International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care
International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care
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DOI：
10.1093/humrep/dem046
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发表时间：
2007-06-01
影响因子：
6.1
通讯作者：
Nygren, Karl G.
中科院分区：
文献类型：
--
作者：
Boivin, Jacky;Bunting, Laura;Nygren, Karl G.
简介：本研究的目的是回顾现有关于不孕不育患病率和因生育问题寻求医疗帮助的夫妇比例的人口调查。方法：回顾了人口调查，报告了发达国家和欠发达国家的不孕症患病率和寻求帮助的夫妇比例。结果：对不孕不育患病率的估计来自对 172 413 名女性进行的 25 项人口调查。较发达国家的 12 个月患病率为 3.5% 至 16.7%，欠发达国家为 6.9% 至 9.3%，估计总体中位患病率为 9%。在对 6410 名女性进行抽样的 17 项研究中，较发达国家寻求医疗护理的夫妇比例平均为 56.1%（范围 42-76.3%），欠发达国家为 51.2%（范围 27-74.1%）。实际接受护理的人数比例要少得多，为 22.4%。根据这些估计和当前世界人口，目前有 7240 万女性不孕；其中，4050万人目前正在寻求不孕不育医疗服务。结论：当前证据表明不孕不育症（12 个月）患病率为 9%，其中 56% 的夫妇寻求医疗护理。这些估计值低于通常引用的估计值，并且在发达国家和欠发达国家之间非常相似。
Introduction: The purpose of the present study was to review existing population surveys on the prevalence of infertility and proportion of couples seeking medical help for fertility problems. Methods: Population surveys, reporting the prevalence of infertility and proportion of couples seeking help in more and less developed countries, were reviewed. Results: Estimates on the prevalence of infertility came from 25 population surveys sampling 172 413 women. The 12-month prevalence rate ranged from 3.5% to 16.7% in more developed nations and from 6.9% to 9.3% in less-developed nations, with an estimated overall median prevalence of 9%. In 17 studies sampling 6410 women, the proportion of couples seeking medial care was, on average, 56.1% (range 42-76.3%) in more developed countries and 51.2% (range 27-74.1%) in less developed countries. The proportion of people actually receiving care was substantially less, 22.4%. Based on these estimates and on the current world population, 72.4 million women are currently infertile; of these, 40.5 million are currently seeking infertility medical care. Conclusions: The current evidence indicates a 9% prevalence of infertility (of 12 months) with 56% of couples seeking medical care. These estimates are lower than those typically cited and are remarkably similar between more and less developed countries.