Journal of Women's Health
Background: Fewer than 50% of women who meet the medical/behavioral criteria for infertility receive medical services. Estimating the number of women who both meet the medical/behavioral criteria for infertility and who have pro-conception attitudes will allow for better estimates of the potential need and unmet need for infertility services in the United States.
Methods: The National Survey of Fertility Barriers was administered by telephone to a probability sample of 4,712 women in the United States. The sample for this analysis was 292 women who reported an experience of infertility within 3 years of the time of the interview. Infertile women were asked if they were trying to conceive at the time of their infertility experience and if they wanted to have a child to determine who could be considered in need of services.
Results: Among U.S. women who have met medical criteria for infertility within the past three years, 15.9% report that they were neither trying to have a child nor wanted to have a child and can be classified as not in need of treatment. Of the 84.9% of infertile women in need of treatment, 58.1% did not even talk to a doctor about ways to become pregnant.
Discussion: Even after taking into account that not all infertile women are in need of treatment, there is still a large unmet need for infertility treatment in the United States. Conclusion: Studies of the incidence of infertility should include measures of both trying to have a child and wanting to have a child.
Original Publication Citation
Greil, A. L., Slauson-Blevins, K. S., Tiemeyer, S., McQuillan, J., & Shreffler, K. M. (2016). A new way to estimate the potential unmet need for infertility services among women in the United States. Journal of Womens Health, 25(2), 133-138. doi:10.1089/jwh.2015.5390
Greil, Arthur L.; Slauson-Blevins, Kathleen S.; Tiemeyer, Stacy; McQuilan, Julia; and Shreffler, Karina M., "A New Way to Estimate the Potential Unmet Need for Infertility Services Among Women in the United States" (2016). Sociology & Criminal Justice Faculty Publications. 25.