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Enhancing Pregnancy Outcomes in Women with Polycystic Ovary Syndrome
Item Type: Research Report
Editor:
Year: 00/01/2023
Abstract: Polycystic ovary syndrome or known as polycystic ovarian syndrome (PCOS) is an endocrine disorder and one of the main causes of anovulatory infertility in women of reproductive age, which is 15 to 49 years (Balen et al., 2016). The main characteristics of women with PCOS are ovarian dysfunction, hyperandrogenism and polycystic ovaries (Balen and Michelmore., 2002). This syndrome is associated with metabolic syndromes such as obesity, insulin resistance, diabetes mellitus type 1 (Barthemess and Naz., 2014) and arteriosclerosis (Orio et al., 2004).
The general objective of this study is to identify the demographic characteristics, clinical and medical history, of PCOS sufferers as well as appropriate treatment methods among clients seeking fertility treatment at the LPPKN Subfertility Clinic.
This study is an experimental, case control study involving female clients who come to seek fertility treatment at the LPPKN Subfertility Clinic. The chosen location is LPPKN Headquarters, Kuala Lumpur. Every female client who attends needs to meet the patient selection criteria, namely a Malaysian couple, trying to conceive for more than a year and aged between 25 to 38 years old. Every patient who faces subfertility problem is divided into two groups, namely PCOS and no PCOS.
Patients who are eligible and agree to participate in the study have gone through at least five (5) series of appointments with medical officers and nurses. A total of 167 patients participated in this study with an average age of 30 years.
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Statistik data perkhidmatan perancang keluarga LPPKN tahun 2015-2019
Item Type: Report
Editor:
Year: 00/00/2022
Abstract: National Population and Family Development Board Malaysia (NPFDB) have prepared a statistic report on family planning services at the NPFDB level according to the number of new recipients, type of contraceptive, state, age group, ethnicity, strata and employment status for 2015 to 2019. This report only consist new recipients, which is new clients who have not registered with any of family planning agency such as NPFDB, Ministry of Health (MOH), Malaysian Armed Forces (ATM) and Federation of Reproductive Health Associations Malaysia (FRHAM). The breakdown of statistic report by type of contraceptive have included implant, injection, condom, pill, intrauterine device and non-modern methods. Meanwhile, the breakdown of family planning data by age have covered the range of 15 years to 49 years. The breakdown of data by ethnicity also have included Malay, Chinese, Indian, other bumiputera and other ethnicities. These statistic data were also have provided by strata (urban and rural), employment status (employed and unemployed) and education breakdown including college/ university, secondary school, primary school and non formal education.
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Wanita dan menopos: satu kajian literatur
Item Type: Book Section
Editor:
Year: 00/00/2022
Abstract: The Malaysian Ministry of Health has defined menopause as a situation of menstrual loss that will occur among women aged 45 to 55 years. However, it is undeniable that menopause can also occur before a woman turns 40 due to health factors. Past studies on postmenopause have focused on physical health aspects such as effects on hormones, sleep and medical support given to postmenopausal women.
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Seroprevalence and factors associated with chlamydia trachomatis Infection among subfertile couples attending local public subfertility clinic
Item Type: Thesis
Editor:
Year: 00/00/2020
Abstract: Chlamydia trachomatis is one of the agents that cause the sexually transmitted infections called chlamydia. People practicing risky sexual behaviours such as having multiple sex partners, exercising sexual intercourse at an early age, and undergoing unprotected sexual
intercourse (without condom) with casual partners, are at risk of getting Chlamydia trachomatis infection. One of the significant, long term implications of risky sexual behaviours and sexually transmitted infection is infertility problems. The objectives of this study are to determine the seroprevalence of Chlamydia trachomatis (CT) among subfertile couples (husband and wife) of The Lembaga Penduduk dan
Pembangunan Keluarga Negara (LPPKN) Subfertility Clinic and the factors associated with it (i.e. socio-demographic, duration of marriage, infertility factor, knowledge, attitude, practice of risky sexual behaviour (RSB) and predictors of Chlamydia trachomatis infection). The study is a cross-sectional study involving 112 infertile couples who underwent fertility treatment at LPPKN Subfertility Clinic from February 2018 until February 2019. Sociodemographic factors, duration of marriage, infertility factor, knowledge, attitude and practice (KAP) of risky sexual behavior (RSB) variables were determined via self-administered
questionnaire that includes close ended questions. Meanwhile, Chlamydia trachomatis antigen and antibody (CT IgG) were determined via Enzyme Linked Immunosorbent Assay (ELISA) and rapid visual immunoassay test kit. This approach is selected to detect past and
