Daviskiba Sydney, Irshad Maheen, Katz Samantha, Swain Monique
Department of Women's Health, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, USA.
Wayne State University School of Medicine, Detroit, MI, USA.
J Assist Reprod Genet. 2025 May 30. doi: 10.1007/s10815-025-03531-4.
To assess the impact of employer-provided financial support on graduate medical trainees' decision to pursue fertility preservation and to identify perceived barriers to participation in fertility preservation.
An anonymous online survey study addressing perspectives surrounding participation in elective fertility preservation while in training was distributed in August 2024 to residents and fellows in graduate medical programs across the United States.
Of 306 medical trainee respondents, 202 (67.1%) had intentionally delayed childbearing due to their medical training. There were 66.4% (n = 200) who reported that their sex/gender impacted their interest in fertility preservation, including 87% (n = 172) of whom had been assigned female at birth. High costs and time constraints of training were the most commonly cited factors (63.1%) negatively impacting the decision to participate in elective fertility preservation. Employer financial support was reported by 32.9% (n = 99) as a factor that would make them more likely to pursue fertility preservation. Trainees who worked an average of 60 to > 80 hours per week had the highest rate of reported intentional delay in childbearing, and the time constraints of training negatively impacted their interest in fertility preservation. Only 24% knew whether coverage for fertility services was mandated in their state, 25.2% were unfamiliar with fertility preservation, and 35.3% did not know how to access fertility services.
Medical trainees face significant financial and structural barriers to accessing fertility preservation. Widespread financial benefits and systemic changes in training programs may improve the feasibility of fertility preservation for graduate medical trainees.
评估雇主提供的经济支持对住院医师培训学员决定进行生育力保存的影响，并确定参与生育力保存的感知障碍。
2024年8月，针对全美住院医师培训项目中的住院医师和专科住院医师，开展了一项匿名在线调查研究，探讨培训期间参与选择性生育力保存的相关观点。
在306名医学培训学员受访者中，202人（67.1%）因医学培训而有意推迟生育。66.4%（n = 200）的受访者表示，他们的性别影响了他们对生育力保存的兴趣，其中87%（n = 172）出生时被指定为女性。培训成本高和时间限制是最常被提及的对参与选择性生育力保存决定产生负面影响的因素（63.1%）。32.9%（n = 99）的受访者表示，雇主的经济支持会使他们更有可能进行生育力保存。每周平均工作60至>80小时的学员报告的有意推迟生育率最高，培训的时间限制对他们参与生育力保存的兴趣产生了负面影响。只有24%的人知道所在州是否强制要求提供生育服务保险，25.2%的人不熟悉生育力保存，35.3%的人不知道如何获得生育服务。
医学培训学员在获得生育力保存方面面临重大的经济和结构性障碍。广泛的经济福利和培训项目的系统性变革可能会提高住院医师培训学员进行生育力保存的可行性。
