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Infertility...

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What is infertility?

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Infertility primarily refers to the biological inability of a man or a woman to contribute to conception.

Infertility may also refer to the state of a woman who is unable to carry a pregnancy to full term. There are many biological causes of infertility, some which may be bypassed with medical intervention.

Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile during the rest of the menstrual cycle. Fertility awareness methods are used to discern when these changes occur; by tracking changes in cervical mucus or basal body temperature.

Definition

Reproductive endocrinologists, the doctors specializing in infertility, consider a couple to be infertile if:
  • the couple has not conceived after 12 months of unprotected intercourse if the female is under the age of 35
  • the couple has not conceived after 6 months of unprotected intercourse if the female is over the age of 35 (declining egg quality of females over the age of 35 account for the age-based discrepancy as when to seek medical intervention)
  • the female is incapable of carrying a pregnancy to term.
Healthy couples in their mid-20s having regular sex have a one-in-four chance of getting pregnant in any given month. This is called "Fecundity". There are some health insurance companies that cover diagnosis of infertility but frequently once diagnosed will not cover any treatment costs.

Prevalence

Infertility affects approximately 10% of people of reproductive age, and 15% of couples. Roughly 40% of cases involve a male contribution or factor, 40% involve a female factor, and the remainder involve both sexes.

In the U.S.

According to the American Society for Reproductive Medicine, infertility affects about 6.1 million people in the U.S., equivalent to ten percent of the reproductive age population.

Female infertility accounts for one third of infertility cases, male infertility for another third, combined male and female infertility for another 15%, and the remainder of cases are "unexplained".

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