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The Fertility Assessment and Counseling Clinic - does the concept work? A prospective 2-year follow-up study of 519 women.
Birch Petersen, Kathrine; Maltesen, Thomas; Forman, Julie L; Sylvest, Randi; Pinborg, Anja; Larsen, Elisabeth C; Macklon, Kirsten T; Nielsen, Henriette S; Hvidman, Helene W; Nyboe Andersen, Anders.
Afiliación
  • Birch Petersen K; Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
  • Maltesen T; Section of Biostatistics, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  • Forman JL; Section of Biostatistics, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  • Sylvest R; Department of Gynecology and Obstetrics, Copenhagen University Hospital, Hvidovre Hospital, Copenhagen, Denmark.
  • Pinborg A; Department of Gynecology and Obstetrics, Copenhagen University Hospital, Hvidovre Hospital, Copenhagen, Denmark.
  • Larsen EC; Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
  • Macklon KT; Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
  • Nielsen HS; Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
  • Hvidman HW; Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
  • Nyboe Andersen A; Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
Acta Obstet Gynecol Scand ; 96(3): 313-325, 2017 Mar.
Article en En | MEDLINE | ID: mdl-27990627
INTRODUCTION: The Fertility Assessment and Counseling (FAC) Clinic was initiated to provide women with information about their current fertility status to prevent infertility and smaller families than desired. The aim was to study the predictive value of a risk assessment score based on known fertility risk factors in terms of time to pregnancy. MATERIAL AND METHODS: Prospective cohort study of the first 570 women attending the FAC Clinic from 2011 to 2013 at Rigshospitalet, Denmark. A consultation included: risk assessment score sheet with items on infertility risk factors, anti-Müllerian hormone and ultrasound. The risk score was categorized as low, medium or high. After 2 years an email-based questionnaire was distributed regarding subsequent pregnancies. RESULTS: The follow-up questionnaire was answered by 519 women (91.1%). The mean age was 35 years and 38% were single at inclusion. The majority (67.8%, 352/519) tried to conceive within 2 years after attending the FAC Clinic. At follow up, 73.6% (259/352) had achieved a pregnancy, 21% (74/352) were still trying and 5.4% (19/352) had given up. Two-thirds (65%) with only low risk scores conceived spontaneously within 12 months, although this figure was only 32% for women with at least one high risk score (n = 82). Accordingly, presence of at least one high risk score reduced the odds of achieving a pregnancy within 12 months by 75% (OR 0.25, 95% CI 0.12-0.52). CONCLUSION: The new FAC Clinic concept seems usable and offers a tool for fertility experts to guide women on how to fulfill their reproductive life-plan.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asunción de Riesgos / Consejo / Infertilidad Femenina Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Acta Obstet Gynecol Scand Año: 2017 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asunción de Riesgos / Consejo / Infertilidad Femenina Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Acta Obstet Gynecol Scand Año: 2017 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Estados Unidos