Doctors have higher rates of assisted reproduction and pregnancy loss and are older at the time of their first pregnancy than other Australian women, according to data presented at the Endocrine Society of Australia annual scientific meeting.
The findings highlight some of the challenges that doctors, particularly female doctors, face regarding family planning, the researchers say.
An online survey distributed by specialty colleges and societies received 423 responses primarily from physicians and emergency medicine specialists. Just over half the respondents were consultants (56%) and 38% were accredited registrars.
Endocrinologist Dr Lisa Raven, from St Vincent’s Hospital in Sydney and the University of NSW, told the meeting that specialist training occurs during women’s prime reproductive years.
“So our hypothesis was that doctors delay family planning and face unique challenges in this area,” she said.
The survey found the mostly female respondents (90%) had a mean age of 36 years and either already had children (71%) or were trying / wanting to have children (24%). Fewer than half (46%) had the number of children they wanted.
It found 31% of couples had undergone testing for infertility and 20% had used assisted reproductive technologies.
Almost a third of women had experienced a pregnancy loss compared to 25% in the general Australian population. Most occurred in the first 12 weeks of pregnancy
Dr Raven said in keeping with other data, many women did not have any time off work or they had less than seven days off work, despite wanting more time off.
As well, many women did not disclose their loss and it went unacknowledged in the workplace.
“So, many people are going through this that we just don’t know about,” she said.
The median age at first childbearing for respondents was 32 years – two years older than the Australian average of 29.7 years.
The findings were consistent with a 2021 US study [link here] which found increased rates of infertility and pregnancy complications in female surgeons.