Infertility care among OEF/OIF/OND women Veterans in the Department of Veterans Affairs

Medical Care
Kristin M MattocksCynthia Brandt

Abstract

An increasing number of young women Veterans seek reproductive health care through the VA, yet little is known regarding the provision of infertility care for this population. The VA provides a range of infertility services for Veterans including artificial insemination, but does not provide in vitro fertilization. This study will be the first to characterize infertility care among OEF/OIF/OND women Veterans using VA care. We analyzed data from the OEF/OIF/OND roster file from the Defense Manpower Data Center (DMDC)-Contingency Tracking System Deployment file of military discharges from October 1, 2001-December 30, 2010, which includes 68,442 women Veterans between the ages of 18 and 45 who utilized VA health care after separating from military service. We examined the receipt of infertility diagnoses and care using ICD-9 and CPT codes. Less than 2% (n=1323) of OEF/OIF/OND women Veterans received an infertility diagnosis during the study period. Compared with women VA users without infertility diagnosis, those with infertility diagnosis were younger, obese, black, or Hispanic, have a service-connected disability rating, a positive screen for military sexual trauma, and a mental health diagnosis. Overall, 22% of women with an in...Continue Reading

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Citations

Sep 6, 2015·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Clara WagnerKristin Mattocks
Sep 19, 2017·Current Urology Reports·Michael FenstermakerJames M Dupree
Sep 16, 2017·Journal of General Internal Medicine·Elisheva R DananTimothy J Wilt
Nov 28, 2018·Journal of Women's Health·Rachel P GoossenAnne G Sadler
Aug 2, 2019·Current Diabetes Reports·Dora Lendvai WischikRobin Whittemore
Dec 13, 2017·Qualitative Health Research·Andrea M Shamaskin-GarrowaySally G Haskell
Oct 2, 2020·Medical Care·Philip W ChuiRonald G Hauser

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