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医师不孕:系统文献回顾。

Physician infertility: a structured literature review.

机构信息

Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA.

Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.

出版信息

J Assist Reprod Genet. 2024 Sep;41(9):2227-2235. doi: 10.1007/s10815-024-03216-4. Epub 2024 Aug 2.

Abstract

Physician infertility has become a growing concern because of the increasingly high rates of infertility physicians experience associated with their strenuous work schedules, environmental exposures, and delayed family planning due to their necessitated years of training. Fortunately, there has been an increase in awareness, advocacy, and urgency for institutional support alongside this suboptimal association. This awareness is reflected in the vast existing literature regarding physician infertility; in this scoping review, we aggregated and assessed the current data as well as identified gaps in the available research. Including 56 articles regarding various aspects of the current state of physician infertility, we compiled and synthesized the available data to understand the role of infertility in physician family planning, including specific analyses for surgeons and comparisons of male and female physicians. We discussed the utilization and downsides of artificial reproductive technologies for this population in terms of finances and logistics, contributing to this complex and, until recently, neglected issue. Lastly, we reported on a multitude of suggestions aimed at medical training programs to help combat the complex issue of physician infertility.

摘要

由于医生面临着越来越高的不孕率,他们的工作时间紧张、接触环境中的有害物质,以及由于培训所需的多年时间而延迟了家庭计划,因此,医生不孕已成为一个日益严重的问题。幸运的是,随着这种不理想的关联,人们对机构支持的意识、倡导和紧迫性也有所增加。这种意识反映在大量现有的关于医生不孕的文献中;在本次范围综述中,我们汇总和评估了现有数据,并确定了现有研究中的空白。我们包含了 56 篇关于医生不孕现状的各个方面的文章,汇集并综合了现有数据,以了解不孕对医生家庭计划的影响,包括对外科医生的具体分析以及对男女医生的比较。我们讨论了人工生殖技术在财务和后勤方面对这一人群的利用和缺点,这对解决这个复杂且直到最近才被忽视的问题做出了贡献。最后,我们报告了许多旨在帮助解决医生不孕这一复杂问题的医学培训计划的建议。

相似文献

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Physician infertility: a structured literature review.医师不孕:系统文献回顾。
J Assist Reprod Genet. 2024 Sep;41(9):2227-2235. doi: 10.1007/s10815-024-03216-4. Epub 2024 Aug 2.
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本文引用的文献

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Infertility: A Hidden Cost of Medical Training.不孕不育:医学培训的一项隐性成本。
J Grad Med Educ. 2022 Dec;14(6):639-641. doi: 10.4300/JGME-D-22-00189.1.
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Female physician infertility: the lack of adequate insurance coverage.女性医师不孕:保险覆盖不足。
Am J Obstet Gynecol. 2023 Mar;228(3):306-310. doi: 10.1016/j.ajog.2022.08.049. Epub 2022 Sep 5.

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