May 2016

All the papers from the May 2016 issue of Fertility and Sterility.

Lightening the burden of care in assisted reproductive technology

In our March 2016 Views and Reviews section, we discussed the large amount of data indicating that psychological stress reduces in vitro fertilization (IVF) success (1). We referred to a landmark study showing that increased diastolic blood pressure was highly predictive of poor IVF outcomes. I can identify with those findings. My diastolic pressure was over 90 during my internship and is now under 70. When my IVF program was first housed in the university, a patient would come back to my office completely unglued because the pharmacy had run out of gonadotropins.

Racial and ethnic disparities in assisted reproductive technology access and outcomes

Infertility is a global problem affecting all ethnic, racial, and religious groups. Nevertheless, only a minority of the U.S. population has access to treatment. Additionally, for those who do engage in treatment, outcomes are disparate among various ethnic and racial groups. This article addresses racial and ethnic disparities regarding rates of fecundity and infertility, access to care, and assisted reproductive technology outcomes.