25 Million U.S. Women Lack Easy Access To Infertility Clinics

A whopping 25 million women in America lack easy access to clinics that specialize in infertility treatment, according to a new study published in the journal Fertility and Sterility this week.  That means roughly 40 percent of women of reproductive age in this country live in an area with one assisted reproductive technology (ART) clinic ― or none at all. And yet infertility issues are common. One in eight couples in the U.S. experience them, one of study’s authors, Chithra Perumalswami, M.D., M.Sc., said in a news release. “Modern ART services are important for everyone to have access to if they need them, but this study shows how unevenly distributed they are,” Perumalswami said. “The situation is complicated by the fact that only 15 states have mandated some form of insurance coverage for fertility issues, and they all use varying definitions for what is covered.” The study’s authors acknowledged that some services related to getting pregnant are offered by a woman’s gynecologist. However, more advanced procedures like in-vitro fertilization (IVF) require seeing a specialist at an ART clinic.  Researchers compared data from the Centers for Disease Control and Prevention with 2010 census data. They found that 18.2 million women between the ages of 20 to 49 years old live in metropolitan areas with zero ART providers. The other 6.8 million women live in areas where there is only one ART provider to access, and there...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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For couples dealing with infertility, the cost of fertility treatment can be significant. While numerous variables need to be considered when estimating the cost of treatments like in vitro fertilization (IVF), estimates put the price on the order of...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Ob/Gyn Reproductive Medicine Source Type: blogs
Abstract OBJECTIVE: To ascertain whether stress biomarker and psychological indices of stress may predict both conception and miscarriage rates in women undergoing in-vitro fertilization/ intracytoplasmic sperm injection (IVF/ ICSI). DESIGN: Prospective observational study. SETTING: A university-affiliated tertiary hospital. POPULATION OR SAMPLE: Infertility women who were undergoing fresh or frozen IVF/ICSI cycles. METHODS: Subjects were recruited to (1) completed validated psychological questionnaires (visual analogue scale of stress, state trait anxiety inventory, perceived stress scale, fer...
Source: BJOG : An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Tags: BJOG Source Type: research
Abstract Psychosocial aspects of fertility, infertility, and assisted reproductive technology (ART) can significantly impact patients' sense of self-identity and personal agency, mental well-being, sexual and marital relationships, reproductive efficiency, compliance with treatment, and pregnancy outcomes. Research is needed to understand how stress, anxiety, depression, mood disorders, and psychotropic medications impact fertility and infertility treatment. The psychosocial implications of ART on our society include a shift toward older maternal age at conception, the complexities of third-party reproduction, and...
Source: The Medical Clinics of North America - Category: General Medicine Authors: Tags: Obstet Gynecol Clin North Am Source Type: research
CONCLUSION: These results add to our knowledge of the emotional state of women and their partners during pregnancy after infertility. This knowledge may allow prenatal care providers to offer specialized counselling to women and their partners in the transition from infertility to parenthood. PMID: 30100195 [PubMed - as supplied by publisher]
Source: Women Birth - Category: Midwifery Authors: Tags: Women Birth Source Type: research
Psychosocial aspects of fertility, infertility, and assisted reproductive technology (ART) can significantly impact patients ’ sense of self-identity and personal agency, mental well-being, sexual and marital relationships, reproductive efficiency, compliance with treatment, and pregnancy outcomes. Research is needed to understand how stress, anxiety, depression, mood disorders, and psychotropic medications impact ferti lity and infertility treatment. The psychosocial implications of ART on our society include a shift toward older maternal age at conception, the complexities of third-party reproduction, and considera...
Source: Obstetrics and Gynecology Clinics - Category: OBGYN Authors: Source Type: research
ConclusionResults cast doubt on the belief that distress impedes the success of infertility treatment, offering hope and optimism to the many women who feel emotionally responsible for the outcome of ART and informing the evidence-based practices of their health-care providers. We also identify specific areas and research methods needed to corroborate and extend study conclusions, including study of factors that elevate or attenuate distress in women undergoing infertility treatment.
Source: Social Science and Medicine - Category: Psychiatry & Psychology Source Type: research
You couldn’t get pregnant easily, and needed fertility treatments. You had a miscarriage. Or several. You developed complications during your pregnancy. You delivered your baby preterm. Every single one of Parijat Deshpande’s clients feels like their bodies have betrayed them because of the above reasons. Deshpande, MS, is a perinatal mind-body wellness counselor and high-risk pregnancy expert, who helps women navigate stress so they can manage pregnancy complications and give their baby a strong start to life. Psychologist Julie Bindeman, PsyD, works with women struggling with reproductive challenges, depressi...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction General Grief and Loss Health-related Mental Health and Wellness Self-Help Stress Women's Issues Betrayal Fertility miscarriage Parenthood Pregnancy Source Type: blogs
ConclusionResults cast doubt on the belief that distress impedes the success of infertility treatment, offering hope and optimism to the many women who feel emotionally responsible for the outcome of ART and informing the evidence-based practices of their health-care providers. We also identify specific areas and research methods needed to corroborate and extend study conclusions, including study of factors that elevate or attenuate distress in women undergoing infertility treatment.
Source: Social Science and Medicine - Category: Psychiatry & Psychology Source Type: research
Authors: Rooney KL, Domar AD Abstract The relationship between stress and infertility has been debated for years. Women with infertility report elevated levels of anxiety and depression, so it is clear that infertility causes stress. What is less clear, however, is whether or not stress causes infertility. The impact of distress on treatment outcome is difficult to investigate for a number of factors, including inaccurate self-report measures and feelings of increased optimism at treatment onset. However, the most recent research has documented the efficacy of psychological interventions in lowering psychological d...
Source: Dialogues in Clinical Neuroscience - Category: Neuroscience Tags: Dialogues Clin Neurosci Source Type: research
AbstractSTUDY QUESTIONDoes the provision of fertility (compared to control) information affect fertility-related knowledge, perceived threat of infertility, anxiety, physical stress and fertility plans in adolescents and emerging adults?SUMMARY ANSWERThe provision of fertility information was associated with increased fertility knowledge (emerging adults) and greater infertility threat (adolescents and emerging adults).WHAT IS KNOWN ALREADYAccording to fertility education research, adolescents and emerging adults know less than they should know about fertility topics. Fertility knowledge can be improved through the provisi...
Source: Human Reproduction - Category: Reproduction Medicine Source Type: research
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