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Journal of Assisted Reproduction and Genetics

, Volume 36, Issue 9, pp 1935–1947 | Cite as

Physicians’ attitudes towards using elective oocyte cryopreservation to accommodate the demands of their career

  • Susan NasabEmail author
  • Jaimin S. Shah
  • Kemi Nurudeen
  • Neda D. Jooya
  • Mazen E. Abdallah
  • Baha M. Sibai
Assisted Reproduction Technologies
  • 60 Downloads

Abstract

Purpose

Among medical professionals, there appears to be a significant lack of knowledge about oocyte cryopreservation. Medical professionals may be potential candidates for elective oocyte cryopreservation due to the demands and commitments of medical training. There is a paucity of data on this topic among medical professionals. The aim of this study was to assess knowledge, understanding, and beliefs towards elective egg freezing among medical professionals to assess whether they are potential candidates for elective egg freezing.

Methods

This is a cross-sectional descriptive study in a university-based training program. All medical students, residents, fellows, and faculty were included. An online survey was emailed to potential participants. It included demographic questions regarding childbearing decision-making factors, fertility knowledge, and attitudes towards using elective oocyte cryopreservation.

Results

A total of 1000 emails were sent. Of those, 350 completed surveys were received. On average, 33% of responders provided a correct answer to each fertility knowledge question. The duration of training and the heavy workload with long duty hours were the most common influencing factors when deciding the timing of childbearing. Overall, 65% of the male and female responders were concerned about their future fertility. Among those women who had future fertility concerns, 8% were not aware of egg freezing as a fertility option and wished they had had an opportunity to freeze their eggs at an earlier time.

Conclusions

Physicians’ childbearing decisions can be affected by the demands of their careers. Elective oocyte cryopreservation could be considered an option for family planning. Educational sessions and awareness programs are needed to provide information about available fertility preservation options, which can potentially decrease the rate of regret.

