Relationship between Using Hormonal Contraceptives, Intrauterine Device and Secondary Infertility
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- Category: Vol. 81, March 2013
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Relationship between Using Hormonal Contraceptives, Intrauterine Device and Secondary Infertility,ASMAA T. ABD EL-LATIEF, AHMED R. EL ADAWY, MANAL F. MOUSTAFA and HAMIDA A. ABD EL HAFEZ
Abstract
Introduction: Infertility has been defined as failure to conceive after frequent unprotected sexual intercourse for one or two years. Secondary infertility defined as the inability to conceive despite exposure to pregnancy for one year (2 years in some epidemiological studies), Infertility can be linked to several causes Family planning methods especially hormonal contraceptive methods which contain estrogen and progestin or progestin only such as are safe and reliable way to prevent pregnancy for most women but some of them are long acting and fertility may not return for up to 18 months after being stopped. Intrauterine contraceptive devices can increase the risk of STD's, uterine cancer and upper reproduc-tive tract infection (RTIs) women which results in serious consequences, such as pelvic inflammatory disease (PID) and adhesions which lead to infertility so in this study the researcher tried to identify to what extent the contraceptive methods can affect fertility.
Aim of this Study: Was to determine the relationship between using hormonal contraceptives, intrauterine device and secondary infertility.
Material and Methods: Correlational design was used in this study. Three hundred women were recruited for the study, they were divided into two groups included 150 women in each (group B) suffering from secondary infertility and (divided into 75 women were using I.U.D. before and 75 were using hormonal contraceptives and 150 group A (women suffering from secondary infertility and didn't use any contraceptives before). Data was collected from obstetric, gynecology and pediatric university hospital and infertility center in Minia city. It was carried out in the period from October 2011 to October 2012, using structured interviewing sheet which included: Sociodemographic data, complete history taking regarding menstruation, obstetrical history, and family plan-ning, medical and surgical history.
Results: The study revealed statistically significant dif-ferences (p<0.05) among groups in most items regarding menstrual and obstetrical history and causes of terminating the method which are linked to secondary infertility.
Conclusion: The fmdings of the study clarified that I.U.D. and hormonal contraceptives can cause menstrual disorders and other complications which can affect fertility.
Recommendations: There is a strong need for increasing women awareness about various family planning methods and its disadvantages to decide which one has the least side effects before using and how to avoid its complications.