Infertility and assisted reproductive technology outcomes in Afro-Caribbean women.

Publisher: Springer Country of Publication: Netherlands NLM ID: 9206495 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-7330 (Electronic) Linking ISSN: 10580468 NLM ISO Abbreviation: J Assist Reprod Genet Subsets: MEDLINE

Publication: <2004- >: Amsterdam : Springer
Original Publication: New York : Plenum Press, c1992-

Reproductive Techniques, Assisted*/economics ; Reproductive Techniques, Assisted*/statistics & numerical data; Infertility/*therapy; Adult ; Bahamas ; Barbados ; Bermuda ; Birth Rate ; Black People ; Cross-Sectional Studies ; Female ; Fertilization in Vitro ; Humans ; Infertility/epidemiology ; Live Birth ; Male ; Physicians ; Pregnancy ; Puerto Rico ; Sperm Injections, Intracytoplasmic ; Surveys and Questionnaires ; Treatment Outcome ; Black or African American

Objective: To assess the causes of infertility and artificial reproductive technology (ART) outcomes in women of African descent living in the Caribbean and Bermuda.
Design: Cross-sectional study composed of a questionnaire administered to providers who care for women undergoing ART in the Caribbean and Bermuda.
Material and Methods: A questionnaire from the Deerfield Institute was adapted to meet the aims of our study with their permission. Eight infertility clinics in the Caribbean and Bermuda were identified. The primary physician at each site was contacted via email and invited to participate in the study. Questionnaires were completed via interview or electronically. Responses were collected in a REDCap database for statistical analysis.
Results: There were five respondents from Barbados, Bermuda (× 2), Puerto Rico, and the Bahamas. The most commonly reported etiologies of infertility among Afro-Caribbean patients were female-male factor and uterine factor. In vitro fertilization (IVF) combined with intracytoplasmic sperm injection (ICSI) is performed more often than conventional IVF. The cumulative live birth rates (LBR) after ART for those ages ≤ 34, 35-37, 38-42, and > 42 were 52%, 40%, 22%, and 12%, respectively. The cumulative live birth rate was 31.5% for total patients. The factors reported to be most important in hindering patients from cycling were coping emotionally with poor ovarian response and cost. The biggest restraints to infertility care were costs and a lack of local IVF centers on all islands.
Conclusion: Afro-Caribbean women receiving infertility care in the Caribbean may have better ART outcomes compared to African-American women in the United States (US).

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Keywords: African; Assisted reproductive technology; Caribbean; Fertility; Infertility; International; Latin America

Date Created: 20200529 Date Completed: 20210310 Latest Revision: 20240712

20240712

PMC7376768

10.1007/s10815-020-01826-2

32462416