Primary ovarian insufficiency: a glimpse into the racial and socioeconomic disparities found within third-party reproduction
Ashley Wiltshire, M.D.,
Luwam Ghidei, M.D.,
Josette Dawkins, M.D.,
Kiwita Phillips, M.D.,
Frederick Licciardi, M.D.,
David Keefe, M.D.
Affiliations
Ashley Wiltshire, M.D.
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, New York University Langone Fertility Center, New York City, New York; Reprint requests: Ashley Wiltshire, M.D., Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, New York University Langone Fertility Center, 660 1st Ave, New York City, New York 10016.
Luwam Ghidei, M.D.
Department of Obstetrics and Gynecology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas
Josette Dawkins, M.D.
Department of Obstetrics and Gynecology, UT Southwestern Medical Center, Dallas, Texas
Kiwita Phillips, M.D.
Department of Obstetrics and Gynecology, Morehouse School of Medicine, Atlanta, Georgia
Frederick Licciardi, M.D.
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, New York University Langone Fertility Center, New York City, New York
David Keefe, M.D.
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, New York University Langone Fertility Center, New York City, New York
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. Patient(s): A 36-year-old Black woman, gravida 0, with primary ovarian insufficiency who desires future fertility but is restricted by systemic barriers. Intervention(s): Chromosome analysis. Main Outcome Measure(s): Not applicable. Result(s): Balanced reciprocal translocation between chromosomes 1 and 13: 46,XX,t(1;13)(q25;q14.1). Conclusion(s): 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.
