Infertility differential diagnosis: Difference between revisions

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==Overview==
==Overview==
There are strict definitions of infertility used by many doctors. However, there are also similar terms, e.g. subfertility for a more [[benign]] condition and [[fecundity]] for the natural improbability to [[conceive]].
There are strict definitions of infertility used by many doctors. However, there are also similar terms, e.g. subfertility for a more [[benign]] condition and [[fecundity]] for the natural improbability to [[conceive]].
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==Differentiating Infertility from Other Diseases==
==Differentiating Infertility from Other Diseases==
===Infertility===
===Infertility===
Reproductive endocrinologists, the doctors specializing in infertility, consider a couple to be infertile if:
Reproductive endocrinologists, the doctors specializing in infertility, consider a couple to be infertile if:<ref name="pmid2697833">{{cite journal| author=Wood JW| title=Fecundity and natural fertility in humans. | journal=Oxf Rev Reprod Biol | year= 1989 | volume= 11 | issue=  | pages= 61-109 | pmid=2697833 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2697833  }}</ref>
* the couple has not conceived after 12 months of contraceptive-free intercourse if the female is under the age of 34
 
* the couple has not conceived after 6 months of contraceptive-free intercourse if the female is over the age of 35 (declining egg quality of females over the age of 35 account for the age-based discrepancy as when to seek medical intervention)
*The couple has not conceived after 12 months of contraceptive-free intercourse if the female is under the age of 34
* the female is incapable of carrying a pregnancy to term.
*The couple has not conceived after 6 months of contraceptive-free intercourse if the female is over the age of 35 (declining egg quality of females over the age of 35 account for the age-based discrepancy as when to seek medical intervention)
*The female is incapable of carrying a pregnancy to term.


===Subfertility===
===Subfertility===
*A couple that has tried unsuccessfully to have a [[child]] for a year or more is said to be subfertile.  
 
*The couple's fecundability rate is approximately 3-5%. Many of its causes are the same as those of [[infertility]].  
*A couple that has tried unsuccessfully to have a [[child]] for a year or more is said to be subfertile.
*The couple's fecundability rate is approximately 3-5%. Many of its causes are the same as those of [[infertility]].
*Such causes could be [[endometriosis]], or [[polycystic ovarian syndrome]].
*Such causes could be [[endometriosis]], or [[polycystic ovarian syndrome]].


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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Latest revision as of 01:21, 19 January 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Sanjana Nethagani, M.B.B.S.[3]

Overview

There are strict definitions of infertility used by many doctors. However, there are also similar terms, e.g. subfertility for a more benign condition and fecundity for the natural improbability to conceive.

Differentiating Infertility from Other Diseases

Infertility

Reproductive endocrinologists, the doctors specializing in infertility, consider a couple to be infertile if:[1]

  • The couple has not conceived after 12 months of contraceptive-free intercourse if the female is under the age of 34
  • The couple has not conceived after 6 months of contraceptive-free intercourse if the female is over the age of 35 (declining egg quality of females over the age of 35 account for the age-based discrepancy as when to seek medical intervention)
  • The female is incapable of carrying a pregnancy to term.

Subfertility

References

  1. Wood JW (1989). "Fecundity and natural fertility in humans". Oxf Rev Reprod Biol. 11: 61–109. PMID 2697833.