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选择性冻卵,无医学指征。

Elective egg freezing without medical indications.

机构信息

Obstetrics and Gynecology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Reproductive Medicine Department, International Evangelical Hospital, Genoa, Italy.

出版信息

Acta Obstet Gynecol Scand. 2019 May;98(5):647-652. doi: 10.1111/aogs.13573. Epub 2019 Mar 5.

DOI:10.1111/aogs.13573
PMID:30758059
Abstract

The aim of this review is to provide current knowledge on fertility preservation for non-medical reasons in women willing to postpone childbearing. The topic is highly debatable, starting from disagreement about its terminology, the number of eggs necessary to predict chances of success, and the safety and socio/ethical point of view. Cost analysis and discrepancies among countries' recommendations and regulations are described to confirm the controversies and unsolved issues around this very interesting topic. Finally, an overview on the returning rate of women among "egg bankers" and reasons behind their decisions are illustrated.

摘要

本篇综述的目的是为有推迟生育意愿的女性提供非医学原因的生育力保存的最新知识。该主题极具争议性,从其术语的不一致性、预测成功机会所需的卵子数量,到安全性和社会/伦理观点等方面都存在争议。本文还描述了成本分析以及各国建议和法规之间的差异,以证实围绕这个非常有趣的主题存在的争议和未解决的问题。最后,本文还概述了“卵子银行”中女性的回院率及其决策背后的原因。

相似文献

1
Elective egg freezing without medical indications.选择性冻卵,无医学指征。
Acta Obstet Gynecol Scand. 2019 May;98(5):647-652. doi: 10.1111/aogs.13573. Epub 2019 Mar 5.
2
Understanding social oocyte freezing in Italy: a scoping survey on university female students' awareness and attitudes.了解意大利社会层面的卵子冷冻情况:一项关于大学女学生认知与态度的范围界定调查。
Life Sci Soc Policy. 2019 May 3;15(1):3. doi: 10.1186/s40504-019-0092-7.
3
Is employer coverage of elective egg freezing coercive?: a survey of medical students' knowledge, intentions, and attitudes towards elective egg freezing and employer coverage.雇主对选择性卵子冷冻的保险覆盖是否具有强制性?:一项关于医学生对选择性卵子冷冻及雇主保险覆盖的知识、意愿和态度的调查。
J Assist Reprod Genet. 2017 Aug;34(8):1035-1041. doi: 10.1007/s10815-017-0956-9. Epub 2017 Jun 2.
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Social Freezing: Pressing Pause on Fertility.冻卵:按下生育的暂停键。
Int J Environ Res Public Health. 2021 Jul 30;18(15):8088. doi: 10.3390/ijerph18158088.
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A Survey of Women Who Cryopreserved Oocytes for Non-medical Indications (Social Fertility Preservation).对因非医学指征(社会生育力保存)而冷冻卵母细胞的女性的一项调查。
Reprod Sci. 2021 Aug;28(8):2216-2222. doi: 10.1007/s43032-021-00460-2. Epub 2021 Jan 15.
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Does oocyte banking for anticipated gamete exhaustion influence future relational and reproductive choices? A follow-up of bankers and non-bankers.预期配子耗竭的卵子库对未来的关系和生殖选择有影响吗?对储卵者和非储卵者的随访。
Hum Reprod. 2015 Feb;30(2):338-44. doi: 10.1093/humrep/deu317. Epub 2014 Nov 28.
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Physicians' attitudes towards using elective oocyte cryopreservation to accommodate the demands of their career.医生对利用选择性卵母细胞冷冻保存来满足其职业需求的态度。
J Assist Reprod Genet. 2019 Sep;36(9):1935-1947. doi: 10.1007/s10815-019-01541-7. Epub 2019 Aug 2.
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Fertility knowledge, childbearing intentions and attitudes towards social egg freezing: A study of female students of a private university in Kumasi, Ghana.生育知识、生育意愿与对社会冻卵的态度:加纳库马西一所私立大学女学生的研究。
BMC Womens Health. 2024 Oct 8;24(1):553. doi: 10.1186/s12905-024-03387-3.
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Fertility preservation for age-related fertility decline.与年龄相关的生育能力下降的生育力保存。
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Oocyte vitrification for elective fertility preservation: the past, present, and future.用于选择性生育力保存的卵母细胞玻璃化:过去、现在与未来。
Curr Opin Obstet Gynecol. 2017 Feb;29(1):59-63. doi: 10.1097/GCO.0000000000000339.

引用本文的文献

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Age-Based Oocyte Yield in Elective Oocyte Cryopreservation: A Retrospective Cohort Study.选择性卵母细胞冷冻保存中基于年龄的卵母细胞产量:一项回顾性队列研究。
Diagnostics (Basel). 2025 Sep 8;15(17):2278. doi: 10.3390/diagnostics15172278.
2
The Right to Freeze Oocyte for Women in Iranian Fertility Centers: A Qualitative Study.伊朗生育中心女性冷冻卵母细胞的权利:一项定性研究。
Med J Islam Repub Iran. 2025 Mar 5;39:35. doi: 10.47176/mjiri.39.35. eCollection 2025.
3
Social egg freezing among single females: Middle Eastern point of view.单身女性的社会卵子冷冻:中东视角。
Obstet Gynecol Sci. 2025 Jul;68(4):313-322. doi: 10.5468/ogs.24327. Epub 2025 Jul 1.
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Balancing choice and socioeconomic realities: analyzing behavioral and economic factors in social oocyte cryopreservation decisions.平衡选择与社会经济现实:分析社会卵子冷冻保存决策中的行为和经济因素。
Front Endocrinol (Lausanne). 2024 Dec 20;15:1467213. doi: 10.3389/fendo.2024.1467213. eCollection 2024.
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Egg Cryopreservation for Social Reasons-A Literature Review.基于社会原因的卵子冷冻保存——文献综述
Healthcare (Basel). 2024 Dec 2;12(23):2421. doi: 10.3390/healthcare12232421.
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No guarantees: planned oocyte cryopreservation, not quite an insurance policy.无保证:计划的卵母细胞冷冻保存,并非完全是保险政策。
Arch Gynecol Obstet. 2024 Oct;310(4):1889-1894. doi: 10.1007/s00404-024-07654-4. Epub 2024 Aug 3.
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Awareness, Attitude, and Fertility Desire in Elective Oocyte Cryopreservation of Adults in Four Areas of China.中国四个地区成年女性选择性卵母细胞冷冻保存的认知、态度及生育意愿
Int J Gen Med. 2024 Apr 2;17:1281-1292. doi: 10.2147/IJGM.S449573. eCollection 2024.
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Knowledge, attitude and practice on ovarian reserve function among women of childbearing age: a prospective cross-sectional study in Chongqing and surrounding regions.育龄期女性对卵巢储备功能的认知、态度及行为:重庆及周边地区的一项前瞻性横断面研究
BMJ Open. 2024 Mar 1;14(3):e080890. doi: 10.1136/bmjopen-2023-080890.
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Social Egg Freezing-A Trend or Modern Reality?社会卵子冷冻——一种趋势还是现代现实?
J Clin Med. 2024 Jan 10;13(2):390. doi: 10.3390/jcm13020390.
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The first nationwide website survey of the availability and costs of medical and non-medical oocyte cryopreservation in Japan.日本首次关于医疗和非医疗卵母细胞冷冻保存的可用性及成本的全国性网站调查。
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