Exploring Infertility Treatment Among Economically Active Married Women

Abstract

Purpose: This study aimed to assess the current landscape of infertility treatment among married women engaged in economic activities and analyze the associated factors.Methods: Using data from the 2021 National Family and Fertility Survey in Korea, this study included 1,772 married women aged 20–44 who participated in economic activities. General characteristics were compared based on participants’ experiences with infertility and the use of infertility treatments (assisted reproductive technology). Logistic regression analysis was used to identify the factors associated with infertility and infertility treatment.Results: Among the study participants, 325 had experienced infertility and 122 had undergone infertility treatment. The likelihood of infertility was higher in women aged ≥35 years and those with gynecological problems. Infertility treatment was more probable among infertile women over 40 years of age, with higher levels of education and household income, cohabiting with their spouse for 4–9 years, working less than 40 hours per week, and holding office jobs as opposed to service or sales workers. Respondents who underwent infertility treatment highlighted the following challenges: mental and social prejudice, physical discomfort, pain, financial burden, workplace factors, and time constraints.Conclusion: This study shows that biological factors are important in infertility and underscores the significance of workplace factors and socioeconomic characteristics in the decision to treat infertility. This emphasizes the need for research that supports women pursuing a career or education who encounter the challenges of infertility.