Journal of Assisted Reproduction and Genetics

, Volume 32, Issue 3, pp 409–415 | Cite as

Knowledge of ovarian reserve and reproductive choices

  • Erum AzharEmail author
  • David B Seifer
  • Katherine Melzer
  • Ahmed Ahmed
  • Jeremy Weedon
  • Howard Minkoff
Assisted Reproduction Technologies



To determine the factors that influence the reproductive choices of health care professionals, and to assess whether knowledge of ovarian reserve would modify those choices.


A cross-sectional survey utilizing anonymous questionnaires that assessed demographics, knowledge, attitudes and choices of female and male health care professionals between the ages of 20–55 (N = 185) who work at an academic medical center


Of the 185 respondents, 75 % were female, 35 % were residents and 35 % were married. Among those who were delaying childbearing 39 % wanted to complete their education, 25 % had no identified partner, 10 % were too active professionally and 4 % could not afford children at the time. If testing of the individual or individual’s partner indicated diminished ovarian reserve, 48 % of those responding would try to have a child sooner, 21 % would opt for oocyte cryopreservation, 7 % would try to find a partner sooner, 7 % would pursue adoption, and 3 % would select embryo cryopreservation. Only 14 % would not actively pursue treatment or make lifestyle changes. These results varied significantly with marital status but did not differ between participants with and without children. Similarly, choices did not vary significantly with religious belief or ethnicity.


Increased information about a woman’s reproductive reserve would lead individuals to modify life choices. Physicians caring for reproductive-age women and men should inquire about their childbearing plans, and educate those who are postponing childbearing regarding the normal pattern of reproductive decline.


