Fertility research and practice最新文献

{"title":"Characterization of reproductive endocrinology and infertility (REI) fellowship applicants: guiding our mentees toward success.","authors":"Jason Franasiak,&nbsp;Daniel Kaser,&nbsp;Linnea Goodman,&nbsp;George Patounakis,&nbsp;Caroline Juneau,&nbsp;Scott Morin,&nbsp;Shelby Neal,&nbsp;William Schlaff,&nbsp;Richard Scott","doi":"10.1186/s40738-017-0045-x","DOIUrl":"https://doi.org/10.1186/s40738-017-0045-x","url":null,"abstract":"<p><strong>Background: </strong>Advanced subspecialty training in reproductive endocrinology and infertility (REI) entails a competitive application process with many data points considered. It is not known what components weigh more heavily for applicants. Thus, we sought to study the REI fellow applicant and compare 1) those who apply but do not receive an interview, 2) those who receive an interview but do not match, and 3) those who successfully match.</p><p><strong>Methods: </strong>This retrospective cohort study was conducted at a single REI fellowship program from 2013 to 2017. Academic variables assessed included standardized test scores and total number of publications listed on their <i>curriculum vitae</i>. Logistic regression models were constructed to determine variables that were predictive of being offered an interview in our program and of matching in any program.</p><p><strong>Results: </strong>There were 270 applicants, of which 102 were offered interviews. Interviewed applicants had significantly higher mean USMLE 1 and CREOG scores, as well as total publications and total abstracts. There was no difference in Step 2 and Step 3 scores or in number of book chapters. Of those interviewed, USMLE scores remained predictive of matching in any program; however, publications and scientific abstracts were no longer predictive.</p><p><strong>Conclusions: </strong>The decision to offer applicants interviews appears to be influenced by objective standardized test scores, as well as a threshold of academic productivity. These items are less predictive of matching once the interview process begins, indicating that other factors, such as performance during the interview day, may be more heavily weighted.</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"3 ","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2017-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40738-017-0045-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35650635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intramuscular progesterone (Gestone) versus vaginal progesterone suppository (Cyclogest) for luteal phase support in cycles of in vitro fertilization-embryo transfer: patient preference and drug efficacy.","authors":"Amal Yaseen Zaman,&nbsp;Serdar Coskun,&nbsp;Ahmed Abdullah Alsanie,&nbsp;Khalid Arab Awartani","doi":"10.1186/s40738-017-0044-y","DOIUrl":"https://doi.org/10.1186/s40738-017-0044-y","url":null,"abstract":"<p><strong>Background: </strong>The requirement for luteal phase support (LPS) in stimulated IVF cycles is well established, however drug choice, and route of administration and duration of use are not. This report evaluates patients' preference and satisfaction by using either vaginal or intramuscular (IM) progesterone (P) supplementation for luteal phase support after in vitro fertilization and embryo transfer (IVF-ET).</p><p><strong>Methods: </strong>It is a prospective cohort study done in a reproductive and infertility unit in a tertiary care hospital from March 2013 through February 2015 for four hundred and nine patients undergoing IVF-ET. Patients were allowed to choose either vaginal or IM P for LPS. Patient preference and satisfaction, as well as differences in clinical pregnancy rates between the two groups were assessed at one or two time points throughout the study.</p><p><strong>Results: </strong>There were no statistically significant differences in the patients' characteristics and clinical outcomes between the two groups. There were 88 pregnancies (38.8%) among patients treated with vaginal p and 62 pregnancies (34%) among IM P patients. Average satisfaction score at the pregnancy test and ultrasound (U/S) visits was similar between both groups.</p><p><strong>Conclusions: </strong>Patients' satisfaction and pregnancy rates were similar between vaginal and IM P supplementation.