Infertility: Epidemiology and Etiology: Difference between revisions

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* Prevalence
* Prevalence
** Varies depending on definition of infertilitity, source of data, and population
** Varies depending on definition of infertility, source of data, and population
** '''Prevalence in Canada: ≈11%'''
** '''Prevalence in Canada: ≈11%'''
*** Data from the Infertility component in the 2009–2010 Canadian Community Health Survey
*** Data from the Infertility component in the 2009–2010 Canadian Community Health Survey
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** Fertility decreases by almost 50% in women in their late 30’s compared to women in their 20’s.
** Fertility decreases by almost 50% in women in their late 30’s compared to women in their 20’s.
** In women under 35 years of age, infertility is considered present after 12 months of attempting to conceive. This duration is shortened in women over the age of 35 years to 6 months.
** In women under 35 years of age, infertility is considered present after 12 months of attempting to conceive. This duration is shortened in women over the age of 35 years to 6 months.
* '''Male factors'''
* '''Male factors[https://pubmed.ncbi.nlm.nih.gov/1757519/]'''
** '''Solely responsible in ≈20% of all infertile couples'''
** '''Solely responsible in ≈20% of all infertile couples'''
** '''Contributes to 30-40% of all infertile couples'''
** '''Contributes to 30-40% of all infertile couples'''
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*# '''Endocrinopathy (10%), hypogonadism being most common'''
*# '''Endocrinopathy (10%), hypogonadism being most common'''
** See Table 66-1 CW 12th edition for distribution of final diagnoses from a male infertility clinic
** See Table 66-1 CW 12th edition for distribution of final diagnoses from a male infertility clinic
** Idiopathic vs. unexplained§
** Idiopathic vs. unexplained[https://pubmed.ncbi.nlm.nih.gov/33295257/ §]
*** Idiopathic infertility: unable to identify etiology of the abnormal semen analysis
*** Idiopathic infertility: unable to identify etiology of the abnormal semen analysis
*** Unexplained infertility: normal semen analysis and normal partner evaluation with unclear reason for infertility
*** Unexplained infertility: normal semen analysis and normal partner evaluation with unclear reason for infertility