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Table 3 Medical care pathway for infertilitya

From: Can men be trusted in population-based surveys to report couples’ medical care for infertility?

 

Respondent’s gender

P-Valueb

Male

Female

Who used medical care for infertility in the couple

0.12

 Woman alone

26% (19–34)

35% (30–40)

 

 Man alone

4% (2–9)

2% (1–6)

 

 Woman and man including:

70% (62–77)

63% (58–68)

 

  Together at the first consultation

52% (45–60)

38% (33–43)

 

  Woman first and the man later

17% (12–22)

24% (20–28)

 

  Man first and the woman later

0% (0–3)

1% (0–3)

 

  Don’t know in which order

0% (0–3)

1% (0–2)

 

Age of the respondent at the first consultationc

0.16

  < 25 years

8% (4–13)

16% (12–20)

 

 25–29 years

41% (33–49)

38% (33–43)

 

 30–34 years

33% (27–41)

30% (25–35)

 

 35–39 years

13% (9–19)

12% (9–17)

 

  ≥ 40 years

5% (3–9)

4% (3–8)

 

Length of couple’s infertility at the first consultation

0.32

  ≤ 11 months

42% (35–50)

39% (35–45)

 

 12 months

21% (16–28)

28% (24–33)

 

 13 to 24 months

26% (19–34)

21% (17–26)

 

  ≥ 25 months

10% (6–16)

11% (8–15)

 

First doctor consulted by the respondentd

< 0.001

 General practitioner

21% (15–29)

12% (9–16)

 

 Gynecologist

65% (56–72)

84% (80–88)

 

 Other specialty

14% (9–21)

4% (2–6)

 

Couple’s infertility checkupd

0.18

 None

2% (0–7)

4% (3–7)

 

 At least one exam including:

98% (93–100)

96% (93–97)

 

  Temperature curve

66% (57–74)

64% (58–69)

0.65

  Gynecologic examination

94% (87–97)

92% (89–95)

0.62

  Invasive female examinatione

42% (33–51)

45% (40–51)

0.52

  Post-coital test or cervical mucus

32% (24–41)

34% (29–39)

0.78

  Male genital examination

56% (48–65)

27% (22–32)

< 0.001

  Sperm analysis

86% (80–91)

57% (52–62)

< 0.001

  Hormonal checkup

81% (73–88)

64% (59–69)

< 0.001

  Sexual transmitted infection testing

61% (52–70)

52% (46–57)

0.08

Origin of the couple’s infertilityd

0.12

 Female

22% (16–30)

29% (25–34)

 

 Male

12% (7–18)

7% (5–10)

 

 Mixed (male and female)

5% (2–10)

3% (2–5)

 

 Unspecified

61% (53–69)

61% (56–66)

 

First doctor supportive with respondentd

0.83

 Absolutely

57% (48–66)

59% (53–64)

 

 Rather

26% (19–35)

24% (19–29)

 

 No

16% (11–24)

18% (14–22)

 

Topic(s) covered with the respondent during medical cared

 Sexual life

47% (38–55)

54% (48–59)

0.17

 Different treatments of infertility

64% (55–71)

58% (53–63)

0.29

 Adverse effects of treatments

46% (38–55)

43% (38–48)

0.55

 Adoption

18% (13–26)

15% (12–20)

0.44

 None of these topics

25% (18–33)

21% (17–25)

0.35

  1. aAmong respondents who used medical care for infertility themselves and/or their partners with a first consultation dating from 15 years previously or less. All percentages are weighted with 95% confidence intervals in brackets
  2. bP-value of the chi-square test comparing the female and male respondents’ distributions. To take into account the complex sampling design of the Fecond survey, the subpopulation option in Stata® was used for correct calculation of the standard errors of the estimates
  3. cAge of the respondent at the time of the couple’s first consultation, whoever (first) consulted, the respondent or his/her partner
  4. dItem asked only if the respondent had consulted him/herself
  5. eInvasive female examination included hysterosalpingogram, hysteroscopy and laparoscopy