</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"3 ","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2017-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40738-017-0044-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35564899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fertility differential of women in Bangladesh demographic and health survey 2014.","authors":"Shongkour Roy,&nbsp;Sharif Mohammed Ismail Hossain","doi":"10.1186/s40738-017-0043-z","DOIUrl":"https://doi.org/10.1186/s40738-017-0043-z","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to examine the fertility differential of women age 15 to 49 using data from Bangladesh Demographic and Health Survey 2014- a survey of women who were born from 1963 to 1999.</p><p><strong>Methods: </strong>The secondary data analysis was carried out using the BDHS 2014 in order to discuss differences in childbearing practices in Bangladesh. Descriptive statistics were used to analyze the data including education level, geographic location, and religion. A trend test used to assess the inferences.</p><p><strong>Results: </strong>On average, women had 2.3 children in the BDHS 2014; more than 90% of them gave birth to at least one child by age 49 and the average age of first birth was 18 years. Fertility of women strongly differed by education (<i>p</i> < 0.001). The percentage of women with secondary education who had no child was 50.3% and never attended school 8.4%;those with secondary education were six times as likely as those who never attended school to have no child and this pattern was stronger among urban compared with rural women.</p><p><strong>Conclusions: </strong>Fertility differential becomes robust as education increases. Women's fertility is also related to religion and residence, but these factors were not strongly related as those educational attainments.</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"3 ","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2017-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40738-017-0043-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35620521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fertility with early reduction of ovarian reserve: the last straw that breaks the Camel's back.","authors":"Sabahat Rasool, Duru Shah","doi":"10.1186/s40738-017-0041-1","DOIUrl":"10.1186/s40738-017-0041-1","url":null,"abstract":"<p><p>Diminished fertility and poor ovarian response pose a conundrum to the experts in the field of reproductive medicine. There is limited knowledge about the risk factors of diminished ovarian reserve other than the iatrogenic ones. One of the leading causes of infertility in women today is diminished ovarian reserve (DOR). DOR is characterized by a low number of eggs in a woman's ovaries and/or with poor quality of the remaining eggs, which boils down to impaired development of the existing eggs, even with assisted reproductive techniques. A good number of such women with low ovarian reserve may conceive with their own eggs, if they are given individualized treatment that is tailored for their profile. Such patients should be counseled appropriately for an aggressive approach towards achieving fertility. The sooner the treatment is started, the better the chances of pregnancy.</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"3 ","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2017-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5637249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35620522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vitamin D binding protein is lower in infertile patients compared to fertile controls: a case control study.","authors":"Jason Franasiak,&nbsp;Sue Shapses,&nbsp;Wei Sun,&nbsp;Richard Scott,&nbsp;Xiangbing Wang","doi":"10.1186/s40738-017-0042-0","DOIUrl":"https://doi.org/10.1186/s40738-017-0042-0","url":null,"abstract":"<p><strong>Background: </strong>The importance of vitamin D in general health as well as in human reproductive success has been an area of focus. A better understanding of vitamin D metabolism, particularly vitamin D binding protein, is important when elucidating this relationship.</p><p><strong>Methods: </strong>This case control trial seeks to characterize vitamin D metabolism in infertile patients undergoing natural cycle IVF as compared to normally cycling premenopausal women with proven fertility matched for age and body mass index (BMI). A total of 68 subjects were examined; 39 were infertile premenopausal women and 29 were regularly cycling fertile controls. Their 25-hydroxy vitamin D (25OHD), vitamin D binding protein (DBP), and albumin were measured and free and bioavailable 25OHD calculated. Between group comparisons were conducted with an unpaired t-test. A stepwise regression using age, BMI, 25OHD, estradiol & albumin in the model were used to determine predictors of DBP.