Medical and social factors of infertility in Russia
- Authors: Korneeva I.Е.1, Nazarenko T.A.1, Perminova S.G.1, Mityurina E.V.1, Cybizova T.I.1, Dashieva A.E.1
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Affiliations:
- Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation
- Issue: No 3 (2023)
- Pages: 65-72
- Section: Original Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/323166
- DOI: https://doi.org/10.18565/aig.2022.279
- ID: 323166
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Abstract
Objective: Assessment of medical and social aspects of the prevalence and the structure of infertility causes in Russia.
Materials and methods: We used the data of questionnaire survey of 7004 infertile couples. The questionnaire included the questions about education, social and marital status, as well as information from medical documentation about the age, reproductive and medical history of partners. To perform comparative assessment of the studied characteristics, all participants of the study were divided into 2 groups, depending on the period of seeking treatment in fertility clinics. Group 1 consisted of 3509 couples who sought infertility treatment from January 1, 2010 to December 31, 2015. Group 2 comprised 3495 couples, who sought infertility treatment from January 1, 2016 to December 31, 2020.
Results: Over the past 5 years, the age of infertile couples seeking treatment increased by 4 years on average and was 34 (4.8) years for women and 35.5 (5.9) years for men. At the same time, the proportion of women over 40 increased by 4 times. The proportion of rural residents increased. Introduction of the IVF program into Compulsory Medical Insurance (CMI) system has made it more accessible to a wide range of people with different incomes. The number of HIV-infected infertile couples planning treatment of infertility has increased.
Tubo-perioneal factor (24.2% and 23.5% in groups 1 and 2) ranked first as the only cause of infertility. The second most common factor of infertility was male infertility (17% and 19.4%). The third factor was endocrine origin of infertility (5.1% and 7.6%). Regardless of the estimated period of time, the combined types of infertility prevailed in the structure of infertility causes – 39.6% in group 1 and 39.5% in group 2.
Conclusion: The results of the study demonstrated the influence of medical and social factors on health-seeking behavior of patients with infertility, as well as the frequency of various causes of reproductive disorders.
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About the authors
Irina Е. Korneeva
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation
Author for correspondence.
Email: irina.korneeva@inbox.ru
Dr. Med. Sci., Professor, Leading Researcher at the Scientific and Educational Center of Auxiliary Reproductive Technologies with a Clinical Department named after Frederick Paulsen
Russian Federation, MoscowTatiana A. Nazarenko
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation
Email: t_nazarenko@oparina4.ru
Dr. Med. Sci., Professor, Head of the Institute of Reproductive Medicine
Russian Federation, MoscowSvetlana G. Perminova
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation
Email: perisvet@list.ru
Dr. Med. Sci., Leading Researcher at the Scientific and Educational Center of Auxiliary Reproductive Technologies with a Clinical Department named after Frederick Paulsen
Russian Federation, MoscowElena V. Mityurina
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation
Email: e_mityurina@oparina4.ru
PhD, Senior Researcher at the Scientific and Educational Center of Auxiliary Reproductive Technologies with a Clinical Department named after Frederick Paulsen
Russian Federation, MoscowTatyana I. Cybizova
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation
Email: irina.korneeva@inbox.ru
Deputy Development Director
Russian Federation, MoscowAyuna E. Dashieva
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation
Email: dr.dashieva@mail.ru
Graduate Student
Russian Federation, MoscowReferences
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