Ethnic Differences in Fertility and Assisted Reproduction

  • Fady I. Sharara

Table of contents

  1. Front Matter
    Pages i-xiv
  2. Fady I. Sharara
    Pages 1-5
  3. Ellen H. Goldstein, James H. Segars
    Pages 7-26
  4. Kate Devine, Lisa Green, Heba Eltoukhi, Alicia Armstrong
    Pages 39-72
  5. Ruben Alvero, Shunping Wang
    Pages 85-93
  6. Hakan Cakmak, Heather G. Huddleston, Victor Y. Fujimoto
    Pages 95-104
  7. Stephanie Gustin, Malinda Lee, Lynn Westphal
    Pages 105-113
  8. Emilie Green, Laura Gillis, Hany Lashen
    Pages 115-126
  9. Fady I. Sharara
    Pages 127-130
  10. Katherine S. Anderson, Anita P. Tamirisa, John M. Csokmay, James H. Segars
    Pages 131-144
  11. Ramkumar Menon, George R. Saade
    Pages 145-158
  12. Mohamed Sabry, Ayman Al-Hendy
    Pages 159-168
  13. Diana P. Broomfield, Torie Comeaux Plowden
    Pages 169-183
  14. Lawrence Engmann, Richard Legro
    Pages 185-199
  15. Botros R. M. B. Rizk, Dmitris Loutradis
    Pages 201-212
  16. Kim Thornton, Karenne N. Fru, Yetunde Ibrahim
    Pages 227-238
  17. Back Matter
    Pages 245-255

About this book


Over the past 10 years, studies have shown that the rates of fertility vary in different ethnic groups. Ethnic differences also play a significant role in the outcome of—and access to—assisted reproductive technology. In the United States, minority groups--African Americans, Hispanics (mainly Mexicans and Central Americans), East Asians (Chinese, Japanese, Koreans, Filipinos) and South Asians (Indians, Pakistanis, and Bengalis)--have significantly lower chances of live births compared to Caucasian women. Birth outcome data collected by the Society for Assisted Reproductive Technology shows a worsening trend in conception rates between the years 1999-2000 and 2004-2006, raising more concern that the disparity in fertility rates between minority groups and white women is widening over time. Ethnic Differences in Fertility and Assisted Reproduction serves to answer the questions that arise when managing infertility in a multi-ethnic population. An expert assembly of key leaders in the field of Reproductive Medicine imparts insight and clinical experience in order to identify and analyze the possible causes of racial disparities in fertility outcome. Some of the reviewed causes include higher Body Mass Index (BMI), tubal diseases, metabolic syndrome, and fibroids in African Americans; tubal disease and higher early pregnancy loss in Hispanics; higher incidence of diminished ovarian reserve and lower BMI in East Asians; and higher incidence of polycystic ovarian disease (PCOS) in South Asians. A thoughtful combination of evidence-based medicine and advanced treatment options, this book is sure to distinguish itself as the definitive reference on ethnic differences in assisted reproduction.


ART Outcome Assisted Reproduction Ethnic fertility minority groups

Editors and affiliations

  • Fady I. Sharara
    • 1
  1. 1., Department of Ob/GynGeorge Washington UniversityRestonUSA

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media New York 2013
  • Publisher Name Springer, New York, NY
  • eBook Packages Medicine
  • Print ISBN 978-1-4614-7547-7
  • Online ISBN 978-1-4614-7548-4
  • Buy this book on publisher's site
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