Gamete preservation: knowledge, concerns and intentions of Israeli and Danish students regarding egg and sperm freezing

Hashiloni‐Dolev, Yael; Kaplan, Amit; Rasmussen, Caroline Wraa; Kroløkke, Charlotte

doi:10.1016/j.rbmo.2020.08.001

Cited by 7 publications

(3 citation statements)

References 25 publications

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“…For the question "Would you or your partner consider egg/sperm freezing at some point in the future?" in the study of Hashiloni-Dolev et. al (2020) with 1010 students from Denmark and Israel, 52% of Israeli students and 22% of Danish students answered 'no' (Hashiloni-Dolev, Kaplan, Rasmussen, & Kroløkke, 2020, pp.…”

Section: Satilmis Et Almentioning

confidence: 92%

Oosit Kriyoprezervasyonu: Türk Ebelik ve Hemşirelik Öğrencilerinin Bilgi ve Tutumu

Güngör

Küğcümen

TANDOĞAN>

2022

Izmir Democracy University Health Sciences Journal

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Amaç: Tanımlayıcı tipteki bu çalışmanın amacı, Türk hemşirelik ve ebelik öğrencilerinin oosit kriyoprezervasyonuna yönelik tutumlarını değerlendirmektir. Yöntem-Gereçler: Çalışmanın örneklemini İstanbul'daki iki üniversitenin ebelik ve hemşirelik bölümlerinde okuyan 342 kız öğrenci oluşturmuştur. Araştırmaya katılmaya gönüllü öğrencilere literatür doğrultusunda hazırlanan anket formu online uygulanmıştır. Bulgular: Katılımcıların yaş ortalaması 20.96±1.8’dir. Öğrenciler yaklaşık 25 yaşında çocuk sahibi olmak istediklerini belirtmişlerdir. %59.1’i kriyoprezervasyon hakkında bilgilerinin olduğunu, %19.9’u kariyeri için çocuk sahibi olmayı ertelemek için kullanabileceğini %57.6’sı ise kriyoprezervasyon ile kadınların annelik zamanını seçmede özgür olacaklarını belirtmiştir. Oosit kriyoprezervasyonunu daha çok tıbbi nedenlerle kabul edebilecekleri görülmektedir. Üreme hücrelerini etkileyen kanser tedavisi alacaklarsa (%63.7), yumurtalıkların etkilenmesine neden olacak cerrahi girişime maruz kalınmışsa (%59.9) ve erken yaşta menopoza girme riskleri varsa (%50.3) düşüneceklerini ifade etmişlerdir. Sonuç: Öğrencilerin oosit kriyoprezervasyonu hakkındaki tutumları olumlu olmakla birlikte, daha çok tıbbi açıdan gerekli olması durumunda oosit kriyoprezervasyonunu kabul edebilecekleri bulunmuştur.

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Section: Satilmis Et Almentioning

confidence: 92%

Oosit Kriyoprezervasyonu: Türk Ebelik ve Hemşirelik Öğrencilerinin Bilgi ve Tutumu

Güngör

Küğcümen

TANDOĞAN>

2022

Izmir Democracy University Health Sciences Journal

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Section: Introductionmentioning

confidence: 99%

‘I feel that injustice is being done to me’: a qualitative study of women’s viewpoints on the (lack of) reimbursement for social egg freezing

