Evaluation of in vitro fertilization planned patients in terms of internist perspective
Department of Internal Medicine, Eskisehir Osmangazi University School of Medicine, Eskişehir, Turkey
Department of Obstetrics and Gynecology, Reproductive Medicine Unit, Eskisehir Osmangazi University School of Medicine, Eskişehir, Turkey
Department of Biostatistics, Eskisehir Osmangazi University School of Medicine, Eskişehir, Turkey
Erciyes Med J ; : -
DOI: 10.5152/etd. 2017.0101
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Key Words: Infertility, reproductive Techniques, assisted, ınternal medicine
Objective: Infertility is defined as the inability to become pregnant after one year of unprotected intercourse and is a growing problem worldwide, with an incidence of 15% among couples. In our study, women with a diagnosis of infertility who were scheduled for in vitro fertilization were assessed for medical problems that may be the cause of their infertility. Thus, this study aimed to determine whether the report by the Board of Health, which is mandatory in some institutions, is beneficial in terms of internal medicine in patients scheduled for in vitro fertilization.
Material and Methods: The study group included 120 women scheduled for in vitro fertilization and consulted the Department of Internal Medicine, as well as 35 control women from a similar age group. The medical history, drugs in use and smoking status were recorded. Blood pressure, body height and body weight were measured. Biochemical measurements including complete blood count, fasting blood glucose, creatinine, liver enzymes, fasting insulin and thyroid stimulating hormone (TSH) were performed
Results: Smoking was found to increase infertility risk by 2.63-fold. There was a significant difference in body mass index between the patient and the control group (p=0.045).
Discussion: Assisted reproductive techniques, particularly in vitro fertilization, are widely used in many public and private health institutions for couples that are admitted to reproductive health units with infertility. In our study, body weight and body mass index were found to affect infertility. We believe that early recognition and improvement of modifiable factors may improve pregnancy outcomes.