Fertility, family planning, and reproductive health of U.S. women: Data from the 2002 National Survey of Family Growth

Chandra, Anjani; Martinez, Gladys; Mosher, William D.; Abma, Joyce C.; Jones, Jo

doi:10.1037/e414702008-001

Cited by 631 publications

(750 citation statements)

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“…We are unaware of any other report of spontaneous anovulation in non-aged chimpanzees and have not previously observed this phenomenon in our own colony. Although idiopathic infertility is seen in women, the rates are lower (8.4% between 14 and 24 years, and 14.1% between 25 and 35 years; Chandra et al 2005) than those we observed. We plan a separate publication in which we will present a detailed analysis of this phenomenon.…”

Section: Discussioncontrasting

confidence: 89%

Menopause occurs late in life in the captive chimpanzee (Pan troglodytes)

Herndon

Paredes

Wilson

et al. 2011

AGE

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Menopause in women occurs at mid-life. Chimpanzees, in contrast, continue to display cycles of menstrual bleeding and genital swelling, suggestive of ovulation, until near their maximum life span of about 60 years. Because ovulation was not confirmed hormonally, however, the age at which chimpanzees experience menopause has remained uncertain. In the present study, we provide hormonal data from urine samples collected from 30 female chimpanzees, of which 9 were old (>30 years), including 2 above the age of 50 years. Eight old chimpanzees showed clear endocrine evidence of ovulation, as well as cycles of genital swelling that correlated closely with measured endocrine changes. Endocrine evidence thus confirms prior observations (cyclic anogenital swelling) that menopause is a late-life event in the chimpanzee. We also unexpectedly discovered an idiopathic anovulation in some young and middle-aged chimpanzees; this merits further study. Because our results on old chimpanzees validate the use of anogenital swelling as a surrogate index of ovulation, we were able to combine data on swelling and urinary hormones to provide the first estimates of age-specific rates of menopause in chimpanzees. We conclude that menopause occurs near 50 years of age in chimpanzees as it does in women. Our finding identifies a basic difference between the human and chimpanzee aging processes: female chimpanzees can remain reproductively viable for a greater proportion of their life span than women. Thus, while menopause marks the end of the chimpanzee's life span, women may thrive for decades more.

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Section: Discussioncontrasting

confidence: 89%

Menopause occurs late in life in the captive chimpanzee (Pan troglodytes)

Herndon

Paredes

Wilson

et al. 2011

AGE

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“…Eighteen percent (87/489 non-surgically sterile and 134/764 overall) of the women in our sample reported seeing a doctor for their infertility. This is consistent with the 18% of women ages [35][36][37][38][39][40][41][42][43][44] in NSFG who reported ever using infertility services including medical advice, tests, drugs, surgery or other treatment (7).…”

Section: Limitationssupporting

confidence: 71%

“…The National Survey of Family Growth (NSFG), to our knowledge, is the only source of information on infertility in the general US population (7). The 2002 NSFG found that, with adjustment for education, income, and self-reported pelvic inflammatory disease, married black women had almost twice the odds of infertility as married white women (8).…”

Section: Introductionmentioning

confidence: 99%

Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: The CARDIA Women's Study

Wellons

Lewis

Schwartz

et al. 2008

Fertility and Sterility

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Objective-To determine racial differences in self-reported infertility and in risk factors for infertility in a cohort of black and white women.Design-A cross-sectional analyses of data from the longitudinal Coronary Artery Risk Development in Young Adults (CARDIA) Study, a prospective, epidemiologic investigation of the determinants and evolution of cardiovascular risk factors among black and white young adults and from the ancillary CARDIA Women's Study (CWS).Setting-Population-based sample from 4 US communities (Birmingham, AL; Chicago, IL, Minneapolis, MN; and Oakland, CA).Participants-Women ages 33-44 who had complete data (n=764). Interventions-noneMain Outcome Measure-Self-report of ever having unprotected sexual intercourse for at least 12 months without becoming pregnant.Results-Among non-surgically sterile women, blacks had a two-fold increased odds (95% CI = 1.3-3.1) of infertility as compared with whites after adjustment for socioeconomic position (education and ability to pay for basics), correlates of pregnancy intent (marital status and hormonal contraceptive use), and risk factors for infertility (age, smoking, testosterone, fibroid presence, and ovarian volume). The corresponding OR among all women was 1.5 (95% CI 1.0-2.2). Difficulty paying for basics and ovarian volume were associated with infertility among black but not white women. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.Significant black/white differences in infertility were present in a population-based cohort of women even when adjusting for socioeconomic position, correlates of pregnancy intent, and infertility risk factors. Conclusions-In this population-based sample, black women were more likely to have experienced infertility. This disparity is not explained by common risk factors for infertility such as smoking and obesity, and among non-surgically sterile women, it is not explained by gynecologic risk factors such as fibroids and ovarian volume. NIH Public Access

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“…Primary infertility, defined as the inability to conceive despite regular unprotected intercourse for 12 months, affects 15 % of couples and 50 % of cases are ascribed to the male [1]. Recurrent pregnancy loss (RPL), which may be defined as two or more pregnancy losses less than 20 weeks after the last menstrual period, is experienced by 1 to 2 % of women [2,3].…”

Section: Introductionmentioning

confidence: 99%

Genetic counseling for men with recurrent pregnancy loss or recurrent implantation failure due to abnormal sperm chromosomal aneuploidy

Kohn

Darilek

et al. 2016

J Assist Reprod Genet

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Purpose The purpose of this study is to review recurrent pregnancy loss (RPL) due to sperm chromosomal abnormalities and discuss the genetic counseling that is required for men with sperm chromosomal abnormalities. Method The literature was reviewed, and a genetic counselor lends her expertise as to how couples with RPL and sperm chromosomal abnormalities ought to be counseled. The review of the literature was performed using MEDLINE. Results Sperm fluorescence in situ hybridization (FISH) can be used to determine if disomy or unbalanced chromosomal translocations are present. In men with aneuploidy in sperm or who carry a chromosomal translocation, pre-implantation genetic screening (PGS) combined with in vitro fertilization (IVF) and intra-cytoplasmic sperm injection (ICSI) can increase chances of live birth. In men with abnormal sperm FISH results, the degree of increased risk of abnormal pregnancy remains unclear. Genetic counselors can provide information to couples about the risk for potential trisomies and sex chromosome aneuploidies and discuss their reproductive and testing options such as PGS, use of donor sperm, and adoption. The provision of genetic counseling also allows a couple to be educated about recommended prenatal testing since pregnancies conceived with a partner who has had abnormal sperm FISH are considered to be at increased risk for aneuploidy. Conclusion We review the literature and discuss genetic counseling for couples with RPL or recurrent implantation failure due to increased sperm aneuploidy.

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Fertility, family planning, and reproductive health of U.S. women: Data from the 2002 National Survey of Family Growth

Cited by 631 publications

References 0 publications

Menopause occurs late in life in the captive chimpanzee (Pan troglodytes)

Menopause occurs late in life in the captive chimpanzee (Pan troglodytes)

Racial differences in self-reported infertility and risk factors for infertility in a cohort of black and white women: The CARDIA Women's Study

Genetic counseling for men with recurrent pregnancy loss or recurrent implantation failure due to abnormal sperm chromosomal aneuploidy

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