Relation between Using Hormonal Contraceptive, Intrauterine Contraceptive Devices and Secondary Infertility in Salah Al- Deen General Hospital

Abstract

Background: As  the  accessibility  and  usage  of  contraception continue to rise, it becomes crucial to thoroughly investigate how contraception affects the restoration of fertility after discontinuation. Aim of the study: To evaluate any potential connections between the usage of hormonal contraceptives and intrauterine devices and secondary  infertility.  Subjects  and  method: In  Salah  Al-Deen General  Hospital,  between  January  1  and  June  30,  2023,  cross- sectional  research  was  conducted  to  enrol  100  women,  a  non- probability practical sampling technique was adopted, who presented after  one  year  after  intrauterine  contraceptive  devices  removal (including hormonal and non-hormonal), removal of contraceptive implants,  and  stopping  the  use  of  oral  contraceptive  pills  and contraceptive injections. Results: About 86% got pregnant within one  year  after  the  discontinuation  of  contraception.  Secondary infertility and the prevalence of contraceptive complications were significantly associated (P-value = 0.042). Among those who got pregnancy, a significant positive correlation was obtained between the duration of contraception use and the time to get pregnant (P- value =0.023). Conclusion: The incidence of secondary infertility was 14%. There was a significant correlation between the existence of complications and the frequency of secondary infertility. The type and duration of the contraception did not significantly impact the incidence of secondary infertility but among those who got pregnant within one year, the length of contraceptive use and the time it took to become pregnant were significantly correlated.