Racial Disparities in Fertility Care Persist


Racial Disparities in Fertility Care Persist

Philadelphia, PA – Research presented today at the 75th Scientific Congress of the American Society for Reproductive Medicine showed that while there had been a slight uptick in the use of Assisted Reproductive Technologies (ART) among African American women over the last decade, significant disparities remain.

Using data from the Society for Assisted Reproductive Technology (SART), researchers from Yale compared national data from 2004-2006 with that from 2014-2016.  They found a slight increase in the percentage of ART cycles in Black women in 2014-2016 compared to a decade earlier. However, significant outcome disparities were found between the races. The Black patients were older, more likely to be diagnosed with poor ovarian reserve, a higher percentage had a tubal or uterine factor, and a higher percentage of them had a high BMI than among the white women. The success rate, measured as the ratio of live births per ART cycle, was lower for Black women, and the miscarriage rate was higher. Using statistical methods, the researchers found that race was an independent factor related to a live birth, even when controlling for age, BMI, previous pregnancy, and etiology of the infertility. Finally, the researchers observed that state infertility insurance mandates seemed to be an effective tool in reducing race-based differences in access to care.

“While racial disparities exist throughout medicine, it is important that those of us in reproductive medicine do the work to discover them in our field and find ways to eliminate them. The race or zip code of a patient should not be a factor in their health outcomes.” Said Amy Sparks, PhD, President of the Society for Assisted Reproductive Technology.


O-46 Kotllyar et al “Persistent Widening in Racial Disparities Between Black and White women undergoing ART over the last 10 years”


ASRM is a multidisciplinary organization dedicated to the advancement of the science and practice of reproductive medicine. The Society accomplishes its mission through the pursuit of excellence in education and research and through advocacy on behalf of patients, physicians, and affiliated health care providers. The Society is committed to facilitating and sponsoring educational activities for the lay public and continuing medical education activities for professionals who are engaged in the practice of and research in reproductive medicine. www.asrm.org