Abstract
Aims: The aim of the study was to assess the etiological factors of female primary infertility.
 Place and Duration of the Study: This prospective study was conducted in the Gynaecology clinic of Sree Balaji Medical College and Hospital, Chennai, from August 2016 to February 2018.
 Methods: All the reproductive age group women coming to Gynaecology opd out patient clinic with history of anxious to conceive. Those patients who satisfy the above criteria those have been selected for the study.
 The test has been carried out in hospitalized patients:
 
 A detailed history were taken.
 General physical and systemic examination were done.
 Ovarian factors and uterine factors ruled out.
 For tubal cannulation.
 
 The data collection technique adopted in this technique is structured questionnaire on the evaluation of infertility in couple of less than 35 years of age in a period of infertility less than 5 years from infertility OPD for one and half years of Sree Balaji Medical College and Hospital. Detailed history obtained from the couple and evaluate, informat ion with the help of various investigation in evaluating an infertile couple [1].
 Results: Age: The prevalence of infertility in the age group 21 – 29 years were about 76% in women. Menarche This showed that maximum number of female attain menarche at the age group of 12 to 14 years. In our study, it is observed that there is a strong relation of infertility with BMI, the prevalence of infertility increases as BMI Increases in population. 22% of the women have BMI above 30 (obese). In our study, 8% of the women has hydrosalpinx, 4% of the women had fibroids and 6% of the women has polyps. We observed that 4% of the women had unilateral fallopian tubal block and 2% had bilateral fallopian tubal block [2].
 Conclusion: In modern era of economically growing world we have concluded that the prevalence of infertility is about 76% in women age group of 21-29, 40% of the women has attained menarche at 12-14 years, observed hydrosalpinx in 8%, polyps in 6% and fibroids in 4% [3].
Highlights
According to WHO, positive reproductive health of a woman is a state of complete physical, mental and social well-being and not merely absence of disease related to reproductive system and functions [4]
In modern era of economically growing world we have concluded that the prevalence of infertility is about 76% in women age group of 21-29, 40% of the women has attained menarche at 12-14 years, observed hydrosalpinx in 8%, polyps in 6% and fibroids in 4% [3]
A prospective study was planned on women with primary infertility: All the reproductive age group women those were came to Gynaecology opd out patient clinic with history of anxious to conceive
Summary
According to WHO, positive reproductive health of a woman is a state of complete physical, mental and social well-being and not merely absence of disease related to reproductive system and functions [4]. If a couple fails to achieve pregnancy after 1 yea r of ‘unprotected’ and regular intercourse, it is an indication to investigate the couple. This is based on the observation that 80% of normal couples achieve conception within a year. Etiology of infertility prevalence and patterns of causes of infertility in different regions are diverse. This discrepancy is due to existence of differences in environmental conditions associated with reproductive behaviors, such as age at marriage, environmental pollution, smoking and alcohol abuse, changing in lifestyle and diet [6]
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