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

Abstract:

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.

journal_name

Obstet Gynecol Surv

authors

Perry TE,Hirshfeld-Cytron J

doi

10.1097/OGX.0b013e318286f780

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

305-11

issue

4

eissn

0029-7828

issn

1533-9866

journal_volume

68

pub_type

杂志文章,评审
  • 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

    doi:10.1097/01.ogx.0000115861.54002.8b

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

    更新日期:2004-03-01 00:00:00

  • Nutritional and antimicrobial interventions to prevent preterm birth: an overview of randomized controlled trials.

    abstract::The study was conducted to assess the effectiveness of interventions for the prevention or treatment of nutritional and infectious disorders during pregnancy on preterm birth rates. Cochrane systematic reviews or any other more up-to-date systematic review of antimicrobial and nutritional interventions were sought. El...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,meta分析

    doi:10.1097/00006254-199809000-00025

    authors: Villar J,Gülmezoglu AM,de Onis M

    更新日期:1998-09-01 00:00:00

  • Iron-dependent oxidative stress as a pathogenesis for preterm birth.

    abstract:PROBLEM:Preterm birth (PTB) is an oxidative stress-related disease that lacks effective therapies partly because of the poor understanding of disease pathogenesis. The aim of this manuscript was to review molecular pathways that could be responsible for the pathogenesis of PTB. Genomic and proteomic studies have starte...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/OGX.0b013e318181a79f

    authors: Sakata M,Sado T,Kitanaka T,Naruse K,Noguchi T,Yoshida S,Shigetomi H,Onogi A,Oi H,Kobayashi H

    更新日期:2008-10-01 00:00:00

  • Pregnancy in patients with idiopathic thrombocytopenic purpura: assessing the risks for the infant at delivery.

    abstract::The objective of this review is to estimate the risk of severe thrombocytopenia at birth and minor or major morbidity for the infant of a pregnancy complicated by immune thrombocytopenic purpura. English language publications on immune thrombocytopenic purpura in pregnancy from January 1980 to December 1990 were used....

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/00006254-199312000-00003

    authors: Burrows RF,Kelton JG

    更新日期:1993-12-01 00:00:00

  • Why Do Women Not Use Preconception Care? A Systematic Review On Barriers And Facilitators.

    abstract:Importance:Preconception care (PCC) has the potential to optimize pregnancy outcomes. However, awareness of PCC among the target population is generally limited, and the use of PCC remains low. Importance:The objective of this study was to review the literature on women's perceptions regarding barriers and facilitator...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/OGX.0000000000000360

    authors: Poels M,Koster MP,Boeije HR,Franx A,van Stel HF

    更新日期:2016-10-01 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

    doi:10.1097/00006254-197808000-00001

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

    更新日期:1978-08-01 00:00:00

  • The role of tumor markers in gynecologic oncology.

    abstract::Human chorionic gonadotropin is a highly sensitive and specific tumor marker for gestational trophoblastic neoplasia that accurately reflects tumor volume and the clinical course of disease. In women with endodermal sinus tumors and embryonal carcinomas, alpha-fetoprotein usually is a reliable marker, and it accuratel...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/00006254-199009000-00002

    authors: Olt G,Berchuck A,Bast RC Jr

    更新日期:1990-09-01 00:00:00

  • The Impact of Adenomyosis on Women's Fertility.

    abstract::Until recently, adenomyosis has been associated with multiparity, not impaired fertility. Currently, adenomyosis is diagnosed with increasing frequency in infertile patients since women delay their first pregnancy until their late 30s or early 40s. Although an association between adenomyosis and infertility has not be...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/OGX.0000000000000346

    authors: Harada T,Khine YM,Kaponis A,Nikellis T,Decavalas G,Taniguchi F

    更新日期:2016-09-01 00:00:00

  • Burns in pregnancy.

