National Infertility Awareness Week

Its National Infertility Awareness Week. Infertility is the inability of a couple to get pregnant despite having regular unprotected sex. A couple is regarded as infertile if, after regular sexual intercourse, they have not conceived in two years. It is estimated that one in seven UK couples has difficulty conceiving (HFEA, 2006).

Identifiable causes of infertility include: ovulatory disorders in 27% of couples; tubal damage in 14% of couples; low sperm count or low sperm quality in 19% of couples. In 30% of couples the cause of infertility remains unexplained (NCCWCH, 2004). Female fertility declines with age, but the effect of age on male fertility is less clear (NICE, 2004). The difficulties couples encounter when facing fertility problems can lead to stress, which may further decrease chances of conception (Eugster & Vingerhoets, 1999). Acupuncture is a popular treatment choice for infertility (Smith 2010).

References
Eugster A, Vingerhoets AJ. Psychological aspects of in vitro fertilization: a review. Soc Sci Med. 1999 Mar;48(5):575-89.

Human Fertilisation and Embryology Authority (HFEA) Facts and figures for researchers and the media. (2006) www.hfea.gov.uk

National Collaborating Centre for Women’s and Children’s Health Fertility (NCCWCH) Fertility: assessment and treatment for people with fertility problems (full NICE guideline). Royal College of Obstetricians and Gynaecologists. www.rcog.org.uk

National Institute for Health and Clinical Excellence (NICE) Fertility: assessment and treatment for people with fertility problems (NICE guideline). Clinical guideline 11. (2004) www.nice.org.uk

Smith JF, Eisenberg ML, Millstein SG, Nachtigall RD et al. The use of complementary and alternative fertility treatment in couples seeking fertility care: data from a prospective cohort in the United States. Fertil Steril. 2010;93(7):2169-74.