Knowledge of ovarian reserve and reproductive choices

被引:32
作者
Azhar, Erum [1 ]
Seifer, David B.
Melzer, Katherine [2 ]
Ahmed, Ahmed [3 ]
Weedon, Jeremy [4 ]
Minkoff, Howard [1 ,5 ]
机构
[1] Maimonides Hosp, Dept Obstet & Gynecol, Brooklyn, NY 11219 USA
[2] Maimonides Hosp, Div Reprod Endocrinol, Brooklyn, NY 11204 USA
[3] Wayne State Univ, Dept Obstet & Gynecol, Detroit, MI 48202 USA
[4] Suny Downstate Med Ctr, Jerem Sci Comp Ctr, Brooklyn, NY 11203 USA
[5] Suny Downstate Med Ctr, Dept Obstet & Gynecol, Brooklyn, NY 11203 USA
关键词
Ovarian reserve; Family planning; Health care professionals; UNIVERSITY-STUDENTS ATTITUDES; FERTILITY AWARENESS; AGE; CHILDBEARING; FEMALE; WOMEN; INFERTILITY; INTENTIONS; PARENTHOOD; DECISIONS;
D O I
10.1007/s10815-014-0415-9
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
To determine the factors that influence the reproductive choices of health care professionals, and to assess whether knowledge of ovarian reserve would modify those choices. A cross-sectional survey utilizing anonymous questionnaires that assessed demographics, knowledge, attitudes and choices of female and male health care professionals between the ages of 20-55 (N = 185) who work at an academic medical center Of the 185 respondents, 75 % were female, 35 % were residents and 35 % were married. Among those who were delaying childbearing 39 % wanted to complete their education, 25 % had no identified partner, 10 % were too active professionally and 4 % could not afford children at the time. If testing of the individual or individual's partner indicated diminished ovarian reserve, 48 % of those responding would try to have a child sooner, 21 % would opt for oocyte cryopreservation, 7 % would try to find a partner sooner, 7 % would pursue adoption, and 3 % would select embryo cryopreservation. Only 14 % would not actively pursue treatment or make lifestyle changes. These results varied significantly with marital status but did not differ between participants with and without children. Similarly, choices did not vary significantly with religious belief or ethnicity. Increased information about a woman's reproductive reserve would lead individuals to modify life choices. Physicians caring for reproductive-age women and men should inquire about their childbearing plans, and educate those who are postponing childbearing regarding the normal pattern of reproductive decline.
引用
收藏
页码:409 / 415
页数:7
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