Consultation and Treatment Behavior of Infertile Couples in China: a population-based stud

Danni Zheng, Zehong Zhou, Rong Li, Hongping Wu, Suxin Xu, Yuefan Kang, Yunxia Cao, Xiujuan Chen, Yimin Zhu, Shuguang Xu, Zi-Jiang Chen, Ben Willem J. Mol, Jie Qiao

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Research Question:
A large cross-sectional population-based study in China showed the prevalence of infertility to be 25% in couples actively trying to conceive. However, study focusing on consultation seeking behavior, diagnosis and related treatment in infertile couples was rarely conducted in recent years.

Design:
A cross-sectional population-based study was conducted from 2010 to 2011. 25,270 couples from 8 provinces/municipalities in China were approached by a multistage stratified cluster sampling strategy.

Results:
Among the 2,680 couples who reported infertility, 1,246 infertile couples consulted a fertility doctor. Couples’ age, BMI of men, and educational level of women were found to be associated with consultation behavior. After the fertility work-up, diagnoses were tubal infertility (n=353, 24.6%), unexplained infertility (n=311, 21.7%), male infertility (n=234, 16.3%), ovulatory disorder (n=194, 13.5%) and endometriosis (n=34, 2.4%), while 7.5% (n=107) were not classified. Most couples received non-ART fertility treatment (n=906, 54.7%), with a proportion of them using TCM (n=298, 18.0%). Intrauterine insemination (n=62, 3.7%) and IVF/ICSI (n=57, 3.5%) occurred less frequent. In addition, medical treatment and outcomes among 5 subtypes of infertility were also reported: About 20% of couples with unexplained infertility (n=94, 20.4%) or male infertility (n=67, 21.1%) used TCM to cure infertility. Except patients with endometriosis, of whom 15.2% (n=7) received ART, patients with other infertility subtypes rarely received ART. For subsequent fertility outcome, 94% of them did not achieve a pregnancy.

Conclusion
We conclude that the prevalence of infertility in China is high, but the uptake of treatment was relatively low.
Original languageEnglish
Number of pages28
JournalReproductive BioMedicine Online
DOIs
Publication statusAccepted/In press - 2019

Cite this

Zheng, Danni ; Zhou, Zehong ; Li, Rong ; Wu, Hongping ; Xu, Suxin ; Kang, Yuefan ; Cao, Yunxia ; Chen, Xiujuan ; Zhu, Yimin ; Xu, Shuguang ; Chen, Zi-Jiang ; Mol, Ben Willem J. ; Qiao, Jie. / Consultation and Treatment Behavior of Infertile Couples in China : a population-based stud. In: Reproductive BioMedicine Online. 2019.
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title = "Consultation and Treatment Behavior of Infertile Couples in China: a population-based stud",
abstract = "Research Question:A large cross-sectional population-based study in China showed the prevalence of infertility to be 25{\%} in couples actively trying to conceive. However, study focusing on consultation seeking behavior, diagnosis and related treatment in infertile couples was rarely conducted in recent years.Design:A cross-sectional population-based study was conducted from 2010 to 2011. 25,270 couples from 8 provinces/municipalities in China were approached by a multistage stratified cluster sampling strategy.Results:Among the 2,680 couples who reported infertility, 1,246 infertile couples consulted a fertility doctor. Couples’ age, BMI of men, and educational level of women were found to be associated with consultation behavior. After the fertility work-up, diagnoses were tubal infertility (n=353, 24.6{\%}), unexplained infertility (n=311, 21.7{\%}), male infertility (n=234, 16.3{\%}), ovulatory disorder (n=194, 13.5{\%}) and endometriosis (n=34, 2.4{\%}), while 7.5{\%} (n=107) were not classified. Most couples received non-ART fertility treatment (n=906, 54.7{\%}), with a proportion of them using TCM (n=298, 18.0{\%}). Intrauterine insemination (n=62, 3.7{\%}) and IVF/ICSI (n=57, 3.5{\%}) occurred less frequent. In addition, medical treatment and outcomes among 5 subtypes of infertility were also reported: About 20{\%} of couples with unexplained infertility (n=94, 20.4{\%}) or male infertility (n=67, 21.1{\%}) used TCM to cure infertility. Except patients with endometriosis, of whom 15.2{\%} (n=7) received ART, patients with other infertility subtypes rarely received ART. For subsequent fertility outcome, 94{\%} of them did not achieve a pregnancy.ConclusionWe conclude that the prevalence of infertility in China is high, but the uptake of treatment was relatively low.",
author = "Danni Zheng and Zehong Zhou and Rong Li and Hongping Wu and Suxin Xu and Yuefan Kang and Yunxia Cao and Xiujuan Chen and Yimin Zhu and Shuguang Xu and Zi-Jiang Chen and Mol, {Ben Willem J.} and Jie Qiao",
year = "2019",
doi = "10.1016/j.rbmo.2018.11.034",
language = "English",
journal = "Reproductive BioMedicine Online",
issn = "1472-6483",
publisher = "Elsevier",

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Consultation and Treatment Behavior of Infertile Couples in China : a population-based stud. / Zheng, Danni; Zhou, Zehong; Li, Rong; Wu, Hongping; Xu, Suxin ; Kang, Yuefan ; Cao, Yunxia ; Chen, Xiujuan ; Zhu, Yimin ; Xu, Shuguang; Chen, Zi-Jiang; Mol, Ben Willem J.; Qiao, Jie.

