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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Conclusion The periconceptional environment and lifestyle factors modify sperm epigenome. This alteration might be maintained in the zygote and throughout development, thereby leading to the inheritance of newly acquired pathologies. The role of sperm miRNA, not only as innovative markers of fertility issues but also as vectors involved in the inheritance of paternal diseases, appears to be crucial. Overweight and obesity seem to alter sperm miRNA profile, thereby leading to transmission of different miRNA profiles in zygote, with consequences on embryo development. In long term, metabolic disorders have been described in...
Source: Frontiers in Genetics - Category: Genetics & Stem Cells Source Type: research
In this study, a link between mitochondrial changes and infant temperament has also been suggested. Maternal psychosocial stress and lifetime trauma have been associated with decreased mitochondrial DNA copy number in the placenta (115, 116).IndividualityChronic stress links changes in the epigenetic landscape with health conditions (117). Different cell types are characterized by distinct patterns of gene expression due to developmental, environmental, physiological, and pathological reasons (117). Epigenetic mechanisms affect gene function in a dynamic way as a result of different environmental exposures during fetal dev...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Abstract The aim of this study was to investigate the relationship between marital quality and mental health during pregnancy. This cross-sectional study was conducted on 300 Iranian pregnant women. The ENRICH marital satisfaction subscales, levels of domestic violence, perceived social support, as well as depression and anxiety levels were assessed using a questionnaire. AMOS path analysis was used to explore the causal relationship and the mediating effect of social support among the variables of marital quality subscales and mental health. The results showed that, adjusted for age, the history of infertility an...
Source: Community Mental Health Journal - Category: Psychiatry Authors: Tags: Community Ment Health J Source Type: research
Conclusions There is insufficient evidence at present to propose that SSRIs reduce fertility or influence infertility-treatment outcomes. SSRIs may have an adverse impact on sperm quality, but further research is warranted.
Source: Harvard Review of Psychiatry - Category: Psychiatry Tags: Reviews Source Type: research
“How do you envision your family looking?” My face crumpled and tears fell from my eyes as soon as the young doctor asked me this question. I reflexively reached for a tissue to cover my face and erase the signs of weakness. “I don’t know,” I said. “I just want to be able to have a family someday.” I was in a fertility clinic for an initial consultation about egg freezing. Of the people in the waiting room, I was the odd one out: a single woman among couples struggling to have children. As a surgeon, I can’t honestly say I have spent a lot of time looking for a partner. I&rsq...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Sex/Relationships Source Type: news
Authors: Goto A, Tsugawa Y, Fujimori K Abstract BACKGROUND: Little is known about the association between the anxiety toward the effects of radiation on reproduction caused by the Fukushima nuclear accident and the birth rate of people in Fukushima. Therefore, we examined changes and associated factors of future pregnancy intention among mothers in Fukushima Prefecture. METHODS: Using data from three postal surveys among women who registered their pregnancies in the prefecture (N = 6,751 in 2012, N = 6,871 in 2013, and N = 6,725 in 2014), we analyzed the factors associated with women's intention of future pregn...
Source: Journal of Epidemiology - Category: Epidemiology Tags: J Epidemiol Source Type: research
Polycystic ovary syndrome (PCOS) is a complex endocrine condition that represents a lifelong health concern for 1 in 10 women worldwide.1 PCOS is commonly diagnosed by the presence of ovulatory dysfunction, androgen excess, and/or ovaries with polycystic morphology on ultrasound examination.2 Half of patients experience overweight or obesity.3 Most are at increased risk for serious comorbidities, including infertility, pregnancy complications (eg, gestational diabetes mellitus), impaired glucose tolerance, insulin resistance, type 2 diabetes mellitus, cardiovascular disease, gynecological cancers, anxiety, depression, eati...
Source: Journal of the American Dietetic Association - Category: Nutrition Authors: Tags: Research Source Type: research
Abstract There has been increasing interest in the psycho-socio-relational and sexual disorders of infertility, as the risk of psychological burden among infertile men with sexual dysfunctions is significant. The purpose of this study was to develop and to validate a predictive model to estimate individual psychological burden among infertile men with sexual dysfunction and study the association between them. Comprehensive data were collected for infertile men (n = 480) who sought treatment for infertility in a reproductive medicine center between June 2012 and December 2013. Using independent predictors of psycho...
Source: Asian Journal of Andrology - Category: Urology & Nephrology Authors: Tags: Asian J Androl Source Type: research
ConclusionThis program was evaluated positively. The AALS, PTGI ‐J, EPDS, and STAI showed significant change after the program and the AALS, PTGI‐J, and STAI‐J showed significant correlations with the CNSS.
Source: Japan Journal of Nursing Science - Category: Nursing Authors: Tags: ORIGINAL ARTICLE Source Type: research
It's completely normal for all IVF patients to be anxious because you don't know how well the cycle is going to grow, whether you're going to grow eggs, how good your quality of embryos is going to be, or whether you're going to get pregnant or not. There's a lot of suspense and uncertainty, and of course this will cause anxiety and stress, and this is fine. Every IVF patient goes through it. After all, no one enjoys going through an IVF cycle. The good news is that the stress will not affect your chances of getting pregnant. It will not affect growth of follicles. It will not affect fertilization. So either way, don't fee...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
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