Infertility is a common problem

Infertility is a medical condition where someone has the inability to naturally conceive a child. Infertility affects a large and growing number of people in the U.S.*

1. Infertility. (2016, July 15). Retrieved January 19, 2017, from http://www.cdc.gov/nchs/fastats/infertility.htm

2. Just the Facts: LGBT Data Overview 2015. (2015). Retrieved January 19, 2017, from http://williamsinstitute.law.ucla.edu/datablog/just-the-facts-data-overview_2015/

3. RMANJ. (2015). INFERTILITY IN AMERICA 2015 SURVEY AND REPORT. Retrieved January 19, 2017, from http://www.rmanj.com/wp-content/uploads/2015/04/RMANJ_Infertility-In-America-SurveyReport-_04152015.pdf

People are delaying having children

The biological clock is real. A woman’s most fertile years to bear children are in her teens and 20’s, but these years are now often spent attending college, building careers, and beginning relationships. As a result, women are having children later in life. In 2012, 1 in 5 women had their first child at age 35 years or older, let alone their second or third child.1 But the problem is, as a woman gets older, her egg quality and quantity declines and so does her ability to conceive. In addition, she has a higher chance of suffering a miscarriage.2 In fact, 75% of 45 year old women will experience a miscarriage compared to the 9% of women in their early to mid-20’s.2

1. Gray, B. B. (2014, May 09). More Women Delaying First Pregnancy: CDC. Retrieved January 19, 2017, from https://consumer.healthday.com/senior-citizen-information-31/age-health-news-7/more-women-delaying-first-pregnancy-cdc-687630.html

2. Andersen, A. N. (2000). Maternal age and fetal loss: population based register linkage study. Bmj, 320(7251), 1708-1712. doi:10.1136/bmj.320.7251.170

The consequences of infertility

  • Infertility creates a tremendous burden financially, emotionally and physically.
  • Fertility treatments are costly. The average cost for ONE IVF cycle in the U.S. is $15,000.1
  • Plus, you need to factor in the cost of drugs ($5,000 – $10,000 per cycle) and an initial consultation with diagnostic testing ($3,000).
  • A single IVF cycle could represent 50% of an average person’s annual disposable income.2
  • And often multiple rounds of treatments are typically needed.3

1 Sable, D. (2016, February 24). Why More Americans Don’t Get IVF Treatment. Retrieved from http://www.forbes.com/sites/davidsable/2016/02/24/the-million-ivf-cycles-that-we-should-be-doing-but-were-not/#672df7304bc9

2 Chambers GM, Sullivan EA, Ishihara O, Chapman MG, Adamson GD. The economic impact of assisted reproductive technology: a review of selected developed countries. Fertil Steril 2009;91:2281–94.

3 Katz P, Showstack J, Smith JF, Nachtigall RD, Millstein SG, Wing H, et al. Costs of infertility treatment: results from an 18-month prospective cohort study. Fertil Steril 2011;95:915–21.

Who is paying?

Most women and couples have no fertility coverages and pay for treatments out-of-pocket. Even for women with infertility coverage, it is not comprehensive and is capped at a fixed dollar benefit that is often exhausted mid-treatment. Women and couples are often compelled to transfer multiple embryos, which results in twins. In each case, because decision making is driven by financial considerations and not the best science, multiple births are common and employers have to pick up the bill for high-risk prenatal care, pregnancy complications, preterm delivery and NICU stays. In contrast, our coverage is designed to facilitate singleton births because it allows decision making to be based on the best, most effective treatments which are all covered under Progyny.

Source: Lemos, E. V., Zhang, D., Voorhis, B. J., & Hu, X. H. (2013). Healthcare expenses associated with multiple vs singleton pregnancies in the United States. American Journal of Obstetrics and Gynecology, 209(6). doi:10.1016/j.ajog.2013.10.005

Impact on the workplace

Beyond the costs of fertility treatment and unintended medical costs from multiple births, an employee’s infertility struggles can have a tremendous impact on workplace productivity, absenteeism, and employee retention.

Productivity

  • An employee suffering with infertility will most likely be stressed and depressed and not at optimal productivity.
  • In fact, 61% of people believe infertility is more stressful than divorce.1
  • While 50% of people trying to conceive for 2 years or more said they were depressed most or all of the time.2

Absenteeism

  • For employees pregnant with multiple babies, there’s a 51.2% chance she’ll be hospitalized during pregnancy and over 58% took more than a week off from work.3

Retention

  • Inadequate fertility coverage will impact employee retention. 70% of millennials indicated they would change jobs for better fertility coverage. In today’s competitive environment for attracting talent, a robust fertility benefit will help you retain your most valuable employees.1
  • Also, according to a 2013 study, 55.8% of all mothers of twins took 9-12 months maternity leave, with 14.6% extending their leave beyond a year.3

1. RMANJ. (2015). INFERTILITY IN AMERICA 2015 SURVEY AND REPORT. Retrieved January 19, 2017, from http://www.rmanj.com/wp-content/uploads/2015/04/RMANJ_Infertility-In-America-SurveyReport-_04152015.pdf

2. Crawford, N. M., Hoff, H. S., & Mersereau, J. E. (2017). Infertile women who screen positive for depression are less likely to initiate fertility treatments. Human Reproduction. doi:10.1093/humrep/dew351

3. Mcaslan Fraser, E. (2013, March). Multiple Births Parents’ Experience of Maternity and Paternity Leave.