    abstract::Pregnancy complicated by a thermal injury must be aggressively managed to provide a favorable outcome for the mother and her developing fetus. The MEDLINE database was used to search for English-language papers published after 1980 to evaluate the classification, complications, and treatment of thermal injuries in pre...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/00006254-199801000-00024

    authors: Polko LE,McMahon MJ

    更新日期:1998-01-01 00:00:00

  • Malaria in Pregnancy: What the Obstetric Provider in Nonendemic Areas Needs to Know.

    abstract:Importance:Globally, more than 125 million women each year are at risk of malaria during pregnancy. Endemic regions carry the greatest burden; however, with globalization, providers in nonendemic regions are encountering increasing numbers of women exposed to or infected with malaria. Objectives:The aim of this articl...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/OGX.0000000000000704

    authors: Zakama AK,Gaw SL

    更新日期:2019-09-01 00:00:00

  • Pravastatin for Preventing and Treating Preeclampsia: A Systematic Review.

    abstract:Importance:We have performed a systematic search to summarize the role of statins for preventing and treating severe preeclampsia. Objective:The aim of this study was to examine whether pravastatin is a useful and safe alternative for treating preeclampsia during pregnancy. Evidence Acquisition:A systematic MEDLINE (...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/OGX.0000000000000522

    authors: Esteve-Valverde E,Ferrer-Oliveras R,Gil-Aliberas N,Baraldès-Farré A,Llurba E,Alijotas-Reig J

    更新日期:2018-01-01 00:00:00

  • Fibroids and infertility: a systematic review of the evidence.

    abstract:UNLABELLED:A systematic literature review was performed to determine whether leiomyomata are associated with decreased fertility rates, and whether surgical removal increases fertility rates postoperatively. Meta-analysis was conducted when multiple studies addressed a single issue and were sufficiently homogeneous. Da...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/00006254-200108000-00022

    authors: Pritts EA

    更新日期:2001-08-01 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

    doi:10.1097/00006254-198807000-00001

    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

  • 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

    doi:10.1097/01.OGX.0000097781.79401.0B

    authors: Ostrzenski A,Radolinski B,Ostrzenska KM

    更新日期:2003-12-01 00:00:00

  • Thrombophilia screening in pregnancy.

    abstract:UNLABELLED:Thromboembolism in pregnancy is a major contributor to pregnancy morbidity and mortality with potentially serious adverse effects for both mother and fetus. The purposes of this article are to explore the impact of heritable and acquired thrombophilias on pregnancy and to determine the appropriateness of scr...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/01.ogx.0000165116.96026.4e

    authors: Jordaan DJ,Schoon MG,Badenhorst PN

    更新日期:2005-06-01 00:00:00

  • Sex differences among obstetrician-gynecologists: a review of survey studies.

    abstract:UNLABELLED:Whether practice differences exist between the sexes is a question of clinical and educational significance. The obstetrician-gynecologist (ob-gyn) workforce has been shifting to majority women. An examination of sex differences in ob-gyn practice contributes to the discussion about how the changing workforc...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/OGX.0b013e318286f0aa

    authors: Farrow VA,Anderson B,Chescheir NC,Schulkin J

    更新日期:2013-03-01 00:00:00

  • Preimplantation Genetic Testing for Aneuploidy: A Review.

    abstract:Importance:Preimplantation genetic testing for aneuploidy (PGT-A) has undergone many technical developments over recent years, including changes in biopsy timings, methodology, and genetic analysis techniques. The evidence surrounding the efficaciousness of PGT-A is sporadic and inconsistent; as such, significant doubt...

    journal_title:Obstetrical & gynecological survey

    pub_type: 历史文章,杂志文章,评审

    doi:10.1097/OGX.0000000000000737

    authors: Kemper JM,Vollenhoven BJ,Talmor AJ

    更新日期:2019-12-01 00:00:00

  • Paternal Preferences, Perspectives, and Involvement in Perinatal Decision Making.

