Universität zu Köln

Gnoth, Christian and Mallmann, Peter (2016). Natural fertility and desire to have children. Postponed often means nullified. Gynakol. Endokrinol., 14 (2). S. 70 - 78. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1610-2908

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Abstract

Background. As a result of altered family planning behavior, pregnancies are nowadays often planned after a period of long-term contraception. They often occur in the final quarter of the fertile years of women during which the fertility is already severely reduced. Objective and methods. The aim of this article is to present the relationship between natural fertility and fulfilling the desire to have children. With this in mind a literature search was carried out. Results. By making an early start to family planning more than 90% of couples ultimately succeed in having a live birth. The chances of becoming pregnant are determined by the age of the woman, the ovarian reserve, the number of previously unsuccessful monthly cycles and the quality of the ejaculate. Most spontaneous pregnancies occur after intercourse in the highly fertile period and within the first six cycles. After six cycles a subfertility of only 50% of full fertility is present for every second couple. Above the age of 30 years subfertility must already be assumed for approximately 50% of all couples; therefore, the timely determination of the ovarian reserve is important, e.g. by testing anti-mullerian hormone levels. Fertility awareness is an important method for perception and appreciation of the cycle and fertility by couples themselves. Conclusion. Fertility awareness can be utilized not only for contraceptive use but also for optimizing individual chances for conception. In this context extended diagnostic options, such as early recognition of cycle disturbances can be included. Reproductive medicine can nowadays restore even severely limited perspectives for conception as a result of fertility disorders back to natural fertility levels; however, it cannot exceed these levels.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gnoth, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Mallmann, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-277679
DOI:	10.1007/s10304-016-0061-7
Journal or Publication Title:	Gynakol. Endokrinol.
Volume:	14
Number:	2
Page Range:	S. 70 - 78
Date:	2016
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1610-2908
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ANTIMULLERIAN HORMONE; CLINICAL PREGNANCY; TIME; COUPLES; PROBABILITIES; SUBFERTILITY; INTERCOURSE; CONCEPTION; FECUNDITY; AGE Multiple languages Endocrinology & Metabolism Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27767