</p><p><strong>Results: </strong>Age, BMI, and total 25OHD did not differ between the two groups. However, vitamin D binding protein, free and bioavailable vitamin D were significantly different in the infertile patients as compared to the regularly cycling fertile controls (<i>p</i> < 0.01). Stepwise Regression using age, BMI, 25OHD, estradiol & albumin in the model showed that only albumin was a predictor of DBP (β-coefficient - 0.310; <i>p</i> = 0.01).</p><p><strong>Conclusion: </strong>The implications of lower vitamin D binding protein associated with infertility is not clear from this pilot study, and requires further study.</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"3 ","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2017-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40738-017-0042-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35620520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnetic resonance imaging performance for diagnosis of ovarian torsion in pregnant women with stimulated ovaries.","authors":"Elizabeth Asch,&nbsp;Jesse Wei,&nbsp;Koenraad J Mortele,&nbsp;Kathryn Humm,&nbsp;Kim Thornton,&nbsp;Deborah Levine","doi":"10.1186/s40738-017-0040-2","DOIUrl":"https://doi.org/10.1186/s40738-017-0040-2","url":null,"abstract":"<p><strong>Background: </strong>To determine if asymmetric ovarian edema on non-contrast MRI can be used to distinguish torsed from non-torsed stimulated ovaries in pregnant women.</p><p><strong>Methods: </strong>In this retrospective study, our radiology database was searched for women who were pregnant and who had undergone ovarian stimulation and underwent MRI abdomen/pelvis from 1/2000-12/2012. At our institution, ultrasound is typically performed as a first line study for pregnant women with pelvic pain, with MR for those patients with indeterminate findings. 64 pregnant women (gestational age range 3-37 weeks) were included. MRI indication, prospective interpretation, operative diagnosis, and follow-up were recorded. Two blinded radiologists (with a third radiologist tie-breaker) independently measured and described the ovaries, including the likelihood of torsion. If one or both ovaries/adnexa had an underlying lesion such as a dermoid, cystadenoma, or abscess, the patient was excluded from size and signal intensity comparison (<i>N</i> = 14). For the remaining 50 women, comparison was made of the ovaries in women with normal ovaries (<i>N</i> = 27), stimulated ovaries without torsion (<i>N</i> = 11), non-stimulated ovaries with torsion (<i>N</i> = 3), and stimulated ovaries with torsion (<i>N</i> = 3). Patients with asymmetric ovarian edema without stimulation or torsion (<i>N</i> = 3) and with polycystic ovary syndrome (<i>N</i> = 3) were analyzed separately.</p><p><strong>Results: </strong>Average normal ovarian length was 3.2 cm, compared to 4.5 cm for asymmetric edema and 5.6-8.8 cm for the other four groups. Average difference in greatest right and left ovarian diameter was 19% for normal ovaries compared to 24-37% for the other 5 groups. Asymmetric signal on T2-weighted imaging (T2WI) was seen in 12% (3/27) of normal ovaries compared to 9% (1/11) of stimulated patients without torsion, 33% (1/3) of patients with PCOS and 67% (2/3) of patients with torsion both without and with stimulation. The correct diagnosis of torsion was made prospectively in 5/6 cases but retrospectively in only 3/6 cases. In patients with stimulation, correct diagnosis of torsion was made in 2/3 cases prospectively (both with asymmetric T2 signal) and retrospectively in only 1/3 cases. In 13/64 patients, other acute gynecologic and non-gynecologic findings were diagnosed on MRI.</p><p><strong>Conclusions: </strong>Enlarged edematous ovary can be seen with ovarian stimulation, ovarian torsion, or both. Although asymmetric ovarian edema occurred more frequently in patients with torsion than without, in pregnant patients with stimulated ovaries referred for MRI (typically after non-diagnostic ultrasound), ovarian torsion could not be confidently diagnosed or excluded retrospectively with non-contrast MRI.</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"3 ","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2017-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40738-017-0040-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35402265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contraception and fertility transition in AMHARA National Regional State of ETHIOPIA: an application of BONGAARTS' model.","authors":"Nega Mihret Alazbih,&nbsp;Getachew Nibret Tewabe,&nbsp;Tariku Dejene Demissie","doi":"10.1186/s40738-017-0039-8","DOIUrl":"https://doi.org/10.1186/s40738-017-0039-8","url":null,"abstract":"<p><strong>Background: </strong>The overall decline of fertility in Amhara National Regional State between 2000 and 2011 was the highest in Ethiopia. The aim of the present study was to determine the most significant proximate determinant of fertility change during the last decade in the region using Bongaarts' model.