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Human Reproduction, Vol. 6, No. 6, pp. 811-816, 1991
© 1991 European Society of Human Reproduction and Embryology

other

Incidence and main causes of infertility in a resident population (1 850 000) of three French regions (1988–1989)*

Patrick Thonneau1, Sophie Marchand2, Anne Tallec3, Marie-Laure Ferial4, Béatrice Ducot, Jacques Lansac2, Patrice Lopes5, Jean-Marie Tabaste4 and Alfred Spira

INSERM (Institut National de la Santé et de la Recherche Médicale), Unite de Santé publique-Epidemiologie-Reproduction humaine, Centre Hospitalier Universitaire de Bicêtre 2Centre Hospitalier Regional Universitaire de Tours France 3Regional de la Santé des Pays de Loire France 4Centre Hospitalier Régional Universitaire de Limoges France 5Centre Hospitalier Régional Universitaire de Nantes France

Correspondence: 1To whom correspondence should be addressed at INSERM unité 292, Hôpital de Bicêtre, 78 rue du Général Leclerc. 94275 Le Kremlin-Bicêtre Cedex, France

To estimate the prevalence and main causes of infertility, a multicentre survey was conducted over 1 year (July 1988 –June 1989) in three regions of France. All the 1686 couples in these regions, who consulted a practitioner for primary or secondary infertility during this period, were included in the investigation. The prevalence rate of infertility was found to be 14.1%, indicating that one woman out of seven in France will consult a doctor for an infertility problem during her reproductive life. The main causes of female infertility were ovulation disorders (32%) and tubal damage (26%), and of male infertility oligo-terato-asthenozoospermia (21%), asthenozoospermia (17%), teratozoospermia (10%) and azoospermia (9%). Infertility was also found to be caused by disorders in both the male and female partners together; thus in 39% of cases both the man and woman presented with disorders. The woman alone was responsible for infertility in one-third of cases and the man alone in one-fifth. Unexplained infertility was found in 8% of the couples surveyed.

Key words: epidemiological survey/incidence/infertility

*Intenm results of this study were presented at the francophone association of epidemiologists (ADELF) held in Bordeaux (France) in September 1989 and at the 13th World Congress on Fertility and Sterility held in Marrakesh (Morocco), in October 1989.


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