مجله زنان مامائی و نازائی ایران
سال هفدهم شماره 94 (هفته چهارم فروردین 1393)

According to the prevalence of infertility and psychological problems such as depression and anxiety that affect the life in infertile individuals، this study investigated the effects of cognitive behavioral therapy (CBT) on depression in infertile women. In this interventional study in 2011، 30 cases of infertile women referred to Montaseriyeh Infertility Hospital in Mashhad. They fulfilled Beck and Hamilton Depression Inventories. Then they were divided into two groups of case and control. For experimental group، 10 weekly sessions of group CBT was performed. All of cases fulfilled Beck and Hamilton Depression inventories for post-test. Data were analyzed by SPSS software version 11. 5 and covariance analysis. P value less than 0. 05 was considered significant. Cognitive behavioral therapy had a significant effect on depression in cases compare to controls (F=35. 37، p<0. 001). Group cognitive behavioral therapyis effective in reduction of depression and psychological problems among infertile women.

Regarding the importance of uterus in implantation of the embryo and increased fertility، having access to objective methods for assessing uterine health status could play an important role in enhancing the success rates of treatment modalities. This study was performed to evaluate and determine the relationship between the personal and uterine temperaments in infertile women. This descriptive-analytical cross-sectional study was conducted in the traditional medicine clinic of Imam Khomeini hospital in collaboration with the infertility clinic of Vali-e-Asr hospital of Tehran، Iran. First، the personal and uterine temperament questionnaires of the study group were completed and the personal and uterine temperaments of 54 infertile women were designated. The frequency of uterine dystemperaments and the relationship between individual and uterine temperaments were determined. Data were analyzed using SPSS software version 17 and the frequency of quantitative variables was expressed using mean and standard deviations and frequencies of qualitative variables were shown by numbers and percentages. To evaluate the correlation between the uterine and the whole body temperaments، Spearman''s correlation coefficient test was used. P value less than 0. 05 was considered significant. The most prevalent uterine dystemperaments in infertile women were the cold and the wet dystemperaments in simple dystemperaments and the cold and wet dystemperament in compound ones. Also a significant relationship was seen between the personal and uterine temperaments (p=0. 04). Due to the prevalence of cold temperament in infertile women and cold and wet dystemperament in their uterus، it can be considered that the presence of these symptoms in women can predict the infertility. Also by application of preventive measures and treatment of this dystemperament according to traditional medical texts، the infertile couple can be treated with a new approach.

Although the failure rate of oral contraceptive pills is 2-3%، the women experienced 7% failure rate at first year of use of oral contraceptive pills. Because of 9-17. 2% of women in reproductive age in Mashhad، Iran consumed oral contraceptive pills to prevent pregnancy، this study was conducted to assign the cause of unwanted pregnancies in oral contraceptive pills users. This case-control study was conducted on 72 women referred to family health unit of medical health centers of Mashhad، Iran in 2008. We selected the women who had taken oral contraceptive pills in 2008 as case group. Data were obtained by interview forms and analyzed with SPSS software version 14. 5، t-test، chi-square، Fisher exact test and Mann-Whitney tests by the confidence of 95%. There was no statistically significant difference in demographic characteristics and other distracted variables (p>0. 05). According to regular consumption of pills، there was a statistically significant difference between two groups (p<0. 001). The most common cause of irregular consumption in women with unwanted pregnancy (63. 3%) was missing pills. Two groups had significant differences regarding having knowledge about missed pill guidelines (p= 0. 024) and concomitant use of antibiotics (p= 0. 033); as 14 women (38. 9%) of unwanted pregnancy group and 6 women (16. 7%) of non-pregnant group used both antibiotics and oral contraceptive pills simultaneously. The most frequent cause of failure of oral contraceptive pills was irregular consumption and antibiotics interactions and missed pills.