Ovarian reserve Family planning Health care professionals 



Myowa Pitan and Gilda Noori (Medical Student) for assisting in data collection


  1. 1.
    Practice Committee of the American Society for Reproductive M. Testing and interpreting measures of ovarian reserve: a committee opinion. Fertil Steril. 2012;98(6):1407–15.CrossRefGoogle Scholar
  2. 2.
    Bretherick KL, Fairbrother N, Avila L, Harbord SH, Robinson WP. Fertility and aging: do reproductive-aged Canadian women know what they need to know? Fertil Steril. 2010;93(7):2162–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Friese C, Becker G, Nachtigall RD. Rethinking the biological clock: eleventh-hour moms, miracle moms and meanings of age-related infertility. Soc Sci Med. 2006;63(6):1550–60.PubMedCrossRefGoogle Scholar
  4. 4.
    Boivin J, Rice F, Hay D, et al. Associations between maternal older age, family environment and parent and child wellbeing in families using assisted reproductive techniques to conceive. Soc Sci Med. 2009;68(11):1948–55.PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Bavan B, Porzig E, Baker VL. An assessment of female university students' attitudes toward screening technologies for ovarian reserve. Fertil Steril. 2011;96(5):1195–9.PubMedCrossRefGoogle Scholar
  6. 6.
    Benzies K, Tough S, Tofflemire K, Frick C, Faber A, Newburn-Cook C. Factors influencing women's decisions about timing of motherhood. J Obstet Gynecol Neonatal NursJOGNN / NAACOG. 2006;35(5):625–33.CrossRefGoogle Scholar
  7. 7.
    Loh S, Ram B. Delayed childbearing in Canada: trends and factors. Genus. 1990;46(1–2):147–61.PubMedGoogle Scholar
  8. 8.
    Tyden T, Svanberg AS, Karlstrom PO, Lihoff L, Lampic C. Female university students' attitudes to future motherhood and their understanding about fertility. Eur j contracept reprod health care : J Euro Soc Contracept. 2006;11(3):181–9.CrossRefGoogle Scholar
  9. 9.
    Hammarberg K, Clarke VE. Reasons for delaying childbearing–a survey of women aged over 35 years seeking assisted reproductive technology. Aust Fam Physician. 2005;34(3):187. –8, 206.PubMedGoogle Scholar
  10. 10.
    Heck KE, Schoendorf KC, Ventura SJ, Kiely JL. Delayed childbearing by education level in the United States, 1969–1994. Matern Child Health J. 1997;1(2):81–8.PubMedCrossRefGoogle Scholar
  11. 11.
    Hammarberg K, Setter T, Norman RJ, Holden CA, Michelmore J, Johnson L. Knowledge about factors that influence fertility among Australians of reproductive age: a population-based survey. Fertil Steril. 2013;99(2):502–7.PubMedCrossRefGoogle Scholar
  12. 12.
    Holton SFJR H. To have or not to have? Australian women's childbearing desires, expectations and outcomes. J Popul Res. 2011;28(4):353–79.CrossRefGoogle Scholar
  13. 13.
    Lampic C, Svanberg AS, Karlstrom P, Tyden T. Fertility awareness, intentions concerning childbearing, and attitudes towards parenthood among female and male academics. Hum Reprod. 2006;21(2):558–64.PubMedCrossRefGoogle Scholar
  14. 14.
    Tough S, Benzies K, Fraser-Lee N, Newburn-Cook C. Factors influencing childbearing decisions and knowledge of perinatal risks among Canadian men and women. Matern Child Health J. 2007;11(2):189–98.PubMedCrossRefGoogle Scholar
  15. 15.
    Lambalk CB, van Disseldorp J, de Koning CH, Broekmans FJ. Testing ovarian reserve to predict age at menopause. Maturitas. 2009;63(4):280–91.PubMedCrossRefGoogle Scholar
  16. 16.
    Maheshwari A, Porter M, Shetty A, Bhattacharya S. Women's awareness and perceptions of delay in childbearing. Fertil Steril. 2008;90(4):1036–42.PubMedCrossRefGoogle Scholar
  17. 17.
    Mac Dougall K, Beyene Y, Nachtigall RD. Age shock: misperceptions of the impact of age on fertility before and after IVF in women who conceived after age 40. Hum Reprod. 2013;28(2):350–6.PubMedCentralPubMedCrossRefGoogle Scholar
  18. 18.
    Clark NA, Griffith K, Perkins E, Jagsi R. Experiences with fertility and infertility among generation X physicians. Fertil Steril. 2013;100(3):S317.CrossRefGoogle Scholar
  19. 19.
    Phillips EA, Lerner LB, Petullo D, Braga JA. Does a Surgical Career Affect a Woman's Childbearing? A Report on Pregnancy and Fertility Trends Amongst Female Surgeons. American College of Surgeons: Annual Clinical Congress 2013; Washington, D.C.2013.Google Scholar
  20. 20.
    Peterson BD, Pirritano M, Tucker L, Lampic C. Fertility awareness and parenting attitudes among American male and female undergraduate university students. Hum Reprod. 2012;27(5):1375–82.PubMedCrossRefGoogle Scholar
  21. 21.
    Roberts E, Metcalfe A, Jack M, Tough SC. Factors that influence the childbearing intentions of Canadian men. Hum Reprod. 2011;26(5):1202–8.PubMedCentralPubMedCrossRefGoogle Scholar
  22. 22.
    Fisher JR, Baker GH, Hammarberg K. Long-term health, well-being, life satisfaction, and attitudes toward parenthood in men diagnosed as infertile: challenges to gender stereotypes and implications for practice. Fertil Steril. 2010;94(2):574–80.PubMedCrossRefGoogle Scholar
  23. 23.
    Daniluk JC, Koert E. The other side of the fertility coin: a comparison of childless men's and women's knowledge of fertility and assisted reproductive technology. Fertil Steril. 2013;99(3):839–46.PubMedCrossRefGoogle Scholar
  24. 24.
    Hashiloni-Dolev Y, Kaplan A, Shkedi-Rafid S. The fertility myth: Israeli students' knowledge regarding age-related fertility decline and late pregnancies in an era of assisted reproduction technology. Hum Reprod. 2011;26(11):3045–53.PubMedCrossRefGoogle Scholar
  25. 25.
    Martin JA, Hamilton BE, Sutton PD, et al. Births: Final data for 2006. Nat vital stat rep. 2009;57(7):1–101.Google Scholar
  26. 26.
    Mathews TJ, Hamilton BE. Mean age of mother, 1970–2000. Nat vital stat rep. 2002;51(1):1–14.Google Scholar
  27. 27.
    Mathews TJ, Hamilton BE. Delayed childbearing: More women are having their first child later in life. NCHS data brief, no 21. National Center for Health Statistics.: Hyattsville, MD; 2009.Google Scholar
  28. 28.
    Virtala A, Vilska S, Huttunen T, Kunttu K. Childbearing, the desire to have children, and awareness about the impact of age on female fertility among Finnish university students. Euro J Contracept Reprod Health Care. 2011;16(2):108–15.CrossRefGoogle Scholar
  29. 29.
    Matysiak A. Employment first, then childbearing: women's strategy in post-socialist Poland. Popul Stud. 2009;63(3):253–76.CrossRefGoogle Scholar
  30. 30.
    Thompson R, Lee C. Sooner or later? Young Australian men's perspectives on timing of parenthood. J Health Psychol. 2011;16(5):807–18.PubMedCrossRefGoogle Scholar
  31. 31.
    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? Fertility and sterility. 2013;100(5):1343–9 e2.Google Scholar
  32. 32.
    Kessler LM, Craig BM, Plosker SM, Reed DR, Quinn GP. Infertility evaluation and treatment among women in the United States. Fertil Steril. 2013;100(4):1025–32.PubMedCrossRefGoogle Scholar
  33. 33.
    White L, McQuillan J, Greil AL. Explaining disparities in treatment seeking: the case of infertility. Fertil Steril. 2006;85(4):853–7.PubMedCrossRefGoogle Scholar
  34. 34.
    Lerner LB, Stolzmann KL, Gulla VD. Birth trends and pregnancy complications among women urologists. J Am Coll Surg. 2009;208(2):293–7.PubMedCrossRefGoogle Scholar
  35. 35.
    Deb S, Campbell BK, Pincott-Allen C, Clewes JS, Cumberpatch G, Raine-Fenning NJ. Quantifying effect of combined oral contraceptive pill on functional ovarian reserve as measured by serum anti-Müllerian hormone and small antral follicle count using three-dimensional ultrasound. Ultrasound Obstet Gynecol. 2012;39(5):574–80.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Erum Azhar
    • 1
    Email author
  • David B Seifer
    • 2
  • Katherine Melzer
    • 3
  • Ahmed Ahmed
    • 4
  • Jeremy Weedon
    • 5
  • Howard Minkoff
    • 1
    • 6
  1. 1.Department of Obstetrics and GynecologyMaimonides Medical CenterBrooklynUSA
  2. 2.Division of Reproductive EndocrinologyOregon Health & Science UniversityPortlandUSA
  3. 3.Division of Reproductive EndocrinologyMaimonides Medical CenterBrooklynUSA
  4. 4.Department of Obstetrics and GynecologyWayne State UniversityDetroitUSA
  5. 5.Jerem scientific Computing CenterState University of New York Downstate Medical CenterBrooklynUSA
  6. 6.Department of Obstetrics and GynecologySUNY Downstate Medical CenterBrooklynUSA

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