Centre for Reproduction Research, De Montfort University, Leicester, UK.
Hum Fertil (Camb). 2023 Dec;26(2):355-364. doi: 10.1080/14647273.2023.2194555. Epub 2023 Apr 27.
Ovarian tissue freezing (OTF), currently used to preserve fertility for girls and women with cancer, is beginning to be considered for conditions that cause ovarian insufficiency in childhood, such as Turner Syndrome (TS). This article addresses the gap in information on how women with TS and their families view OTF and the values that inform the decision to use it. It reports qualitative findings on the perceived benefits and challenges of OTF, using a purposive sample of 19 women with TS and 11 mothers of girls with TS in the UK, taken from a wider study on how reproductive choices are shaped by TS. It concludes by looking at ways to address the potential use of OTF with families. Most participants strongly supported the option of OTF. Perceived benefits included the potential for natural conception and a genetically-related child, and increasing the agency of women with TS. Perceived challenges included the invasive nature of tissue collection, the age it would need to be performed, and how girls and their family would be informed and supported. Some participants also identified the impact on a girl's future fertility and the possibility that TS is heritable as barriers.
卵巢组织冷冻(OTF)目前用于为患有癌症的女孩和女性保留生育能力,开始被考虑用于儿童时期导致卵巢功能不全的情况,如特纳综合征(TS)。本文探讨了关于 TS 女性及其家庭如何看待 OTF 以及影响使用 OTF 的价值观的信息差距。它报告了使用英国的 19 名 TS 女性和 11 名 TS 女孩的母亲作为目的样本,通过一项关于 TS 如何塑造生殖选择的更广泛研究,得出关于 OTF 感知益处和挑战的定性发现。最后,它探讨了如何与家庭一起解决潜在的 OTF 使用问题。大多数参与者强烈支持 OTF 的选择。感知到的益处包括自然受孕和具有遗传关系的孩子的可能性,以及增加 TS 女性的代理权。感知到的挑战包括组织采集的侵入性、需要进行的年龄,以及如何告知和支持女孩及其家庭。一些参与者还确定了对女孩未来生育能力的影响以及 TS 遗传性作为障碍。