[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Journal Information::
Indexing Sources::
Editorial Board::
Executive Members::
Articles Archive::
Instruction to Authors::
Contact Us::
Site Facilities::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
:: Volume 24, Issue 1 (3-2022) ::
J Gorgan Univ Med Sci 2022, 24(1): 60-67 Back to browse issues page
Prevalence of Infertility by Clinical, Epidemiological, Demographic Definitions and its Determinants in Tehran, Iran
Hajiieh Bibi Razeghi-Nasrabad * 1, Meimanat Hosseini-Chavoshi2 , Mohammad Jalal Abbasi-Shavazi3
1- Associate Professor of Demography, National Institute for Population Research (NIPR), Tehran, Iran. , hajiieh.razeghi@nipr.ac.ir
2- Associate Professor of Demography, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
3- Professor of Demography, University of Tehran, Tehran, Iran and Honorary Professor, University of Melbourne, Melbourne, Australia.
Abstract:   (3949 Views)
Background and Objective: Infertility is one of the issues that affect many aspects of infertile couples. In this study current infertility in Tehran province is estimated based on clinical, epidemiological and demographic definitions.
Methods: This descriptive-analytical study was performed on 669 women with a spouse aged 15-49 in Tehran, Iran during 2020. Data were collected by using a valid researcher-made questionnaire.
Results: Prevalence of current infertility by clinical, epidemiological and demographic definitions was 9.6%, 8.1% and 5.8%, respectively. As expected, primary infertility is lower (2%-4%) than secondary infertility (1.8%-6.4%). Some couples become infertile after their first pregnancy and the birth of their first child. Infertility has a significant relationship with age (P<0.05), age in the first marriage (P<0.05) and socio-economic statuse (P<0.05).
Conclusion: Current primary infertility is relatively low and normal, but secondary infertility is high. Focus on lifetime infertility shows higher rates of infertility than current infertility in Tehran, Iran.
Keywords: Prevalence [MeSH], Infertility [MeSH], Epidemiology [MeSH], Demographic [MeSH], Iran [MeSH]
Article ID: Vol24-08
Full-Text [PDF 473 kb]   (10521 Downloads)    
Type of Study: Original Articles | Subject: Health System
1. Gurunath S, Pandian Z, Anderson RA, Bhattacharya S. Defining infertility--a systematic review of prevalence studies. Hum Reprod Update. 2011 Sep-Oct; 17(5): 575-88. DOI: 10.1093/humupd/dmr015 [DOI] [PubMed]
2. Mascarenhas MN, Cheung H, Mathers CD, Stevens GA. Measuring infertility in populations: constructing a standard definition for use with demographic and reproductive health surveys. Popul Health Metr. 2012 Aug; 10(1): 17. DOI: 10.1186/1478-7954-10-17 [DOI] [PubMed]
3. Larsen U. Research on infertility: which definition should we use? Fertil Steril. 2005 Apr; 83(4): 846-52. DOI: 10.1016/j.fertnstert.2004.11.033 [DOI] [PubMed]
4. Collins JA, Wrixon W, Janes LB, Wilson EH. Treatment-independent pregnancy among infertile couples. N Engl J Med. 1983 Nov; 309(20): 1201-6. DOI: 10.1056/NEJM198311173092001 [DOI] [PubMed]
5. Rowe PJ, Comhaire FH, Hargreave TB, Mellows HJ, World Health Organization. WHO manual for the standardized investigation and diagnosis of the infertile couple. Cambridge University Press. ‎1993. [View at Publisher]
6. Pressat R, Wilson C. The dictionary of demography. New York: Blackwell Science. 1985; p: 214.
7. Larsen U, Menken J. Measuring sterility from incomplete birth histories. Demography. 1989 May; 26(2): 185-201. [PubMed]
8. Inhorn MC, Fakih MH. Arab Americans, African Americans, and infertility: barriers to reproduction and medical care. Fertil Steril. 2006 Apr; 85(4): 844-52. DOI: 10.1016/j.fertnstert.2005.10.029 [DOI] [PubMed]
9. Poston Dl Jr, Trent K. International variability in childlessness: a descriptive and analytical study. J Fam Issues. 1982 Dec; 3(4): 473-91. DOI: 10.1177/019251382003004004 [DOI] [PubMed]
10. Alimondegari M, Razeghi-Nasrabad H, Askari-Nodoushan A, Mohseni-Nejad Z. [The Determinants of Gap between Ideal and Actual Fertility in Tabriz City, Iran]. Journal of Population Association of Iran. 2017; 12(23): 43-79. [Article in Persian] [View at Publisher]
11. Saei Ghare Naz M, Ozgoli G, Sayehmiri K. Prevalence of Infertility In Iran: A Systematic Review And Meta-Analysis. Urol J. 2020 Jun; 17(4): 338-45. DOI: 10.22037/uj.v0i0.5610 [DOI] [PubMed]
12. Direkvand-Moghadam A, Delpisheh A, Khosravi A. Epidemiology of Female Infertility; A Review of Literature. Biosci Biotech Res Asia. 2013; 10(2): 559-67. DOI: 10.13005/bbra/1165 [View at Publisher] [DOI]
13. Safarinejad MR. Infertility among couples in a population-based study in Iran: prevalence and associated risk factors. Int J Androl. 2008 Jun; 31(3): 303-14. DOI: 10.1111/j.1365-2605.2007.00764.x [DOI] [PubMed]