current infections of Chlamydia trachomatis through antibody and antigen detection in the blood serum, endocervical swab and urine samples. The response rate of this study was 97.39%. Majority of the respondents were aged between 25-34 years old and dominated by Malay ethnicity. Half of the respondents were among those with tertiary level of education and working in the private sector. In term of duration of marriage, half of the samples were couples who have been married for 3-7 years with majority of them had primary infertility. The female factor was reported to be the most dominant, followed by the unexplained factor and male factor. The seroprevalence of Chlamydia trachomatis among subfertile couples was 22.1% with 14.7% in husbands and 17.9 %, was reported among wives. In terms of knowledge, the results showed that most couples had high level of knowledge
about risky sexual behaviours with a score of more than the mean (> 6) for both husbands and wives. Meanwhile, each husband and wife group had positive attitude towards risky sexual behavior. Approximately, 35.7% of husbands and 12.5% of wives were engaged with risky sexual behavior while a higher percentage of premarital sex was reported among the husbands compared to the wives. The chi-square results showed no association between CT status and socio -demographic factors, marital status and knowledge of RSB among subfertile couples. A significant association was recorded between CT and practices of RSB among couples (p< 0.05) particularly among those with multiple sex partners and husbands who had premarital sex (p<0.05). However, the Binary Logistic Regression analysis showed that none of the selected variables were significant predictors of CT status among the couples (p> 0.05). This study has determined that the seroprevalence of Chlamydia trachomatis (22.1%) and practices of risky sexual behavior among subfertile couples were high. Even though the results have shown no association between the dependent and independent variables, our finding has given an evidence based detection of past infection of Chlamydia trachomatis among
subfertile couples. The practice of RSB has interrelated risk of getting CT and its long term consequences particularly on women reproductive system. Since the awareness on CT among public is considered low, it is crucial to sensitize them about it to ensure early detection and prevention. Therefore, CT screening is strongly recommended to be integrated in fertility work up. treatment and be promoted among sexually active adolescents and those young in age.
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Amalan perancangan keluarga di Malaysia: cabaran dan hala tuju
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2018
Abstract: Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. It is achived through use of contraceptive method and the treatment of infertility. Proportion of women of reproductive aged 15-49 years who have their need for family planning satisfied with modern methods.
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Malaysian infertile men and women : do they suffer mental health issues?
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2017
Abstract: This study revealed that Malaysian infertile men and women demonstrated susceptibility to mental health problems that occurs more commonly among women than men. Thus, this study may facilitate fertility facilities to strategize and redesign better intervention for the infertile couples.
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Penentuan pengaruh Psikostres terhadap kerosakan DNA dan ketakormalan residu sitoplasma sperma manusia
Item Type: Thesis
Editor:
Year: 00/00/2016
Abstract: Idiopathic infertility has been correlated with psychostress which can result in abnormality and declining semen quality in men. Nevertheless, direct relationship of semen quality and psychostress is still unclear. Hence, this study was conducted to evaluate the effect of psychostresson semen quality with emphasizing on sperm DNA damage and cytoplasm droplet abnormality. A total of 628 respondents were selected randomly among men aged between 25-45 years old were patient from LPPKN.
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Apa wanita perlu tahu: subur@tidak subur?
Item Type: Article
Editor:
Year: 00/05/2015
Abstract: Fertility is the ability to conceive naturally. As a measure, fertility rate is the number of children born per individual, household or population. Fertility varies according to fertility, i.e. the potential to reproduce (which is influenced by gamete production, fertilization and the ability to conceive long enough). There are several types of ovulation disorders that are 35% of the cause of infertility in women, namely anovulation. Anovulation is a condition where no ovulation process occurs or the egg process is released from the ovaries, oligovulation is an irregular ovulation process that sometimes occurs, sometimes not and the anovulation cycle is a menstrual cycle in which no ovulation process occurs at the cycle.
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Delayed marriage and the fertility crisis in East and Southeast Asia
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2006
Abstract: The fertility transition in Asian Countries is part of the worldwide fertility transition and one of the most fundamental events of the last half of the 20th century. In general, this has been associated with greatly increased child survival and changes in the economy and society resulting from economic development. But there have been puzzling differences between countries. The fertility crisis used to refer to the countries with high fertility but now attention has shifted to those with very low fertility, a number of which are in Asia.
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