Medical and psychological aspects of infertility and assisted reproductive technology for the primary care provider

Couples attempting to conceive are requiring more assisted reproductive technology. Infertility may be associated with delayed onset of marriage and childbearing, smoking and alcohol excess, physiological factors such as endometriosis and varicocele, or a cause that is not identified. The psychologi...

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Published inMilitary medicine Vol. 166; no. 11; pp. 1018 - 1022
Main Authors REED, Susan A, VAN HORN, Andrea S
Format Journal Article
LanguageEnglish
Published Bethesda, MD Association of Military Surgeons 01.11.2001
Oxford University Press
Subjects
Alcohol
Biological and medical sciences
Birth control
Endometriosis
Estrogens
Female
Females
Fertility
Follicles
Gynecology. Andrology. Obstetrics
Hormones
Humans
Infertility
Infertility - physiopathology
Infertility - psychology
Information sources
Male
Medical sciences
Menstruation
Patient Education as Topic
Physiology
Primary care
Primary Health Care
Reproductive Techniques, Assisted
Reproductive technologies
Sexually transmitted diseases
Smoking
Sperm
STD
Sterility. Assisted procreation
Stress
In vitro fertilization embryo transfer
Human
Evaluation
Couple
Female
Psychological effect
Sterility
Female genital diseases
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Summary:Couples attempting to conceive are requiring more assisted reproductive technology. Infertility may be associated with delayed onset of marriage and childbearing, smoking and alcohol excess, physiological factors such as endometriosis and varicocele, or a cause that is not identified. The psychological needs of couples, however, are often overlooked. Primary care providers can serve as the initial information source and guide for the couple struggling with infertility. In a managed care environment, a primary care provider can provide a considerable amount of education, referral for stress management and counseling, and a small portion of the medical evaluation before referring to a reproductive specialist. This overview is intended to help primary care providers and couples achieve an educated and less stressful assisted reproductive technology experience. It is not meant to circumvent the need for immediate referral to a reproductive specialist for evaluation and treatment of this very complex intervention.
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ISSN:0026-4075
1930-613X
DOI:10.1093/milmed/166.11.1018