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When do involuntarily infertile couples choose to seek medical help?

Caroline C. Moreau 1, 2 Jean Bouyer 1, 3 Béatrice Ducot 1, 3 Alfred Spira 1 Rémy Slama 4 
4 INSERM U823, équipe 12 (Epidémiologie Environnementale appliquée à la Reproduction et la Santé Respiratoire)
Santé reproductive, sexualité, infection à VIH - épidémiologie, démographie, sciences sociales, INSERM U823 - Institut d'oncologie/développement Albert Bonniot de Grenoble, EPI - Institute of Epidemiology [Neuherberg]
Abstract : OBJECTIVE: To estimate the probability of medical consultation for infertility during the course of a pregnancy attempt and to study its determinants. DESIGN: Pregnancy-based retrospective telephone survey analyzed with a discrete time Cox model. SETTING: Two rural counties in Brittany and Normandy, France. PATIENT(S): A random sample of 901 women from the general population aged 18-60 years reporting 1,460 pregnancy attempts resulting in a live birth between 1985 and 2000 (participation rate, 73%). INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Probability of medical consultation for involuntary infertility cumulated over time. RESULT(S): The cumulative probability of medical consultation for involuntary infertility among nulligravid women was 45% after 12 months of involuntary infertility and 75% after 24 months. The probability of medical consultation at any time was half that for parous women (odds ratio 0.4, 95% confidence interval 0.2-0.6). More highly educated women were more likely to have sought medical help for infertility. Only 45% of women who had sought medical advice received infertility treatment. CONCLUSION(S): Our survival approach provides a description of infertility service use during the course of a pregnancy attempt, and confirms that parity and educational level are strong predictors of medical help-seeking behaviors.
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Submitted on : Wednesday, December 17, 2008 - 9:44:22 AM
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Caroline C. Moreau, Jean Bouyer, Béatrice Ducot, Alfred Spira, Rémy Slama. When do involuntarily infertile couples choose to seek medical help?. Fertility and Sterility, Elsevier, 2010, 93 (3), pp.737-44. ⟨10.1016/j.fertnstert.2008.10.011⟩. ⟨inserm-00347896⟩



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