14. Delpishe A, Direkvand Moghadam A, Moradi Z, Mir Moghadam N. [Aspects of epidemiology of infertility in Ilam in 2013]. Iran J Obstet Gynecol Infertil. 2014; 17(98): 8-14. DOI: 10.22038/ijogi.2014.2831 [Article in Persian] [View at Publisher] [DOI]
15. Hosseini J, Emadedin M, Mokhtarpour H, Sorani M. Prevalence of Primary and Secondary Infertility in Four Selected Provinces in Iran, 2010-2011. Iran J Obstet Gynecol Infertil. 2012; 15(29): 1-7. DOI: 10.22038/ijogi.2012.56 [View at Publisher] [DOI]
16. Akhondi MM, Ranjbar F, Shirzad M, Behjati Ardakani Z, Kamali K, Mohammad K. Practical Difficulties in Estimating The Prevalence of Primary Infertility in Iran. Int J Fertil Steril. 2019 Jul; 13(2): 113-17. DOI: 10.22074/ijfs.2019.5583 [DOI] [PubMed]
17. Mohebbi SF, Ali Mohammadzadeh K. [Systematic review of the etiology of the infertility on Iranian domestic published articles between 1999 and 2013]. Med Sci J Islam Azad Univ Tehran Med Branch. 2016; 26(1): 1-15. [Article in Persian] [View at Publisher]
18. Nojomi M, Ashrafi M, Koohpayehzadeh J. [Study of couples infertility in the ewst of Tehran, in the year of 2000]. Razi j Med Sci. 2002; 8(27): 633-39. [Article in Persian] [View at Publisher]
19. Behdani R. [Laparoscopic study on 75 cases of secondary infertility in Roointan Arash Hospital, 1993-96]. Tehran Univ Med J. 2000; 58(1): 87-91. [Article in Persian] [View at Publisher]
20. Vahidi SAD, Ardalan A, Mohammad K. [The epidemiology of primary infertility in the Islamic Republic of Iran in 2004-5]. J Reprod Infertil. 2006; 7(3): 243-51. [Article in Persian] [Article]
21. Kazem M, Ali A. An overview of the epidemiology of primary infertility in iran. J Reprod Infertil. 2009 Oct; 10(3): 213-16. [PubMed]
22. Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Hum Reprod. 2007 Jun; 22(6): 1506-12. DOI: 10.1093/humrep/dem046 [DOI] [PubMed]
23. Morgan SP, Hagewen KJ. Is Very Low Fertility Inevitable in America? In: Booth A, Crouter AC. The New Population Problem Why Families in Developed Countries Are Shrinking and What It Means. 1st ed. Mahwah, N.J.: Lawrence Erlbaum Associates. 2005; pp: 3-28.
24. Kazemijaliseh H, Ramezani Tehrani F, Behboudi-Gandevani S, Hosseinpanah F, Khalili D, Azizi F. The Prevalence and Causes of Primary Infertility in Iran: A Population-Based Study. Glob J Health Sci. 2015 Apr; 7(6): 226-32. DOI: 10.5539/gjhs.v7n6p226 [DOI] [PubMed]
25. Benksim A, Elkhoudri N, Addi RA, Baali A, Cherkaoui M. Difference between Primary and Secondary Infertility in Morocco: Frequencies and Associated Factors. Int J Fertil Steril. 2018 Jul; 12(2): 142-46. DOI: 10.22074/ijfs.2018.5188 [DOI] [PubMed]
26. Santow G, Bracher. Deferment of the First Birth and Fluctuating Fertility in Sweden. Eur J Popul. 2001; 17: 343-63. DOI: 10.1023/A:1012527623350 [Article] [DOI]
27. Hagestad GO, Call VRA. Pathways to Childlessness: A Life Course Perspective. Journal of Family. 2007 Oct; 28(10): 1338–61. DOI: 10.1177/0192513X07303836 [Article] [DOI]
28. Gillespie R. Contextualizing voluntary childlessness within a postmodern model of reproduction: implications for health and social needs. Critical Social Policy. 2001; 21(2): 139-59. DOI: 10.1177/026101830102100201 [Article] [DOI]
29. Goldstein JR. How Late Can First Births Be Postponed? Some Illustrative Population-Level Calculations. Vienna Yearbook of Population Research. 2006; 4: 153-65. [Article]
30. Alimondegari, M., karimi, M., Razeghi Nasrabad, H. [Infertility and Coping Strategies in Men and Women Referring to Yazd Institute of Reproductive Sciences]. Journal of Family Research. 2021; 16(4): 473-92. DOI: 10.29252/jfr.16.4.473 [View at Publisher] [DOI]
31. Abbasi-Shavazi MJ, McDonald P, Hosseini-Chavoshi M. The fertility transition in Iran. Revolution and Reproduction. 2009; 75: 191-95. [Article]
32. Ministry of Health and Medical Education. [Instructions for infertility couple financial support program and management and development of infertility treatment services Health System Transformation Program, Deputy of Treatment]. Tehran, Iran. 2019. [Persian] [Article]
Send email to the article author

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Razeghi-Nasrabad H B, Hosseini-Chavoshi M, Abbasi-Shavazi M J. Prevalence of Infertility by Clinical, Epidemiological, Demographic Definitions and its Determinants in Tehran, Iran. J Gorgan Univ Med Sci 2022; 24 (1) :60-67
URL: http://goums.ac.ir/journal/article-1-4009-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 24, Issue 1 (3-2022) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
Persian site map - English site map - Created in 0.04 seconds with 36 queries by YEKTAWEB 4657