Journal of Assisted Reproduction and Genetics

, Volume 35, Issue 9, pp 1623–1630 | Cite as

Decision making processes of women who seek elective oocyte cryopreservation

  • Ran Kim
  • Tae Ki Yoon
  • Inn Soo Kang
  • Mi Kyoung Koong
  • Yoo Shin Kim
  • Myung Joo Kim
  • Yubin Lee
  • Jayeon KimEmail author
Assisted Reproduction Technologies



The aim of this study is to analyze women’s opinions and their decision making processes regarding elective oocyte cryopreservation (OC).


One hundred twenty-four women who had elective OC counseling at the CHA Seoul Fertility Center were asked to complete a survey after their first visit. Data collection regarding age, marital status, monthly income, occupation, religion, reproductive history, questions about the participant’s view on their own fecundity, and future parenthood were included. The modified Reproductive Concerns After Cancer scale and the Decisional Conflict Scale were used for analysis.


The participants’ mean age was 37.1 ± 4.8 years old. Eighty-six percent of the participants had regular periods. Ninety-two percent thought it was important to have their own biological offspring, and 86% were willing to pursue OC. Forty-nine percent appeared to have high DCS scores regarding making a decision of OC. Sixty-eight percent pursued OC, and the mean number of oocytes cryopreserved per patient was 10.5 ± 8.3. Multivariate analysis revealed that age was the only factor associated with high DCS scores (P = 0.002). Feeling less fertile than other women of same age and low DCS scores were the factors associated with pursuing OC (P = 0.02 and 0.004, respectively) after adjusting for possible confounding factors, including age.


Older women had more difficulties in making decisions about OC. Adjusting for age, women who thought that they were less fertile than other women of same age and those with lower decisional conflict were more likely to pursue OC. Further studies should focus on the validation of older women’s decisional conflicts regarding OC.


Elective oocyte cryopreservation Decision making Conflict 



This work was supported in part by grants from the NRF grant funded by the Korean government (MEST) (NRF-2016R1D1A1B03932068 for JY Kim).

Compliance with ethical standards

The study was approved by the Institutional Review Board at the CHA Seoul Fertility Center, CHA Gangnam Medical Center, CHA University, and informed consent was obtained from all participants.

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

10815_2018_1255_MOESM1_ESM.docx (17 kb)
Supplemental Table 1 (DOCX 16 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Ran Kim
    • 1
    • 2
  • Tae Ki Yoon
    • 1
    • 2
  • Inn Soo Kang
    • 1
    • 2
  • Mi Kyoung Koong
    • 1
    • 2
  • Yoo Shin Kim
    • 1
    • 2
  • Myung Joo Kim
    • 1
    • 2
  • Yubin Lee
    • 1
    • 2
  • Jayeon Kim
    • 1
    • 2
    Email author
  1. 1.Department of Obstetrics and Gynecology, CHA Gangnam Medical CenterCHA UniversitySeoulRepublic of Korea
  2. 2.Department of Obstetrics and Gynecology, CHA Seoul Fertility CenterCHA UniversitySeoulRepublic of Korea

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