Assessment of Infertility Factors and Their Relative Impact in Pregnancy using Ultrasonography & Hormonal Checkup

Mohamed Elfadil M. Gar-elnabi, Manal Zainelabdeen Abdelsalam, Mohamed Abdalla Eltahir, Mohammed A. Ali Omer, Mustafa Jafar Musa


Infertility as a social and psychological problem among middle east natives. Among them, Transvaginal ultrasound (TVU) and hormonal tests have been selected to evaluate infertility in this study. The objective was to assess the infertility factors and their relative impact in pregnancy and to deduce the equation to predict infertility. Methods: a retrospective data (morphometric pathologies of uterus and ovaries using TVU and laboratory hormones (FSH, LH)) have been collected from clinics for 180 women of reproductive age (15-49 years) in Sudan.  The data analyzed by SPSS. The results showed that there were 120 (66.7%) infertile and 60 (33.3%) fertile ladies based on the marriage date. The common ovarian causes of infertility were the polycystic ovary (PCOs) 23.3%, simple cyst 6.1%, hemorrhagic cyst, 4.4%, and uterus causes: 6.7% intramural fibroma, 6.1% retroverted uterus, 2.8% submural fibroma, 2.2 polyps. The general accuracy of Stepwise Linear Discriminant Analysis (SLDA) was 78.9%, for infertile was 70.8% and for fertile 95%. Larger ovarian width indicates significance (p smaller than 0.05) infertility and FSH level low among infertile ladies, but LH is less dependent on discrimination


Fertility, Infertility, Morphometric, Ultrasonography

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Kamel R. M. (2010). Management of the infertile couple: an evidence-based protocol. Reproductive biology and endocrinology: RB&E, 8, 21.

Fisher, J. R., & Hammarberg, K. (2012). Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research. Asian journal of andrology, 14(1), 121–129.

Agarwal, A., Mulgund, A., Hamada, A., &Chyatte, M. R. 2015. A unique view on male infertility around the globe. Reproductive biology and endocrinology, 13(1), 37.‏

Teede, H., Misso, M., Deeks, A., Moran, L., Stuckey, B., Wong, J., … Costello, M. (2011). Assessment and management of polycystic ovary syndrome: summary of an evidence‐based guideline. Medical Journal of Australia, 195(S6), 65–113.

Williams, C., Giannopoulos, T., & Sherriff, E. A. (2003). Investigation of infertility with the emphasis on laboratory testing and with reference to radiological imaging. Journal of Clinical Pathology, 56(4), 261–267.

Speroff L, Glass H, Kase G. 1994. Clinical gynecologic endocrinology and infertility, 5th. ed. Baltimore: Williams & Wilkins.

Illions, E. H., Valley, M. T., & Kaunitz, A. M. 1998. Infertility. A clinical guide for the internist. The Medical clinics of North America, 82(2), 271–295.

Sboui, S. (2018). Female factor infertility. MOJ Biology and Medicine, 3(1), 9–10.

Hope, Y.Y., Roxanne, V., & Gary, N. 2017. Frishman. "Female Infertility." Clinical Reproductive Medicine and Surgery. Springer, Cham. 227-241.‏

Zarins, D.M. 2018. Methods and systems for the manipulation of ovarian tissues. U.S. Patent Application No 15/562,861.‏

Apirakviriya, C., Rungruxsirivorn, T., Phupong, V., Wisawasukmongchol, W. 2016. Diagnostic accuracy of 3D-transvaginal ultrasound in detecting uterine cavity abnormalities in infertile patients as compared with hysteroscopy. European Journal of Obstetrics & Gynecology and Reproductive Biology, 200: 24-28.‏

Hussain, N., & Das, R. 2018. Transvaginal Ultrasound Findings Among the Women Presenting with Infertility. Chattagram Maa-O-Shishu Hospital Medical College Journal, 16(2), 31-34.

Anwar, S., & Anwar, A. 2016. Infertility: a review on causes, treatment and management. Women's Health Gynecol 5 (2016).

Purohit, P., Vigneswaran, K., Fibroids & Infertility. 2016. Curr Obstet Gynecol Rep 5(2016): 81–88.


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