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Article
January 6, 1993

Diagnosing Infertility: Who Is Qualified?-Reply

Author Affiliations

Northwestern University Medical School Chicago, Ill

JAMA. 1993;269(1):46. doi:10.1001/jama.1993.03500010056023

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Abstract

In Reply.  —The average resident in obstetrics and gynecology spends 2 months or less of a 4-year residency assigned to a reproductive endocrinology and infertility service, if such a service is even available. Subspecialty certification in reproductive endocrinology and infertility follows completion of an approved 2- or 3-year fellowship training program and requires passage of both a written and, 2 years later, an oral examination. Fecundity is age-dependent, and the worst enemy of an infertile couple is time. Making the correct diagnosis to explain the infertility takes training and experience, as well as specialized laboratory facilities, which will soon be required to undergo accreditation procedures. Laboratory accreditation and subspecialty certification provide some measure of accountability, credibility, and quality for the consumer. Unfortunately, the Yellow Pages contains many advertisements of self-proclaimed "infertility specialists." The practices of certified subspecialists are filled with couples who have spent thousands of dollars and years of

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