ArticleBMJ open2026
Reproductive healthcare use before and after infertility diagnosis: a population-based study in South Korea.
Article in BMJ open, 2026. 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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Abstract
objectivesThis study examines heterogeneity in women's use of reproductive healthcare services before and after receiving an infertility diagnosis and its association with pregnancy identified without recorded loss within one year following the first infertility diagnosis. Reproductive healthcare use was operationalised as care-seeking history, utilisation intensity and subsequent engagement with assisted reproductive technology (ART) and financial support.
designPopulation-based retrospective cohort study. Multivariate logistic regression analyses were performed.
settingKorean National Health Insurance Service nationwide claims database.
participantsWomen aged 20-49 years with a first recorded infertility diagnosis in 2019-2020 (n=151 570). OUTCOME MEASURES: Pregnancy identified without recorded loss within 1 year after infertility diagnosis.
resultsDifferences between women who did and did not have a pregnancy identified without recorded loss were more pronounced in pregnancy-related diagnostic codes recorded prior to infertility diagnosis than in classical genitourinary disorders. ART use (OR: 1.66; 95% CI 1.60 to 1.72) and financial support (OR: 1.60; 95% CI 1.54 to 1.67) were positively associated with pregnancy; however, these associations were modest relative to age and socioeconomic gradients. Greater postdiagnostic healthcare utilisation was associated with lower odds of pregnancy identification.
conclusionsWomen diagnosed with infertility exhibit heterogeneous patterns of prediagnostic and postdiagnostic healthcare engagement. Our findings suggest that infertility diagnosis is situated within women's broader reproductive healthcare engagement, highlighting the need for a patient-centred monitoring and evaluation system for women's health.
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