Department of Obstetrics, Gynecology and Reproductive Medicine, Reims University Hospital Center, Reims, France.
Department of Obstetrics, Gynecology and Reproductive Medicine, Foch Hospital, Suresnes, France.
J Assist Reprod Genet. 2024 Oct;41(10):2813-2822. doi: 10.1007/s10815-024-03222-6. Epub 2024 Aug 14.
The purpose of this study is to review patient experience with social fertility preservation (sFP), as compared to medical fertility preservation (mFP), in a context where sFP is fully reimbursed.
We conducted a retrospective cohort study involving patients who underwent oocyte cryopreservation for mFP between 2017 and 2023 and sFP between 2022 and 2023 at a large ART single center. Additionally, we surveyed patients undergoing sFP and mFP, regarding their experiences, intentions, awareness, and financial consideration.
A total of 97 oocyte retrievals were performed for sFP in 75 women, and 155 were performed in mFP (127 women). Median ages were 36.4 years for sFP and 28.9 years for mFP. Median oocytes retrieved per session were 10 for sFP and 8 for mFP. Ninety-seven percent of of mFP participants were informed by healthcare professionals, while half of sFP participants learned through personal acquaintances. The primary motivation for sFP was a desire for pregnancy while being single. Most respondents in both groups knew that 15-20 oocytes are typically needed for a successful birth. None were aware of the "DuoStim" option, but interest was expressed by most women. Surprisingly, despite full reimbursement for sFP in France, 78% expressed willingness to pay if necessary.
Many women choose sFP due to concerns about declining fertility, often informed by non-medical sources. Free access to sFP can help mitigate the global decline in natality by allowing women to anticipate age-related fertility decline. This study should be considered by other countries as they may increasingly cover sFP costs in the future.
本研究旨在回顾在社会生育力保存（sFP）全面报销的背景下，与医疗生育力保存（mFP）相比，患者对 sFP 的体验。
我们进行了一项回顾性队列研究，纳入了 2017 年至 2023 年期间在一家大型 ART 单中心因 mFP 而接受卵母细胞冷冻保存以及 2022 年至 2023 年期间因 sFP 而接受卵母细胞冷冻保存的患者。此外，我们还调查了正在接受 sFP 和 mFP 的患者，了解他们的体验、意图、意识和经济考虑。
共对 75 名女性进行了 97 次 sFP 的卵母细胞采集，对 127 名女性进行了 155 次 mFP 的卵母细胞采集。sFP 的中位年龄为 36.4 岁，mFP 的中位年龄为 28.9 岁。sFP 每例采集的卵母细胞中位数为 10 个，mFP 为 8 个。97%的 mFP 参与者是由医疗保健专业人员告知的，而一半的 sFP 参与者是通过熟人了解到的。sFP 的主要动机是希望在单身时怀孕。两个组的大多数受访者都知道通常需要 15-20 个卵母细胞才能成功生育。没有人知道“DuoStim”选项，但大多数女性都表示有兴趣。令人惊讶的是，尽管法国对 sFP 全额报销，但 78%的人表示如果需要，愿意支付费用。
许多女性选择 sFP 是因为担心生育力下降，通常是从非医疗来源获得的信息。免费获得 sFP 可以帮助缓解全球出生率下降的问题，因为这使女性能够预测与年龄相关的生育力下降。其他国家可以考虑这项研究，因为他们可能会在未来越来越多地承担 sFP 的费用。
