When Dana Siegel, MD, was a teacher and mentor to 4th grade students in an under-resourced public school as a City Year AmeriCorps Member prior to medical school, her primary goal was to help bridge education gaps, support equal opportunity for all students, and keep them on track to graduation. What she observed, however, was not just education gaps, but also underlying health care disparities that directly and indirectly impacted her students’ success in the classroom. It was during this time as a teacher that she decided to study medicine.
In particular, Siegel noticed knowledge gaps in fertility awareness among her female students and, sometimes, their parents.
“Some had no idea what a menstrual cycle is or what a normal period looks like,” she explains. “Often the conversation with fertility is about trying to get pregnant, but it needs to include the full scope of fertility – maybe how to not get pregnant, how to prevent STIs, and when to seek gynecological care.”
Siegel, a third-year medical resident in the Department of Obstetrics and Gynecology at the University of Colorado School of Medicine, also began noticing racial and ethnic disparities in fertility awareness, not only in the classroom but as she pursued her medical studies. This led to a 2020 survey of reproductive-aged women, the results of which were recently published in Women’s Health Reports and demonstrated lower fertility awareness among respondents who self-identified as belonging to an underrepresented racial or ethnic group.
We recently followed up with Siegel about her research and its health care implications.