Use of fertility treatment modalities in a large United States cohort of professional women

Leslie V. Farland, Stacey A. Missmer, Janet Rich-Edwards, Jorge E. Chavarro, Robert L. Barbieri, Francine Grodstein

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective To evaluate the use of fertility treatments among a large cohort of women in the United States. Design Cohort study. Setting Nurses' Health Study II. Patient(s) Ten thousand thirty-six women who reported having used fertility treatment on biennial questionnaires from 1993-2009. Intervention(s) None. Main Outcome Measure(s) Data on patterns of treatment modality were collected via self-report from validated mailed questionnaires. Information on clomiphene, gonadotropin injections alone, and gonadotropin injections as part of intrauterine insemination (IUI) and in vitro fertilization (IVF) was queried. Result(s) Most women who reported fertility treatment used clomiphene (94%), with a large majority reporting clomiphene as their only form of treatment (73%). Of women who reported treatment more advanced than clomiphene, 13% had used gonadotropin injections alone, 11% IUI treatment, and 11% IVF. Several subgroups were more likely to use multiple treatment modalities and to initiate treatment with gonadotropins rather than clomiphene, including women living in states with insurance coverage of fertility procedures, with higher household income, younger in age, who remained nulliparous at the study close, and treated after 2000. Conclusion(s) Results should be interpreted cautiously, but to our knowledge, this represents the first study of fertility treatment patterns in the United States and could inform public health planning.

Original languageEnglish (US)
Pages (from-to)1705-1710
Number of pages6
JournalFertility and Sterility
Volume101
Issue number6
DOIs
StatePublished - Jun 2014
Externally publishedYes

Fingerprint

Fertility
Clomiphene
Gonadotropins
Therapeutics
Insemination
Fertilization in Vitro
Injections
Health Planning
Insurance Coverage
Self Report
Cohort Studies
Public Health
Nurses
Outcome Assessment (Health Care)
Health

Keywords

  • clomiphene
  • Fertility treatment
  • gonadotropins
  • IUI
  • IVF

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Use of fertility treatment modalities in a large United States cohort of professional women. / Farland, Leslie V.; Missmer, Stacey A.; Rich-Edwards, Janet; Chavarro, Jorge E.; Barbieri, Robert L.; Grodstein, Francine.

In: Fertility and Sterility, Vol. 101, No. 6, 06.2014, p. 1705-1710.

Research output: Contribution to journalArticle

Farland, LV, Missmer, SA, Rich-Edwards, J, Chavarro, JE, Barbieri, RL & Grodstein, F 2014, 'Use of fertility treatment modalities in a large United States cohort of professional women', Fertility and Sterility, vol. 101, no. 6, pp. 1705-1710. https://doi.org/10.1016/j.fertnstert.2014.03.016
Farland, Leslie V. ; Missmer, Stacey A. ; Rich-Edwards, Janet ; Chavarro, Jorge E. ; Barbieri, Robert L. ; Grodstein, Francine. / Use of fertility treatment modalities in a large United States cohort of professional women. In: Fertility and Sterility. 2014 ; Vol. 101, No. 6. pp. 1705-1710.
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