Natural fertility in couples and epidemiological aspects of subfertility

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
C Gnoth

Abstract

In the last 40 years, fertility rates in Western societies have been declining as a result of lifestyle and generative behavior. This review summarizes current evidence-based knowledge on natural infertility and epidemiological aspects of subfertility. A literature search on natural infertility and epidemiological aspects of subfertility was performed and the available data were structured and put in context. After six unsuccessful cycles, slight or potentially severe subfertility should be assumed. Female age, number of unsuccessful cycles, ovarian reserve, and the results of sperm analysis determine the reproductive potential of a subfertile couple. An early measurement of anti-müllerian hormone levels and a sperm analysis are recommended. Fertility awareness has gained increasing importance, not only in contraceptive use but also in optimizing individual fertility.

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Citations

Feb 9, 2017·MMW Fortschritte der Medizin·Christian Gnoth
Mar 7, 2020·Archives of Gynecology and Obstetrics·Christian GnothThomas Strowitzki

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