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module menu icon Definition and epidemiology

Around 1 in 7 heterosexual couples in the UK seek advice at some time in their lives about difficulties in getting pregnant.1

The World Health Organization describes infertility as “a disease of the male or female reproductive system defined by the failure to achieve a pregnancy after 12 months or more of regular unprotected sexual intercourse.” A working definition of ‘regular’ is typically every two to three days.1,2

In the UK, more than 80% of couples (where the woman is aged 40 or under) will conceive within a year with regular sexual intercourse and no contraception, and 90% will conceive within two years.1

Potentially, 30% of infertility cases are due to the man alone, with low sperm count or quality behind 90% of these cases, and problems with ejaculation also significant. Another 20% of infertility cases involve both partners. Around 35% of cases involve just the woman, and 15% of cases are unexplained.3,4

For men, infertility is usually due to:2

  • ·     problems in the ejection of semen
  •      absence or low levels of sperm; and/or
  •      abnormal shape (morphology) and movement (motility) of the sperm.
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