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The prevalence of primary infertility has increased since 1990, but secondary infertility has decreased overall. Rates decreased (although not prevalence) of female infertility in high-income, Central/Eastern Europe, and Central Asia regions. [2] Female infertility is prevalent across the globe.
The replacement fertility rate is 2.1 births per female for most developed countries (in the United Kingdom, for example), but can be as high as 3.5 in undeveloped countries because of higher mortality rates, especially child mortality. [11]
Tubal infertility, in which there is a structural problem with the fallopian tubes is responsible for 11-67% of infertility in women of child bearing age, with the large range in prevalence due to different populations studied. [2]
State federal district or territory TFR 2019 [1] TFR 2020 [2] TFR 2021 [3] TFR 2022 [4] Guam 2.74: 2.64: 2.36: 2.26 American Samoa South Dakota 2.08: 1.98: 2.07: 2.01 Nebraska 1.97: 1.94: 1.95: 1.94
At birth, women have all their follicles for folliculogenesis, and they steadily decline until menopause." [17] In terms of ovarian reserve, a typical woman has 12% of her reserve at age 30 and has only 3% at age 40. [18] 81% of variation in ovarian reserve is due to age alone, [18] making age the most important factor in female infertility.
The prevalence of uterine malformation is estimated to be 6.7% in the general population, slightly higher (7.3%) in the infertility population, and significantly higher in a population of women with a history of recurrent miscarriages (16%). [5]
For those who after weight loss still are anovulatory or for anovulatory lean women, ovulation induction to reverse the anovulation is the principal treatment used to help infertility in PCOS. Letrozole and Clomiphene citrate are the first-line treatment in subfertile anovulatory patients with PCOS. [12]
Women's health differs from that of men's health in many unique ways. Women's health is an example of population health, where health is defined by the World Health Organization (WHO) as "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity". [1]