To the Editor.
—I read with shock and dismay the recent summary article regarding obstetrics and gynecology in JAMA's Contempo issue, 1992.1I agree with the statement that "[e]ducation of the consumer can go a long way toward assuring credibility, accountability, and quality" in the care of patients with fertility problems. However, the statement, "[e]ducation of consumers could potentially assure that those having infertility problems would consult only with a physician subspecialist certified in reproductive endocrinology; that those requiring surgery would consult with a member of the Society of Reproductive Surgeons; and that those requiring assisted reproductive technologies would seek care only at centers staffed by members of the Society of Assisted Reproductive Technology," seems truly to take the cart before the horse.I think most "experts" in the field would agree that one first starts an infertility workup and addresses problems in this area with someone trained
Armstrong JT. Diagnosing Infertility: Who Is Qualified? JAMA. 1993;269(1):46. doi:10.1001/jama.1993.03500010056022
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