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Home All Specialties Obstetrics

Knowledge gaps regarding fertility prevalent in reproductive age women

byMaren ShapiroandLeah Hawkins Bressler, MD, MPH
February 16, 2014
in Obstetrics
Reading Time: 3 mins read
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1.  Among reproductive age women, researchers found large knowledge gaps exist regarding reproductive health and conception. 

2. 75% of women reported their women’s health provider as their top source of reproductive health information, yet only 50% had discussed fertility with their provider. 

Evidence Rating Level: 2 (Good)  

Study Rundown: In a large survey of reproductive-age women in the United States, researchers identified gaps in knowledge regarding fertility and reproductive health. While the majority of women considered their women’s healthcare provider their top source of reproductive health information, only half had ever discussed such issues with their provider.

The use of quotas to ensure geographically, economically, and ethnically representative sample of women in the U.S. is a strength. Results are limited by the selection bias inherent in voluntary surveys. Future studies might attempt to reduce selection bias by use of a brief, mandatory questionnaire prior to seeing a doctor in the office or before picking up OCP prescriptions at a pharmacy. While this study highlights knowledge gaps, it does not provide a practical intervention. Next steps include evaluation of various educational tools to address such knowledge gaps.

Click to read the study in Fertility & Sterility

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In-Depth [cross-sectional survey]: Researchers used an online, anonymous survey of 1,000 women ages 18-40 to assess knowledge and practices regarding conception, fertility, and basic reproductive health. Quotas for geographic region and ethnicity were used to achieve a demographically representative sample of the greater United States population.

Over ¼ of women are unaware of the myriad negative impacts of STDs, obesity, smoking and irregular menstruation. A surprisingly high proportion (40%) of women did not know when ovulation occurred with respect to menstruation and the majority (60%) incorrectly believed that the chance of conception was highest if intercourse occurred after ovulation. Compared to older women, 18-24 year-olds were less likely to know that pre-conception folic acid supplementation prevented birth defects (p<0.001). Seventy-five percent of women relied on women’s health providers for reproductive health information, yet only 50% had ever discussed their reproductive health with a provider.

More from this author: IUD contraception equally safe in teenagers as in older women, Black men less likely to receive follow-up for elevated prostate cancer marker, PSA, Intake of fish fatty acids associated with lower risk of breast cancer, USPSTF recommends chemoprevention for women at high risk for breast cancer, Insurance status affects treatment of early stage breast cancer, SERMs decrease breast cancer risk even after treatment

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.  

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