</p><p><strong>Methods: </strong>The sources of data were the 2000, 2005, and 2011 Ethiopia Demographic and Health Surveys. The model indices were calculated for each survey. Decomposition of fertility change into components of proximal determinants was also carried out. An index value close to 1 is a negligible inhibiting effect while a large inhibiting effect when the value very closes to 0.</p><p><strong>Results: </strong>The fertility-constraining effect of contraception increased from 0.93 in 2000 to 0.65 in 2011; however, it was lower than the effect of postpartum insusceptibility at all given times. The index of marriage remained unchanged in constraining fertility over the period (0.71 in 2000 and 0.70 in 2011) while the influence of postpartum insusceptibility slightly declined from 0.49 in 2000 to 0.54 in 2011 but was stronger than contraception and marriage. The contribution of contraception was most important in urban areas (0.46 in 2011 from 0.52 in 2005 and 0.64 in 2000); however, in rural areas, it became an important determinant over the period (0.95 in 2000 and 0.69 in 2011). The effect of postpartum insusceptibility in rural areas showed a decreasing trend (0.48 in 2000 and 0.53 in 2011). The index of marriage in rural areas was stable overtime (0.75 in 2000 and 0.73 in 2011) while in urban areas the effect declined from 0.42 in 2000 to 0.65 in 2011. Marriage was the most important proximate determinant of fertility among women with secondary and above education but the impact declined during the period (0.41 in 2000 and 0.61 in 2011). The importance of postpartum insusceptibility in limiting fertility among women with secondary and above education declined overtime (0.77 in 2000 and 0.87 in 2011) whereas the contribution of contraception became more important (0.44 in 2000 and 0.35 in 2011).</p><p><strong>Conclusions: </strong>An increase in the level of contraceptive use and effectiveness overtime was the single most important contributing factor for the recent fertility decline in the region.</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"3 ","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2017-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40738-017-0039-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35479320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptıon scale of barrıers to contraceptıve use: a methodologıcal study.","authors":"Selma Sen,&nbsp;Aynur Cetinkaya,&nbsp;Aysel Cavuslar","doi":"10.1186/s40738-017-0038-9","DOIUrl":"https://doi.org/10.1186/s40738-017-0038-9","url":null,"abstract":"<p><strong>Background: </strong>The objective of this study was to design and develop the Perception Scale of Barriers to Contraceptive Use (PSBCU) as a measurement tool for the qualitative assessment of the barriers and obstacles women perceived with regard to contraceptive use or low rates of contraceptive use in women using family planning services.</p><p><strong>Method: </strong>The data for this methodological study were collected using the face-to-face interview technique from 320 married women between the ages of 15-49 who were attending clinics at the Hafsa Sultan Hospital, CBU. The data collection tools used in the study, which was carried out from May to September 2014, were the \"Introductory Information Form\" and the \"Perception Scale of Barriers to Contraceptive Use\". Language validity and construct validity (explanatory factor analysis) were applied in order to test the validity of the Perception Scale of Barriers to Contraceptive Use.</p><p><strong>Results: </strong>Kaiser Meier Olkin (KMO) analysis was performed to determine the availability of the scale for the size of participants. The sample adequacy calculated as the KMO value was 0.916 and the Bartlett's Test of Sphericity (X² = 6721.793 <i>p</i> < 0.000) sample size analysis value was found to be sufficient for factor analysis. The total Cronbach's Alpha coefficient of 34 items which included three factors explaining 54.95% of the variance after Varimax rotation was calculated to be 0.95. The largest factor was the \"cognitive domain\" explaining 18.89% of the variance, followed by the \"emotional domain\" explaining 18.05% of the variance, and finally the \"social domain\" explaining 18.01% of the variance. Item-total score correlation coefficients of scale items were found to be between 0.54 and 0.83.