Dynamic model with factors of polycystic ovarian syndrome in infertile women

Abstract

Background: Previous studies present various methods for prediction disease based on statistics or neural networks.These models use statistics and results from past procedures to provide prediction through probability analysis.


Objective: In this article, the authors present a dynamic model aiming at predicting the treatment result of infertile women with the factor of polycystic ovary syndrome. Materials and Methods: For this purpose, the authors have divided the study population into five groups: women prone to infertility, PCOS women, infertile women undergoing the treatment with Clomiphene Citrate and Gonadotropin, infertile women under IVF treatment, and improved infertile women. Therefore, the authors modeled the disease in infertile women mathematically and indicated that the free equilibrium point was asymptotically stable. Also the possibility of other equilibrium point of the system has been studied.


Results: The authors showed that this equilibrium point was marginally stable. Using Stoke’s Theorem, the authors proved that the recurrence of the disease cycle with the factor of polycystic ovary syndrome was not intermittent in infertile women. They solved this model numerically using Rung-Kutta method and sketched the figures of the resulted solutions.


Conclusion: It shows that with increasing age, the ovarian reserve is decreased and the treatment Clomiphene Citrate and Gonadotropin are not responsive, so IVF treatment is recommended in this group of patients considering the graphs of the model.

References
[1] Vahidi S, Ardalan A, Mohammad K. Prevalence of primary infertility in the Islamic Republic of Iran in 2004–2005. Asia Pac J Public Health 2009; 21: 287–293.

[2] Fritz MA, Speroff L. Clinical gynecologyic endocrinology and infertility. 8th Ed. Wolters Kluwer, Philadelphia; 2011.

[3] Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group. Revised (2003) consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod 2004; 19: 41–47.

[4] Molaei MR, Waezizadeh T, Rezaeezadeh M. A mathematical model for HAV. U.P.B. Sci Bull 2013; 75: 47–56.

[5] Diekmann O, Hessterbeek JA, Matz JA. On the definition and the computation of the basic reoroduction ratio R0 in the models for infectious diseases in hetrrogeneous populations. J Math Biol 1990; 28: 356–382.

[6] Taherian M, Toomanian M, Molaei M. Two dynamical models for cholera, Theor Biol Forum 2016; 109: 131–148.

[7] Brenan Ke, Campbell SL, Petzold LR. Numerical solution of initial value problems in differential algebraic equations. Siam, Philadelphia; 1989.

[8] Li XZ, Zhou LL. Global stability of an SEIR epidemic model with vertical transmission and saturating contact rate. Chaos, Solutions and Fractals 2009; 40: 874–884.

[9] Chern SS, Chen WH, Lam KS. Lectures on differential Geometry. World Scientific Publishing Co. Pte. Ltd 2000.

[10] Farkas M. Dynamical models in biology. Academic Press;2001.

[11] Dahlquist G, Bjorck A, Anderson N. Numerical methods. Englewood Cliffs: IPrentice-Hall. Inc.; 1974.