Keywords

Elective egg freezing Social egg freezing Oocyte cryopreservation Medical professionals 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Practice Committees of American Society for Reproductive M, Society for Assisted Reproductive T. Mature oocyte cryopreservation: a guideline. Fertil Steril 2013,99:37–43.Google Scholar
  2. 2.
    Lallemant C, Vassard D, Nyboe Andersen A, Schmidt L, Macklon N. Medical and social egg freezing: internet-based survey of knowledge and attitudes among women in Denmark and the UK. Acta Obstet Gynecol Scand. 2016;95:1402–10.CrossRefGoogle Scholar
  3. 3.
    Wennberg AL, Rodriguez-Wallberg KA, Milsom I, Brannstrom M. Attitudes towards new assisted reproductive technologies in Sweden: a survey in women 30-39 years of age. Acta Obstet Gynecol Scand. 2016;95:38–44.CrossRefGoogle Scholar
  4. 4.
    Daniluk JC, Koert E. Childless women’s beliefs and knowledge about oocyte freezing for social and medical reasons. Hum Reprod. 2016;31:2313–20.CrossRefGoogle Scholar
  5. 5.
    de Groot M, Dancet E, Repping S, Goddijn M, Stoop D, van der Veen F, et al. Perceptions of oocyte banking from women intending to circumvent age-related fertility decline. Acta Obstet Gynecol Scand. 2016;95:1396–401.CrossRefGoogle Scholar
  6. 6.
    Stoop D, Nekkebroeck J, Devroey P. A survey on the intentions and attitudes towards oocyte cryopreservation for non-medical reasons among women of reproductive age. Hum Reprod. 2011;26:655–61.CrossRefGoogle Scholar
  7. 7.
    Baldwin K, Culley L, Hudson N, Mitchell H, Lavery S. Oocyte cryopreservation for social reasons: demographic profile and disposal intentions of UK users. Reprod BioMed Online. 2015;31:239–45.CrossRefGoogle Scholar
  8. 8.
    Liu KE, Greenblatt EM. Oocyte cryopreservation in Canada: a survey of Canadian ART clinics. J Obstet Gynaecol Can. 2012;34:250–6.CrossRefGoogle Scholar
  9. 9.
    Hammarberg K, Kirkman M, Pritchard N, Hickey M, Peate M, McBain J, et al. Reproductive experiences of women who cryopreserved oocytes for non-medical reasons. Hum Reprod. 2017;32:575–81.CrossRefGoogle Scholar
  10. 10.
    Natasha Pritchard MK, Hammarberg K, McBain J, Agresta F, Bayly C, Hickey M, et al. Characteristics and circumstances of women in Australia who cryopreserved their oocytes for non-medical indications. J Reprod Infant Psyc. 2017;35(2):108–18.  https://doi.org/10.1080/02646838.2016.1275533.CrossRefGoogle Scholar
  11. 11.
    Hodes-Wertz B, Druckenmiller S, Smith M, Noyes N. What do reproductive-age women who undergo oocyte cryopreservation think about the process as a means to preserve fertility? Fertil Steril. 2013;100:1343–9.CrossRefGoogle Scholar
  12. 12.
    Lewis EI, Missmer SA, Farland LV, Ginsburg ES. Public support in the United States for elective oocyte cryopreservation. Fertil Steril. 2016;106:1183–9.CrossRefGoogle Scholar
  13. 13.
    Vallejo V, Lee J, Schuman L, Witkin G, Cervantes E, Sandler B, et al. Social and psychological assessment of women undergoing elective oocyte cryopreservation: a 7-year analysis. Open J Obstet Gynecol. 2013;3:1–7.  https://doi.org/10.4236/ojog.2013.31001.CrossRefGoogle Scholar
  14. 14.
    Inhorn MC, Birenbaum-Carmeli D, Birger J, Westphal LM, Doyle J, Gleicher N, et al. Elective egg freezing and its underlying socio-demography: a binational analysis with global implications. Reprod Biol Endocrinol. 2018;16:70.CrossRefGoogle Scholar
  15. 15.
    Inhorn MC, Birenbaum-Carmeli D, Westphal LM, Doyle J, Gleicher N, Meirow D, et al. Ten pathways to elective egg freezing: a binational analysis. J Assist Reprod Genet. 2018;35:2003–11.CrossRefGoogle Scholar
  16. 16.
    Yu L, Peterson B, Inhorn MC, Boehm JK, Patrizio P. Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians. Hum Reprod. 2016;31:403–11.Google Scholar
  17. 17.
    O-027 Is egg freezing for social reasons a good idea? S. Gorth; C. Wright eaWywrtHRi.Google Scholar
  18. 18.
    Tan SQ, Tan AW, Lau MS, Tan HH, Nadarajah S. Social oocyte freezing: a survey among Singaporean female medical students. J Obstet Gynaecol Res. 2014;40:1345–52.CrossRefGoogle Scholar
  19. 19.
    Marc A. Fritz LS, Clinical gynecologic endocrinology and infertility 8th edition, Chapter 27, P 1140–1147.Google Scholar
  20. 20.
    Adashi EY, Cohen J, Hamberger L, Jones HW Jr, de Kretser DM, Lunenfeld B, et al. Public perception on infertility and its treatment: an international survey. The Bertarelli Foundation scientific board. Hum Reprod. 2000;15:330–4.CrossRefGoogle Scholar
  21. 21.
    Daniluk JC, Koert E, Cheung A. Childless women’s knowledge of fertility and assisted human reproduction: identifying the gaps. Fertil Steril. 2012;97:420–6.CrossRefGoogle Scholar
  22. 22.
    Blake D, Smith D, Bargiacchi A, France M, Gudex G. Fertility awareness in women attending a fertility clinic. Aust N Z J Obstet Gynaecol. 1997;37:350–2.CrossRefGoogle Scholar
  23. 23.
    ACOG (2014) CONoc, Obstet Gynecol, 123 (1), 221–222.Google Scholar
  24. 24.
    Avraham S, Machtinger R, Cahan T, Sokolov A, Racowsky C, Seidman DS. What is the quality of information on social oocyte cryopreservation provided by websites of Society for Assisted Reproductive Technology member fertility clinics? Fertil Steril. 2014;101:222–6.CrossRefGoogle Scholar
  25. 25.
    Hirshfeld-Cytron J, Grobman WA, Milad MP. Fertility preservation for social indications: a cost-based decision analysis. Fertil Steril. 2012;97:665–70.CrossRefGoogle Scholar
  26. 26.
    Greenwood EA, Pasch LA, Hastie J, Cedars MI, Huddleston HG. To freeze or not to freeze: decision regret and satisfaction following elective oocyte cryopreservation. Fertil Steril. 2018;109:1097–1104 e1091.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.McGovern Medical School, Department of Obstetrics and GynecologyThe University of Texas Health Science Center at HoustonHoustonUSA
  2. 2.Houston Fertility InstituteHoustonUSA

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