The Business of Delayed Child-Bearing in the Career Woman

After training for 15 years to become a Maternal-Fetal Medicine Specialist, I found myself 34 with no prospects for a long-term relationship and one year away from being the dreaded “advanced maternal age” — that age for a woman when her risk of having a baby with genetic abnormalities (i.e. Down syndrome) starts to increase. As a high-risk obstetrician, I should have realized the significance of that milestone in my life, but I didn’t.

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Black Women and Infertility

Let’s discuss some of the causes of higher rates of infertility amongst black women. The most common reasons for infertility in black women are tubal factor, delayed childbearing, fibroids, PCOS and obesity. Of these, uterine fibroids is the leading cause; African American women have a three times greater chance of developing fibroids when compared to Caucasian women.

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