Role of complementary and alternative medicine to achieve fertility in uninsured patients.


UNLABELLED:Among those facing infertility in the United States, underinsured and uninsured women are at the greatest disadvantage. Women who receive medical care under Medicaid are rarely covered for infertility testing; only 4 states will cover infertility treatment as an element of family planning and preconception care. Studies exploring the use of complementary and alternative medicine (CAM) in infertility patients have focused on patients who have insurance. We conducted a review of the literature via MEDLINE. Articles were limited to English-language, human studies published between 1990 and 2011. Significant disparities exist in access to infertility treatment based on race and ethnicity, household income, and level of education, even in states with mandated insurance coverage. Given the steep costs of assisted reproductive technologies, many infertility patients augment traditional medical treatment with CAM. Acupuncture and herbal supplements are the most studied therapies. Although dietary supplementsmay enhance fertility, the use of othermore expensive forms of CAM such as acupuncture has had mixed results. Complementary and alternative medicine may be a viable option for infertility care for uninsured patients who cannot otherwise afford treatment. TARGET AUDIENCE:Obstetricians and gynecologists, family physicians LEARNING OBJECTIVES:After completing this CME activity, physicians should be better able to analyze the effects that health care disparities have on fertility treatments for uninsured and underinsured women and evaluate the literature to determine which complementary and alternative treatments for infertility can improve fertility.


Obstet Gynecol Surv


Perry TE,Hirshfeld-Cytron J




Has Abstract


2013-04-01 00:00:00












  • Thrombocytopenia in obstetric syndromes. A review.

    abstract::Thrombocytopenia is a phenomenon sometimes observed in connection with various obstetric syndromes. Many times it appears clinically to be a comparatively benign complication of an otherwise significant disease. In some cases, however, it may be a clue to serious disease and its pathophysiology. The subject of thrombo...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Perkins RP

    更新日期:1979-02-01 00:00:00

  • Transcervical tubal cannulation: a review.

    abstract::Rapid progress has been made in the last 10 years regarding minimally invasive access to the human fallopian tube. Coaxial catheter systems are being used with hysteroscopy, fluoroscopy, ultrasonography, and tactile sensation to cannulate the fallopian tube transcervically with consistent success. Uterotubal obstructi...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Flood JT,Grow DR

    更新日期:1993-11-01 00:00:00

  • Maternal dengue and pregnancy outcomes: a systematic review.

    abstract:UNLABELLED:To assess the impact of dengue infection during pregnancy on birth outcomes, we conducted a systematic review of 30 published studies (19 case reports, 9 case series, and 2 comparison studies). Studies were identified by searching computerized databases using dengue and dengue hemorrhagic fever, cross-refere...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Pouliot SH,Xiong X,Harville E,Paz-Soldan V,Tomashek KM,Breart G,Buekens P

    更新日期:2010-02-01 00:00:00

  • Erythropoietin in obstetrics.

    abstract::Our objective was to discuss the role of erythropoietin in fetal erythropoiesis and to review its clinical uses in perinatal medicine. All relevant articles compiled through a MEDLINE search (years 1986-1997) were reviewed. Erythropoietin is essential for fetal erythropoiesis and is produced in response to hypoxia and...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Vora M,Gruslin A

    更新日期:1998-08-01 00:00:00

  • Ontogeny: the evolution of an oocyte.

    abstract::The physiology of oocyte development, maturation, and selection forms the basis for understanding ovarian follicle dynamics, reproductive function and ovulation induction. The number of ovarian follicles with which women are invested from birth and the rate of decline determine their reproductive lifespan. The process...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Yap C

    更新日期:2000-07-01 00:00:00

  • Infectious disease and reproductive health: a review.

    abstract:UNLABELLED:Human reproduction provides unique opportunities for the transmission of infectious agents. Furthermore, the mother and her offspring have distinct susceptibilities to infection at each stage of reproduction, from conception and gestation to parturition and the neonatal period. The impact of pathogens on rep...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Baecher-Lind LE,Miller WC,Wilcox AJ

    更新日期:2010-01-01 00:00:00

  • Colposcopic manifestations of cervical and vaginal infections.

    abstract::We analyzed the associations of colposcopic features with cervical and vaginal pathogens and with clinical diagnoses in randomly selected women attending a clinic for sexually transmitted diseases. Logistic regression models were used to adjust for coinfections. Significant associations (P less than 0.01) were found f...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章


    authors: Paavonen J,Stevens CE,Wølner-Hanssen P,Critchlow CW,Derouen T,Kiviat N,Koutsky L,Stamm WE,Corey L,Holmes KK

    更新日期:1988-07-01 00:00:00

  • Corticosteroids, pregnancy, and HELLP syndrome: a review.

    abstract::Corticosteroids are potent antiinflammatory and immunosuppressive drugs, which are used in the treatment of a wide range of medical disorders. During pregnancy, several corticosteroids are administered for maternal as well as fetal reasons. Prednisone and prednisolone show limited transplacental passage and are thus u...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: van Runnard Heimel PJ,Franx A,Schobben AF,Huisjes AJ,Derks JB,Bruinse HW

