• J Natl Med Assoc · Aug 2024

    Infertility care in an underserved population: A retrospective chart review of a resident-run clinic at an urban, public hospital.

    • Lauren Gibbs, Banafsheh Shoai, Alahni Becks, Fengxia Yan, and Dorothy Mitchell-Leef.
    • Department of Obstetrics & Gynecology, Morehouse School of Medicine, Atlanta, GA, USA. Electronic address: lmg363@njms.rutgers.edu.
    • J Natl Med Assoc. 2024 Aug 1; 116 (4): 403409403-409.

    AbstractDespite major advances in infertility services, barriers to care as well as disparities in outcomes remain a significant problem. The cost of treatment, lack of or inadequate coverage, and location of infertility clinics are obvious contributors, however, advanced pathology, coexistent medical conditions, and lack of preconception care also contribute to delay in fertility particularly in underserved communities. Previous studies have discussed the role of trainee-run clinics in lower socioeconomic populations in providing low-cost infertility evaluation and management. This study uses a retrospective chart review to compare the etiology and duration of infertility in our patients to the general infertility patient population, to describe the coexistent medical pathologies within our population at initial presentation to infertility care, and to discuss how our clinic is addressing the gap in infertility care. PRECIS: Resident-run clinics offer a unique role in increasing access to care through preconception care and low-cost fertility treatment.Copyright © 2024 National Medical Association. Published by Elsevier Inc. All rights reserved.

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