Table 1 Definition for reproductive morbidities according to the women's complaints/physical/ultrasonographic examinations and their denominators for analysis
Morbidity | Subgroup | Definition | Denominator |
|---|---|---|---|
| Â | Dysmenorrhea | Pain with menstrual periods that interfere with women's normal activities [18] | Menstrual women not currently using hormonal contraceptives |
Menstrual dysfunctions | Premenstrual syndrome | one or more disturbing affective or somatic symptoms that have occurred during the 5 days before menses in each of 3 previous menstrual cycles | Menstrual women not currently using hormonal contraceptives |
| Â | Meno-metroragia | Spotting or prolonged bleeding in the previous 3 months | Menstrual women not currently using hormonal contraceptives |
| Â | Oligomenorrhea | vaginal bleeding episodes more than 35-day intervals | Menstrual women not currently using hormonal contraceptives |
Long time primary infertility | - | having the history of trying to conceive for at least one year without success despite of regular sexual intercourse and no use of contraception [17] | Ever Married women had willingness to conceive and not used contraception some times in her life |
| Â | Abnormal vaginal discharge | Response "yes" to this question" Do you have Abnormal vaginal discharge in term of bad odor or abnormal color?" | All participants |
Reproductive tract infections(study subjects) | Itching or irritation in vaginal area | Response "yes" to this question" Do you have Itching or irritation in vaginal area?" | All participants |
| Â | Genital ulcers or sores | Response "yes" to this question" Do you have genital ulcers or sores in vaginal area?" | All participants |
Reproductive tract infections (clinical examination) | - | guidelines of syndromic approach for reproductive tract infections using speculum [19] | Ever Married women |
Dyspareunia | Painful sexual intercourse | Response "yes" to this question" Do you usually feel any pain in your vagina or genital area during or after sexual activity?" | Women with sexual intercourse |
| Â | Stress incontinence | Response "yes" to this question "Do you usually leak urine with a cough, sneeze or laugh?" | Ever Married women |
| Â | Incomplete urination | Response "yes" to this question" Do you usually have to push up in the vaginal area with your fingers to complete urination?" | Ever Married women |
Pelvic organ prolapse(study subjects) | Incontinence gas passage | Response "yes" to this question" Do you usually lose gas from the rectum beyond your control?" | Ever Married women |
| Â | Incomplete defecation | Response "yes" to this question" Do you usually need to help stool out by pushing with a finger in the vagina or rectum?" | Ever Married women |
| Â | Looseness of vaginal opening | Response "yes" to this question" Do you Do you feel that your vaginal opening is too loose? | Ever Married women |
Pelvic organ prolapse(clinical examination | - | descending of anterior and/or posterior vaginal wall and or uterus below their normal position using the standard protocol [18] | Ever Married women |
Pelvic mass(clinical examination) | Â | the presence of adnexal and/or uterus mass on the bimanual examination | Ever Married women |
Pelvic mass(ultrasonographic examination) | Â | the presence of adnexal and/or uterus mass on the ultrasonographic examination | All participants |