Who receives a medical evaluation for infertility in the United States?

Fertility and Sterility
Leslie V FarlandStacey A Missmer

Abstract

To investigate characteristics of receiving a medical evaluation for infertility among infertile women. Prospective cohort. Academic institution. A total of 7,422 women who reported incident infertility between 1989 and 2009 in the Nurses' Health Study II. None. Report of receiving a medical evaluation for infertility. Approximately 65% of women who reported infertility had a medical evaluation for infertility. Infertile women who were parous (relative risk [RR] = 0.81, 95% confidence interval [CI] 0.78-0.84), older, current smokers (RR = 0.89, 95% CI 0.83-0.96), or who had a higher body mass index (BMI) were less likely to report receiving a medical infertility evaluation. Infertile women who exercised frequently, took multivitamins (RR = 1.03, 95% CI 1.00-1.07), lived in states with comprehensive insurance coverage (RR = 1.09, 95% CI 1.00-1.19), had a high household income, or who had a recent physical examination (RR = 1.15, 95% CI 1.06-1.24) were more likely to report receiving a medical infertility evaluation. These findings highlight demographic, lifestyle, and access barriers to receiving medical infertility care. Historically, the discussion of barriers to infertility care has centered on financial access, geographic ac...Continue Reading

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Citations

Nov 12, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Homa AhmadziaAlexis C Gimovsky
Aug 14, 2019·Obstetrics and Gynecology·Leslie V FarlandStacey A Missmer
May 10, 2017·Human Reproduction·A M van OersUNKNOWN LIFEstyle study group
Jan 27, 2019·Nature Reviews. Disease Primers·Cynthia M FarquharJacky Boivin
Oct 17, 2017·Current Epidemiology Reports·Carmen Messerlian, Audrey J Gaskins
Oct 29, 2020·Journal of Epidemiology and Community Health·Sarah R HoffmanWhitney R Robinson
Jan 14, 2021·The Journal of Nutrition·Audrey J GaskinsUNKNOWN EARTH Study Team
Dec 18, 2019·Fertility and Sterility·Katherine Tierney, Yong Cai
Mar 1, 2020·Current Obstetrics and Gynecology Reports·Leslie V FarlandStacey A Missmer

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