Chasayan O. Infertile marriage: reasons, extension, structure, risk factors

We have interviewed 2000 of fertile women by the unified protocol developed according to the World Health Organization standards. We have found out that infertility extension in Bukovinian region is 14.2%. Levels of primary (48.6%) and acquired (51.4%) sterility do not differ much. As a result of statistical processing of the data received we have defined the main risk factors of infertility incidence for married couples: man"s and women's contact with toxic substances; complications during previous pregnancies and labours; long-term, painful, and irregular periods; use of ineffective contraception methods (calendar method, method of interrupted intercourse); hirsutism; sexually transmitted diseases, especially chlamidiosis. Full clinical-diagnostic examination has been made for 150 infertile married couples. In the examined population women's infertility has been found in 63.4% of the observed couples, men's infertility - in 5.3% of the observed couples, both partners - 30%, undiscovered infertility reason - 1.3 %. Leading etiological factors of women's infertility in the region are salpingian peritoneal (54.9%) and endocrine (49.3%). We have defined the effectiveness of the different methods of infertility treatment of women in the region: conservative - 52.0%, surgical - 38.8%, additional reproductive technologies - 31.3%. We have developed the recommendations for the improvement of the methods of preventing and treating infertility on the regional level.