Evidence map›Paper›PMID 40817366›Full record

ArticleJournal of assisted reproduction and genetics2025

Global, regional, and national burden and trend of infertility and its subtypes from 1990 to 2021, with projections to 2035.

Xi Cheng, Jinzhao Ma, Wenhua Wang, Xiting Cai, Biying Li, Li Chen, Bing Yao

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xi Cheng *Department of Reproductive Medicine, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, No.305 Zhongshan East Road, Xuanwu District, Nanjing, 210002, China.
Jinzhao Ma *Department of Reproductive Medicine, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, No.305 Zhongshan East Road, Xuanwu District, Nanjing, 210002, China.
Wenhua WangDepartment of Reproductive Medicine, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, No.305 Zhongshan East Road, Xuanwu District, Nanjing, 210002, China.
Xiting CaiDepartment of Reproductive Medicine, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, No.305 Zhongshan East Road, Xuanwu District, Nanjing, 210002, China.
Biying LiDepartment of Reproductive Medicine, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, No.305 Zhongshan East Road, Xuanwu District, Nanjing, 210002, China.
Li ChenDepartment of Reproductive Medicine, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, No.305 Zhongshan East Road, Xuanwu District, Nanjing, 210002, China. chenli1978@nju.edu.cn.
Bing YaoDepartment of Reproductive Medicine, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, No.305 Zhongshan East Road, Xuanwu District, Nanjing, 210002, China. yaobing@nju.edu.cn.ORCID http://orcid.org/0000-0002-3420-2220

Funding

Annual Foundation of Nanjing Jinling Hospital 22LCYY-QH5Jiangsu Provincial Medical Key Discipline Cultivation Unit JSDW202215National Key Research and Development Program 2024YFC2706800National Natural Science Foundation of China 82101757National Natural Science Foundation of China 82274651
6 · The paper itself

Abstract

purposeTo study the global, regional and national burden and trend of primary and secondary infertility, by sex and sociodemographic index (SDI), over the period 1990-2021.

methodsData on the prevalence and disability-adjusted life years (DALYs) due to infertility and its subtypes were retrieved from the GBD study 2021 for 204 countries and territories from 1990 to 2021. The counts and age-standardized rates are presented, along with their corresponding 95% uncertainty intervals (UIs). Estimated annual percentage changes (EAPCs) were computed using linear regression analysis. Decomposition analysis was conducted to determine the effects of population growth, aging, and epidemiological shifts on disease burden. Frontier analysis was performed to identify potential improvement areas and disparities among countries by development status. Bayesian age-period-cohort analysis (BAPC) predicted global lung cancer mortality from 2020 to 2035.

resultsGlobally, the age-standardized prevalence rate (ASPR) of infertility changed from 4071.04 (95% UI: 2660.05, 6223.25) per 100,000 in 1990 to 5030.42 (3207.13, 7918.99) per 100,000 in 2021, with the EAPC being 0.65. The age-standardized DALYs rate (ASDR) changed from 23.15 (8.91, 53.73) per 100,000 in 1990 to 28.54 (11.05, 67.94) per 100,000 in 2021, with the EAPC being 0.52. It is anticipated that the ASPR exhibits a downward trend for overall primary infertility, whereas they are expected to show an upward trend for overall secondary infertility by 2035, in comparison with 2021.

conclusionsGovernments and the public should recognize the magnitude of the issue of infertility and prioritize implementing targeted interventions and strategies to improve reproductive health worldwide.

Indexed as

InfertilityLung NeoplasmsAdultDisability-Adjusted Life YearsFemaleGlobal Burden of DiseaseGlobal HealthHumansMaleMiddle AgedPrevalenceDisability Adjusted Life YearsGlobal Burden of DiseaseInfertilityPrevalence

Identifiers

PMID40817366
PMCPMC12602761

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.