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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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
Lots of IVF doctors are very trigger happy, and make a diagnosis which is completely inaccurate. For example, they will do an ultrasound scan for a patient on the fifth or sixth day of the cycle and notice at that time that the follicles are small or the endometrium is thin , and then tell her, "Oh, your thin endometrium means that you most probably have endometrial tuberculosis, and you need investigation and treatment for this." This is plainly ridiculous ! On Day 6, most fertile women will have small follicles , because they haven't started growing yet , as a result of which their estrogen levels are goin...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Tags: IVF diagnosis IVF misdiagnosis IVF overdiagnosis IVF tests Source Type: blogs
Vaginal ultrasound is an extremely useful tool when evaluating an infertile woman, but it often bothers me because there are some sonographers who over interpret the scan images. Now, I like the fact that they are careful and systematic, and document everything they see by taking lots of images. However, I hate the fact that draw clinical conclusions based on the black and white images they see on the screen - and they shouldn't be doing this.Their reports will say things like, " There are adhesions between the ovary and the uterus"; " There is a 3 cm endometriotic cyst"; the fallopian tubes a...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
Follow me on Twitter @mallikamarshall When I was about 10 years old, my mother had me take a puff on an unfiltered Camel cigarette in an effort to discourage me from smoking in the future. Well, needless to say, it worked. After coughing and sputtering for what seemed like hours, I have never touched another cigarette. While I am in no way suggesting that parents follow in my mother’s footsteps (in fact I would strongly discourage it), as a pediatrician and parent myself I want to ensure that children and teens never take that first puff. But in fact, the majority of smokers in the US begin smoking in their youth. Ac...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Heart Health Lung disease Prevention Smoking cessation Source Type: blogs
The majority of legal abortions performed in the U.S. are safe, free of complications and devoid of long-term health effects, according to a comprehensive new report. A committee assembled by the National Academies of Sciences, Engineering, and Medicine analyzed available data on abortion safety, quality and care. The resulting report, published Friday, says the four major abortion methods used in the U.S. — medication, aspiration, induction and dilation and evacuation (D&E) — are all safe and effective, and that complications are rare. The vast majority of U.S. abortions — 90% — are also performed ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized healthytime onetime Reproductive Health Source Type: news
ConclusionInfertile couples may benefit from psychiatric evaluation and treatment of both partners. This article investigates the connection between stress, anxiety and depression and IVF failure in infertile couples and identifies underlying cytokine pathways.
Source: American Journal of Reproductive Immunology - Category: Allergy & Immunology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Most patients are understandably wary about signing up for any surgical treatment options which a doctor offers, because they understand that these treatments can be expensive and can have side effects. This is why they take a long time before providing consent for any invasive treatment. Unfortunately, they don't utilize the same skepticism when the doctor advises a panel of tests.It is this unwillingness to question the need for tests which causes so many problems today. The fact of the matter is that too many doctors these days order too many tests. A lot of these tests are unnecessary, because they don't provide a...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
ConclusionsFP for oncology patients is a positive strategy. The women in this study felt that FP was a worthwhile process and that the security of having undergone FP brought them peace during oncological treatment and contributed to their quality of life.
Source: Journal of Assisted Reproduction and Genetics - Category: Reproduction Medicine Source Type: research
AbstractSTUDY QUESTIONIs adherence to the Mediterranean diet (MedDiet) associated with better IVF performance in women attempting fertility?SUMMARY ANSWERGreater adherence to the MedDiet, defined using the validated Mediterranean diet score (MedDietScore), was associated with a higher likelihood of achieving clinical pregnancy and live birth among non-obese women
Source: Human Reproduction - Category: Reproduction Medicine Source Type: research
Being infertile is bad enough, and an IVF cycle is stressful because you are never sure whether it's going to work or not. Not only is the uncertainty difficult to handle, the fact that it's so expensive just adds to your anxiety. While we can't reduce the uncertainty which plagues IVF , the tragedy is that IVF doctors often add insult to injury , by making the treatment unnecessarily stressful .For one thing, they subject patients to lots of useless tests, which are completely unnecessary , because they don't change the treatment options we can offer to patients. They justify these by doing it under the garb of being &quo...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
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