In: Reproductive BioMedicine Online, 2019.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Consultation and Treatment Behavior of Infertile Couples in China

T2 - a population-based stud

AU - Zheng, Danni

AU - Zhou, Zehong

AU - Li, Rong

AU - Wu, Hongping

AU - Xu, Suxin

AU - Kang, Yuefan

AU - Cao, Yunxia

AU - Chen, Xiujuan

AU - Zhu, Yimin

AU - Xu, Shuguang

AU - Chen, Zi-Jiang

AU - Mol, Ben Willem J.

AU - Qiao, Jie

PY - 2019

Y1 - 2019

N2 - Research Question:A large cross-sectional population-based study in China showed the prevalence of infertility to be 25% in couples actively trying to conceive. However, study focusing on consultation seeking behavior, diagnosis and related treatment in infertile couples was rarely conducted in recent years.Design:A cross-sectional population-based study was conducted from 2010 to 2011. 25,270 couples from 8 provinces/municipalities in China were approached by a multistage stratified cluster sampling strategy.Results:Among the 2,680 couples who reported infertility, 1,246 infertile couples consulted a fertility doctor. Couples’ age, BMI of men, and educational level of women were found to be associated with consultation behavior. After the fertility work-up, diagnoses were tubal infertility (n=353, 24.6%), unexplained infertility (n=311, 21.7%), male infertility (n=234, 16.3%), ovulatory disorder (n=194, 13.5%) and endometriosis (n=34, 2.4%), while 7.5% (n=107) were not classified. Most couples received non-ART fertility treatment (n=906, 54.7%), with a proportion of them using TCM (n=298, 18.0%). Intrauterine insemination (n=62, 3.7%) and IVF/ICSI (n=57, 3.5%) occurred less frequent. In addition, medical treatment and outcomes among 5 subtypes of infertility were also reported: About 20% of couples with unexplained infertility (n=94, 20.4%) or male infertility (n=67, 21.1%) used TCM to cure infertility. Except patients with endometriosis, of whom 15.2% (n=7) received ART, patients with other infertility subtypes rarely received ART. For subsequent fertility outcome, 94% of them did not achieve a pregnancy.ConclusionWe conclude that the prevalence of infertility in China is high, but the uptake of treatment was relatively low.

AB - Research Question:A large cross-sectional population-based study in China showed the prevalence of infertility to be 25% in couples actively trying to conceive. However, study focusing on consultation seeking behavior, diagnosis and related treatment in infertile couples was rarely conducted in recent years.Design:A cross-sectional population-based study was conducted from 2010 to 2011. 25,270 couples from 8 provinces/municipalities in China were approached by a multistage stratified cluster sampling strategy.Results:Among the 2,680 couples who reported infertility, 1,246 infertile couples consulted a fertility doctor. Couples’ age, BMI of men, and educational level of women were found to be associated with consultation behavior. After the fertility work-up, diagnoses were tubal infertility (n=353, 24.6%), unexplained infertility (n=311, 21.7%), male infertility (n=234, 16.3%), ovulatory disorder (n=194, 13.5%) and endometriosis (n=34, 2.4%), while 7.5% (n=107) were not classified. Most couples received non-ART fertility treatment (n=906, 54.7%), with a proportion of them using TCM (n=298, 18.0%). Intrauterine insemination (n=62, 3.7%) and IVF/ICSI (n=57, 3.5%) occurred less frequent. In addition, medical treatment and outcomes among 5 subtypes of infertility were also reported: About 20% of couples with unexplained infertility (n=94, 20.4%) or male infertility (n=67, 21.1%) used TCM to cure infertility. Except patients with endometriosis, of whom 15.2% (n=7) received ART, patients with other infertility subtypes rarely received ART. For subsequent fertility outcome, 94% of them did not achieve a pregnancy.ConclusionWe conclude that the prevalence of infertility in China is high, but the uptake of treatment was relatively low.

U2 - 10.1016/j.rbmo.2018.11.034

DO - 10.1016/j.rbmo.2018.11.034

M3 - Article

JO - Reproductive BioMedicine Online

JF - Reproductive BioMedicine Online

SN - 1472-6483

ER -