Infertility: Epidemiology and Etiology: Difference between revisions
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* Prevalence | * Prevalence | ||
** Varies depending on definition of | ** 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. | ** 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 |