Title: Dissecting the knowledge and myths of infertile women in a rural area of Bihar and to making aware the value of hysterosalpingography in the diagnosis of infertility
Authors: Sofia Nasim (MSc MIT), Ruqiya Ramzan (MSc MIT)
DOI: https://dx.doi.org/10.18535/jmscr/v9i12.33
Abstract
Background: Infertility is defined as being unable to get pregnant after one year of unprotected sex. According to World Health Organization (WHO), Infertility is classified as a disease, which is considered a condition that should be treated. Many women have little awareness regarding knowledge of infertility and when to seek treatment. People in developing countries when faced with fertility resort to popular medicine, Tantric practices and take advantage of the help from Quacks instead of seeking medical care. In our society, the word Infertility has become Generic to women only, but it is biologically incorrect because Men and Women both are almost equally responsible for it. Infertility in Men is considered Taboo and so it remains always hidden. The primary role of HSG (hysterosalpingography) is to evaluate the morphology and the patency of the fallopian tubes. The fallopian tube will appear as a thin and smooth line that widens in the ampullary section.
Aim
A descriptive study to assess the Knowledge, myths, and attitude towards infertility and to make aware the value of hysterosalpingography in the diagnosis of infertile patients.
Objective
- To assess the level of knowledge and compare the level of knowledge between educated and uneducated women regarding infertility.
- To assess the level of myths and compare the level of myths between educated and uneducated women regarding infertility.
- To make aware of the diagnostic accuracy of hysterosalpingography in the diagnosis of infertile patients.
Material and Method: This study were prospective, comparative questionnaire-based designed and carried out among women of Barahpura, Islamnagar, and Bhikhnpur of district Bhagalpur, Bihar. A total 100 of infertile women were included in the study. The investigator was given brief information about self and the purpose of the study to the women and obtaining their verbal and written informed consent for willingness to participate in the study and data collection was carried out by using structured interview questioners to assess the knowledge, myths, and awareness of HSG regarding infertility. The questionnaire was divided into four sections which consisting demographic, knowledge, myths, and awareness-related question.
Result: A Cross-sectional Prospective and Questionnaire-based study was carried out with the size of 100 infertile women on the topic "Dissecting the knowledge and myths of infertile women in a rural area of Bihar and to make aware the value of hysterosalpingography in the diagnosis of infertility". The study showed that majority 61.30% had no knowledge and 38.70% had adequate knowledge regarding infertility, With regard to myths women majority 48% of women had a strong belief in myths, 11% had no belief in myths and 41% had a poor belief about the myths of infertility and With regard to the level of awareness of women, 44.80% had good awareness level and, 55.20% had no awareness regarding infertility.
Conclusion: The present study assessed the knowledge, myths, and awareness regarding infertility among women. The study findings revealed that there was a significant difference in the level of knowledge and myths of women and concluded that education on infertility was an effective method to improve the knowledge, myths, and awareness of infertile couples.
References
- https://www.who.int/news-room/fact-sheets/detail/infertility
- World Health Organization. Sexual and reproduction health: infertility definitions and terminology. infertility/definitions/en. Accessed 3 Jul 2018.
