QUT ePrints

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.

View at publisher

Abstract

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:

15 citations in Scopus
Search Google Scholar™
13 citations in Web of Science®

Citation countsare sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

ID Code: 54131
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)
DOI: 10.1111/j.1753-6405.2009.00408.x
ISSN: 1753-6405
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

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page