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Infertility Struggles? It’s Not Always a Woman’s Issue

Stories about couples struggling with infertility often feature the woman as the protagonist. But men also face fertility problems. At the Shady Grove facilities, men are part of the infertility problem in 40 to 50 percent of couples who come in, says Gilbert Mottla, a reproductive endocrinologist with Shady Grove in the District of Columbia. “It’s fairly common for us to find both [partners] are contributing to [infertility],” Mottla says. Less common, however, is to find that a man is the sole cause of infertility.

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IUDs Can Be Practical for Teenagers, But Pediatricians May Lack Training in their Use

When Wendy Swanson started out as a pediatrician eight years ago, it never crossed her mind to bring up the option of intrauterine devices — an insertable form of long-acting contraception — when she had her regular birth-control discussions with teenage patients who were sexually active.But Swanson’s approach changed after a casual conversation with her sister-in-law. This relative wasn’t a doctor, but she worked at the Adolescent Pregnancy Prevention Campaign of North Carolina, and she told Swanson that the devices could be used as a first choice of contraception for teenagers. Now Swanson regularly discusses IUDs, which are more than 99 percent effective, in her Seattle practice.

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Understanding the Worldwide Contraception Crisis

In the richer parts of the world, contraception is often seen as a vital means of maintaining control over one’s life, but the prospect of an unwanted pregnancy isn’t, for most people and for the most part, a life-and-death issue. That’s not true for women in less developed parts of the world, though; there, as the authors of a new study in Human Reproduction point out, citing World Health Organization research, “after becoming pregnant without intention, many of these women are presented with a stark set of scenarios: risk of death, disability and lower educational and employment potential.” Their children also face heightened risks of dying at a very young age.