IF 2.1 4区 医学 Q2 OBSTETRICS & GYNECOLOGY Human Fertility Pub Date : 2025-12-01 Epub Date: 2024-12-19 DOI:10.1080/14647273.2024.2441832
Pratyashee Ojah, Manas Ranjan Pradhan
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引用次数: 0

摘要

了解排卵周期(KOC)是成功受孕的关键因素。尽管患有不孕症的女性人数众多,但有关不孕症与 KOC 之间关系的实证证据在南亚却很少见。本研究评估了原发性不孕症与 KOC 之间的关系。研究分析了印度(2019-2021 年)、孟加拉国(2017-2018 年)、巴基斯坦(2017-2018 年)和尼泊尔(2022 年)最近几轮人口与健康调查(DHS)中收集的 20-49 岁已婚妇女的数据。通过Stata(V.17)进行了二元分析和二元逻辑回归,显著性水平为5%。在印度[AOR:1.71,C.I.:(1.54, 1.9)]和孟加拉国[AOR:2.6,C.I.:(1.67, 4.06)],未使用 KOC 的妇女比使用正确 KOC 的妇女患原发性不孕症的几率更高。研究得出结论,在印度和孟加拉国,正确的 KOC 是原发性不孕症的重要预测因素,而在巴基斯坦和尼泊尔则不显著。此外,在所有四个国家中,结婚年龄较高和未到医疗机构就诊是原发性不孕症的其他重要预测因素。通过初级医疗保健提供者提供的与受孕时间和确定受孕窗口有关的教育,将使那些正在努力受孕的妇女受益。
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Can a lack of knowledge of the ovulatory cycle result in primary infertility? Evidence from selected South Asian countries.

Knowledge of ovulatory cycle (KOC) is a crucial factor for successful conception. Despite sizable number of women suffering from infertility, empirical evidence on the relation between infertility and KOC is rare in South Asia. This study assesses the association between primary infertility and KOC. The data of ever-married women aged 20-49 gathered in the recent rounds of Demographic and Health Survey (DHS) for India (2019-2021), Bangladesh (2017-2018), Pakistan (2017-2018) and Nepal (2022) were analyzed. Bivariate analysis and binary logistic regression were conducted through Stata (V.17) with a 5% significance level. Women with no KOC in India [AOR:1.71, C.I.: (1.54, 1.9)] and Bangladesh [AOR:2.6, C.I.: (1.67, 4.06)] had higher odds of primary infertility than their counterparts with correct KOC. The study concludes that correct KOC is a significant predictor of primary infertility in India and Bangladesh and is insignificant in Pakistan and Nepal. Moreover, higher age at marriage and no-visit to healthcare facility were the other significant predictors of primary infertility in all four countries. Women who are struggling to conceive would benefit from education related to the timing and identification of the fertile window, which may be provided through primary healthcare providers.

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来源期刊
Human Fertility
Human Fertility OBSTETRICS & GYNECOLOGY-REPRODUCTIVE BIOLOGY
CiteScore
3.30
自引率
5.30%
发文量
50
期刊介绍: Human Fertility is a leading international, multidisciplinary journal dedicated to furthering research and promoting good practice in the areas of human fertility and infertility. Topics included span the range from molecular medicine to healthcare delivery, and contributions are welcomed from professionals and academics from the spectrum of disciplines concerned with human fertility. It is published on behalf of the British Fertility Society. The journal also provides a forum for the publication of peer-reviewed articles arising out of the activities of the Association of Biomedical Andrologists, the Association of Clinical Embryologists, the Association of Irish Clinical Embryologists, the British Andrology Society, the British Infertility Counselling Association, the Irish Fertility Society and the Royal College of Nursing Fertility Nurses Group. All submissions are welcome. Articles considered include original papers, reviews, policy statements, commentaries, debates, correspondence, and reports of sessions at meetings. The journal also publishes refereed abstracts from the meetings of the constituent organizations.
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