WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Ameera Ahmed Mohammed*, Farah Ramzi Shareef and Mayyadah Mahmood Ahmed

ABSTRACT

Background:Infertility is defined as the inability to conceive after 12 months of unprotected and regular sexualintercourse. Understanding the causes of infertility is crucial for improving clinical management and reducinginfertility rates. Infertility can be caused by physical, physiologic al, or genetic reasons. Objectives: To analyze thecauses and treatment success rate of infertile couples in Mosul City. Methods: The study is a descriptive, cross sectional study, conducted in the department of Gynaecology and Obstetrics of Mosul General Hospital between 15th of May 2021 to the end of February 2025. The questionnaire consisted of four parts. Part 1 included socio-demographic information. Part 2 covered female factors of infertility. Part 3 covers Male factors of infertility. Part 4 for treatment outcomes. Results The study includes 200 couples; the mean age of the study participants are34.79 ± 9.12 years. Moreover; the mean age of females is 32.21 ± 11.07 years versus the mean age of males is36.89 ± 7.89 years. 112 (56%) couples were res ide inside Mosul and 88 (44%) couple reside in rural areas.Furthermore; among females, 155 (77.5%) patients were housewife and 45 (22.5%) patients were employed,while among male 77 (38.5%) patients were employed and 123 (61.5%) patients were self employed. 298 (74.5%)patients were smoker and 102 (25.5%) patients were non smoker. 168 (84%) of the study participants had primarycause of infertility versus 32 (16%) participants had secondary cause of infertility. 106 (53%) couples hadinfertility for 1 5 years, 78 (39%) couples had infertility for 5 10 years and 16 (8%) couples had infertility formore than 10 years. Male factors contribute to 70 (35%) infertility case, while female factors contribute to 62(62%) infertility case, combined male and fe male factors contribute to 36 (18%) infertility case and lastlyunexplained factors contribute to 32 (16%) infertility case. Varicocele was the most frequent cause of maleinfertility among 57 (28.5%) males versus PCOS was the most frequent cause of female infertility among 43(21.5%) females. Additionally; 43 (21.5%) of couples showed successful result to the treatment. Lastly; staticallysignificant difference shown between the factors affecting fertility (P value = 0.023) and infertility type (P value0. 013). Conclusion: The study found that male factors attributed mostly to infertility. Moreover; smoking cancause infertility. 21.5 % of couples with infertility can be treated especially those with females causes andsecondary type of infertility.