Updated by the Progyny Editorial Team — January 2026.
Black History Month is a time to recognize the achievements of Black communities and reflect on areas where disparities still exist. Health and wellness, particularly in fertility, pregnancy, and maternal care, are areas where outcomes and experiences can differ across populations.
Research shows that gaps in access, diagnosis, and treatment for Black patients persist today and can influence care experiences and outcomes. Understanding these differences helps members make informed choices and prepare for conversations with their care team.
Access, representation, and outcomes
In fertility and reproductive health, clear communication and careful follow-up are important for safe, effective care. Research has shown that many Black patients experience delays in diagnosis, differences in treatment, and higher rates of pregnancy-related complications.
Earlier studies suggested that having a doctor of the same race might improve certain outcomes. More recent research, including a 2024 review, found that these results were largely explained by medical and clinical factors — not by the doctor’s race alone. This means that outcomes depend more on how symptoms are checked, how treatment is explained, and how follow-up care is managed.
Black doctors remain underrepresented in obstetrics, reproductive medicine, and related specialties. While representation alone does not change outcomes, many patients feel more comfortable and supported with providers who communicate clearly and understand how bias can affect care. Tools that help you find providers with experience in culturally responsive care can support informed choices during fertility treatment, pregnancy, and postpartum care.
Navigating care and treatment decisions
Bias, both implicit and structural, can affect how symptoms are interpreted and how treatment decisions are made. This is particularly relevant in fertility and pregnancy care, where treatment plans often evolve over time.
Understanding your diagnosis, preparing questions, and knowing what to expect from appointments can help support clear communication and ensure your care team has the information they need to provide appropriate treatment.
Practicing comprehensive health
Overall health supports every step of your fertility and maternal care journey. Physical activity, nutrition, sleep, and stress management can influence hormone balance, energy, and emotional well-being—all of which may affect fertility, pregnancy, and recovery.
Focusing on consistent habits over time can help you feel more prepared for appointments, treatment cycles, and the changes your body experiences. For example:
- Nutrition: Balanced meals can support reproductive health and energy during treatment.
- Movement: Regular activity can improve circulation, mood, and overall stamina.
- Sleep: Rest is linked to hormone regulation and emotional resilience.
- Stress management: Mindfulness, therapy, or support groups can help you cope with uncertainty and decision-making.
Paying attention to these factors doesn’t replace medical care, but it can complement your treatments and help you stay well physically and emotionally throughout your care journey.
Resources for reproductive and overall health
Nutrition and exercise
Pregnancy and fertility
Relationships and emotional wellbeing
- Caring for your relationships and yourself during fertility treatment
These resources are designed to help you stay informed and supported as you manage both the physical and emotional aspects of your care. Using them alongside guidance from your medical team can help you feel more prepared, confident, and balanced throughout your journey.
Additional resources
Support needs vary. Some people prefer peer groups, counseling, or educational organizations, while others use self-guided resources. The following organizations provide information and support on family building, maternal health, and mental health:
This information is intended to help you understand how care experiences can vary in fertility and maternal health. Decisions about treatment should always be guided by your medical history, clinical guidance, and personal preferences.
Progyny is here for you, too. Please contact your Progyny Care Advocate for support.
Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.