    更新日期:2005-01-01 00:00:00

  • Diagnosis of vaginal discharge by wet mount microscopy: a simple and underrated method.

    abstract:UNLABELLED:Vaginal discharge is highly variable in quality and quantity among different individuals, and even in the same individual during different periods of life. Vaginal discharge is most commonly caused by infection with sexually transmitted organisms or increased colonization by different facultative pathogenic ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Mylonas I,Bergauer F

    更新日期:2011-06-01 00:00:00

  • Autoimmune diseases in pregnancy: their effect on the fetus and newborn.

    abstract::A variegated group of autoimmune disorders tend to occur in women during childbearing years. Autoantibodies, often of IgG type, directed against the mother's (self) antigens has been well characterized in a number of these disorders. Transplacental transfer of IgG autoantibodies has been frequently demonstrated withou...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Giacoia GP,Azubuike K

    更新日期:1991-11-01 00:00:00

  • Visual disturbances in (pre)eclampsia.

    abstract:UNLABELLED:This review aims to summarize existing information concerning visual disturbances in (pre) eclampsia that have been described in the literature. Preeclampsia is one of the leading causes of maternal and fetal morbidity and mortality worldwide. Visual disturbances in (pre)eclampsia seem to be frequent phenome...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Roos NM,Wiegman MJ,Jansonius NM,Zeeman GG

    更新日期:2012-04-01 00:00:00

  • Brain abscess complicating pregnancy.

    abstract::Brain abscess is a potentially life-threatening complication that is only rarely associated with pregnancy. Although predispositions such as a preexisting infection, foreign body, or immunosuppression are often present, up to 30% of individuals could have no risk factors. Presenting symptoms are often nonspecific but ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Wax JR,Pinette MG,Blackstone J,Cartin A

    更新日期:2004-03-01 00:00:00

  • Anticoagulants in pregnancy.

    abstract:UNLABELLED:Pregnancy is a hypercoagulable state that increases the risk of thromboembolic events. These risks may be further increased in the presence of an acquired or inherited thrombophilia. Thrombophilias have been associated with both maternal and fetal complications. The use of anticoagulants during pregnancy may...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: James AH,Abel DE,Brancazio LR

    更新日期:2006-01-01 00:00:00

  • Public health implications of cesarean on demand.

    abstract::Cesarean rates have been rising in the United States. Recently, there has been an upsurge of interest in "cesarean on maternal request" in the absence of any medical indication, a phenomenon that will further increase the cesarean rate. This trend may not be benign on a population basis, and reliable data are lacking....

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章


    authors: Plante LA

    更新日期:2006-12-01 00:00:00

  • U.S. women's perceptions of and attitudes about the IUD.

    abstract::Two recent surveys provide insights into U.S. women's attitudes toward and perceptions of the IUD. The first study was based on in-depth interviews conducted with 300 women 21-54 years of age in 6 cities; the second was based on telephone interviews with 1852 low-income, predominantly Black and Hispanic women 18-34 y...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章


    authors: Forrest JD

    更新日期:1996-12-01 00:00:00

  • Posterior tibial nerve stimulation for the treatment of fecal incontinence: a systematic evidence review.

    abstract:IMPORTANCE AND OBJECTIVES:Posterior tibial nerve stimulation (PTNS) is a potential emerging therapy for fecal incontinence (FI). The aim of this study was to systematically review the literature regarding the efficacy of PTNS as a treatment of FI. EVIDENCE ACQUISITION:We searched MEDLINE/PubMed, EMBASE, and Cochrane d...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Edenfield AL,Amundsen CL,Wu JM,Levin PJ,Siddiqui NY

    更新日期:2015-05-01 00:00:00

  • A review of laparoscopic ureteral injury in pelvic surgery.

    abstract::The objective of this study was to review the body of literature in reference to ureteral injury during laparoscopic surgeries and to determine: 1) the reported rates of ureteral injury; 2) the initial laparoscopic surgeries during which ureteral injury occurred; 3) the time of injury recognition (intra- versus postop...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Ostrzenski A,Radolinski B,Ostrzenska KM

    更新日期:2003-12-01 00:00:00

  • Ectopic pregnancy: incidence and review of determinant factors.

    abstract::The incidence of ectopic pregnancies has been expressed in various ways that are not comparable and provide widely differing estimates due to individual definitions of the denominator. Population-based data are presented based on a count of all ectopic pregnancies reported in short stay hospitals in Maine, Rhode Islan...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Barnes AB,Wennberg CN,Barnes BA

    更新日期:1983-06-01 00:00:00

  • Sexual dysfunction in perimenopause a review.

    abstract:UNLABELLED:Sexual dysfunction is a common problem for women and often impairs their quality of life. Many women are reluctant to discuss these issues with their physicians. The perimenopause presents unique changes in sexual function. At this time, women and their partners undergo numerous physiologic, psychologic, and...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Novi JM,Book NM

