Universität zu Köln

Gnoth, Christian (2022). Natural fertility in the context of assisted reproduction. Gynakol. Endokrinol., 20 (1). S. 7 - 15. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1610-2908

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Abstract

Every 5th-7th couple experiences times of involuntary childlessness. After 6 months without conception subfertility has to be assumed. In the case of unexplained subfertility the chance of spontaneous conception is relatively high over longer time periods of expectant management. But this is inappropriate for women aged over 35 years. An early shift to assisted reproduction technology (ART) provides significantly higher cumulative life birth rates; for this reason expectant management should no longer be offered to women aged over 32 years. Even after repeated, failed ART cycles every second couple can hope for a live birth, 70% of which will result from continuing ART and 20% from natural conception. Couples trying to conceive should be informed that disorders such as minor diseases, stress or sexual intercourse during the implantation period do not interfere with conception.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gnoth, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-569321
DOI:	10.1007/s10304-021-00421-7
Journal or Publication Title:	Gynakol. Endokrinol.
Volume:	20
Number:	1
Page Range:	S. 7 - 15
Date:	2022
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1610-2908
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LIVE BIRTH; PREGNANCY LOSS; COUPLES; RATES; INFERTILITY; SUBFERTILITY; DEFINITION; CONCEPTION; PROGNOSIS; TIME Multiple languages Endocrinology & Metabolism Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56932