Infertiltiy in Moldova: evidence from the generations and gender survey

Abstract

Statistical analysis on the topic of infertility issues in Moldova will improve understanding of infertility causes and treatment-seeking. Data for this research come from the Generations and Gender Survey (GGS), which was conducted in 2020 in Moldova. The GGS covers topics related to fertility behavior, intention to have children, infertility disease and treatment, and other issues. Statistical analysis includes crosstabulations, and bivariate and multivariate logistic regressions. Approximately 12% of the sampled population ages 15-49 have had trouble conceiving in 12 months, and about 9% of the population indicates they are either definitely or probably not able have a/another baby. Reports of infertility are highest among women aged 40 and over, and secondary infertility appears to be more prevalent than primary infertility. Most individuals reporting infertility have no diagnosed cause for their infertility and almost three-quarters of the population who said they are definitely or probably not able to have a baby have done “nothing” to treat their infertility. Results indicate that individuals in the sample favor delayed and/or spaced childbearing, which may result in fertility challenges as they attempt to achieve their desired fertility later in life. The high prevalence of undiagnosed infertility may be the result of a lack of interest in having more children, or lack of information or access to infertility services. This research also revealed an absence of treatment-seeking behavior which may also be due to social, physical or financial barriers.