This clinical review describes screening, brief intervention, and referral to treatment (SBIRT) for opioid and other substance use among patients seeking infertility care. It explains that substance use may affect fertility, pregnancy, and family health, and recommends incorporating respectful screening into reproductive medicine rather than overlooking substance use until pregnancy. The author outlines how clinicians can offer brief counseling and refer patients for specialized treatment when indicated. This is a review and practice recommendation, not a new clinical trial of SBIRT in infertility clinics.
