原发性卵巢功能不全：第三方辅助生殖中种族和社会经济差异的一瞥。
Primary ovarian insufficiency: a glimpse into the racial and socioeconomic disparities found within third-party reproduction.
作者信息
Wiltshire Ashley, Ghidei Luwam, Dawkins Josette, Phillips Kiwita, Licciardi Frederick, Keefe David
机构信息
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, New York University Langone Fertility Center, New York City, New York.
Department of Obstetrics and Gynecology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas.
出版信息
F S Rep. 2021 Sep 23;3(2 Suppl):62-65. doi: 10.1016/j.xfre.2021.09.004. eCollection 2022 May.
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.
PATIENTS
A 36-year-old Black woman, gravida 0, with primary ovarian insufficiency who desires future fertility but is restricted by systemic barriers.
INTERVENTIONS
Chromosome analysis.
MAIN OUTCOME MEASURES
Not applicable.
RESULTS
Balanced reciprocal translocation between chromosomes 1 and 13: 46,XX,t(1;13)(q25;q14.1).
CONCLUSIONS
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.
目的
描述一例原发性卵巢功能不全的独特病例，并回顾阻碍需要第三方生殖的黑人女性生殖自主权的系统性障碍。
设计
病例报告及文献综述。
地点
城市社区的安全网医院。
患者
一名36岁未孕黑人女性，患有原发性卵巢功能不全，希望未来生育，但受到系统性障碍的限制。
干预措施
染色体分析。
主要观察指标
不适用。
结果
1号和13号染色体之间的平衡易位：46,XX,t(1;13)(q25;q14.1)。
结论
辅助生殖技术领域呈指数级发展，但遗憾的是，并非所有人都能从中受益。当我们倡导全面的不孕不育治疗时，必须涵盖所有人。在我们继续深入研究和发展辅助生殖技术的过程中，绝不能忘记考虑导致生殖保健获取、利用和结果方面存在种族和社会经济差异的因素。
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