Infertility, medical advice and treatment with fertility hormones and/or in vitro fertilisation: a population perspective from the Australian Longitudinal Study on Women's Health
Herbert, Danielle L., Lucke, Jayne C., & Dobson, Annette J. (2009) Infertility, medical advice and treatment with fertility hormones and/or in vitro fertilisation: a population perspective from the Australian Longitudinal Study on Women's Health. Australian and New Zealand Journal of Public Health, 33(4), pp. 358-64.
OBJECTIVE: To identify the factors associated with infertility, seeking advice and treatment with fertility hormones and/or in vitro fertilisation (IVF) among a general population of women.
METHODS: Participants in the Australian Longitudinal Study on Women's Health aged 28-33 years in 2006 had completed up to four mailed surveys over 10 years (n=9,145). Parsimonious multivariate logistic regression was used to identify the socio-demographic, biological (including reproductive histories), and behavioural factors associated with infertility, advice and hormonal/IVF treatment.
RESULTS: For women who had tried to conceive or had been pregnant (n=5,936), 17% reported infertility. Among women with infertility (n=1031), 72% (n=728) sought advice but only 50% (n=356) used hormonal/IVF treatment. Women had higher odds of infertility when: they had never been pregnant (OR=7.2, 95% CI 5.6-9.1) or had a history of miscarriage (OR range=1.5-4.0) than those who had given birth (and never had a miscarriage or termination).
CONCLUSION: Only one-third of women with infertility used hormonal and/or IVF treatment. Women with PCOS or endometriosis were the most proactive in having sought advice and used hormonal/IVF treatment. IMPLICATIONS: Raised awareness of age-related declining fertility is important for partnered women aged approximately 30 years to encourage pregnancy during their prime reproductive years and reduce the risk of infertility.
Impact and interest:
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|Item Type:||Journal Article|
|Keywords:||Abortion, Spontaneous, Adolescent, Adult, Australia/ep [Epidemiology], Female, *Fertilization in Vitro/ut [Utilization], Health Surveys, Hormones/ad [Administration & Dosage], Humans, Infertility, Female/ep [Epidemiology], Infertility, Female/px [Psychology], *Infertility, Female/th [Therapy], Logistic Models, Longitudinal Studies, Odds Ratio, Patient Acceptance of Health Care/px [Psychology], *Patient Acceptance of Health Care/sn [Statistics & Numerical Data], Pregnancy, Reproductive History, *Women/px [Psychology], Women's Health, Young Adult, 0 (Hormones)|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)|
|Divisions:||Current > Institutes > Institute of Health and Biomedical Innovation|
|Deposited On:||02 Nov 2012 10:41|
|Last Modified:||20 Nov 2012 12:07|
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