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How medicine robs physicians of their fertility

August 20, 2023
Editor, First Opinion

Like many, this summer I've binged "The Retrievals," the new Serial/New York Times podcast about how women ended up undergoing egg retrieval without any painkillers.

But as Morgan S. Levy, Vineet Arora, and Arghavan Salles write this week in a powerful First Opinion, physical pain is only one part of the trauma of infertility — a trauma that is particularly pronounced for physicians. Levy, Arora, and Salles — two of whom are physicians, one a medical student — recently published a study in JAMA Internal Medicine about the burden infertility places on doctors. They write: "We surveyed 3,310 physicians and medical students of all sexes, genders, and sexual orientations and found almost two-thirds delayed childbearing due to training. Most (55.8%) who had delayed regretted doing so. More than one-fifth (21.1%) of the whole sample, whose ages ranged from 18 to 81, reported meeting the criteria to be diagnosed with infertility; 31.5% of those age 32 and above met the same criteria. More than a quarter (28%) of those with infertility reported it negatively affected their well-being."

Also in First Opinion this week, a dentist blesses my sugar-free gum habit and begs people not to let recent alarming headlines about aspartame hurt their dental health. The much-needed push to diversify clinical trials is leaving out a critical group: disabled people. Heat deaths may be dramatically undercounted. And so much more. 

Adobe

Medicine robs physicians of their fertility. Here's how to fix it

As a profession, we have started to talk about infertility, but not the negative enduring impacts of family-building journeys.

By Morgan S. Levy and Vineet Arora and Arghavan Salles


I'm a dentist. I'm begging people not to give up on aspartame

As a dentist, my professional concern for oral health makes opting for non-nutritive sweeteners like aspartame over sugar obvious.

By Melissa Weintraub


The definition of clinical trial diversity must include disabled people

Despite constituting the largest minority group in the U.S., people with disabilities remain heavily excluded from the process.

By Liz Beatty



Adobe

Home blood pressure machines are often wrong. The FDA must speak up

I learned the hard way that many affordable blood pressure machines are not one-size-fits-all, leading to false readings.

By Devabhaktuni Srikrishna


Why it's so difficult to count the number of heat-related deaths

There may currently be an up to 50-fold underestimation of heat-related morbidity and mortality. That needs to change.

By Ashley Ward


Medicare beneficiaries deserve access to genetic counselors

For 65 million Medicare beneficiaries, genetic counseling services are currently behind a locked door. That must change.

By Deepti Babu


Adobe

The best way for the NIH to reduce drug prices is to address drug spending

Despite what the Senate thinks, it does not seem likely that any actions taken by NIH would have significant impact on drug prices.

By Mark J. Ratain


The CDC faces $1.5 billion in budget cuts. Layoffs will almost certainly follow

Cutting the CDC budget sends a message that will weaken the already anemic private sector willingness to invest in health care.

By Steve Brozak and Richard Marfuggi


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