Survey assessing XXXX policies for assisted reproductive technology in the United States.

@entity1 @entity249 @entity28
OBJECTIVE: To determine what assisted reproductive technologies (ART) policies, if any, have been instituted in response to an increasingly overweight and @entity28 @entity1 population. DESIGN: Cross-sectional survey. SETTING: University-affiliated IVF clinic. @entity1 (S): @entity1 in the overweight and @entity28 body mass index (BMI) categories seeking ART treatments. INTERVENTION(S): Anonymous survey sent to medical directors at 395 IVF centers listed in Society for Assisted Reproductive Technology database. MAIN OUTCOME MEASURE(S): Assessment of recommendations, policies, and restrictions for @entity1 who are overweight/ @entity28 and who desire treatment for @entity249 , including in IVF, IUI, and donor egg cycles. RESULT(S): Seventy-seven anonymous responses were received (19.5% response rate): 64.9% of centers have a formal policy for @entity28 , and 84% of those have a maximum BMI at which they will perform IVF, while 38% of those have a maximum BMI for performing IUI; 64.6% of respondents reported anesthesia requirements/concerns as the primary criteria for @entity1 exclusion. Other primary considerations included safety during ongoing pregnancy and ART outcomes. CONCLUSION(S): Centers that have policies regarding @entity28 and access to ART consider efficacy, procedural safety, safety in pregnancy, and overall health status. Policies vary widely. The @entity1 's autonomy must be balanced with nonmaleficence and the avoidance of interventions that may be unsafe both immediately and long term.
