Key Words: Secondary infertility; factors; association. DOI: http://dx.doi.org/10.3329/imcj.v5i1.9856