When the first edition of this book was published in 2013 it was still controversial to many on whether or not true racial differences existed in the delivery of fertility care. Since then, much like the evolution of the acceptance of climate change, it is now generally believed that not only are there differences but that there are real racial and ethnic disparities in access and treatment outcomes.
This second edition of Racial and Ethnic Disparities in Fertility and Assisted Reproduction documents our present understanding of the scope, contributing causes and complexity of potential solutions for closing the racial/ethnic disparity gap in using our most medically advanced assisted reproductive technologies to bring joy to those who wish to become parents. Effort has been directed to developing a better understanding of how and why these disparities occur. An expert assembly of key leaders in the field of reproductive medicine imparts insight and clinical experience to identify and analyze the possible causes of racial disparities infertility outcome. This book is sure to distinguish itself as the definitive reference on racial and ethnic differences in assisted reproduction.
Introduction.- The Disparities in ART (DART) hypothesis of racial and
ethnic disparities in access and outcomes of IVF treatment in the US.- Racial
and Ethnic Groups in Fertility Research.- Fertility Differences Among
Racial/Ethnic groups.- Socioeconomic and Economic Factors in Seeking
Fertility Services.- PCOS among Racial and Ethnic Groups.- Racial diversity
and uterine Fibroids.- Racial/ethnic disparities in stress as it impacts
reproductive outcomes.- Racial Disparities between Black and white access and
outcomes to infertility treatment and ART in the US.- Fertility and ART
outcome in Hispanic Women.- Reproductive and ART outcome in East Asian
Women.- Infertility and ART outcomes in South Asian Couples.- PGT-A Outcomes
Across Racial and Ethnic groups.- Racial/Ethnic Disparities in Oocyte
Donation (both fresh and frozen).- FET Outcomes Across Racial/Ethnic Groups.-
Recurrent Pregnancy Loss across Different Ethnicities.- Racial/Ethnic
Disparities in Egg Freezing.- Impact of Insurance on Racial Disparities in
ART.- Obesity and Its Impact on Racial/Ethnic Differences in Fertility and
ART.- Understanding Racial Disparity in Adverse Pregnancy Outcome.-
Artificial Intelligence (AI) and Health Equity.- The Potential Impact of the
Dobbs Decision Upon Health Equity in Access and ART Treatment Outcomes in the
US.
Fady I. Sharara, MD Virginia Center for Reproductive Medicine Reston, VA USA
David B. Seifer, MD Department of Obstetrics, Gynecology and Reproductive Sciences Division of Reproductive Endocrinology and Infertility Yale School of Medicine New Haven, CT USA
