title: The Fertility Assessment and Counseling Clinic - does the concept work? A prospective 2-year follow-up study of 519 women.
abstract: BACKGROUND
  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.
  
  
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
authors.forename: Kathrine
authors.identifier: http://orcid.org/0000-0003-2778-5306
authors.initials: K
authors.lastname: Birch Petersen
authors.affiliation: Section of Biostatistics, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Thomas
authors.initials: T
authors.lastname: Maltesen
authors.affiliation: Section of Biostatistics, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Julie L
authors.identifier: http://orcid.org/0000-0001-7368-0869
authors.initials: JL
authors.lastname: Forman
authors.affiliation: Department of Gynecology and Obstetrics, Copenhagen University Hospital, Hvidovre Hospital, Copenhagen, Denmark.
authors.forename: Randi
authors.initials: R
authors.lastname: Sylvest
authors.affiliation: Department of Gynecology and Obstetrics, Copenhagen University Hospital, Hvidovre Hospital, Copenhagen, Denmark.
authors.forename: Anja
authors.identifier: http://orcid.org/0000-0002-8340-104X
authors.initials: A
authors.lastname: Pinborg
authors.affiliation: Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
authors.forename: Elisabeth C
authors.identifier: http://orcid.org/0000-0001-8178-1424
authors.initials: EC
authors.lastname: Larsen
authors.affiliation: Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
authors.forename: Kirsten T
authors.identifier: http://orcid.org/0000-0001-8830-513X
authors.initials: KT
authors.lastname: Macklon
authors.affiliation: Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
authors.forename: Henriette S
authors.identifier: http://orcid.org/0000-0003-2106-8103
authors.initials: HS
authors.lastname: Nielsen
authors.affiliation: Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
authors.forename: Helene W
authors.initials: HW
authors.lastname: Hvidman
authors.affiliation: Copenhagen University Hospital, Rigshospitalet, Fertility Clinic, Copenhagen, Denmark.
authors.forename: Anders
authors.initials: A
authors.lastname: Nyboe Andersen
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003376:Counseling; D003718:Denmark; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000523:psychology*; D017063:Outcome Assessment, Health Care; D011247:Pregnancy; D018873:Pregnancy Rate; D011446:Prospective Studies; D012309:Risk-Taking; D011795:Surveys and Questionnaires; D014932:Women's Health Services
keywords: Anti Müllerian hormone; education; fertility; infertility; pregnancy