Volume 23, Issue 1 (9-2013)                   JHNM 2013, 23(1): 38-44 | Back to browse issues page

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Ziaie T, Rahebi S M, Rafat F, Savadzadeh S. The prevalence of polycystic ovaries in infertility by laparoscopy ‎. JHNM 2013; 23 (1) :38-44
URL: http://hnmj.gums.ac.ir/article-1-168-en.html
Abstract:   (5410 Views)

Introduction: The problem that engaged obstetrics & gynecologists was causes of polycystic ‎ovaries (PCO) and one of its important clinical complications is infertility. Laparoscopy has high ‎value and precision in disease diagnosis.

‎ Objective: This study aims to survey the prevalence of PCO in infertility by laparoscopy and its ‎relation to age, duration and type of infertility in patients referring to Al-Zahra hospital from ‎‏2005-‏‏2009‏‎.

‎ Methods: This cross sectional study was conducted on ‎‏357‏‎ infertile women referring to Al-Zahra ‎hospital in Rasht city during ‎‏2005‏‎-‎‏2009‏‎ who went through diagnostic laparoscopy. Data were ‎collected from patients’ medical charts and analyzed by descriptive and Chi-square tests.‎ Results: Based on gathered data ‎‏47‏‎.‎‏1%‏‎ of sample were ‎‏25-35‏‎ years old and mean age was ‎‏27.8‏‎ ‎years. In ‎‏56.9%‏‎ of samples the duration of infertility was less than ‎‏4‏‎ years. ‎‏311‏woman (‎‏87.7%‏‎) had ‎primary infertility and ‎‏41‏‎ woman (‎‏11.5%‏‎) had secondary infertility. Findings based on laparoscopy ‎showed the prevalence of left ovary ‎‏51%‏‎, PCO‏3.6%‏‎ ovarian cyst, ‎‏4.5%‏‎ adherence and ‎‏2.5‏‎% ‎endometriosis from which ‎‏0.3%‏‎ abnormal and ‎‏36.7%‏‎ was normal. In right ovary PCO was ‎‏50.4%‏‎, ‎‏4.8%‏‎ had ovarian cyst, ‎‏3.6%‏‎ adherence, ‎‏1.4%‏‎ endometriosis, from which ‎‏0‏‎.‎‏6%‏‎ abnormal and ‎‏38‏‎.‎‏1%‏‎ ‎were normal. There was a significant relationship between PCO and age and prevalence was higher ‎in under ‎‏25‏‎ year olds (‎‏95.2%‏‎) compare to ‎‏26.8%‏‎ in older than ‎‏35‏‎ years(P<‎‏0.01‏‎) but no significant ‎relation was shown with duration of infertility.‎ Conclusion: In attention to result, PCO had higher incidence in patients referring to this center than ‎other similar studies which shows increase of disease in society. Therefore prospective studies with ‎more samples are recommended which can be a big step toward diagnosis, early treatment and ‎decreased costs which will help economy.‎

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Article Type : Research | Subject: Special
Received: 2014/08/3 | Accepted: 2014/08/3 | Published: 2014/08/3

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