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2024-06-30
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Relation between using hormonal contraceptive ,iucd and secondary infertility in salahalden general hospital
Relation between using hormonal contraceptive ,iucd and secondary infertility
thikra yassen
Tikrit
Nabila KY
Gynecology and Obstetrics Department, College of Medicine, Tikrit University, Iraq
Mohammed G
College of Medicine, Internal Medicine Department, Tikrit University, Iraq
DOI: https://doi.org/10.25130/mjotu.30.1.3
Keywords: Secondary infertility, Hormonal, contraception, Iraq
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.
