Limitations and barriers in access to care for male factor infertility

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Presentation transcript:

Limitations and barriers in access to care for male factor infertility Akanksha Mehta, M.D., Ajay K. Nangia, M.B.B.S., James M. Dupree, M.D., M.P.H., James F. Smith, M.D., M.S. Fertility and Sterility Volume 105, Issue 5, Pages 1128-1137 (May 2016) DOI: 10.1016/j.fertnstert.2016.03.023 Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Figure 1 The “iceberg” of access and prevalence data collection in the United States. ARC = Andrology Research Consortium; CT = Connecticut; HCUP = Healthcare Cost and Utilization Project; MA = Massachusetts; NACS = National Ambulatory Care Survey; NHANES = National Health and Nutrition Examination Survey; NJ = New Jersey; NSFG = National Survey of Family Growth; NVSS = National Vital Statistics System; NY = New York; PRAMS = Pregnancy Risk Assessment Monitoring System. Fertility and Sterility 2016 105, 1128-1137DOI: (10.1016/j.fertnstert.2016.03.023) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Annual prevalence of isolated male factor infertility diagnosed at ART clinics in the United States from 1999–2010. Adapted from Odisho et al. (19). Fertility and Sterility 2016 105, 1128-1137DOI: (10.1016/j.fertnstert.2016.03.023) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Prevalence of cumulative male factor infertility, weighted by number of IVF cycles performed 1999–2010. Adapted from Odisho et al. (19). Fertility and Sterility 2016 105, 1128-1137DOI: (10.1016/j.fertnstert.2016.03.023) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Figure 4 Distribution of male population in the reproductive years, urology male infertility specialists, and ART centers with service areas within the United States. Adapted from Nangia et al. (21). Fertility and Sterility 2016 105, 1128-1137DOI: (10.1016/j.fertnstert.2016.03.023) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Figure 5 Mandated health insurance coverage spectrum for male factor infertility. Fertility and Sterility 2016 105, 1128-1137DOI: (10.1016/j.fertnstert.2016.03.023) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions