Congenital anomalies of reproductive system among infertile women attending Dr. Khawer Center for Infertility and IVF in Maternity Teaching Hospital in Erbil city: A retrospective study

Abstract

Background and objective: Congenital anomalies of the female genital tract is a known cause for infertility and recurrent pregnancy losses. This study aimed to evaluate the pattern and prevalence of each type of congenital malformation of the reproductive tract among infertile women attending the IVF center in the Maternity Teaching Hospital in Erbil city. Methods: A retrospective study was conducted in Center of Dr. Khawer for Infertility and IVF in the Maternity Teaching Hospital in Erbil city. Data of five years from the 1st January 2010 to the 1st January 2015 were collected from patient files, such as age, sex, residence, type of infertility, type of anomaly, duration of infertility, Karyotype, Intervention, Success rate of intervention, cycle, parity, history of abortions, history of preterm deliveries, and history of ectopic pregnancy. Results: The prevalence of congenital reproductive system anomaly was 4.1% among infertile women. The sub-septate uterus was the most common type (23.24%) anomalies. No significant association was found between the types of the anomaly and the type of infertility. The genetic factor was found to has a significant role in developing such a condition. Success rate after management significantly raised to 61.1% with sub-septate uterus (91.3%) bicornuate/ partial (85.7%), and septate/ complete (72.2%). Conclusion: One of the causative factors of female infertility is congenital anomaly. Most types have a good prognosis in achieving pregnancy after proper management.