What do reproductive-age women who undergo oocyte cryopreservation think about the process as a means to preserve fertility?

Hodes-Wertz, B.; Druckenmiller, S.; Smith, Meghan B.; Noyes, N.

doi:10.1016/j.fertnstert.2013.07.201

Cited by 229 publications

(230 citation statements)

References 28 publications

Supporting

Mentioning

192

Contrasting

Unclassified

Order By: Relevance

“…Workplace conditions are seldom mentioned. This is consistent with the findings of studies into why women delay childbearing, in which the lack of a partner is cited much more frequently than the inflexibility of the workplace (Hodes-Wertz et al, 2013;Hammarberg and Clarke, 2005).…”

Section: (C) Medicalisationsupporting

confidence: 86%

The ambiguities of ‘social’ egg freezing and the challenges of informed consent

Jackson

2017

BioSocieties

View full text Add to dashboard Cite

Fertility clinics (and some employers) in the UK and other high-income countries have recently started to offer egg freezing to women concerned about their age-related fertility decline. Because the use of egg freezing for this purpose is new, there is no reliable evidence of its usefulness, or otherwise. There are no guarantees that egg freezing will work, and for many and perhaps most women, their frozen eggs will never be used. It is also unclear whether egg freezing is a positive development for women in general. It offers an additional choice, and it may enable some women to have genetically-related children more easily in the future. At the same time, it could be argued that egg freezing individualises and medicalises the social problem of a mismatch between female fertility and when women and men feel ready to have children. This article suggests that egg freezing is an ambiguous technology, whose benefits are as yet speculative, and that women therefore need as much clear and frank information as possible in order to navigate this new and by no means straightforward choice.

show abstract

Section: (C) Medicalisationsupporting

confidence: 86%

The ambiguities of ‘social’ egg freezing and the challenges of informed consent

Jackson

2017

BioSocieties

View full text Add to dashboard Cite

show abstract

“…Our model examined three treatment strategies available to such women, as depicted in Figure 1 and described below. We based the described strategies on observed patient treatment choices and clinical outcomes, and on professional guidelines (14, 25). …”

Section: Methodsmentioning

confidence: 99%

“…OC has the potential to extend fertility beyond a woman’s natural reproductive lifespan as well as preserve a woman’s option to parent genetically-linked children with a future partner. Nearly 90% of surveyed women cited lack of partner as their primary reason for pursuing OC, and the majority found ‘the egg freezing process’ to be ‘empowering’ (14). Recently, OC has become more accepted as accumulating data has demonstrated pregnancy rates comparable to those from IVF cycles using fresh female gametes (15-20).…”

Section: Introductionmentioning

confidence: 99%

Baby budgeting: oocyte cryopreservation in women delaying reproduction can reduce cost per live birth

Devine

Mumford

Goldman

et al. 2015

Fertility and Sterility

Self Cite

View full text Add to dashboard Cite

Objective To determine whether oocyte cryopreservation (OC) for deferred reproduction is cost-effective per live birth using a model constructed from observed clinical practice. Design Decision-tree mathematical model with sensitivity analyses. Setting Not applicable. Patients A simulated cohort of women wishing to delay childbearing until age 40 years. Interventions Not applicable. Main Outcome Measure Cost per live birth. Results Our primary model predicted that OC at age 35 years by women planning to defer pregnancy attempts until age 40 would decrease cost per live birth to $39,946 (and increase odds of live birth to 62% by the end of the model),indicating OC to be a cost-effective strategy relative to forgoing OC, which was associated with a predicted cost per live birth of $55,060 (and 42% chance of live birth). If fresh autologous ART was added at age 40 prior to thawing oocytes, 74% obtained a live birth, though at an increased cost of $61,887. Separate sensitivity analyses demonstrated that OC remained cost-effective so long as patients underwent OC prior to age 38, more than 49% of those not obtaining a spontaneously conceived live birth returned to thaw oocytes, and likelihood of obtaining a spontaneously conceived live birth after six months’ attempts at age 40 was less than 35%. Conclusions In women who plan to delay childbearing until age 40, oocyte cryopreservation before 38 years of age reduces the cost to obtain a live birth.

show abstract

“…In the US research of Hodes-Wertz et al (2013) overwhelming majority (88%) of the 183 patients in the sample reported delaying childbirth due to lack of finding the right partner-only a fourth of them cited career advancement, and even less (15%) delayed conception because of financial constraints. Most patients ranked future fertility higher on their agenda then career, and this characterized all age groups.…”

Section: Overview Of Empirical Studies On Egg Cryopreservationmentioning

confidence: 99%