Fertility treatments and the young women who use them: An Australian cohort study

Jennifer L. Marino, Vivienne M. Moore, Alice R. Rumbold, Michael J. Davies

    Research output: Contribution to journalArticle

    Abstract

    BACKGROUND: In Australia, fertility treatment is partly or wholly reimbursable under federal benefits schemes, without restrictions on age, number of treatment cycles or existing family size. In this study, we aimed to characterize the potential need for and use of fertility treatments in a population-based cohort of young Australian women.

    METHODS: We conducted structured interviews with 974 members of a cohort constructed by tracing all female infants born at a single general hospital in Adelaide between 1973 and 1975. The main outcome measures were pregnancy history, difficulty becoming pregnant and assistance sought to become pregnant.

    RESULTS: Of 657 women aged 3032 who had sought pregnancy, 24 reported difficulty becoming pregnant and 26 had lost at least one pregnancy. Ovulatory problems (16) and male fertility problems (13) were common among those with difficulty. Over half of the women who had difficulty conceiving (58) sought assistance, largely from specialists (53). Consultations, tests and education only were common (22), as were IVF/ICSI (17). Close to a third (28) of those seeking assistance were treated only with clomiphene, as were two-thirds (67) of women with ovulatory problems. 

    CONCLUSIONS: In this study, almost a quarter of women in their early 30s reported difficulty conceiving, and over a quarter reported pregnancy loss. This suggests that a significant proportion of young women experience substantial difficulties becoming pregnant. Our findings highlight the need to continue to document the range of womens reproductive experiences and to monitor fertility and treatment-seeking trends.

    Original languageEnglish
    Pages (from-to)473-479
    Number of pages7
    JournalHuman Reproduction
    Volume26
    Issue number2
    DOIs
    Publication statusPublished - Feb 2011

    Fingerprint

    Fertility
    Cohort Studies
    Pregnancy
    Therapeutics
    Reproductive History
    Clomiphene
    Intracytoplasmic Sperm Injections
    General Hospitals
    Referral and Consultation
    Outcome Assessment (Health Care)
    Interviews
    Education
    Population

    Cite this

    Marino, Jennifer L. ; Moore, Vivienne M. ; Rumbold, Alice R. ; Davies, Michael J. / Fertility treatments and the young women who use them : An Australian cohort study. In: Human Reproduction. 2011 ; Vol. 26, No. 2. pp. 473-479.
    @article{aec91bf6cc134518a46b4ac2e3047f29,
    title = "Fertility treatments and the young women who use them: An Australian cohort study",
    abstract = "BACKGROUND: In Australia, fertility treatment is partly or wholly reimbursable under federal benefits schemes, without restrictions on age, number of treatment cycles or existing family size. In this study, we aimed to characterize the potential need for and use of fertility treatments in a population-based cohort of young Australian women.METHODS: We conducted structured interviews with 974 members of a cohort constructed by tracing all female infants born at a single general hospital in Adelaide between 1973 and 1975. The main outcome measures were pregnancy history, difficulty becoming pregnant and assistance sought to become pregnant.RESULTS: Of 657 women aged 3032 who had sought pregnancy, 24 reported difficulty becoming pregnant and 26 had lost at least one pregnancy. Ovulatory problems (16) and male fertility problems (13) were common among those with difficulty. Over half of the women who had difficulty conceiving (58) sought assistance, largely from specialists (53). Consultations, tests and education only were common (22), as were IVF/ICSI (17). Close to a third (28) of those seeking assistance were treated only with clomiphene, as were two-thirds (67) of women with ovulatory problems. CONCLUSIONS: In this study, almost a quarter of women in their early 30s reported difficulty conceiving, and over a quarter reported pregnancy loss. This suggests that a significant proportion of young women experience substantial difficulties becoming pregnant. Our findings highlight the need to continue to document the range of womens reproductive experiences and to monitor fertility and treatment-seeking trends.",
    keywords = "assisted reproduction, conception, epidemiology, fertility treatment, treatment-seeking",
    author = "Marino, {Jennifer L.} and Moore, {Vivienne M.} and Rumbold, {Alice R.} and Davies, {Michael J.}",
    year = "2011",
    month = "2",
    doi = "10.1093/humrep/deq305",
    language = "English",
    volume = "26",
    pages = "473--479",
    journal = "Human Reproduction",
    issn = "0268-1161",
    publisher = "Oxford University Press",
    number = "2",

    }

    Fertility treatments and the young women who use them : An Australian cohort study. / Marino, Jennifer L.; Moore, Vivienne M.; Rumbold, Alice R.; Davies, Michael J.