    abstract:Importance:Despite increasing attention to the importance of father involvement during pregnancy, the literature on fathers' roles in perinatal decision making is scant. Objective:The aim of this study was to conduct a narrative review of the literature exploring fathers' preferences, perspectives, and involvement in ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/OGX.0000000000000650

    authors: Cheng ER,McGough H,Tucker Edmonds B

    更新日期:2019-03-01 00:00:00

  • Metformin in obstetric and gynecologic practice: a review.

    abstract::Metformin is a common treatment for women who have insulin resistance manifesting as type 2 diabetes or polycystic ovarian syndrome (PCOS). With an increasing number of these patients conceiving, it is expected that the use of metformin in and around the time of pregnancy will increase. This article reassesses the mec...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/01.OGX.0000109224.52893.B8

    authors: McCarthy EA,Walker SP,McLachlan K,Boyle J,Permezel M

    更新日期:2004-02-01 00:00:00

  • Relevance of molecular medicine to clinical obstetrics and gynecology.

    abstract::Understanding molecular biology can improve the clinical acumen of the practicing obstetrician/gynecologist. An area of basic research now becoming clinically relevant involves the G proteins and G protein-coupled receptors. Clinicians already manipulate G protein-coupled receptors in their daily practice. Examples in...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/00006254-199701000-00025

    authors: Cohen DP,Layman LC

    更新日期:1997-01-01 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

    doi:10.1097/00006254-199808000-00023

    authors: Vora M,Gruslin A

    更新日期:1998-08-01 00:00:00

  • Cervico-isthmic corporeal pregnancy with delivery at term: a review of the literature with a case report.

    abstract:BACKGROUND:True primary cervical pregnancies are rare. Although these can cause massive hemorrhage, most of these abort during the first trimester without having been diagnosed. However, cervico-isthmic and cervico-isthmic corporeal pregnancies are more likely to persist to an advanced gestation in the second and third...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/OGX.0b013e31819f95ff

    authors: Avery DM,Wells MA,Harper DM

    更新日期:2009-05-01 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

    doi:

    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

  • 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

    doi:10.1097/OGX.0b013e3181b2f273

    authors: Novi JM,Book NM

    更新日期:2009-09-01 00:00:00

  • The potential impact of physical activity during pregnancy on maternal and neonatal outcomes.

    abstract:INTRODUCTION:Pregnancy is a critical period of body weight regulation. Maternal obesity and excessive gestational weight gain have become increasingly common and contribute to poor obstetrical outcomes for mother and baby. Regular participation in physical activity may improve risk profiles in pregnant women. PURPOSE ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/OGX.0b013e318242030e

    authors: Ferraro ZM,Gaudet L,Adamo KB

    更新日期:2012-02-01 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

    doi:10.1097/OGX.0b013e3181950f1b

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

    更新日期:2009-03-01 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

    doi:10.1097/00006254-199311000-00026

    authors: Flood JT,Grow DR

    更新日期:1993-11-01 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

    doi:10.1097/00006254-199505000-00026

    authors: Song JY,Fraser IS

    更新日期:1995-05-01 00:00:00

  • Insulinoma in pregnancy: a case report and review of the literature.

    abstract:UNLABELLED:Insulinomas are rare tumors with an incidence of approximately four cases per million person-years. Nineteen cases of insulinoma during pregnancy have been reported. Hypoglycemic symptoms usually appear during the first trimester. A 28-year-old primigravida was admitted at 6 weeks of gestation after referral...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/00006254-200204000-00022

    authors: Takacs CA,Krivak TC,Napolitano PG

    更新日期:2002-04-01 00:00:00

  • Effect of total abdominal hysterectomy on pelvic floor function.

    abstract::Historically, hysterectomy is one of the oldest gynecologic operations, dating back to the 1840s. Currently, it is the most common gynecologic operation performed and is associated with marked improvement in the patients' quality of life. It is widely considered a safe procedure with an extremely low mortality rate (<...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审

    doi:10.1097/01.ogx.0000120166.84206.dd

    authors: Abdel-Fattah M,Barrington J,Yousef M,Mostafa A

    更新日期:2004-04-01 00:00:00