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Concerning the history of human life, for a long time, “infer­ tility” has been a topic of interest for scientists that lead to the discovery of the causes of this disease. However, 15–25% of infertility cases are still called idiopathic.1 WHO describes infertility as below: Infertility is a genital disorder and includes failure to get pregnant after 12 months or more of regular and unpro­ tected sexual intercourse (without any other causes such as breastfeeding or postpartum amenorrhea). Primary infertility including infertility in couples who have any children, second­ ary infertility is an inability to get pregnant again. Infertility has a high prevalence and occurs in 10–15% of couples. In 45% of cases, infertility is related to female dis­ orders such as ovarian diseases (polycystic ovary), disorders of fallopian tubes, uterine abnormalities (endometriosis). 30% of infertility is related to men and 25% of cases, have no clear cause.1 In all Iranian traditional manuscripts, infertility and uter­ ine diseases have been investigated and their causes and symp­ toms described in detail and categorized. In Iranian traditional medicine (ITM), sterility and infertility are called “Oghr” and “osr ol­habal” which means “infertility” and “difficult to get­ ting pregnant”.2­4 The use of complementary medicine in the treatment of infertility is increasing. Acupuncture, homeopathy, herbal remedies, massage therapy, etc. are the methods that are now promoted by their proponents.5­7 In traditional medicine, various reasons have been expressed for infertility in women, including disorders in female semen, diseases that occur in the uterus such as types of uterine abnormalities, uterine hemorrhoids, cervical inclina­ tion, and flatulence in uterine and severe swelling in cervix.2,4,8 One of the reasons for infertility that is mentioned in traditional manuscripts is uterus flatulence. In this study, the etiology and treatment of this disease have been investigated from the perspective of Hakim Ali Ibn Abbas Ahvazi in the Kamel Al­Sina’ah al­Tebiyah.

journal of contemporary medical sciences

Evaluation of flatulence of Uterus (Nafkhat-ol-rahem) as One of the Causes of Infertility in Women from the Viewpoint of Ali ibn Abbas Ahvazi and Modern Medicine