    In: Human Reproduction, Vol. 26, No. 2, 02.2011, p. 473-479.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Fertility treatments and the young women who use them

    T2 - An Australian cohort study

    AU - Marino, Jennifer L.

    AU - Moore, Vivienne M.

    AU - Rumbold, Alice R.

    AU - Davies, Michael J.

    PY - 2011/2

    Y1 - 2011/2

    N2 - BACKGROUND: In Australia, fertility treatment is partly or wholly reimbursable under federal benefits schemes, without restrictions on age, number of treatment cycles or existing family size. In this study, we aimed to characterize the potential need for and use of fertility treatments in a population-based cohort of young Australian women.METHODS: We conducted structured interviews with 974 members of a cohort constructed by tracing all female infants born at a single general hospital in Adelaide between 1973 and 1975. The main outcome measures were pregnancy history, difficulty becoming pregnant and assistance sought to become pregnant.RESULTS: Of 657 women aged 3032 who had sought pregnancy, 24 reported difficulty becoming pregnant and 26 had lost at least one pregnancy. Ovulatory problems (16) and male fertility problems (13) were common among those with difficulty. Over half of the women who had difficulty conceiving (58) sought assistance, largely from specialists (53). Consultations, tests and education only were common (22), as were IVF/ICSI (17). Close to a third (28) of those seeking assistance were treated only with clomiphene, as were two-thirds (67) of women with ovulatory problems. CONCLUSIONS: In this study, almost a quarter of women in their early 30s reported difficulty conceiving, and over a quarter reported pregnancy loss. This suggests that a significant proportion of young women experience substantial difficulties becoming pregnant. Our findings highlight the need to continue to document the range of womens reproductive experiences and to monitor fertility and treatment-seeking trends.

    AB - BACKGROUND: In Australia, fertility treatment is partly or wholly reimbursable under federal benefits schemes, without restrictions on age, number of treatment cycles or existing family size. In this study, we aimed to characterize the potential need for and use of fertility treatments in a population-based cohort of young Australian women.METHODS: We conducted structured interviews with 974 members of a cohort constructed by tracing all female infants born at a single general hospital in Adelaide between 1973 and 1975. The main outcome measures were pregnancy history, difficulty becoming pregnant and assistance sought to become pregnant.RESULTS: Of 657 women aged 3032 who had sought pregnancy, 24 reported difficulty becoming pregnant and 26 had lost at least one pregnancy. Ovulatory problems (16) and male fertility problems (13) were common among those with difficulty. Over half of the women who had difficulty conceiving (58) sought assistance, largely from specialists (53). Consultations, tests and education only were common (22), as were IVF/ICSI (17). Close to a third (28) of those seeking assistance were treated only with clomiphene, as were two-thirds (67) of women with ovulatory problems. CONCLUSIONS: In this study, almost a quarter of women in their early 30s reported difficulty conceiving, and over a quarter reported pregnancy loss. This suggests that a significant proportion of young women experience substantial difficulties becoming pregnant. Our findings highlight the need to continue to document the range of womens reproductive experiences and to monitor fertility and treatment-seeking trends.

    KW - assisted reproduction

    KW - conception

    KW - epidemiology

    KW - fertility treatment

    KW - treatment-seeking

    UR - http://www.scopus.com/inward/record.url?scp=79251526506&partnerID=8YFLogxK

    U2 - 10.1093/humrep/deq305

    DO - 10.1093/humrep/deq305

    M3 - Article

    C2 - 21071491

    AN - SCOPUS:79251526506

    VL - 26

    SP - 473

    EP - 479

    JO - Human Reproduction

    JF - Human Reproduction

    SN - 0268-1161

    IS - 2

    ER -