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Female subfertility.

Johannes L H Evers1

  • 1Department of Obstetrics and Gynaecology, Research Institute GROW, Academisch ziekenhuis Maastricht, and Maastricht University, Maastricht, Netherlands. jev@sgyn.azm.nl

Lancet (London, England)
|July 20, 2002
PubMed
Summary
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Human fertility is low, with 10-15% of couples experiencing subfertility. Key factors like duration of childlessness and female age guide decisions on fertility investigations and treatments, including assisted reproduction.

Area of Science:

  • Reproductive Medicine
  • Human Fertility Studies
  • Subfertility Research

Background:

  • Human fecundity is low, averaging 20% monthly.
  • 10-15% of couples face challenges conceiving and seek fertility care.
  • Subfertility is influenced by duration of childlessness and female age.

Purpose of the Study:

  • To outline critical questions for initiating fertility investigations.
  • To guide decisions on the availability and appropriateness of fertility treatments.
  • To determine when couples should be referred for assisted reproduction.

Main Methods:

  • Review of factors influencing conception rates.
  • Analysis of diagnostic timelines for subfertility.
  • Evaluation of treatment pathways in reproductive medicine.

Related Experiment Videos

Main Results:

  • Fertility investigations should commence after sufficient time has passed without conception.
  • Treatment options must be cost-effective, safe, and reliable.
  • Referral for assisted reproduction depends on specific diagnostic findings and patient history.

Conclusions:

  • A structured approach is needed before offering fertility treatments.
  • Timely and appropriate interventions improve outcomes for subfertile couples.
  • Considering duration of childlessness and female age is crucial for effective fertility management.