Female Infertility 1

Question 1

Define infertility.

Answer 1

The inability to conevive after one year of unprotected intercourse.

Question 2

What is definition of normal reproduction?

Answer 2

• Cycle fecundity averages 20%
  
  • does not exceed 35% even when intercourse is carefully timed
  • 57% will become pregnant after 3 months of unprotected sex
    
    • 72% after 6 months
    • 85% after 1 year
    • 93% after 2 years

Question 3

What are some causes of the recent decline in US birth and fertility rates?

Answer 3

• Greater interest in advanced education in women
• Later marriage and more frequent divorce
• Improvements in contraception and access to family planning services
• Delayed childbearing
• Decreased family size

Question 4

What is the peak fertility age for women? When does this start declining?

Answer 4

• Peak is between 20-24
• Decreases after 30-23
• Decline is progressive
• Up to 95% in women aged 40-45

Question 5

What is the scope of the problem of infertility?

Answer 5

• About 15% of all couples attempting to conceive will warrant evaluation and/or treatment for infertility at some point
• About half in women who delay attempted childbearing to age 40
• Percentages have remained fairly constant for many years