International disparities in access to infertility services

Nachtigall, Robert D.

doi:10.1016/j.fertnstert.2005.08.066

Cited by 267 publications

(179 citation statements)

References 28 publications

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“…Yet, most childless people in the developing societies have virtually no access to effective treatment. [3] Infertility is not just a medical problem to be treated with fertility drug & surgery or ART but is a crisis that profoundly affects nearly all faces of one's life and personality. Society needs to be aware of the immensity of the crisis of childlessness, not only medically, but also psychologically.…”

Section: Significance Of the Studymentioning

confidence: 99%

“…In developing societies, the high prevalence of RTI infection and childlessness are often highly stigmatized and leads to profound social suffering for infertile women in particular. [3] In some societies, particularly in rural areas, female are common visitors to the RTI clinic. [57] At the time of worldwide financial crises, information on reproductive morbidity is essential to ensure the most appropriate allocation of existing resources and the planning of cost-effective health care strategies.…”

Section: Published By Sciedu Pressmentioning

confidence: 99%

“…[1,2] In contrast, in the developing world, at that place is a little voluntary effort to delay childbearing and early first marriage is common. [3] Infertility or failure to achieve pregnancy is a universal phenomenon. [4] Epidemiological data indicate that infertility is estimated to involve as many as 186 million people worldwide.…”

Section: Introductionmentioning

confidence: 99%

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Infertility profile, psychological ramifications and reproductive tract infection among infertile women, in northern upper Egypt

Hassan

2015

JNEP

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Background and objective: Reproductive tract infections (RTI) can have serious consequences, such as miscarriage and infertility. Infertility is a growing universal phenomenon, "crossed nearly all cultures and societies almost all over the World", that has a tremendous impact on women's quality of life and their psychological well-being. This is due to various stress and anxiety factors experienced by them at each stage of their life. To decrease and prevent developing psychological distress the psychological aspects of infertility should be receive more attention. The objectives of this study were to assess the prevalence rate of reproductive tract infections and the psychological consequences amongst those women who were infertile in relation to their sociodemographic characteristics, fertility history, assisted reproductive technology (ART) and RTI. Methods: Interview questionnaire with a convenience sample of 399 infertile women who were admitted to inpatient wards and/or attending to outpatient gynecological and infertility clinics at University Hospital, Health insurance Hospital and general Hospital in Beni-Suef City. Results: About 27.6% of study subjects had reproductive tract infections. Socio-cultural factors, gynecological issues, reproductive tract infections aggravated psychological distress amongst those women who were infertile in Northern Upper Egypt. A highly statistically significant deviation was observed (p = .000). Conclusions: Negative psychological consequences of childlessness are common and morbid in Northern, Upper Egyptian infertile women. Furthermore, infertility and psychological distress are associated in a complex way, which has to be taken care by the nurses and the clinicians to promote the quality of life of the women undergoing infertility treatment.

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Section: Significance Of the Studymentioning

confidence: 99%

Section: Published By Sciedu Pressmentioning

confidence: 99%

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Infertility profile, psychological ramifications and reproductive tract infection among infertile women, in northern upper Egypt

Hassan

2015

JNEP

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“…Bilateral tubal blocks due to sexually transmitted diseases and pregnancy-related infections is the most common cause of infertility in the developing countries, a condition that is potentially treatable with ARTs. New reproductive technologies are either unavailable or very costly in the developing countries due to private monopoly [23]. Guidelines in the successful implementation of infertility care in low-resource areas include simplification of ART procedures like adopting IVF Lite [9], minimizing the complication rate of procedures like elimination of OHSS [7][8][9], providing training courses for health care workers and incorporating infertility treatment into sexual and reproductive health care programs [24].…”

Section: Resultsmentioning

confidence: 99%

IVF in Developing Economies and Low Resource Countries: An Overview

Allahbadia

2013

J Obstet Gynecol India

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“…It is estimated that it may affect between 8 and 12% of couples at reproductive age, 8,9 with a probable global incidence average of 9%. 4 In some regions of the world the incidence of infertility can achieve rates of 30% in specific populations, [8][9][10] Approximately 10 to 15% of couples in big cities of industrialized countries are struggling to achieve a pregnancy, contributing to a significant portion of the consultations with gynecologists. A young, healthy couple has about a 20% chance of getting pregnant per menstrual cycle and approximately 90% in a year of regular attempts.…”

Section: Definitionmentioning

confidence: 99%

Human reproduction: current status

Izzo

Monteleone²,

Serafini³

2015

Rev. Assoc. Med. Bras.

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SUMMARY The concern about the maintenance of the human species has existed since the earliest civilizations. Progress in the diagnosis and treatment of infertility has led to the development of assisted reproductive techniques (ART) which, along with the evolution of genetics and molecular biology studies, have contributed in a concrete way to the management of infertile couples. Classic in vitro fertilization was initially developed 35 years ago for the treatment of women with tubal blockage, however, it remains inaccessible to a significant proportion of infertile couples around the world. This can be explained by the lack of specialized clinics in some countries and by the high cost of the procedures. Efforts have been employed to increase the number of treatment cycles for assisted reproduction, as for example, the creation of low-cost programs. Even today, infertility remains a problem of global proportions, affecting millions of couples. The estimate of the incidence of infertility is uncertain, mainly because of the criteria used for its definition. This article aims to review the most important aspects, succinctly, regarding the incidence, etiology, and treatment options available to infertile couples.

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International disparities in access to infertility services

Cited by 267 publications

References 28 publications

Infertility profile, psychological ramifications and reproductive tract infection among infertile women, in northern upper Egypt

Infertility profile, psychological ramifications and reproductive tract infection among infertile women, in northern upper Egypt

IVF in Developing Economies and Low Resource Countries: An Overview

Human reproduction: current status

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