Women's career priority is associated with attitudes towards family planning and ethical acceptance of reproductive technologies

Simoni, Michael; Lin, Min; Collins, Stephen C.

doi:10.1093/humrep/dex275

Cited by 27 publications

(21 citation statements)

References 26 publications

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“…Lack of a stable partner, financial reasons, self‐realization and career status are some of the factors that influence a woman's decision to delay having children. Indeed, a recent study showed that career‐focused women place more value on intentional pregnancy planning to postpone childbearing, and have more confidence in assisted reproductive technology to counteract age‐related fertility decline, than those who do not place as much importance on career success . Female fertility decreases gradually at first, but significantly after the age of 35 years, which inevitably compromises fertility over time.…”

Section: Indications For Fertility Preservationmentioning

confidence: 99%

Recent advances in fertility preservation

Dolmans

Manavella

2018

J of Obstet and Gynaecol

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Background: Most cancer treatments like chemotherapy, radiotherapy or a combination of both are highly toxic to the gonads, putting girls and young women at risk of premature ovarian insufficiency and subsequent infertility. Non-oncological conditions may also require therapies that put women's reproductive potential at risk. Fertility preservation counseling should therefore be offered to all patients requiring gonadotoxic treatments, and to those who wish to postpone motherhood for social/personal reasons. Among the most effective fertility preservation options available today, oocyte and embryo cryopreservation, and ovarian tissue cryopreservation have emerged as the front-runners. Aim: This review focuses on the currently available and most widely accepted fertility preservation and restoration strategies, with a special focus on recent advances in ovarian tissue cryopreservation and transplantation. Conclusions: To manage cancer patients satisfactorily and offer proper counsel on the most appropriate option available to them, different parameters need to be taken into account, including pubertal status, partner status and urgency of treatment for the underlying pathology. When fertility preservation is carried out for non-oncological indications or personal reasons, oocyte cryopreservation by vitrification is clearly the highest-yield clinical strategy. Ovarian tissue cryopreservation followed by transplantation is rapidly gaining ground as a fertility preservation and restoration strategy, and will hopefully soon have its 'experimental' label removed to allow practitioners to move on to open clinical application. Techniques to improve grafted ovarian tissue life span and quality as well as to avoid transmission of malignant cells have been developed, showing promise as a way to expand this procedure.

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Section: Indications For Fertility Preservationmentioning

confidence: 99%

Recent advances in fertility preservation

Dolmans

Manavella

2018

J of Obstet and Gynaecol

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“…The same procedure has been used to cryopreserve oocytes, but the challenges have been much greater on account of their physical characteristics. Evidence of safety for children born from vitrified oocytes after IVF and standardization of the technique allowed oocyte cryopreservation to no longer be considered experimental (Hammarberg et al ., 2017; Simoni et al ., 2017; Noyes et al ., 2010).…”

Section: Introductionmentioning

confidence: 99%

Oocyte cryopreservation for future fertility: comparison of ovarian response between cancer and non-cancer patients

Moraes¹,

Marinho²,

Campos³

et al. 2019

JBRA Assisted Reproduction

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Objective: This study aimed to assess whether a diagnosis of cancer interferes with ovarian function prior to the treatment of the disease. Methods: This observational retrospective study used data from medical records of ovarian stimulation cycles performed for purposes of oocyte cryopreservation. Results: The included patients had a mean age of 35.13±3.72 years and 51.6% of them were aged between 36 and 40 years. More than half of the patients (57.6%) were single and 82.1% had a normal body mass index (BMI). Most women had not become pregnant (85.5%) or had babies (95.1%) or miscarriages (89.6%) prior to cryopreservation. The mean number of oocytes obtained from non-cancer patients was 11.4±8, while for cancer patients the number was 13.8±9. The mean number of frozen mature oocytes was 9.7±7 for the non-cancer group and 11.2±7.2 for the cancer group. The majority (63.1%) of the patients had up to 10 oocytes frozen per cycle. Breast cancer had the highest incidence among the included patients. There was no significant difference in ovarian response between patients with different types of cancer. Conclusion: The number of harvested and frozen oocytes from cancer and non-cancer patients indicated that in the two groups response to ovarian stimulation was similar.

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“…Therefore, continuous and face-to-face education regarding the age-related risks of pregnancy is required to improve their health literacy [40]. It is also believed that individuals’ values may directly impact behaviors related to reproductive health [41]; however, the effect of personal values and being informed and encouraged about the timing of pregnancy during young adulthood needs further longitudinal evaluations [42].…”

Section: Discussionmentioning

confidence: 99%

“…Social and educational institutions need to become more pregnancy-friendly to encourage women to have an early pregnancy [45]. In addition, women will benefit from increased support in the workplace and from insurance systems for fertility preservation and healthy reproduction [41].…”

Section: Discussionmentioning

confidence: 99%

Development and Psychometric Properties of The Delayed Childbearing Questionnaire (DCBQ-55)

et al. 2018

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The comprehensive assessment of delayed childbearing needs a valid and reliable instrument. Therefore, the aim of the present study was to develop an instrument to evaluate factors influencing delayed childbearing among women and to assess its psychometric properties. The current methodological study was performed in two phases of (i) qualitative instrument development, and (ii) quantitative psychometric assessment of the developed instrument. Face and content validity of the instrument was assessed by eligible women and a panel of experts. Construct validity was assessed using the exploratory factor analysis (EFA). For reliability, internal consistency reliability and intra-rater reliability analysis were used. The initial instrument developed from the qualitative phase consisted of 60 items, which were reduced to 55 items after the face and content validity processes. EFA (n = 300) using the Kaiser criteria (Eigenvalues > 1) and the scree plot led to a six-factor solution accounting for 61.24% of the observed variance. The Cronbach’s alpha coefficient, Spearman’s correlation, test–retest and intra-class correlation coefficients for the whole instrument were reported as 0.83, 0.86 and 0.81, respectively. The final instrument entitled the delayed childbearing questionnaire (DCBQ-55) included 50 items with six domains of ‘readiness for childbearing’, ‘stability in the partner relationship’, ‘awareness about the adverse outcomes of pregnancy in advanced maternal age’, ‘attitude toward delayed childbearing’, ‘family support’, and ‘social support’ on a five-point Likert scale. The DCBQ-55 as a simple, valid and reliable instrument can assess factors influencing delayed childbearing. It can be used by reproductive healthcare providers and policy makers to understand factors influencing delayed childbearing and devise appropriate strategies.

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Women's career priority is associated with attitudes towards family planning and ethical acceptance of reproductive technologies

Abstract: None.

Cited by 27 publications

References 26 publications

Recent advances in fertility preservation

Recent advances in fertility preservation

Oocyte cryopreservation for future fertility: comparison of ovarian response between cancer and non-cancer patients

Development and Psychometric Properties of The Delayed Childbearing Questionnaire (DCBQ-55)

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