Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Am J Obstet Gynecol. 2022 Apr;226(4):524-528. doi: 10.1016/j.ajog.2021.06.100. Epub 2021 Jul 3.
The 2021 Women's Preventive Services Initiative Well-Woman Chart outlines a framework for incorporating preventive health services recommended by the Women's Preventive Services Initiative, the US Preventive Services Task Force, and Bright Futures based on age, health status, and risk factors. Following the previous guidelines for preventive care, this document failed to offer recommendations or guidelines for infertility screening and fertility counseling in the course of well-woman care. Healthcare providers may be less likely to address fertility with their patients in the absence of clear, evidence-based recommendations, potentially resulting in underinformed reproductive choices and compromised reproductive potential. Given the devastating consequences of infertility and unintended childlessness, we, herein, propose that infertility screening and fertility counseling should become an integral part of well-woman care and that organizations, such as the Women's Preventive Services Initiative, put forth guidelines to assist providers in addressing fertility throughout a woman's reproductive lifespan.
2021 年妇女保健服务倡议健康女性图表概述了一个框架，用于根据年龄、健康状况和风险因素纳入妇女保健服务倡议、美国预防服务工作组和光明未来推荐的预防保健服务。该文件遵循之前的预防保健指南，未能在健康女性护理过程中提供关于不孕筛查和生育咨询的建议或指南。如果没有明确的、基于证据的建议，医疗保健提供者可能不太愿意与患者讨论生育问题，这可能导致缺乏信息的生殖选择和生殖潜力受损。鉴于不孕和意外不孕的后果严重，我们在此建议不孕筛查和生育咨询应成为健康女性护理的一个组成部分，并且像妇女保健服务倡议这样的组织应制定指南，帮助提供者在女性生殖生命周期中解决生育问题。
