Towards less confusing terminology in reproductive medicine: a proposal

被引:66
作者
Habbema, JDF
Collins, J
Leridon, H
Evers, JLH
Lunenfeld, B
te Velde, ER
机构
[1] Univ Med Ctr Rotterdam, Erasmus MC, Dept Publ Hlth, NL-3000 DR Rotterdam, Netherlands
[2] McMaster Univ, Dept Obstet & Gynecol, Hamilton, ON, Canada
[3] Dalhousie Univ, Dept Obstet & Gynaecol, Halifax, NS, Canada
[4] Hop Bicetre, INSERM INED U569, IFR Epidemiol Demog & Social Sci, Le Kremlin Bicetre, France
[5] Maastricht Univ, Res Inst GROW, Dept Obstet & Gynecol, Maastricht, Netherlands
[6] Acad Ziekenhuis Maastricht, Maastricht, Netherlands
[7] Bar Ilan Univ, Fac Life Sci, IL-52900 Ramat Gan, Israel
[8] Univ Med Ctr, Dept Reprod Med, Div Perinatol & Gynaecol, Utrecht, Netherlands
关键词
fecundity; infertility; prognostic grading system; subfertility; terminology;
D O I
10.1093/humrep/deh303
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
The use of the term 'infertility' and related terms in reproductive medicine is reviewed. Current terminology is found to be ambiguous, confusing and misleading. We recommend that the fertility investigation report of a couple should consist of statements concerning description, diagnosis and prognosis. The description concerns the duration of non-pregnancy before consulting the clinician. A system for prognostic grading is proposed. The fertility investigation report forms the basis for further action, including the possibility of waiting with treatment in case of almost normal or only slightly reduced fertility. The use of the terms infertility, subfertility and fecundity is not necessary, and it is recommended to avoid them.
引用
收藏
页码:1497 / 1501
页数:5
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