Decision regret and associated factors following oocyte cryopreservation in patients with diminished ovarian reserve and/or age-related fertility decline

Gürbüz, Ayşe; Cıl, Aylin Pelin; Karakis, Lale Suzan; Abalı, Remzi; Ceyhan, Mehmet; Aksakal, Ece; Kılıç, Azer; Bahçeci, Mustafa; Urman, Bülent

doi:10.1007/s10815-021-02164-7

Cited by 9 publications

(6 citation statements)

References 36 publications

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“…Nevertheless, although oocyte freezing has the potential to mitigate the sense of pressure, decisional regret can occur after vitrifying. Regret seems to be strongly linked to a deceivingly low number of retrieved eggs, perceived lack of information prior to freezing, lack of emotional support during the procedure and overestimation of the probability of achieving a pregnancy (Greenwood et al, 2018), although a recent Turkish study showed that EEF in women with diminished ovarian reserve was not associated with decision regret unless women had lack of confidence in the efficacy of EEF (Gurbuz et al, 2021).…”

Section: Minimal But Real Risks Of the Techniquementioning

confidence: 99%

Oocyte vitrification for elective fertility preservation: a SWOT analysis

Gil-Arribas¹,

Blockeel

Pennings

et al. 2022

Reproductive BioMedicine Online

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Section: Minimal But Real Risks Of the Techniquementioning

confidence: 99%

Oocyte vitrification for elective fertility preservation: a SWOT analysis

Gil-Arribas¹,

Blockeel

Pennings

et al. 2022

Reproductive BioMedicine Online

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“…Gurbuz and colleagues found that while 83% of women were satisfied with the choice of cryopreserving their oocytes, even if they never return to use them, 52.5% reported mild regret and 16% had moderate to severe regret. 12 It was found that a belief in fate regarding childbearing and trust in the efficacy of OC significantly decreased the likelihood of regret. On the contrary, Jones et al found that 91% of patients had no regrets; of those who did experience regret, the most common reason was due to financial expenses.…”

Section: Discussionmentioning

confidence: 99%

“…9 As elective OC continues to grow in popularity, there is a greater need for proper patient education and counseling to allow patients to make an informed decision. 10 Recently, the medical literature 11 12 as well as mainstream media 13 have identified feelings of regret among people who choose to undergo OC. Studies report that regret was most commonly related to high financial expenses and poor supportive counseling.…”

mentioning

confidence: 99%

Understanding the Strengths and Limitations of Online Oocyte Cryopreservation Calculators

Wolf,

Minis,

Mahalingaiah

2024

Semin Reprod Med

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Between 2010 and 2016, elective oocyte cryopreservation (OC) increased in use by 880% in the United States; however, there have been increasing reports of regret among patients after elective OC. There is a growing need for individualized counseling on the timing and number of oocytes to cryopreserve for patients to make informed choices and set realistic expectations, but currently available tools seem to be insufficient. The purpose of this review is to describe the OC calculators currently available online, identify sources of regret, and illustrate the need for unified counseling tools for improved patient care and education. OC calculators were identified via Google search. Only calculators that cite scientific literature were included in the review. Calculators for in vitro fertilization or embryo transfer were excluded. Thirteen OC calculators were found; however, only six cited literature supporting the calculator's design. When entering the same hypothetical patient parameters for age and number of oocytes cryopreserved, the calculators provided drastically different probabilities of live births. The lack of cohesive online educational materials creates confusion and stress for patients considering OC, leading to unrealistic expectations and increased feelings of regret thereafter. Physicians need tools to provide comprehensive guidance to patients seeking to cryopreserve oocytes.

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“…The limited evidence about POC decisions suggests that women may need more information and support to guide decision-making [ 22 – 25 ]. For example, a US study of women who had frozen oocytes reported that 16% ( n =33) had moderate to severe regret about pursuing the option, particularly when the information and emotional support they had received was perceived as inadequate for their decision [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Information and decision support needs: A survey of women interested in receiving planned oocyte cryopreservation information

Sandhu

Hickey

Braat

et al. 2023

J Assist Reprod Genet

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Purpose Identifying the information and decision support needs of women interested in receiving planned oocyte cryopreservation (POC) information. Methods An online survey of Australian women, aged 18-45, interested in receiving POC information, proficient in English, with internet access. The survey covered POC information sources, information delivery preferences, POC and age-related infertility knowledge (study-specific scale), Decisional Conflict Scale (DCS), and time spent considering POC. Target sample size (n=120) was determined using a precision-based method. Results Of 332 participants, 249 (75%) had considered POC, whilst 83 (25%) had not. Over half (54%) had searched for POC information. Fertility clinic websites were predominately used (70%). Most (73%) believed women should receive POC information between ages 19-30 years. Preferred information providers were fertility specialists (85%) and primary care physicians (81%). Other methods rated most useful to deliver POC information were online. Mean knowledge score was 8.9/14 (SD:2.3). For participants who had considered POC, mean DCS score was 57.1/100 (SD:27.2) and 78% had high decisional conflict (score >37.5). In regression, lower DCS scores were associated with every 1-point increase in knowledge score (-2.4; 95% CI [-3.9, -0.8]), consulting an IVF specialist (-17.5; [-28.0, -7.1]), and making a POC decision (-18.4; [-27.5, -9.3]). Median time to decision was 24-months (IQR: 12.0-36.0) (n=53). Conclusion Women interested in receiving POC information had knowledge gaps, and wanted to be informed about the option by age 30 years from healthcare professionals and online resources. Most women who considered using POC had high decisional conflict indicating a need for decision support.

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Decision regret and associated factors following oocyte cryopreservation in patients with diminished ovarian reserve and/or age-related fertility decline

Cited by 9 publications

References 36 publications

Oocyte vitrification for elective fertility preservation: a SWOT analysis

Oocyte vitrification for elective fertility preservation: a SWOT analysis

Understanding the Strengths and Limitations of Online Oocyte Cryopreservation Calculators

Information and decision support needs: A survey of women interested in receiving planned oocyte cryopreservation information

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