The prevalence of couple infertility in the United States from a male perspective: evidence from a nationally representative sample

Abstract

Infertility is a couple based fecundity impairment, though population level research is largely based upon information reported by female partners. Of the few studies focusing on male partners, most focus on the utilization of infertility services rather than efforts to estimate the prevalence and determinants of infertility as reported by male partners. Data from a nationally-representative sample of men aged 15–44 years who participated in the 2002 National Survey of Family Growth (NSFG) were used to estimate the prevalence of infertility and determinants of longer time-to-pregnancy (TTP) using the novel current duration approach. Using backward recurrence time parametric survival methods, we estimated infertility prevalence (TTP > 12 months) and time ratios (TR) associated with TTP as derived from males’ reported current duration of their pregnancy attempt. The estimated prevalence of infertility was 12.0% (95% CI: 7.0, 23.2). Longer TTP was associated with older male age (35–45 vs. 17–24 years) (TR: 2.49; 95% CI: 1.03, 6.03), biological childlessness (TR: 1.53; 95% CI: 1.07, 2.19), and lack of health insurance (TR: 1.73; 95% CI: 1.02, 2.94) after controlling for the differences in couples’ age and other socioeconomic factors. The prevalence of infertility based on male reporting is consistent with estimates of infertility in the United States found in prospective cohort studies and current duration studies based on female reporting. Our findings suggest that males can reliably inform about couple infertility. Interventions and services aimed at reducing couple infertility should include attention to male factors associated with longer TTP identified in this study.

Status Kesehatan Dan Keteraturan Pemanfaatan Layanan Infertilitas

“…Permasalahan infertilitas tidak saja merupakan masalah ginekologi, akan tetapi menjadi masalah kesehatan yang serius karena seringkali permasalahan tersebut berdampak pada kualitas hidup pasangan tidak hanya pada fisik, akan tetapi berdampak terhadap psikologis, sosial maupun ekonomi dari individu dan pasangan (Louis et al, 2013;Gokler et al, 2014).…”

Assisted reproductive technology alters deoxyribonucleic acid methylation profiles in bloodspots of newborn infants

“…Infertility is a common condition, with approximately 12% of couples of childbearing age in the United States experiencing a prolonged time to conception or the inability to conceive (6). Assisted reproductive technology (ART) now enables several treatment options, including ovulation induction followed by IUI, IVF, and intracytoplasmic sperm injection (ICSI).…”

Processed Meat Intake Is Unfavorably and Fish Intake Favorably Associated with Semen Quality Indicators among Men Attending a Fertility Clinic

“…One in 6 couples trying to conceive experience infertility (1,2), and abnormalities in semen quality are identified in ;50% of couples evaluated for infertility (3). Although body weight (4,5) and smoking (6) are well-characterized risk factors for low semen quality and male factor infertility, few other modifiable risk factors are currently known.…”