You're Not Alone

Infertility is commonly defined as the inability to conceive after at least a year of unprotected sex, or the inability to carry a pregnancy to a live birth. Infertility is not the same thing as sterility. According to the Women's Health Interactive Web site, two of every three infertile couples who seek treatment are able to have children.

According to the American Society of Reproductive Medicine:

  • Infertility affects about 6.1 million people in the United States, which is roughly 10 percent of the reproductive-age population.

  • Infertility affects men and women equally.

  • About 33 percent of infertility cases can be attributed to male factors, 33 percent to female factors, and roughly 27 percent to a combination of problems in both partners. Causes for the remaining 6 percent of infertility cases go unexplained.

  • Most infertility cases (85 to 90 percent) are treated with conventional medical therapies such as drugs or surgery.

  • In vitro fertilization and similar treatments account for less than 5 percent of infertility services performed in the United States.

There is no "typical" infertility patient, and the causes of infertility vary widely. According to the American Society of Reproductive Medicine, there are several common reasons why couples may find it difficult to conceive.

For men:

No sperm cells being produced
Too few sperm cells being produced
Adequate quantity of sperm cells produced, but with defects

For women:

Ovulation disorder
Blocked fallopian tubes
Birth defects involving uterine structure

Poly Cystic Ovarian Syndrome, or PCOS, is a fairly complex glandular disorder that is becoming widely recognized. According to the International Council on Infertility Information Dissemination, PCOS affects between 5 to 10 percent of all women and is a leading cause of infertility.

Age also plays a significant role in a woman's ability to conceive. According to the National Women's Health Resource Center, a 15-year-old girl has a roughly 50 percent chance of becoming pregnant following intercourse. At age 25, chances are 30 to 35 percent for pregnancy during each menstrual cycle. After age 35, a woman's fertility rapidly declines. Women between ages 40 and 45 have roughly a 3 percent chance or less per cycle of achieving pregnancy.

The vast majority of infertility cases are treated with drugs or by surgically repairing the reproductive organs. In vitro fertilization (eggs are fertilized outside of the body then placed directly into a woman's uterus) is the method of treatment in a small percentage of cases. Still other couples choose adoption when they are unable to conceive.

Although the causes of and treatments for infertility are primarily physical, infertility is not simply a matter of biology. For many couples, experiencing infertility is a life crisis that evokes emotions similar to those associated with miscarriage or the loss of a child by other means. Often, the pain of not being able to have a child is compounded by a sense of failure and inadequacy.

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