Divorce or end of cohabitation among Danish women evaluated for fertility problems

Abstract

Objective Couples with fertility problems may experience marital or sexual distress which could potentially result in dissolved relationships. We investigated the likelihood of ending a relationship among women who did not have a child after a fertility evaluation. Design Longitudinal cohort study. Setting Danish women ever referred for primary or secondary fertility problems to a public Danish hospital or private fertility clinic between 1990 and 2006. Population A total of 47 515 women. Methods The data were linked to Danish administrative population-based registries containing demographic and socioeconomic information. Discrete-time survival models were used with person-period data. Each woman was followed from the year of her initial fertility evaluation through to 2007. Main outcome measures Effects of parity after a fertility evaluation on the likelihood of ending a marital or cohabitation relationship. Results After up to 12 years of follow up, nearly 27% of the women were no longer living with the person with whom they had lived at the time of the fertility evaluation. Women who did not have a child after the evaluation had significantly higher odds ratios for ending a relationship up to 12 years after the evaluation (with odds ratios up to 3.13, 95% CI 2.88-3.41) than women who had a child, regardless of their parity before the evaluation. Conclusions Parity after a fertility evaluation may be an important component in the longitudinal relationships of couples with fertility problems. Studies with detailed information on marital quality and relational well-being of couples with fertility problems are needed. © 2014 Nordic Federation of Societies of Obstetrics and Gynecology.