MSMR. 2013 Sep;20(9):8-12.
Infertility is the inability to become pregnant after one year of regular, unprotected sexual intercourse. Among active component service women, 16,807 received a diagnosis of female infertility during the 13-year surveillance period. The incidence rate of infertility diagnoses increased during the period, mainly due to increasing rates of infertility of unspecified origin. Infertility of tubal origin and anovulation were the most common specified types of infertility. Incidence rates of infertility were highest among women in their thirties; however, rates increased the most in women in their forties. Black, non-Hispanic women had the highest rates of infertility overall and in infertility of tubal and uterine origin. The higher rates among women in their thirties and forties may reflect high and increasing rates of clinical care seeking for infertility among women who elect to delay pregnancy until older ages and an increase in treatment options for women who have been unable to become pregnant.
不孕症是指在规律、未采取避孕措施的性生活一年后仍无法怀孕。在现役女性军人中,13年监测期内有16807人被诊断为女性不孕症。在此期间,不孕症诊断的发病率有所上升,主要原因是不明原因不孕症的发病率增加。输卵管性不孕和无排卵是最常见的特定类型不孕症。三十多岁的女性不孕症发病率最高;然而,四十多岁的女性发病率增长幅度最大。非西班牙裔黑人女性的总体不孕症发病率以及输卵管性和子宫性不孕症发病率最高。三十多岁和四十多岁女性的较高发病率可能反映出选择推迟怀孕至较高年龄的女性寻求不孕症临床治疗的比例较高且不断增加,以及无法怀孕的女性的治疗选择有所增加。