</p><p><strong>Conclusions: </strong>The study demonstrateded that the \"Perception Scale of Barriers to Contraceptive Use\" was valid and reliable. We believe that the scale is suitable for use by women in a family planning education and training programs in order to evaluate their situation. It should also be assessed for validity and reliability for different groups (adolescents, men, etc.).</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"3 ","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2017-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40738-017-0038-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35309821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alcohol and fertility: how much is too much?","authors":"Kristin Van Heertum, Brooke Rossi","doi":"10.1186/s40738-017-0037-x","DOIUrl":"10.1186/s40738-017-0037-x","url":null,"abstract":"<p><p>Alcohol use is prevalent in the United States. Given that a substantial portion of the drinking population is of reproductive age, it is not uncommon for couples who are attempting conception, or for women who are already pregnant, to be regularly consuming alcohol. Alcohol use is associated with multiple reproductive risks, including having a child with a Fetal Alcohol Spectrum Disorder, increased risk of fetal loss, and decreased chance of live birth. This review serves to examine the risks of alcohol in the context of reproductive health.</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"3 ","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2017-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40738-017-0037-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35163525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fertility preservation training for obstetrics and gynecology fellows: a highly desired but non-standardized experience.","authors":"Elizabeth J N Miller,&nbsp;Lisa M Cookingham,&nbsp;Teresa K Woodruff,&nbsp;Ginny L Ryan,&nbsp;Karen M Summers,&nbsp;Laxmi A Kondapalli,&nbsp;Divya K Shah","doi":"10.1186/s40738-017-0036-y","DOIUrl":"https://doi.org/10.1186/s40738-017-0036-y","url":null,"abstract":"<p><strong>Background: </strong>Despite a large body of data suggesting that delivery of fertility care to cancer patients is inconsistent and frequently insufficient, there is a paucity of literature examining training in fertility preservation for those physicians expected to discuss options or execute therapy. The study objective was to compare fertility preservation training between Reproductive Endocrinology & Infertility (REI) and Gynecologic Oncology (GYN ONC) fellows and assess the need for additional education in this field.</p><p><strong>Methods: </strong>A 38-item survey was administered to REI and GYN ONC fellows in the United states in April 2014. Survey items included<b>:</b> 1) Clinical exposure, perceived quality of training, and self-reported knowledge in fertility preservation; 2) an educational needs assessment of desire for additional training in fertility preservation.</p><p><strong>Results: </strong>Seventy-nine responses were received from 137 REI and 160 GYN ONC fellows (response rate 27%). REI fellows reported seeing significantly more fertility preservation patients and rated their training more favorably than GYN ONC fellows (48% of REI fellows versus 7% of GYN ONC fellows rated training as 'excellent', <i>p</i> < 0.001). A majority of all fellows felt discussing fertility preservation was 'very important' but fellows differed in self-reported ability to counsel patients, with 43% of REI fellows and only 4% of GYN ONC fellows able to counsel patients 'all the time' (<i>p</i> = 0.002). Seventy-six percent of all fellows felt more education in fertility preservation was required, and 91% felt it should be a required component of fellowship training.</p><p><strong>Conclusion: </strong>Significant variability exists in fertility preservation training for REI and GYN ONC fellows, with the greatest gap seen for GYN ONC fellows, both in perceived quality of fertility preservation training and number of fertility preservation patients seen. A majority of fellows in both disciplines support the idea of a standardized multi-disciplinary curriculum in fertility preservation.</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"3 ","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2017-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40738-017-0036-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35154014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}