    更新日期:2009-09-01 00:00:00

  • Effects of progestogens on human endometrium.

    abstract::The effect of progestogens on endometrium depends on the dosage, duration of exposure, the type of progestogen, and the presence or absence of estrogen. Mechanisms of progestogen action in endometrium are mainly expressed through the binding of hormone to specific nuclear receptors. Exogenous progestogens seem to infl...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Song JY,Fraser IS

    更新日期:1995-05-01 00:00:00

  • Preterm premature rupture of membranes.

    abstract::Although the etiology of preterm premature rupture of membranes (PPROM) is probably multifactorial, recent literature has indicated that infectious processes may play an important role. The management of PPROM is still controversial, requiring individualization of care for each patient. Expectant management is increas...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Maxwell GL

    更新日期:1993-08-01 00:00:00

  • Pregnancy in renal transplant recipients: a review.

    abstract::Although pregnancy in renal transplant patients was looked upon with skepticism in the past, it is no longer an insurmountable barrier to successful pregnancy. Gestation in these patients, once quite rare, is increasing markedly and obstetricians expect to encounter problems such as immunologic, genetic, teratogenic, ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Hadi HA

    更新日期:1986-05-01 00:00:00

  • Arthropod-borne bacterial diseases in pregnancy.

    abstract::Arthropod-borne bacterial diseases affect more than 25,000 Americans every year and thousands more around the world. These infections present a diagnostic dilemma for clinicians because they mimic many other pathologic conditions and are often low on or absent from the differential diagnosis list. Diagnosis is particu...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Dotters-Katz SK,Kuller J,Heine RP

    更新日期:2013-09-01 00:00:00

  • Mobility of the pelvic joints in pregnancy-related lumbopelvic pain: a systematic review.

    abstract::About 45% of all pregnant women and 25% of all women postpartum suffer from pelvic girdle pain and/or low back pain (PLPP). It has been suggested that increased motion of the three joints in the pelvic ring is one of the causes of PLPP. However, in spite of the availability of high technology the relation between enla...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Mens JM,Pool-Goudzwaard A,Stam HJ

    更新日期:2009-03-01 00:00:00

  • Menstrual Hygiene Management in Resource-Poor Countries.

    abstract:Importance:Adequate management of menstrual hygiene is taken for granted in affluent countries; however, inadequate menstrual hygiene is a major problem for girls and women in resource-poor countries, which adversely affects the health and development of adolescent girls. Objective:The aim of this article is to review...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Kuhlmann AS,Henry K,Wall LL

    更新日期:2017-06-01 00:00:00

  • Pubic Symphysis Rupture and Separation During Pregnancy.

    abstract:OBJECTIVE:The aim of this study was to determine the risk factors, clinical and radiologic criteria for diagnosis, and management of this unusual complication of pregnancy. METHODS:A PubMed and Web of Science search was undertaken with no limitations on the number of years searched. RESULTS:There were 36 publications...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Shnaekel KL,Magann EF,Ahmadi S

    更新日期:2015-11-01 00:00:00

  • Renal hemodynamics and volume homeostasis in pregnancy.

    abstract::Maternal hemodynamic adaptation to pregnancy consists of profound changes in various interdependent systems. Of crucial importance in the early adaptation of the volume homeostatic mechanisms to pregnancy is the resetting of the volume and osmoreceptors. This resetting may be induced by a reduction in vascular tone an...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Duvekot JJ,Peeters LL

    更新日期:1994-12-01 00:00:00

  • Intracytoplasmic sperm injection: what are the risks?

    abstract:UNLABELLED:Intracytoplasmic sperm injection, a relatively new technique used at the time of in vitro fertilization to fertilize human oocytes, has provided couples with very severe male factor infertility the ability to conceive their own biologic children. Many men with severe oligospermia or azoospermia can now pass ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章


    authors: Givens CR

    更新日期:2000-01-01 00:00:00

  • Penile condylomata: a gynecological epidemic disease: a review of the current approach and management aspects.

    abstract::Viral venereal infection caused by human Papillomavirus has reached epidemic state. The proper management of this infection in men is of great benefit, because it may possibly decrease the reservoir of disease in both sexes from which genital condylomata and associated lesions may arise. We report a selection of curre...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Maymon R,Shulman A,Maymon B,Bekerman A,Werchow M,Faktor JH,Altaras M

    更新日期:1994-11-01 00:00:00

  • The pharmacologic inhibition of premature labor.

    abstract::Oxytocin, elevated estrogen-progesterone ratio, fetal corticosteroids, prostaglandins, catecholamines, and changes in uterine blood flow have all been implicated as triggers of labor. In approximately one-third of cases of threatened premature labor contractions stop spontaneously. Thus placebo-controlled randomized t...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章


    authors: Niebyl JR,Blake DA,Johnson JW,King TM

    更新日期:1978-08-01 00:00:00