What are the specific pathways that lead women to freeze their eggs? In this binational study, women were asked directly about the life circumstances that led them on the path to elective egg freezing (EEF).
From June 2014 to August 2016, 150 women (114 in the USA, 36 in Israel) who had completed at least 1 cycle of EEF were interviewed by two medical anthropologists. Study participants were recruited through four American IVF clinics (two academic, two private) and three in Israel (one academic, two private). Interviews were audio-recorded, transcribed verbatim, and entered into a qualitative data management program (Dedoose) for analysis.
The majority (85%) of women in the study were without partners, while 15% had partners at the time of EEF. Six pathways to EEF were found among women without partners (being single, divorced, broken up, deployed overseas, single mother, career planner), with career planning being the least common pathway to EEF. Among women with partners, four pathways to EEF were found (relationship too new or uncertain, partner not ready to have children, partner refusing to have children, or partner having multiple partners). With only one exception, the pathways and their frequencies were similar in both countries.
Partnership problems, not career planning, lead most women on pathways to EEF. These pathways should be studied in a variety of national settings, and fertility clinics should offer patient-centered care for single women pursuing EEF in the couples-oriented world of IVF.
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Schon SB, Shapiro M, Gracia C, Senapati S. Medical and elective fertility preservation: impact of removal of the experimental label from oocyte cryopreservation. J Assist Reprod Genet. 2017;34:1207–15.
Potdar N, Gelbaya TA, Nardo A. Oocyte vitrification in the 21st century and post-warming fertility outcomes: a systematic review and meta-analysis. Reprod BioMed Online. 2014;29:159–76.
Baldwin K, Culley L, Hudson N, Mitchell H. Reproductive technology and the life course: current debates and research in social egg freezing. Hum Fertil. 2014;17:170–9.
Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, de Mouzon J, Sokol R, et al. The international glossary of infertility and fertility care, 2017. Hum Reprod. 2017;32:1786–801.
Argyle CE, Harper JC, Davies MC. Oocyte cryopreservation: where are we now? Hum Reprod Update. 2016;22:440–9.
Cobo A, Garcia-Velasco JA. Why all women should freeze their eggs. Clin Obstet Gynecol. 2016;28:206–10.
Donnez J, Dolmans M-M. Fertility preservation in women. N Engl J Med. 2017;377:1657–65.
Goldman KN, Grifo JA. Elective oocyte cryopreservation for deferred childbearing. Clin Obstet Gynecol. 2016;23:458–64.
Gunnala V, Schattman G. Oocyte vitrification for elective fertility preservation: the past, present, and future. Clin Obstet Gynecol. 2017;29:59–63.
Mertes H. The portrayal of healthy women requesting oocyte cryopreservation. Facts Views Vis Obgyn. 2013;5:141–6.
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? Fertil Steril. 2014;100:1343–9.
Stoop D, Maes E, Polyzos NP, Verheyen G, Tournaye H, Nekkebroeck J. Does oocyte banking for anticipated gamete exhaustion influence future relational and reproductive choices? A follow-up of bankers and non-bankers. Hum Reprod. 2015;30:338–44.
Hammarberg K, Kirkman M, Pritchard N, Hickey M, Peate M, McBain J, et al. Reproductive experiences of women who cryopreserved oocytes for non-medical reasons. Hum Reprod. 2017;32:575–81.
Pritchard N, Kirkman M, Hammarberg K, McBain J, Agresta F, Bayly C, et al. Characteristics and circumstances of women in Australia who cryopreserved their oocytes for non-medical indications. J Reprod Infant Psychol. 2017;35:108–18.
Greenwood EA, Pasch LA, Hastie J, Cedars MI, Huddleston HG. To freeze or not to freeze: decision regret and satisfaction following elective oocyte cryopreservation. Fertil Stertil. 2018;109:1097–104.
Baldwin K, Culley L, Hudson N, Mitchell H, Lavery S. Oocyte cryopreservation for social reasons: demographic profile and disposal intentions of UK users. Reprod BioMed Online. 2015;31:239–45.
Baldwin K. “I suppose I think to myself, that’s the best way to be a mother”: how ideologies of parenthood shape women’s use for social egg freezing technology. Sociol Res Online. 2017;22:2–15.
Baldwin K. Conceptualising women’s motivations for social egg freezing and experience of reproductive delay. Sociol Health Illn. 2018;40:859–73.
Baldwin K, Culley LA, Hudson N, Mitchell HL. Running out of time: exploring women’s motivations for social egg freezing. J Psychosom Obstet Gynecol. 2018; https://doi.org/10.1080/0167482X.2018.1460352.
Birenbaum-Carmeli D. Thirty-five years of assisted reproductive technologies in Israel. Reprod Biomed Soc Online. 2016;2:16–23.
Hollan D. The psychology of person-centered ethnography. In: Moore CC, Mathews HF, editors. The psychology of cultural experience. Cambridge: Cambridge University Press; 2001. p. 48–67.
Bock JD. Doing the right thing? Single motherhood by choice and the struggle for legitimacy. Gend Soc. 2000;14:62–86.
Potter AE, Knaub PC. Single motherhood by choice: a parenting alternative. J Fam Econ Iss. 1988;9:240–9.
Singerman D. The negotiation of waithood: the political economy of delayed marriage in Egypt. In: Khalaf S, Khalaf R, editors. Arab youth: social mobilisation in times of risk. London: Saqi; 2011.
Wentzell EA, Inhorn MC. Reconceiving masculinity and “men as partners” for ICPD beyond 2014: insights from a Mexican HPV study. Glob Public Health. 2014;9:651–75.
Kirkby R. Why are more young women than ever freezing their eggs? Stylist, April 21, 2018. https://www.stylist.co.uk/long-reads/fertility-clinic-london-uk-test.../202508.
Inhorn MC, Birenbaum-Carmeli D, Birger J, Westphal LM, Doyle J, Gleicher N, et al. Elective egg freezing and its underlying socio-demography: a binationalanalysis with global implications. Reprod Biol Endocrin. 2018;16. https://rbej.biomedcentral.com/articles/10.1186/s12958-018-0389-z.
Birger J. Date-onomics: how dating became a lopsided numbers game. New York: Workman Publishing; 2015.
Notkin M. Otherhood: modern women finding a new kind of happiness. Berkeley: Seal Press; 2014.
The authors would like to thank Jennifer DeChello, Jeannine Estrada, Rose Keimig, Sandee Murray, Tasha Newsome, Mira Vale, and Ruoxi Yu for various forms of editorial, study recruitment, and transcription assistance.
This study was funded by the US National Science Foundation, BCS-1356136.
Conflict of interest
The authors declare that they have no conflicts of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committees and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
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Inhorn, M.C., Birenbaum-Carmeli, D., Westphal, L.M. et al. Ten pathways to elective egg freezing: a binational analysis. J Assist Reprod Genet 35, 2003–2011 (2018). https://doi.org/10.1007/s10815-018-1277-3
- Fertility preservation
- Oocyte cryopreservation