Prevalence some risk factors for female infertility in Mongolian population

Abstract

Purpose: Researchers suggest that the prevalence of infertility varies between developing and developed countries, with differences in infertility care, socioeconomic status, lifestyle, and reproductive disorders such as pelvic inflammatory disease and sexually transmitted infections being the main risk factors. The research project aims is to define risk factors for female fertility in the Mongolian population. Material and methods: This study was conducted between 2016 – 2018 using a cross-sectional survey of analytical research. Participants were randomly selected from Ulaanbaatar and the Central, Western, Eastern, and Khangai provinces according to Mongolia's regional geographic model. The contents of a questionnaire were comprised of 5 units with 95 questions including socio-economic, geographical, lifestyle, health education, reproductive health indicators, sexual behavior. General physical characteristics were measured according to the standard. Results: The prevalence of the female fertility rate in the Mongolian population is 7.4%. Female participants were classified into 2 groups, namely infertile and fertile, and we developed a case-control study. Among the socio-economic factors influencing infertility, primary education aOR: 1.6 (95% CI 0.98-2.66), monthly household income lower than the average aOR: 1.1 (95% CI 0.77-1.66), living in rural areas OR: 2.3 ( 95% CI 1.46-3.68) were crucial risk factors. As for reproductive and general health indicators, STIs aOR: 1.8 (95% CI 0.98-3.50), especially gonorrhea OR: 2.8 (95% CI 1.14-6.91), and thyroid disorders OR: 1.7 (95% CI 1.03). -2.97), grade 3 obesity OR: 3.8 (95% CI 1.05–13.95) are estimated risk factors for infertility. Conclusion: 1. The prevalence of infertility among women of reproductive age in Mongolia is 7.2% (n=138). Of these8 primary infertility was found to be 2.4% (n=49) and secondary infertility was 4.8% (n=89). 2. Female infertility is 1-3 times the age (cOR=1.1-2.9), the place of residence is 2.1 times8 (cOR=2.1, p<0.002), the difference in education level is 1.6 (cOR=1.6, p<0.020), depending on the geographical features 3 times (cOR=3.1, p<0.001) and 1.7 times p<0.037 Identified as a significant risk. Discussion: According to Mascarenhas.N (2012), researcher who identified infertility trends, the prevalence of infertility in developing and developed countries varies, depending on geography, socioeconomics, sexually transmitted diseases, inflammation and infection. In our study, living in rural areas, thyroid disorders and education were significant risks.