title: Age and Fertility: A Study on Patient Awareness.
abstract: Fertility declines as women age. Advancing maternal age increases pregnancy risks such as diabetes or hypertension. Studies suggest women are not aware of the risks of aging on fertility and pregnancy. The study objective was to assess women's knowledge of fertility and reproductive outcomes affected by aging.
  
  
  
  Prospective IRB approved survey of women (n=94) attending an obstetrics and gynecology (OB/GYN) clinic. Data collected included demographics, pregnancy history, and knowledge of age-related fertility decline and pregnancy risks. Statistical analysis performed using JMP Pro11.0.
  
  
  
  Ages ranged from 18 to 67. One third (30.5%) were aware fertility begins to decline at age 35, however this varied among groups depending on prior history of infertility or requiring fertility treatment. Nulliparous women were more unaware of the health risks of pregnancy over age 35 (1.4% vs 13.6%, P 0.02). African Americans (AA) women were less likely to think obesity (76% Caucasian vs 47.8% AA vs 66.7% other, P < 0.05) and older age (88% Caucasian vs 60.9% AA vs 82.7% other, P 0.02) affected fertility.
  
  
  
  Knowledge regarding fertility and reproduction related to aging was variable and differed by age and race. Difficulty conceiving appears to be associated with higher knowledge levels. Public education will increase awareness of age-related fertility declines. Increased contact during pregnancy is an excellent opportunity to educate women in a nondirective way.
authors: Department of Obstetrics and Gynecology. Division of Reproductive Endocrinology and Infertility. University of Florida.
authors: Sara
authors: S
authors: Deatsman
authors: Department of Anesthesiology, University of Florida, Gainesville, Florida.
authors: Terrie
authors: T
authors: Vasilopoulos
authors: Department of Obstetrics and Gynecology. Division of Reproductive Endocrinology and Infertility. University of Florida.
authors: Alice
authors: A
authors: Rhoton-Vlasak
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D005298:Fertility; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007247:Infertility, Female; D008423:Maternal Age; D008875:Middle Aged; D011446:Prospective Studies; D044469:Racial Groups / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Advanced maternal age; Fertility; Infertility