I’m a huge believer in patients “owning” their medical treatment. You, the patient, are in charge. Your doctor is an
educated partner, but not the ultimate decider. That must be you. This goes for all medical treatment, including (especially?) infertility treatment.
Given my position on being in charge of my medical care, it is no surprise that I love the idea of the Choosing Wisely® campaign. Choosing Wisely is an initiative of the ABIM Foundation to help physicians and patients engage in conversations to reduce overuse of tests and procedures. Medical specialty societies, including The American Society of Reproductive Medicine (ASRM), along with Consumer Reports, have identified five tests or procedures commonly used in their field that patients should question. The goal is to spark discussion about the need—or lack thereof—for many frequently ordered tests or treatments.
Five Infertility Tests or Procedures the ASRM Says You Should Question
- Diagnostic laparoscopy for the evaluation of unexplained infertility
- Advanced sperm function testing in the initial evaluation of the infertile couple
- Post-coital testing for the evaluation of infertility
- Thrombophilia testing on patients undergoing routine infertility evaluation
- Immunological testing as part of routine infertility evaluation
The ASRM’s reasoning and evidence to support their suggestions can be found here. Keep in mind that the ASRM is not saying these tests and procedures should never be used, just that they should not be routine.
Agree? Disagree? How comfortable do you feel discussing the benefit of specific procedures or tests with your doctor?
Image credit: Oberazzi