Evaluation of Lifestyle and Hormonal Profile Associated With the Main Infertile Females in Ramadi Provence. Iraq-2023

Stress, exercise, smoking, and diet all have an impact on a woman's ability to become pregnant. Women who follow a healthy diet are more likely to have a successful consumption experience. A cross-sectional study design was employed, and sampling was conducted using convenience non-probability sampling of 300 early primary infertile women (12–18 months of marriage) at the Gynecology and Obstetrics Hospital in Ramadi Province, Iraq, from August to September 2023. Hormonal assessment was done during the (4) and  (21) days of the cycle. A questionnaire was used to assess the demographic characteristics and lifestyle; the mean, standard deviation (SD), and correlation coefficient were determined. The confidence level was 99% and the p-value was 0.01. According to the study, more than half (67%) of the females were housewives from metropolitan regions, 20% had a college degree, and the majority were between the ages of 18 and 35 (70%), while thirty percent were over thirty-five. The average body mass index was 32±3, indicating that 60% of them had a body mass index of 28 or higher. In addition to a few irregular supplement intake, more than half (60%) of them experienced anxiety. Thirty-five percent or so smoked, and none of them exercised. By ultrasound examination, 20% had polycystic ovaries. Regarding hormones, there was a 75% decrease in the levels of DHEA and D3, with a mean average of (43±5ml/dl), and (269±94.22ml/dl). More than half of the women had impairment in the level of testosterone and prolactin, with a mean of 65±0.5 ml/dl, (28±2.50), respectively. Half of them had an increase in the levels of FSH and LH with decreased estradiol and progesterone, with an average mean of (17.8±6.55), (7.6±2.17), respectively. The level of (AMH) was 5±3 m/dl with an increase 40% while TSH was normal. There was a correlation between age and all hormones except DHEA and testosterone. There was a strong correlation between obesity and all hormones except testosterone. For supplements, a correlation was observed with all hormones, whereas for education, a correlation was found with D3, LH, and testosterone hormones. There was a correlation between Living and D3, LH, FSH, and Prolactin hormones. There was a correlation between diet and all hormones. Regarding smoking and hormones, there was a correlation with the LH hormone only. 100% intake of CHO, fat, chunk food, and sugared tea daily, 20% intake of olive oil weekly and monthly, 50% intake of dairy daily and weekly, 30% intake of antioxidant veggies, fruits, and seafood monthly. More than half of the females exhibited hormonal imbalances that were positively correlated with aging, BMI, lifestyle, Activity, Diet, smoking, and supplement use. There was an impairment in the level of progesterone at day 21  of the cycle and estradiol at day 4. 20% had polycystic ovaries. In terms of dietary pattern, the survey revealed that the majority had poor, unhealthy reproductive diets, characterized by a low intake of fruits, vegetables, seafood, and other reproductive foods, as well as a high intake of carbohydrates, sweets, and fats. Tea with sugar was consumed in large quantities on multiple occasions. The majority had poor reproductive diets, Supplements, and food