Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Sep 23;3(2 Suppl):62-65.
doi: 10.1016/j.xfre.2021.09.004. eCollection 2022 May.

Primary ovarian insufficiency: a glimpse into the racial and socioeconomic disparities found within third-party reproduction

Ashley Wiltshire  1 , Luwam Ghidei  2 , Josette Dawkins  3 , Kiwita Phillips  4 , Frederick Licciardi  1 , David Keefe  1
Affiliations

Primary ovarian insufficiency: a glimpse into the racial and socioeconomic disparities found within third-party reproduction

Ashley Wiltshire et al. F S Rep. .

Abstract

Objective: To describe a unique case of primary ovarian insufficiency and review the systemic barriers in place that hinder reproductive autonomy for Black women who require third-party reproduction.

Design: Case report and review of the literature.

Setting: Safety-net hospital in an urban community.

Patients: A 36-year-old Black woman, gravida 0, with primary ovarian insufficiency who desires future fertility but is restricted by systemic barriers.

Interventions: Chromosome analysis.

Main outcome measures: Not applicable.

Results: Balanced reciprocal translocation between chromosomes 1 and 13: 46,XX,t(1;13)(q25;q14.1).

Conclusions: The field of assisted reproductive technology has evolved at an exponential rate, yet it unfortunately benefits some and not all. It is imperative that when we advocate for full spectrum infertility care, that this encompasses everyone. As we continue to further study and develop assisted reproductive technology, we must not forget to consider the factors leading to racial and socioeconomic disparities in reproductive care access, utilization, and outcomes.

Keywords: Infertility; disparity; donor; ethnicity; gamete.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Sullivan S.D., Sarrel P.M., Nelson L.M. Hormone replacement therapy in young women with primary ovarian insufficiency and early menopause. Fertil Steril. 2016;106:1588–1599. - PMC - PubMed
    1. Luborsky J.L., Meyer P., Sowers M.F., Gold E.B., Santoro N. Premature menopause in a multi-ethnic population study of the menopause transition. Hum Reprod. 2003;18:199–206. - PubMed
    1. Mohamadhashem F., Rafati M., Hoseininasab F., Rostami S., Tabatabaie R., Rezai S., et al. Primary ovarian insufficiency with t(5;13): a case report and literature review on disrupted genes. Climacteric. 2017;20:498–502. - PubMed
    1. Inhorn M.C. Where has the quest for conception taken us? Lessons from anthropology and sociology. Reprod Biomed Soc Online. 2020;10:46–57. - PMC - PubMed
    1. Crawford G.E., Ledger W.L. In vitro fertilisation/intracytoplasmic sperm injection beyond 2020. BJOG. 2019;126:237–243. - PubMed