Proost

Coene

Nekkebroeck³

et al. 2022

BMC Med Ethics

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Background During the last decade, the possibility for women to cryopreserve oocytes in anticipation of age-related fertility loss, also referred to as social egg freezing, has become an established practice at fertility clinics around the globe. In Europe, there is extensive variation in the costs for this procedure, with the common denominator that there are almost no funding arrangements or reimbursement policies. This is the first qualitative study that specifically explores viewpoints on the (lack of) reimbursement for women who had considered to uptake at least one social egg freezing cycle in Belgium. Methods To understand the moral considerations of these women, drawing from twenty-one interviews, this paper integrates elements of a symbiotic empirical ethics approach and thematic analysis. Results We identify four themes: (1) being confronted with unclear information; (2) financial costs as ongoing concern; (3) necessity of coverage; (4) extent of reimbursement. In the first theme, we found that some women were concerned about the lack of clear information about the cost of social egg freezing. In the second theme, we report moral sentiments of injustice and discrimination which some women attributed to their struggles and needs not being recognised. The third theme illustrates diverse views on reimbursement, ranging from viewing social egg freezing as an elective treatment not appropriate for reimbursement to preferences for greater public responsibility and wider access. Finally, we describe the participants’ varying proposals for partial reimbursement and the idea that it should not be made available for free. Conclusions This research adds important empirical insights to the bioethics debate on social egg freezing, in particular by presenting (potential) users’ views on the lack of reimbursement. While there is much more to say about the ethical and political complexities of the reimbursement of this procedure, our study highlighted the voices of (potential) users and showed that at least some of them would welcome the coverage of SEF through the public healthcare insurance.

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“…This practice of company-sponsored egg freezing is most common in the US; however, it can be observed in other countries, such as the UK and Belgium [6,7], if only in limited numbers. Furthermore, there is one small Israeli health fund that partly subsidises the process and in Japan, the city of Urayasu has experimented with a 3-year coverage programme [8,9]. Dondorp and de Wert expected that SEF could lead to a new round in the debate on coverage for in vitro fertilisation (IVF), challenging the role of the concept of 'medical necessity' as a criterion for coverage [10].…”

Section: Introductionmentioning

confidence: 99%

‘I feel that injustice is being done to me’: a qualitative study of women’s viewpoints on the (lack of) reimbursement for social egg freezing

Proost

Coene

Nekkebroeck

et al. 2021

Preprint

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Background During the last decade, the possibility for women to cryopreserve oocytes in anticipation of age-related fertility loss, also referred to as social egg freezing, has become an established practice at fertility clinics around the globe. In Europe, there is extensive variation in the costs for this procedure, with the common denominator that there are almost no funding arrangements or reimbursement policies. This is the first qualitative study that specifically explores viewpoints on the (lack of) reimbursement for women who had considered to uptake at least one social egg freezing cycle in Belgium. Methods To understand the moral considerations of these women, drawing from twenty-one interviews, this paper integrates elements of a symbiotic empirical ethics approach and thematic analysis. Results We identify three themes: (1) From ongoing concern to non-issue; (2) Negotiating the reimbursement for social egg freezing; (3) From fully out-of-pocket to (partial) free good. In the first theme, we found that some women were concerned about the cost of social egg freezing and the lack of clear information about it. Furthermore, they reported moral sentiments of injustice which they attributed to their lack of acknowledgement for their struggles and needs. Other women perceived the reimbursement controversy of social egg freezing as something far removed from their lived experience. The second theme illustrates diverse views on reimbursement, ranging from viewing social egg freezing as an elective treatment unbefitting reimbursement to preferences for greater public responsibility and wider access. Finally, we describe the participants’ varying proposals for partial reimbursement and the idea that it should not be made available for free. Conclusions This research adds important empirical insights to the bioethics debate on social egg freezing, in particular by presenting (potential) users’ views on the lack of reimbursement. Based on our results, it seems an oversimplification to portray social egg freezers as merely affluent women who are not concerned about the coverage of egg freezing costs. While there is much more to say about the ethical and political complexities of the reimbursement of this procedure, our study highlighted the voices of (potential) users and showed that at least some of them express a preference or a need for reimbursement.

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Gamete preservation: knowledge, concerns and intentions of Israeli and Danish students regarding egg and sperm freezing

Cited by 7 publications

References 25 publications

Oosit Kriyoprezervasyonu: Türk Ebelik ve Hemşirelik Öğrencilerinin Bilgi ve Tutumu

Oosit Kriyoprezervasyonu: Türk Ebelik ve Hemşirelik Öğrencilerinin Bilgi ve Tutumu

‘I feel that injustice is being done to me’: a qualitative study of women’s viewpoints on the (lack of) reimbursement for social egg freezing

‘I feel that injustice is being done to me’: a qualitative study of women’s viewpoints on the (lack of) reimbursement for social egg freezing

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