Racial and ethnic disparities in reproductive endocrinology and infertility

This review examines racial and ethnic disparities in reproductive health focusing on 3 key topical areas: (1) infertility, (2) polycystic ovarian syndrome, and (3) reproductive aging. We report that an increasing body of knowledge points toward reduced infertility access and in vitro fertilization...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2010-05, Vol.202 (5), p.413-419
Main Authors: Huddleston, Heather G., MD, Cedars, Marcelle I., MD, Sohn, Sae H., MD, Giudice, Linda C., MD, PhD, Fujimoto, Victor Y., MD
Format: Article
Language:English
Subjects:
African Americans - statistics & numerical data
Asian Americans - statistics & numerical data
Biological and medical sciences
Birth control
Embryo Transfer - statistics & numerical data
Ethnic Groups - statistics & numerical data
Female
Female genital diseases
Fertilization in Vitro - statistics & numerical data
Gynecology. Andrology. Obstetrics
Health Status Disparities
Hispanic Americans - statistics & numerical data
Humans
in vitro fertilization
infertility
Infertility, Female - epidemiology
Infertility, Female - ethnology
Medical sciences
Menopause - ethnology
Non tumoral diseases
Obstetrics and Gynecology
Phenotype
polycystic ovarian syndrome
Polycystic Ovary Syndrome - epidemiology
Polycystic Ovary Syndrome - ethnology
Polycystic Ovary Syndrome - genetics
Pregnancy
Pregnancy Outcome
Prevalence
racial and ethnic disparities
reproductive aging
Sterility. Assisted procreation
Treatment Outcome
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Summary:This review examines racial and ethnic disparities in reproductive health focusing on 3 key topical areas: (1) infertility, (2) polycystic ovarian syndrome, and (3) reproductive aging. We report that an increasing body of knowledge points toward reduced infertility access and in vitro fertilization outcomes in Asian, black, and Hispanic women compared with white women. There are differences in the reproductive and metabolic phenotypes of Asian, black, and Hispanic women presenting with the polycystic ovarian syndrome compared with white women. Reproductive aging differences appear to exist in all racial and ethnic groups. Awareness of racial and ethnic disparities is critical to a complete understanding of the health issues facing women of reproductive age.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2009.12.020