Population, Reproductive, and Sexual Health: Data Are Essential Where Disciplines Meet and Ideologies Conflict

Stanford JB

Published March 26, 2016 Frontiers in Public Health, 4, 27
DOI 10.3389/fpubh.2016.00027 PMID 27014671 PMC PMC4779970

RRM Academy Synopsis

An editorial says reproductive health needs data from opposing views

A 2016 editorial by Joseph Stanford of the University of Utah says debates about reproductive health need data from scientists who start with different beliefs. The editorial opens a journal section. The piece reports no new study results. Its examples cover emergency contraception and infertility.

Study at a glance, 2016 editorial: An editorial says reproductive health debates need data from opposing views
Study at a glance, 2016 editorial: An editorial says reproductive health debates need data from opposing views. Source: Stanford JB, 2016, PMID 27014671.

Key Findings

  • The editorial names two needs: data that address questions from different underlying assumptions, and respectful conversation among scientists, clinicians, and policy makers who come from different backgrounds.
  • The author writes that extensive interventional research shows emergency contraception has not decreased unintended pregnancy or induced abortion. He adds that levonorgestrel emergency contraception is much less effective than first proposed.
  • The author writes that the preponderance of recent evidence on levonorgestrel given after sex does not support blocking implantation as a significant mode of action. He says some data gaps remain.
  • On infertility, the editorial sets two question sets side by side: how to improve in vitro fertilization outcomes, and how to find the underlying causes of infertility and correct them.
  • The author commends oppositional collaboration: opposed scientists jointly produce data all agree is as objective as possible. He says values may stay unchanged, but the data and mutual understanding can improve.

Interpretation

This is a 2016 editorial, an opinion piece by one author. The author argues that progress in reproductive health comes from data that scientists with differing starting assumptions can all accept as objective, even when their values stay unchanged. He points to emergency contraception and infertility as examples where this kind of collaboration is needed. The editorial calls for more research built on that model.

RRM Context

The editorial asks how the causes of infertility can be found and corrected. Restorative Reproductive Medicine (RRM) asks that question. IVF asks how to improve a procedure that goes around the cause. The editorial cites an Irish family doctor report on infertility outcomes.

Abstract

The flourishing of the individual human person, the health of human society, and the ecological well being of planet earth are inextricably connected with the issues of human population, sexuality, and reproduction. Many academic disciplines have strong interests in these issues, approaching them from different perspectives and with different emphases. However, these areas of study are also infused with controversy and strong ideological positions arising from cultural, religious, political, and social traditions that sometimes clash with each other. To address these issues, two things are needed: (1) data that address questions from different underlying assumptions; (2) open and respectful discussion among scientists, clinicians, and policy makers who have different backgrounds, narrative frameworks, and conceptual perspectives (1). The new Section on Population, Reproductive and Sexual Health, Frontiers in Public Health will contribute constructively to these critical needs.

By this author

Joseph B Stanford
Joe Stanford, Joey Stanford, J Stanford
PMID 27014671 27014671 DOI 10.3389/fpubh.2016.00027 10.3389/fpubh.2016.00027 Stanford et al. 2016, Stanford 2016