- Paul C. Adamson,1,4 Karl Krupp, 3 Alexandra H. Freeman,2 Jeffrey D. Klausner,1,2 Arthur L. Reingold, 4 and Purnima Madhivanan3,5 Prevalence & correlates of primary infertility among young women in Mysore, India (IJMR)
- Discrepancy in perception of infertility and attitude towards treatment options: Indonesian urban and rural area Achmad Kemal Harzif, Victor Prana Andika Santawi, and Stephanie Wijaya (reproductive health)
- International Journal of Reproduction, Contraception, Obstetrics and Gynecology(Vol. 6, Issue 8) Authors: Nayak U. Ashwini, K.G. Ramakrishnan, K.N. Venkateswar and M. Vijayshree
- Reeta Mahey, Monica Gupta, Shobha Kandpal, Neena Malhotra, Perumal Vanamail, Neeta Singh & Fertility awareness and knowledge among Indian women attending an infertility clinic: a cross-sectional study BMC Women's Health
- Adrian C. Schankath,1 Nikola Fasching, 2 Cornelia Urech-Ruh,2 Michael K. Hohl,2 and Rahel A. Kubik-Huch 1 Hysterosalpingography in the workup of female infertility: indications, technique and diagnostic findings (nih.gov)
- Simpson WL, Beitia LG, Mester J. Hysterosalpingography: a reemerging study. Radiographics. 26 (2): 419-31. doi:10.1148/rg.262055109 - Pubmed citation
- Aurora M Miranda, Thomas R Gest, PhD is a member of the following medical societies: American Association of Clinical Anatomists , Femedicine.medscape.com
- https://www.google.co.in/ Flabeled-female-reproductive-system-diagramjpg
- https://www.google.co.in/ www.kenhub.com
- knowledge-attitude-practices-infertility-saudi-couples Mostafa A Abolfotouh1Abdullah A Alabdrabalnabi2Rehab B Albacker3Umar A Al-Jughaiman4Samar N Hassa (International Journal of General Medicine)
- Callahan TL, Caughey AB. Infertility and assisted reproductive technologies. Blueprints Obstetrics and Gynecology. 7th ed. Philadelphia: Wolters Kluwer Health; 2018.
- Boivin J, Bunting L. Knowledge about infertility risk factors, fertility myths and illusory benefits of healthy habits in young people. Hum Reprod. 2008
- Abolfotouh MA, Alabdrabalnabi AA, Albacker RB, Al-Jughaiman UA, Hassan SN. Knowledge, attitude and practices of infertility among Saudi couples. Int J Gen Med. 2013
- Baranwal A, Kunwar N, Tripathy S. Causes of increasing rate of female infertility in India. Int J Sci Res. 2015
- Unisa S. Childlessness in Andhra Pradesh, India: Treatment-seeking and consequences. Reprod Health Matters
- Collins JA, Burrows EA, Wilan AR. The prognosis for live birth among untreated infertile couples. Fertil Steril 1995; 64(1):22-8.
- Hull MG, Glazener CM, Kelly NJ, Conway DI, Foster PA,Hinton RA, et al. Population study of causes, treatment, andoutcome of infertility. Br Med J (Clin Res Ed) 1985;291(6510):1693-7.
- Snick HK, Snick TS, Evers JL, Collins JA. The spontaneouspregnancy prognosis in untreated subfertile couples: the Walcherenprimary care study. Hum Reprod 1997;12(7):1582-8.
- Cheong YC, Li TC. Evidence-based management of tubaldisease and infertility. Current Obstetrics & Gynaecology2005;15(5):306-13.
- Evers JL, Land JA. Diagnosing the tubal factor – laparoscopyvs. traditional techniques. In: Filicori M, Flamigni C, editors.Treatment of infertility: the new frontiers. Princeton Junction,New Jersey: Communications media for education; 1998. p.67-74.
- Corson SL. The role of laparoscopy in the infertility workup.J Reprod Med 1977;18(3):127-31.
- Corson SL, Cheng A, Gutmann JN. Laparoscopy in the“normal” infertile patient: a question revisited. J Am AssocGynecol Laparosc 2000;7(3):317-24.
- Bunting L, Boivin J. Development and preliminary validation of the fertility status awareness tool: FertiSTAT. Hum Reprod Oxf Engl. 2010;25(7):1722–33.
- Bunting L, Tsibulsky I, Boivin J. Fertility knowledge and beliefs about fertility treatment: findings from the international fertility decision-making study. Hum Reprod Oxf Engl. 2013;28(2):385–97.
- Pyper CM. Fertility awareness and natural family planning. Eur J Contracept Reprod Health Care Off J Eur Soc Contracept. 1997;2(2):131–46.
- Live Births in England and Wales by Characteristics of Mother 1 - Office for National Statistics. [cited 2018 Jan 8]. Available from: https://www.ons.gov uk/peoplepopulationandcommunity/birthsdeathsandmarriages/livebirths/ bulletins/livebirthsinenglandandwalesbycharacteristicsofmother1/2014-10-16.