Infertility is medically defined as the inability to conceive following
one year of regular sexual intercourse without contraception or after six
months if the woman is over age 35. The definition also includes
women who are unable to carry a pregnancy to live birth. There are
two general types of infertility. Primary infertility is defined
as difficulty conceiving for a couple who has never before had a child
while secondary infertility describes a couple who is having difficulty
conceiving when at least one of the partners has previously had a baby.
According to the 1995 National Survey on Family Growth, approximately 7.1%
of married couples were infertile. If the scope is broadened to encompass
the truly desired outcome of an infant, impaired fecundity (difficulty
or impossibility of getting pregnant or carrying a baby to term) affects
10.2% of women of reproductive age (6.1 million persons) and 12.9% of married
women. In 40% of the cases the problem is attributable to the man, and
for 40% of the couples the difficulty is traced to the woman. In
about 10% of the cases, infertility is linked to both partners. The
remaining 10%, despite exhaustive testing, remains unexplained. The
most common causes of female infertility are ovulatory disorders, mechanical
problems, endometriosis and some other factors.