Why Do Many Women Don't Get Pregnant? Research Suggests Where Couples Live Could be the Main Reason

The research measured "fecundability," the monthly possibility of getting pregnant, among couples who attempt to conceive minus the use of fertility treatment.

As indicated in a EurekAlert! report, people living in socioeconomically deprived communities are approximately 20 percent less likely to get pregnant in any given menstrual cycle than those living in neighborhoods with more resources.

In this study, researchers compared neighborhoods according to their area deprivation index score, a gauge for socioeconomic resources in a community.

As a result, the study authors discovered that even among the somewhat wealthy, highly educated study population, people living in more deprived neighborhoods had lower fecundability rates than those residing in higher-opportunity neighborhoods.

Pregnant Woman
Researchers cite income, education level, and access to health care as among the factors for many women’s failure to get pregnant. Pexels/Garon Piceli


Neighborhood Affecting Fertility

Essentially, the world of fertility studies is starting to investigate factors linked to built environments. Dozens of studies look at how the neighborhood environment is linked to adverse birth outcomes, although the pre-conception period is greatly understudied from a constructional standpoint.

According to postdoctoral Mary Willis, also a postdoctoral scholar in OSU's College of Public Health and Human Sciences, it turns out that before one is even conceived, there may be things impacting his health.

Public health research in the past ten years has emphasized the essentiality of social determinants of health and the notion that the ZIP code is the greatest forecaster for general life expectancy, according to factors such as income, employment rates, access to health care, access to safe water, and level of education.

However, explained Willis, the concept the neighborhood is impacting fertility has not been examined in depth. In addition, she also said that the world of infertility is largely concentrated on individual factors.

Conceiving Minus Use of Fertility Treatment

Consequently, she explained, when she came into this research published in the Environmental Health journal, as an environmental epidemiologist, she thought they should look at it as a structural problem.

The study leveraged data from ongoing research by Boston University, PRESTO, or the Pregnancy Study Online.

Scientists examined a cohort of over 6,350 individuals ranging from 21 to 45 years old, trying to conceive minus the use of any fertility treatment, in data collected from 2013 to 2019.

Reduction in Fecundability

In this Oregon State University research, the authors found that participants in the most-deprived communities based on the national rankings comprised a 19-to-21-percent reduction in fecundability compared with those in the least-deprived neighborhoods.

According to within-state rankings, the most-deprived communities saw a 23 to 25 percent reduction in fecundability compared with the least-deprived sites.

Most people in the group were white and had finished a four-year course in college. They were also earning over $50,000 each year.

Willis also explained that they see the same outcome on the state and national levels, demonstrating that neighborhood deprivation can affect reproductive health, including fertility.

Approaching fertility studies from a structural viewpoint might help reduce or prevent infertility as a whole, she elaborated, specifically because fertility treatments are expensive and typically only accessible to couples with substantial resources.

This research concludes that investments in deprived neighborhoods to deal with socioeconomic disparities may produce positive benefits for fertility.

Related information about the chances of getting pregnant is shown on The Doctors' YouTube video below:

Check out more news and information on Pregnancy in Science Times.

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