Abstract
Infertility is a common reproductive disease, with a prevalence of 9% to 18% of the general population. To date, no studies have attempted to examine the prevalence and experience of infertility among resident physicians in the United States. In female obstetrics and gynecology (Ob/Gyn) residents of age where infertility becomes more prevalent, ability to seek fertility may be influenced by rigorous professional demands and low remuneration. We seek to understand the prevalence of infertility, as well as experience and utilization of infertility services among Ob/Gyn residents. Cross-sectional descriptive survey was distributed among US Accreditation Council for Graduate Medical Education-accredited Ob/Gyn programs. Demographics, intentions to conceive during residency, fertility problems, fertility treatment, affordability of care, and perceptions of support were surveyed. A total of 241 responses were received in an equal distribution between junior (n = 120) and senior (n = 121) residents. The majority of respondents were female (91%), 25 to 35 years old (94%), and married (54%). Eighty-five percent (195 of 230) did not actively pursue fertility during residency. Twenty-nine percent (68 of 235) considered fertility preservation, but only 2% sought consultation. Twenty-nine percent of those interested in fertility (22 of 75) experienced infertility of some degree. Sixty-three percent felt low or no support from the program. Thirty-five percent reported stigma associated with their infertility. In conclusion, infertility is a prevalent reproductive health impairment among Ob/Gyn residents. The majority of residents defer childbearing during residency despite advancing reproductive age. A majority felt little or no support from training programs in addressing their fertility care. Further studies are indicated to understand the barriers and impact among resident trainees.
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Chandra A, Martinez GM, Mosher WD, Abma JC, Jones J. Fertility, family planning, and reproductive health of U.S. women: data from the 2002 National Survey of Family Growth. Vital Health Stat 23. 2005;(25):1–160.
Finch SJ. Pregnancy during residency: a literature review. Acad Med. 2003;78(4):418–428.
Eskenazi L, Weston J. The pregnant plastic surgical resident: results of a survey of women plastic surgeons and plastic surgery residency directors. Plast Reconstr Surg. 1995;95(2):330–335.
Phelan ST., Pregnancy during residency: I. The decision “to be or not to be”. Obstet Gynecol. 1988;72(3 pt 1):425–431.
Pinhas-Hamiel O, Rotstein Z, Achiron A, et al. Pregnancy during residency - an Israeli survey of women physicians. Health Care Women Int. 1999;20(1):63–70.
Grunebaum A, Minkoff H, Blake D. Pregnancy among obstetricians: a comparison of births before, during, and after residency. Am J Obstet Gynecol. 1987;157(1):79–83.
Klevan JL, Weiss JC, Dabrow SM. Pregnancy during pediatric residency. Attitudes and complications. Am J Dis Child. 1990;144(7):767–769.
Miller NH, Katz VL, Cefalo RC. Pregnancies among physicians. A historical cohort study. J Reprod Med. 1989;34(10):790–796.
Young-Shumate L, Kramer T, Beresin E. Pregnancy during graduate medical training. Acad Med. 1993;68(10):792–799.
Turner PL, Lumpkins K, Gabre J, Lin MJ, Liu X, Terrin M. Pregnancy among women surgeons: trends over time. Arch Surg. 2012;147(5):474–479.
Pham DT, Stephens EH, Antonoff MB, et al. Birth trends and factors affecting childbearing among thoracic surgeons. Ann Thorac Surg. 2014;98(3):890–895.
Accreditation Council for Graduate Medical Education. Graduate Medical Education Data Resource Book 2013-2014. Web site. http://www.acgme.org/About-Us/Publications-and-Resources/Graduate-Medical-Education-Data-Resource-Book. Accessed October 5, 2016.
Martin AR. Stress in residency: a challenge to personal growth. J Gen Intern Med. 1986;1(4):252–257.
Jennings ML, Slavin SJ. Resident wellness matters: optimizing resident education and wellness through the learning environment. Acad Med. 2015;90(9):1246–1250.
Stanford JB, Dunson DB. Effects of sexual intercourse patterns in time to pregnancy studies. Am J Epidemiol. 2007;165(9):1088–1095.
Ferguson GG, Nelson CJ, Brandes SB, Shindel AW. The sexual lives of residents and fellows in graduate medical education programs: a single institution survey. J Sex Med. 2008;5(12):2756–2765.
Sinal S, Weavil P, Camp MG. Survey of women physicians on issues relating to pregnancy during a medical career. J Med Educ. 1988;63(7):531–538.
Tamburrino MB, Evans CL, Campbell NB, Franco KN, Jurs SG, Pentz JE. Physician pregnancy: male and female colleagues’ attitudes. J Am Med Womens Assoc. 1992;47(3):82–84.
Lewin MR. Pregnancy, parenthood, and family leave during residency. Ann Emerg Med. 2003;41(4):568–573.
ACOG: Committee Opinion No. 584: oocyte cryopreservation. Obstet Gynecol. 2014;123(1):221–222.
Practice Committees of American Society for Reproductive Medicine, Society for Assisted Reproductive Technology. Mature oocyte cryopreservation: a guideline. Fertil. Steril. 2013;99(1):37–43.
Rienzi L, Cobo A, Paffoni A, et al. Consistent and predictable delivery rates after oocyte vitrification: an observational longitudinal cohort multicentric study. Hum Reprod. 2012;27(6):1606–1612.
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Aghajanova, L., Hoffman, J., Mok-Lin, E. et al. Obstetrics and Gynecology Residency and Fertility Needs: National Survey Results. Reprod. Sci. 24, 428–434 (2017). https://doi.org/10.1177/1933719116657193
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DOI: https://doi.org/10.1177/1933719116657193