Congratulations to SGF Colorado Alex Polotsky, M.D., and Dr. Nanette Santoro, M.D., on the publication of this "Infertility Evaluation and Treatment" Clinical Practice article in NEJM Group!
Primary infertility is defined as a history of no previous conception, and secondary infertility is an inability to conceive after any previously documented pregnancy.?? ? As defined by the American Society for Reproductive Medicine (ASRM), any need for reproductive technology in order to conceive is meant to be inclusive of same-sex couples, single parents by choice, persons who want to freeze oocytes, and transgender persons.? ? Assisted conception accounts for 5% of U.S. births. Although in vitro fertilization (IVF) was invented to circumvent blockage of the fallopian tubes, the expected live birth rate with IVF per round of treatment exceeds that of a couple with normal fertility in any given cycle and surpasses all other treatments to obtain a live birth.?? ? This degree of efficacy has led to the use of IVF for the treatment of infertility due to almost any cause. However, fertility treatment is expensive in the United States, and insurance coverage is inconsistent, factors that lead to inequitable access.?? ? Only 21 states mandate partial or complete insurance coverage. Regardless of access, Black, Hispanic, and Asian persons have lower live birth rates than White persons with most treatments, particularly IVF.? ? Learn more in a new Clinical Practice article, “Infertility Evaluation and Treatment,” by Nanette Santoro, MD, and Alex Polotsky, MD, from University of Colorado Anschutz Medical Campus and Shady Grove Fertility: https://nej.md/3DxEf7E #OBGYN #ClinicalMedicine??
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