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不孕不育治疗与医师培训学员:一项关于选择性生育力保存的调查

Infertility care and physician trainees: a survey on elective fertility preservation.

作者信息

Reddy Rajesh, N Naert Mackenzie, A Andrusier Miriam, Pelletier Andrea, D Hornstein Mark

机构信息

Department of Obstetrics and Gynecology, Brigham and Women's Hospital, 75 Francis Street CWN-3, Boston, MA, 02115, USA.

Department of Women's Health, Medical Park Tower, 1301 W. 38Th St., Suite 705, Austin, TX, 78705, USA.

出版信息

J Assist Reprod Genet. 2025 Feb;42(2):627-633. doi: 10.1007/s10815-024-03355-8. Epub 2024 Dec 17.

Abstract

PURPOSE

Female physicians experience a higher rate of infertility than the general population, are more likely to delay childbearing in training and use assisted reproductive technologies. Little is known about how physician trainees use infertility services or perceive an employer-sponsored fertility preservation benefit. This study assessed physician trainee knowledge of and experiences with infertility and gauged interest in an employer-sponsored fertility preservation benefit.

METHODS

A 44-question survey was offered from December 2021 to March 2022 to all physician trainees within a single academic hospital system. Descriptive statistics were performed to discern patterns of infertility care.

RESULTS

Of 2495 invited trainees, 550 (22.0%) responded, of whom 11.6% had experienced infertility, 15.1% had undergone a consultation, and 8.4% had received treatment (90.0% and 67.2% of those who had experienced infertility, respectively). Almost half (48.8%) of respondents had considered fertility preservation, of which only 6.3% had used this service (32.8% among those who had experienced infertility).

CONCLUSION

Trainees experience considerable rates of infertility, are concerned by fertility preservation costs, and support an employer-sponsored benefit.

摘要

目的

女医生的不孕率高于普通人群,她们在培训期间更有可能推迟生育并使用辅助生殖技术。对于医学生如何利用不孕不育服务或如何看待雇主提供的生育力保存福利,我们知之甚少。本研究评估了医学生对不孕不育的了解和经历,并衡量了他们对雇主提供的生育力保存福利的兴趣。

方法

2021年12月至2022年3月,对单一学术医院系统内的所有医学生进行了一项包含44个问题的调查。进行描述性统计以识别不孕不育护理模式。

结果

在2495名受邀学员中,550人(22.0%)做出回应,其中11.6%有过不孕经历,15.1%接受过咨询,8.4%接受过治疗(分别占不孕者的90.0%和67.2%)。近一半(48.8%)的受访者考虑过生育力保存,其中只有6.3%使用过这项服务(不孕者中这一比例为32.8%)。

结论

学员中不孕率相当高,他们担心生育力保存的费用,并支持雇主提供相关福利。

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