Age shock: misperceptions of the impact of age on fertility before and after IVF in women who conceived after age 40

Dougall, Kirstin Mac; Beyene, Yewoubdar; Nachtigall, Robert D.

doi:10.1093/humrep/des409

Cited by 90 publications

(85 citation statements)

References 36 publications

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“…It has also been established that some drugs, heavy metals and solvents, may affect fertility [17][18][19]. However, there is relatively little data regarding IVF success depending on the type of area inhabited by the patient [20][21][22][23]. Thus, the primary aim of this preliminary study was to compare the IVF results among couples living in rural and urban areas.…”

Section: Introductionmentioning

confidence: 99%

Demographic characteristics and AMH levels in rural and urban women participating in an IVF programme

Kunicki¹,

Łukaszuk²,

Liss³

et al. 2018

Ann Agric Environ Med.

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Objective. The primary aim of this preliminary study was to compare the IVF results of couples living in rural and urban areas. Additionally, the ovarian reserve parameters, such as AMH concentrations, were compared for the same groups. Materials and method. The database of 1,265 women undergoing in vitro fertilization at the Invicta Fertility Center between May 2011-July 2012 were retrospectively analyzed. Women undergoing their first assisted reproductive technology cycle with ICSI, stimulated according to the long protocol, and whose AMH levels were measured using the same DSL kit, were selected. Ultimately, 651 women were included in the study. All participants were categorized based on the area where they live: rural areas, small towns (<100,000 inhabitants) and large cities (>100,000) Results. The mean age of the patients living in large cities was significantly higher in comparison to those from rural areas and small towns. A significantly higher pregnancy body mass index (BMI) was found in women from rural areas in comparison to the women living in small and large towns. Serum AMH and inhibin B concentrations, number of ampules of gonadotropins, and antral follicle count (AFC), did not differ significantly among the groups. The study showed no significant differences among the groups in terms of clinical pregnancy rate, both per started cycle and per embryo transfer. Conclusions. No significant differences were found in IVF outcomes among the groups inhabiting rural areas, small and large cities.

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Section: Introductionmentioning

confidence: 99%

Demographic characteristics and AMH levels in rural and urban women participating in an IVF programme

Kunicki¹,

Łukaszuk²,

Liss³

et al. 2018

Ann Agric Environ Med.

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“…It is concerning that a misunderstanding of the age of fertility decline also exists amongst general medical practitioners who are the primary health contact for women (MacDougall, Beyene, & Nachtigal, 2013;. Disease mongering may permit the perception that ART is likened to a safety net, which allows some women to believe that medical technology can bypass age-related limitations on fertility.…”

Section: The Medicalisation Of Infertilitymentioning

confidence: 99%

“…Disease mongering may permit the perception that ART is likened to a safety net, which allows some women to believe that medical technology can bypass age-related limitations on fertility. However, diminished oocyte quality and quantity in midlife intending mothers cannot be reversed and ART should not be perceived as a fall-back option for women as it cannot guarantee a baby (MacDougall et al, 2013;.…”

Section: The Medicalisation Of Infertilitymentioning

confidence: 99%

“…Kimberley-Smith's (2003) female undergraduate participants believed that women aged under 35 years should not be concerned about fertility decline because advanced ART would assist them. MacDougall et al(2013) participants aged 40 years and older also were alarmed to learn that their perceptions of age-related fertility decline were inaccurate despite the fact that many women were well educated.…”

Section: Awareness Of Age Related Infertilitymentioning

confidence: 99%

“…It can manipulate public opinion, educate the public and supply news items for the medical consumer market (Williams & Calnan, 1996b) (Williams & Calnan, 1996b) Dramatisation and oversimplification of health issues by the media, may leave the individual with a distorted version of the facts (Lupton, 2005). In the case of infertility and ART, media gives a perception of tension between a biological imperative for children and women's socio-cultural aspirations (MacDougall et al, 2013). Hurley (2013) suggests that this may be, in part, due to journalistic enthusiasm where promising new developments in ART are portrayed as proven without undergoing clinical trials.…”

Section: The Marketing Of Hope Despite Risksmentioning

confidence: 99%

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Expectations and experiences of midlife intending mothers engaging with Assisted Reproductive Technology

Hayward¹

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The age for optimal women's childbearing, with the best chance of delivering a healthy baby, is generally considered to be when aged in their 20s years. Some researchers propose that fertility declines occurs from 32 years of age. After this age women have a decreasing chance of conception attributed primarily to age-related chromosomal changes in their oocytes. Midlife intending mothers (women aged 35 and older) This research investigates perceptions of women's fertility decline and ART success from a group of women who had used ART, and from men and women in the community who may not have used ART. Women who had used ART and a community cohort were surveyed. Responses from these two groups were analysed separately and compared.Women who had used ART were asked about their experiences at their clinic, and if treatment had social or psychological repercussions. Participants asked about their perceptions of media portrayal of ART success for women aged 35 and older. The concept that ART has become commodified, where commodification is the transformation of services or entities into a commodity, is explored. Those who had used ART suggested recommendations for younger women about childbearing.A mixed-methods approach was utilised. Data were gathered from three cohorts of participants. Quantitative and qualitative data were gathered from an in-vitro fertilisation (IVF) support group (N = 68) and qualitative data from an interview group of IVF users (N=6) who had engaged with ART treatment either currently or recently. Some had conceived and some were still having treatment. The community group (N= 1243) comprised men and women over 18 years of age who participated in a Queensland-wide telephone survey. Quantitative data gathered from the support group and the community were analysed using SPSS. Qualitative data were explored via thematic analysis.Thematic findings from the interview group supported findings of the support group. Most women knew the benefits and risks of delaying childbearing and made an informed choice ii to use ART. Most were aware that fertility declined from the age of 35, yet this age group is the major consumer of ART. Most women younger than 40 years believed they would get pregnant and have a healthy baby. Only half of the women aged 40 years and older had that confidence. However, this insight may have been gained after using ART. Women found their experience physiologically and psychologically challenging and those who didn't conceive, found making the decision to stop treatment confronting. Some were confused on the published success rates, and expectations elevated from overall rather than age specific pregnancy not birth rates.Support group and interview participants felt delayed childbearing was mainly due to lack of a relationship partner whereas community members believed career or work aspirations. Both he support group and community group agreed that women's fertility declined from the age of 35 years but significantly more community members, and significantly more men th...

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Breastfeeding reduces the risk of breast cancer: A call for action in high‐income countries with low rates of breastfeeding

Stordal

2022

Cancer Medicine

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Age shock: misperceptions of the impact of age on fertility before and after IVF in women who conceived after age 40

Abstract: While the failure to appreciate the true biological relationship between aging and fertility may be common and may reflect inaccessibility or misinterpretation of information, it is not sufficient to explain the decades-long socio-demographic phenomenon of delayed childbearing.

Cited by 90 publications

References 36 publications

Demographic characteristics and AMH levels in rural and urban women participating in an IVF programme

Demographic characteristics and AMH levels in rural and urban women participating in an IVF programme

Expectations and experiences of midlife intending mothers engaging with Assisted Reproductive Technology

Breastfeeding reduces the risk of breast cancer: A call for action in high‐income countries with low rates of breastfeeding

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