Infertility in a large Royal Air Force general practice

The presentation and management of infertility was studied in a group of 56 couples from the catchment area of a large Royal Air Force general practice. They represented an overall prevalence of 36 per 1000 couples in the population. Thirty seven couples (66%) were trying for their first pregnancy and 19 (34%) has experienced a previous conception. Disorders of ovulation occurred in 29 women (52%) whereas disorders of sperm production or function occurred in 21 men (38%). Other causes were less common. Twelve couples (21%) had more than one diagnosed cause for their infertility, but 21 (37%) withdrew voluntarily or were posted back to the UK during the study period. Only 10 couples (18%) were referred to hospital for specialist investigations or treatment. A logical scheme for the GP management of infertile couples was used. This regime may have been partially or wholly responsible for the 14 pregnancies (25%) reported.