Tubal factor infertility and its impact on reproductive freedom of African American women

Am J Obstet Gynecol. 2022 Mar;226(3):379-383. doi: 10.1016/j.ajog.2021.06.002. Epub 2021 Jun 8.

Abstract

In the past, the reproductive freedom of African American women was hindered by forced reproduction and sterilization campaigns. Unfortunately, these involuntary practices have now mostly been replaced by inequality because of disproportionate tubal factor infertility rates within African American communities. Our work aimed to describe the inequities in increased rates of pelvic inflammatory disease and tubal factor infertility as it relates to African American women. In addition, we highlighted the need for improved access to screening and treatment of sexually transmitted infections, access to barrier contraception, and health literacy related to the understanding and prevention of tubal factor infertility in African American women.

Keywords: pelvic inflammatory disease; racial health disparities; tubal factor infertility.

MeSH terms

  • Black or African American
  • Female
  • Freedom
  • Humans
  • Infertility* / complications
  • Infertility, Female* / etiology
  • Pelvic Inflammatory Disease* / diagnosis
  • Reproduction