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We do not have permanent infertility data for most Middle Eastern countries, but the fertility rate in neighboring Iraq (at four children per female) is more than double that of Iran.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.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%.

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.

This is a tentative conclusion, to be sure, because Iran's fairly primitive public health system has produced only fragmentary evidence about STD infection rates. Iranian authorities have made dire warnings about epidemic rates of STD infection.

As reported in late 2013: On World AIDS Day (December 1st), Iran's Health Minister Hassan Hashemi, announced that Iran is facing a dramatic increase in HIV diagnoses.

In the 5th Century BC, the "Persian disease" noted by Hippocrates probably was bubonic plague; in 8th-century Japan, it meant the measles. Standout levels of infertility among Iranian couples, a major cause of the country's falling birth rate, coincide with epidemic levels of sexually transmitted disease. Iran has become a country radically different from the vision of its theocratic rulers, with prevailing social pathologies quite at odds with the self-image of radical Islam.

Iran's fertility decline from about seven children per female in 1979 to just 1.6 in 2012 remains a conundrum to demographers.

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