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International Journal of Infertility and Fetal Medicine, vol.16, no.3, pp.156-163, 2025 (Scopus)
Infertility is a deeply personal and widespread challenge that affects millions of couples worldwide. Among the many causes of infertility, bacterial infections stand out as a significant but often overlooked factor. This research explores the impact of these infections on reproductive health in Central Asia, drawing on data from 1980 to 2024. The total fertility rate in Central Asia was 3.73 in 1980, went down to 2.79 in 2021, and is expected to be 2.31 by 2050. In a comparison between Central Asian countries, Kazakhstan’s situation is more stable, with the fertility rate at 3.02 and expected to continue a downward trend to 2.43 by 2050. This fell significantly from 4.12 in 1980 to 2.92 in 2021 in Kyrgyzstan and may be further reduced by 2050 to 2.35. From the highest fertility rate at 5.76 in 1980, Mongolia declined sharply to 3.16 and is projected to drop even further to 2.46 by 2050. Tajikistan also showed a pronounced decline—from 5.65 in 1980 to 3.40 in 2021—and is expected to reach 2.66 by 2050. Fertility declined from 4.75 and 4.58 in 1980 to 2.83 and 2.87 in 2021 for Turkmenistan and Uzbekistan, respectively. The findings reveal that while deaths from bacterial infections are decreasing, gender disparities in infertility trends persist, with women in certain countries being disproportionately affected. This study underscores the importance of early diagnosis, targeted interventions, and public health strategies to address the burden of infertility.