WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Ahmed Noori Mousa*, Arkan Hamed Hatroosh

ABSTRACT

Background: WHO reports indicate that one in four women in developing countries suffers from infertility. The total fertility rate for Iraqi women is about 4.5 children per woman; other studies have indicated that the maternal fertility rate has been declining in Iraq since 2003 and that war conditions have contributed to this decline. Objectives: To study the relationship between primary and secondary infertility and mid-cycle cervical mucus variables. Materials and Methods: 50 female patients were included in this study; they were recruited from private infertility clinic patients. The patients divided in to two groups: first group[25] female with Primary infertility. The second group[25] female with Secondary infertility. The serum level of estradiol (E2), lutinizing hormone (LH), follicle stimulating hormone (FSH), and prolactin were measured at the day 2 of cycle (pretreatment). At the same time the cervical mucus (CM) score was done. Results: The results showed no significant differences in demographic data and hormone levels between the primary and secondary infertility groups. There was a significant difference in the mid-cycle estrogen level (p < 0.001) with higher levels in the primary infertility group. There were also significant differences in cervical mucus volume (p = 0.029), consistency (p = 0.046), spinocarcinoma (p < 0.001), cellularity (p = 0.002) and total cervical mucus score (p < 0.001) with higher levels in the secondary infertility group, while there was no significant difference in the ferning and pH change of cervical mucus between the two groups. Conclusions: Most infertility cases were found in women from normal weight, FSH, LH, Prolactin, but E2 and cervical mucus effect and indicate the problem of infertility in our study group.

[Full Text Article] [Download Certificate]