Infertility in American college alumnae
Infertility in American college alumnae
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DOI：
10.1016/s0020-7292(01)00381-2
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发表时间：
2001-06-01
影响因子：
3.8
通讯作者：
Wyshak, G
中科院分区：
文献类型：
--
作者：
Wyshak, G
目的：本文的目的是根据美国大学校友样本的自我报告，提供有关不孕症患病率、原因和治疗的数据。方法：以 3940 名年龄在 37 岁至 70 岁以上的美国大学校友为样本，完成了一份有关不孕症、不孕症原因、治疗结果的自填问卷。结果：在整个样本（n = 3940）中，3.1%（n = 121）患有原发性不孕症； 14.0% (n = 548) 患有继发性不孕并接受了治疗； 4.7% (n = 184) 尝试了 1 年多但没有成功，但未经治疗就怀孕了； 62.4%的人没有不孕问题； 16% (n = 616) 没有尝试怀孕。主要原因是“不明原因不孕”，占 43.5%；精子数量低或活力低，21.4%；和无排卵周期，20.3%。据报道，39.5% 的患者接受了克罗米芬治疗。治疗的总体成功率为 45%。当用克罗米芬治疗无排卵周期时，成功率最高。结论：在该美国女性样本中，原发性和继发性不孕症的患病率约为 17%，与撒哈拉以南非洲地区的观察结果相似。 (C) 2001 年国际妇产科联合会。版权所有。
Objective: The objective of this paper is to present data on prevalence of infertility, causes and treatments based on self-reports of a sample of American college alumnae. Methods: A sample of 3940 American college alumnae, ages 37 to over 70 years, completed a self-administered questionnaire relating to infertility, its causes, treatment treatment outcomes. Results: Of the entire sample (n = 3940), 3.1% (n = 121) had primary infertility; 14.0% (n = 548) had secondary infertility and were treated; 4.7% (n = 184) tried for more than 1 year without success but had pregnancies without treatment; and 62.4% had no problems with infertility; and 16% (n = 616) did not try to get pregnant. The major causes were 'unexplained infertility' reported by 43.5%; low sperm count or low motility, 21.4%; and anovulatory cycles, 20.3%. Treatment by clomid was reported by 39.5%. The overall success rate, resulting from treatment was 45%. The highest success rate occurred when anovulatory cycles were treated with clomid. Conclusion: Prevalence of primary and secondary infertility in this sample of American women is approximately 17%, similar to that observed for Sub-Saharan Africa. (C) 2001 International Federation of Gynecology and Obstetrics. All rights reserved.