Epidemiological Study if Infertile PCOS Women Underwent ICSI and their Related Outcomes

Abstract

A prospective study carried out in Kirkuk city from   February to October 2019, included 200 PCOS women who were enrolled attended Azadi Hospital to study the epidemiology the infertility of PCOS women underwent ICSI and their related outcomes. All women were subjected to the basic fertility work-up at the infertility center which consists of history taking, physical examination, ovulation detection, evaluation of tubal patency and uterine cavity. All couples subjected to a full history taking, complete general examination, complete gynecological examination and infertility workup including: husband’s seminal fluid analysis, basal hormonal analysis, uterine cavity assessment by ultrasound and tubal patency evaluation by hystrosalpingogram.  The females were divided into 2 groups each consists of 100 females. The control group did not receive any ovarian stimulation drugs (natural cycle). In cases group, ovulation induction programs were used were stimulated by Clomid + gonadotropin. The ovarian stimulation protocol was chosen for each patient according to her age, history of stimulation treatment in previous cycles if present, hormonal assay and ultrasound finding in the early follicular phase. The study showed that the higher number and percentage of infertile PCOS women 33%  at age  20-29 years. The study demonstrated that, majority of patients PCOS women were belonged to urban area. The study demonstrated that, 75% of PCOS have irregular cycle and 65% more liable for PCOS have (5-7) days of menstrual flow.  The study showed than majority of studied women haven’t family history of PCOS (60%). The study showed that the highest mean of age were recorded among PCOS women who were pregnant compared with non-pregnant women (33.67 v.s 31.55  year) (P: > 0.05). The highest mean of BMI were recorded among non-pregnant women compared with pregnant women (26.55 v.s 23.45 kg/m²),  the result was significant (P<0.01),