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. 2016 Aug 1;20(3):99-106.
doi: 10.5935/1518-0557.20160024.

Age and Fertility: A Study on Patient Awareness

Sara Deatsman  1 , Terrie Vasilopoulos  2 , Alice Rhoton-Vlasak  1
Affiliations

Age and Fertility: A Study on Patient Awareness

Sara Deatsman et al. JBRA Assist Reprod. .

Abstract

Objective: Fertility declines as women age. Advancing maternal age increases pregnancy risks such as diabetes or hypertension. Studies suggest women are not aware of the risks of aging on fertility and pregnancy. The study objective was to assess women's knowledge of fertility and reproductive outcomes affected by aging.

Methods: Prospective IRB approved survey of women (n=94) attending an obstetrics and gynecology (OB/GYN) clinic. Data collected included demographics, pregnancy history, and knowledge of age-related fertility decline and pregnancy risks. Statistical analysis performed using JMP Pro11.0.

Results: Ages ranged from 18 to 67. One third (30.5%) were aware fertility begins to decline at age 35, however this varied among groups depending on prior history of infertility or requiring fertility treatment. Nulliparous women were more unaware of the health risks of pregnancy over age 35 (1.4% vs 13.6%, P 0.02). African Americans (AA) women were less likely to think obesity (76% Caucasian vs 47.8% AA vs 66.7% other, P < 0.05) and older age (88% Caucasian vs 60.9% AA vs 82.7% other, P 0.02) affected fertility.

Conclusion: Knowledge regarding fertility and reproduction related to aging was variable and differed by age and race. Difficulty conceiving appears to be associated with higher knowledge levels. Public education will increase awareness of age-related fertility declines. Increased contact during pregnancy is an excellent opportunity to educate women in a nondirective way.

Keywords: Advanced maternal age; Fertility; Infertility.

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Conflict of interest statement

CONFLICT OF INTERESTS No conflict of interest have been declared.

Figures

Figure 1
Figure 1
Awareness of Health Risks in Pregnancy over Age 35. Proportion who reported knowing pregnancy after 35 was a risk factor for the given health issue.
Figure 2
Figure 2
Racial Differences in Awareness of Factors that Could Affect Fertility. Proportion who reported knowing the given risk factor could affect fertility.
Figure 3
Figure 3
Racial Differences in Awareness of Health Risks in Pregnancy over Age 35. Proportion who reported knowing pregnancy after age 35 was a risk factor for the given health issue.
See this image and copyright information in PMC

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