Knowledge of ovarian reserve and reproductive choices
- 348 Downloads
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.
KeywordOvarian reserve Family planning Health care professionals
Myowa Pitan and Gilda Noori (Medical Student) for assisting in data collection
- 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
- 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.Mathews TJ, Hamilton BE. Mean age of mother, 1970–2000. Nat vital stat rep. 2002;51(1):1–14.Google Scholar
- 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
- 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
- 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