To compare racial differences in male fertility history and treatment.
Retrospective review of prospectively collected data.
North American reproductive urology centers.
Males undergoing urologist fertility evaluation.
None.
Demographic and reproductive Andrology Research Consortium data.
The racial breakdown of 6,462 men was: 51% White, 20% Asian/Indo-Canadian/Indo-American, 6% Black, 1% Indian/Native, <1% Native Hawaiian/Other Pacific Islander, and 21% "Other". White males sought evaluation sooner (3.5 ± 4.7 vs. 3.8 ± 4.2 years), had older partners (33.3 ± 4.9 vs. 32.9 ± 5.2 years), and more had undergone vasectomy (8.4% vs. 2.9%) vs. all other races. Black males were older (38.0 ± 8.1 vs. 36.5 ± 7.4 years), sought fertility evaluation later (4.8 ± 5.1 vs. 3.6 ± 4.4 years), fewer had undergone vasectomy (3.3% vs. 5.9%), and fewer had partners who underwent intrauterine insemination (8.2% vs. 12.6%) compared with all other races. Asian/Indo-Canadian/Indo-American patients were younger (36.1 ± 7.2 vs. 36.7 ± 7.6 years), fewer had undergone vasectomy (1.2% vs. 6.9%), and more had partners who underwent intrauterine insemination (14.2% vs. 11.9%). Indian/Native males sought evaluation later (5.1 ± 6.8 vs. 3.6 ± 4.4 years) and more had undergone vasectomy (13.4% vs. 5.7%).
Racial differences exist for males undergoing fertility evaluation by a reproductive urologist. Better understanding of these differences in history in conjunction with societal and biologic factors can guide personalized care, as well as help to better understand and address disparities in access to fertility evaluation and treatment.
Fertility and sterility. 2021 Jul 26 [Epub ahead of print]
Andrew B Chen, Keith A Jarvi, Katherine Lajkosz, James F Smith, Kirk C Lo, Ethan D Grober, Susan Lau, Jared M Bieniek, Robert E Brannigan, Victor D W Chow, Trustin Domes, James M Dupree, Marc Goldstein, Jason C Hedges, James M Hotaling, Edmund Y Ko, Peter N Kolettis, Ajay K Nangia, Jay I Sandlow, David Shin, Aaron Spitz, J C Trussell, Scott I Zeitlin, Armand S Zini, Marc A Fisher, Thomas J Walsh, Tung-Chin M Hsieh, Eugene F Fuchs, Mary K Samplaski
University of Southern California, Institute of Urology, Los Angeles, California., Division of Urology, Department of Surgery, Mount Sinai Hospital and Institute of Medical Sciences, University of Toronto, Toronto, Ontario, Canada., Department of Urology, University of California San Francisco, San Francisco, California., Sinai Health System and Women's College Hospital, University of Toronto, Toronto, Ontario, Canada., Tallwood Urology and Kidney Institute, Hartford HealthCare, Hartford, Connecticut., Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois., Department of Urologic Science, University of British Columbia, Vancouver, British Columbia, Canada., Division of Urology, Department of Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, Canada., Department of Urology, University of Michigan, Ann Arbor, Michigan., Department of Urology, Weill Cornell Medicine, New York, New York., Department of Urology, Oregon Health and Science University, Portland, Oregon., Division of Urology, Department of Surgery, University of Utah Health, Salt Lake City, Utah., Department of Urology, Loma Linda University, Loma Linda, California., Department of Urology, University of Alabama at Birmingham, Birmingham, Alabama., Department of Urology Surgery, University of Kansas Health System, Kansas City, Kansas., Department of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin., Department of Urology, Hackensack Meridian School of Medicine, Hackensack, New Jersey., Orange County Urology Associates, Laguna Hills, California., Department of Urology, State University of New York Upstate Medical University, Upstate University Hospital, Syracuse, New York., Department of Urology, David Geffen School of Medicine at University of California at Los Angeles, Los Angeles, California., Division of Urology, Department of Surgery, McGill University, Montreal, Quebec, Canada., Department of Surgery, McMaster University, West Hamilton, Ontario, Canada., Department of Urology, University of Washington, Seattle, Washington., Department of Urology, University of California San Diego Health, San Diego, California., University of Southern California, Institute of Urology, Los Angeles, California. Electronic address: .