[Measuring a couple's fertility before prescription of a contraceptive method?]. / Bilan de fertilite du couple avant la prescriptiom d'une methode contraceptive?

ABSTRACT

PIP Statistics show that 10-15% of couples recurr to their physician for reasons of infertility. The problem is complicated by the fact that many couples are not aware of their infertility, or their low fertility, thus they seek contraception for a certain number of years instead of being treated for the opposite reason. Risk of fecundity is only 25% every cycle in a young couple, and this rate decreases rapidly with the age of the woman, and, probably, of the man. In case of feminine sterility surgical treatment is sometime possible; in case of oligospermia, the number of cycles of exposition is possibly the determinant for the fertility of the couple. couples who are knowingly hypofertile should strongly be discouraged to use constraception, even for a short period of time.^ieng