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A more probable cause of Iran's extremely high rate of infertility is sexually transmitted disease, particularly chlamydia, the most common bacterial STD and one likely to go undetected in countries with poor public health systems.This may seem incongruous, for the Islamic Republic of Iran represents itself as the guardian of social standards against Western decadence.Speaking at an AIDS-awareness conference at the Ministry of Health, Hashemi noted that over the past eleven years, AIDS cases have increased nine-fold.He further warned that the lack of sexual education and persistent social taboos surrounding sexually transmitted diseases (STDs) in Iranian society were factors in this alarming trend.

In fact, the proportion of cousin marriages is inversely correlated with fertility, because women in the sort of traditional society that fosters cousin marriage tend to bear more children.

Nonetheless, the government's own data strongly support this inference.

A 2013 paper by a team of Iranian researchers, "Effects of Chlamydia trachomatis Infection on Fertility: A Case Control Study," observes: The molecular prevalence of C.

The lifetime infertility in selected countries: Iran (year of survey 2004-2005) 24.9%; Australia(1991-1993) 18.4%; Denmark (1995) 15.7%; Indian Kashmir (1997) 15.1%; UK (1988) 14.1%; France (1988) 12.2%; Europe (1991-1993) 11.3%; Norway (1985-1995) 6.6%.

One explanation for Iran's strikingly infertility rate is the high level of consanguineous (cousin) marriages, that is, inbreeding.

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