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Sept 25, 1967

Management of Infertility

Author Affiliations

From the Department of Obstetrics and Gynecology, University of Chicago School of Medicine.

JAMA. 1967;201(13):1030-1037. doi:10.1001/jama.1967.03130130056014

One husband and wife among every ten are incapable of initiating pregnancy, and the reproductive efforts of another 10% of married couples are vitiated by repeated abortion. Inability to have children is thus a major problem in this country, and adequate care for the 3,500,000 infertile couples can be rendered only if family physicians participate in their management. Accordingly, it seems fitting to describe the consensus on the diagnosis and treatment of infertility, in the hope that generalists will be prompted to interest themselves in this challenging sector of medical practice.

Terminology: Infertility and Sterility  In current usage, "infertility" denotes the inability of a husband and wife to procreate. The condition is considered "primary" if no children have been produced and "secondary" if it arises after the birth of a viable offspring. "Sterility" is usually reserved to describe the state of a person whose reproductive incapability has been judged irreversibile.