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  • Poor women (along with lesbians, single women, older women and women with disabilities) have traditionally been excluded from accessing assisted reproductive technologies.[1]

  • Women with higher income and education do not experience higher rates of infertility. In fact, women in the lowest socioeconomic groups have the highest rates of infertility.[1][2]

  • Couples and individuals who experience infertility often experience guilt, low self-esteem, depression, disappointment, increased rates of relationship conflict and sexual dysfunction.[1]


Can you think of ways in which the experience of infertility might differ for individuals who can and cannot afford treatment?


1. Peterson, MM. Assisted reproductive technologies and equity of access issues. Journal of Medical Ethics 2005;31:280-5.

2. Jain, T, Hornstein, MD. Disparities in access to infertility services in a state with mandated insurance coverage. Fertility and Sterility 2005;221-3.

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