Racial and ethnic differences in reproductive potential across the life cycle

Cultural factors contributing to health care disparities among patients with infertility in Midwestern United States

“…As the disparity in infertility rates continues to increase in the United States, it is concerning that there are concomitant disparities in ART outcomes between women of color and white women (8)(9)(10)17). Attention to barriers to care and possible social stigma surrounding infertility need to be better identified and eventually addressed if equal access for diagnosis and treatment are ultimate goals.…”

Does accelerated reproductive aging underlie premenopausal risk for cardiovascular disease?

“…Although most previous studies have included samples comprised of predominately White women, one study comparing AMH declines across race/ethnic groups reported that the average decline in AMH was greater among African-American and Latina women than in White women. 48 More generally, evidence also suggests that racial/ethnic differences are present across a variety of reproductive health outcomes, including pubertal timing, outcomes of assisted reproductive technologies, and age at menopause (for review see 56 ). In addition, consistent with a large literature documenting racial/ethnic disparities in CVD risk, 57-58 the current study showed strong associations between race/ethnicity and cardio-metabolic risk with the African-American and Latina (compared to White) women showing 2 to 9-fold increases in the odds of having poorer cardio-metabolic outcomes for HDL, waist circumference, and hypertension (results not shown).…”

Obesity adversely affects serum anti-müllerian hormone (AMH) levels in Caucasian women

“…Racial and ethnic disparities have also been demonstrated in reproductive medicine, such as earlier puberty in AfricanAmerican and Hispanic women compared with Caucasian women, significantly lower live birth rates after assisted reproductive technology (ART) in all racial and ethnic groups compared with Caucasians, and differences in perimenopausal symptomatology and possibly timing in various racial/ethnic groups compared with Caucasians [24]. Compared with Caucasian women, average AMH values were found to be decreased among African-American (25.2 %) and Hispanic (24.6 %) women after adjusting for age [25].…”