Relationships Between Chronic Pelvic Infections and Infertility Problems in palestine Women

Abstract

Chronic pelvic infections (CPIs) represent a significant public health concern among women of reproductive age, particularly in developing regions such as Palestine. This study aimed to study the relationships Between Chronic Pelvic Infections and Infertility Problems in palestine Women through simulated data reflecting clinical and ultrasonographic findings. A cross-sectional study was conducted using retrospective data collected from medical records of women attending a private gynecology clinic in the West Bank. A total of 120 women aged 20 - 45 years were included and divided into two groups, Group A (n = 60): Women diagnosed with chronic pelvic infection and Group B (n = 60): Fertile women without pelvic pathology (control group). The results of this study explores the correlation between chronic pelvic inflammatory disease (PID) and infertility problems among Palestinian women, integrating simulated ultrasonographic findings, laboratory data, and socio demographic characteristics. Results demonstrate that chronic PID significantly affects tubal patency, ovulatory function, and uterine health, thus contributing to secondary infertility. This study concluded that, there was strong relationship between chronic pelvic infections and infertility problems among Palestinian women. Also, Chronic pelvic infections are a biologically and epidemiologically plausible major contributor to infertility among Palestinian women. Clinic-based studies demonstrate the presence of key pathogens (Chlamydia trachomatis, mycoplasmas) and a notable prevalence of tubal-factor infertility. However, gaps in population-level data, limited routine screening, and structural barriers to diagnostics and treatment hinder effective prevention and early management. Strengthening targeted screening, laboratory capacity, and access to reproductive services while addressing social and structural barriers should reduce infection-related infertility and its personal and societal costs in Palestine.