Treatments for opioid use disorder among pregnant and reproductive-aged women

Effective treatment of opioid use disorder involves addressing medication management, medical care, behavioral/psychiatric care, and psychosocial support. A well-informed network of providers helps ensure consistent and coordinated treatment

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Volume 108, Issue 2, Pages 222–227


Dennis J. Hand, Ph.D., Vanessa L. Short, Ph.D., M.P.H., Diane J. Abatemarco, Ph.D., M.S.W.


The increased prevalence of opioid use disorder and access to medical insurance is subsequently increasing the likelihood that medical professionals will encounter individuals with opioid use disorder. Sharp increases in opioid use disorder among women mean that obstetricians, gynecologists, and other reproductive medicine providers may be especially likely to encounter such patients. Medical professionals' understanding of treatment for opioid use disorder and their roles in their patients' treatment may increase referrals to treatment, reduce stigma, and improve the quality of medical care. Treatment for opioid use disorder falls into four overlapping domains: medication management, medical care, behavioral/mental health care, and psychosocial support. In this review, we discuss these domains with an emphasis on pregnant women and women of reproductive age. Treatment for opioid use disorder is most effective when all providers coordinate care in an informed, nonjudgmental, patient-centered approach.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.