Evidence map›Paper›PMID 41398707›Full record

ArticleContraception and reproductive medicine2025

Attitudes and practices of women's health specialists regarding fertility treatment for social reasons - a reproductive rights' survey from Pakistan.

Samia Husain, Sonia Husain, Rubina Izhar, Rahila Imtiaz, Zubaida Masood

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Article in Contraception and reproductive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Samia HusainAziz Medical Center, Karachi, Pakistan. samiahusain_scorpio@hotmail.com.
Sonia HusainAziz Medical Center, Karachi, Pakistan.
Rubina IzharAziz Medical Center, Karachi, Pakistan.
Rahila ImtiazAziz Medical Center, Karachi, Pakistan.
Zubaida MasoodAziz Medical Center, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreating subfertility continues to remain a low priority area in developing countries; a period of twelve months must elapse before a couple is labeled subfertile. This study aims to assess the attitude and practice of Women’s healthcare specialists for starting fertility investigations and treatment within 12 months of marriage for social reasons.

methodsIn this online survey, a self-administered questionnaire was administered to 464 women’s health care specialists in Pakistan. There were only three inclusion criteria: 1)Being a Pakistani resident 2) practicing obstetrics and gynaecology with a formal qualification in their specialty and 3) having a special interest in subfertility. All other healthcare professionals were excluded.

resultsOur study population comprised of 230(49.6%) gynecologists, 218(47.0%) obstetricians and 16 (3.4%) reproductive endocrinologists. Only one tenth (10.3%) had a positive attitude towards screening and offering treatment. Less than half (40.1%) had good practices. Those who had a local higher qualification (FCPS), (p = 0.001), worked as consultants(p = 0.001), and self-estimated themselves proficient in providing ovulation induction (p ˂ 0.001) were more likely to have positive attitude scores. Those whose area of expertise was gynaecology (p = 0.001), who had training in fertility (p = 0.005), and worked in a teaching hospital (p ˂ 0.001), were more likely to have good practice scores.

conclusionOur study shows that healthcare providers have negative attitude and suboptimal practices regarding considering social reasons for starting fertility treatment within 12 months of marriage. Social grounds for starting fertility treatment in developing countries need to be established and local guidelines should be revised to include care for such couples.

Indexed as

Patient advocacyPatient satisfactionPhysician-patient relationsProfessional-patient relationsReproductive rightsSurvey

Identifiers

PMID41398707
PMCPMC12822287

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