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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。

Physicians' attitudes towards using elective oocyte cryopreservation to accommodate the demands of their career.

机构信息

McGovern Medical School, Department of Obstetrics and Gynecology, The University of Texas Health Science Center at Houston, 6431 Fannin Street, MSB 3.214, Houston, TX, 77030, USA.

Houston Fertility Institute, 6400 Fannin Street, Suite 2000, Houston, TX, 77030, USA.

出版信息

J Assist Reprod Genet. 2019 Sep;36(9):1935-1947. doi: 10.1007/s10815-019-01541-7. Epub 2019 Aug 2.

Abstract

PURPOSE

Among medical professionals, there appears to be a significant lack of knowledge about oocyte cryopreservation. Medical professionals may be potential candidates for elective oocyte cryopreservation due to the demands and commitments of medical training. There is a paucity of data on this topic among medical professionals. The aim of this study was to assess knowledge, understanding, and beliefs towards elective egg freezing among medical professionals to assess whether they are potential candidates for elective egg freezing.

METHODS

This is a cross-sectional descriptive study in a university-based training program. All medical students, residents, fellows, and faculty were included. An online survey was emailed to potential participants. It included demographic questions regarding childbearing decision-making factors, fertility knowledge, and attitudes towards using elective oocyte cryopreservation.

RESULTS

A total of 1000 emails were sent. Of those, 350 completed surveys were received. On average, 33% of responders provided a correct answer to each fertility knowledge question. The duration of training and the heavy workload with long duty hours were the most common influencing factors when deciding the timing of childbearing. Overall, 65% of the male and female responders were concerned about their future fertility. Among those women who had future fertility concerns, 8% were not aware of egg freezing as a fertility option and wished they had had an opportunity to freeze their eggs at an earlier time.

CONCLUSIONS

Physicians' childbearing decisions can be affected by the demands of their careers. Elective oocyte cryopreservation could be considered an option for family planning. Educational sessions and awareness programs are needed to provide information about available fertility preservation options, which can potentially decrease the rate of regret.

摘要

目的

在医学专业人员中,似乎对卵母细胞冷冻保存知之甚少。由于医学培训的需求和承诺,医学专业人员可能是选择性卵母细胞冷冻保存的潜在候选人。在医学专业人员中,关于这个话题的数据很少。本研究旨在评估医学专业人员对选择性卵子冷冻的知识、理解和信念,以评估他们是否是选择性卵子冷冻的潜在候选人。

方法

这是一项在大学培训计划中进行的横断面描述性研究。所有医学生、住院医师、研究员和教师都包括在内。向潜在参与者发送了一封电子邮件在线调查。它包括关于生育决策因素、生育知识以及对使用选择性卵母细胞冷冻保存的态度的人口统计学问题。

结果

共发送了 1000 封电子邮件。其中,收到了 350 份完成的调查。平均而言,33%的应答者对每个生育知识问题的回答都是正确的。培训时间和工作量大、工作时间长是决定生育时间的最常见影响因素。总的来说,65%的男性和女性应答者对自己未来的生育能力感到担忧。在那些对未来生育能力有担忧的女性中,8%的人不知道卵子冷冻是一种生育选择,希望她们有机会在更早的时候冷冻卵子。

结论

医生的生育决策可能会受到职业需求的影响。选择性卵母细胞冷冻保存可以被认为是一种计划生育的选择。需要开展教育课程和宣传活动,提供有关现有生育力保存选择的信息,这可能会降低后悔的发生率。

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本文引用的文献

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Ten pathways to elective egg freezing: a binational analysis.十种选择冻卵的途径:一项跨国分析。
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Public support in the United States for elective oocyte cryopreservation.美国公众对选择性卵母细胞冷冻保存的支持。
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