The dawn of a new ice age: social egg freezing

Jones, Benjamin P; Saso, Srdjan; Mania, Anastasia; Smith, J. R.; Serhal, Paul; Nagi, Jara Ben

doi:10.1111/aogs.13335

Cited by 38 publications

(28 citation statements)

References 29 publications

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“…The increasing availability and acceptability of assisted reproductive technology (ART)including egg freezingallows women to delay childbearing [5][6][7]. Although it provides an opportunity to delay childbearing and reduces the risk of involuntary childlessness, ART does not guarantee success [8,9].…”

Section: Introductionmentioning

confidence: 99%

Regret over the delay in childbearing decision negatively associates with life satisfaction among Japanese women and men seeking fertility treatment: a cross-sectional study

2020

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Background: Currently, in developed countries, increasing numbers of women and men are delaying childbearing but begin seeking fertility treatment later in life. Some women undergoing infertility treatment develop negative feelings such as depression associated with low life satisfaction and regret over the delay in childbearing. We therefore examine the association of life satisfaction with regret over the delay in childbearing decision and infertility-related factors among Japanese women and men seeking fertility treatment. Methods: This cross-sectional study included 253 women and 196 men referred to fertility facilities in Japan from July to December 2018. Participants completed a questionnaire on life satisfaction, regret over the delay in childbearing decision, infertility-related factors and sociodemographic characteristics. Life satisfaction was measured using the Satisfaction with Life Scale (SWLS), and the degree of regret over delay in childbearing decision was measured on a 7-point Likert scale. Multiple linear regressions, conducted separately by sex, were used to analyze the association of life satisfaction with regret over the delay in childbearing decision and infertility-related factors. Results: Of the 253 women and 196 men, 102 (40.3%) women and 43 (21.9%) men answered "strongly agree" regarding their regret over the delay in childbearing decision. Among women, life satisfaction was negatively associated with regret (β = − 0.155, 95% CI [− 0.938, − 0.093], p = 0.017), use of assisted reproduction technology (ART) (β = − 0.135, 95% CI [− 2.977, − 0.020], p = 0.047). In contrast, previous live birth was positively associated with life satisfaction (β = 0.134, 95% CI [0.122, 3.739], p = 0.037). In men, we found no significant association of life satisfaction with regret over the delay in childbearing decision and infertility-related factors. Conclusions: Regret over the delay in childbearing decision is negatively associated with life satisfaction among Japanese women seeking fertility treatment. It may be important for women to make better informed decision regarding the timing of childbearing to not regret later in life. Health professionals should address regret over the delay in childbearing decision during fertility treatment and explore ways to spread information on fertility awareness.

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Section: Introductionmentioning

confidence: 99%

Regret over the delay in childbearing decision negatively associates with life satisfaction among Japanese women and men seeking fertility treatment: a cross-sectional study

2020

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“…Finally, we believe that the regret owing to the delay in childbearing decision was not only a problem stemming from within the individual, but was also a social one. Health professionals should try avoiding extending medical solutions (such as ART), and the social environment should provide reproductive-aged women and men with the opportunity to start a family earlier in life without needing to sacri ce their careers, academic goals, and life expectations in order to do so [8,13]. A reproductive life plan is provides an opportunity for reproductive-aged women and men to re ect on their interest and hopes of becoming parents and on preconception care.…”

Section: Discussionmentioning

confidence: 99%

“…The increasing availability and acceptability of assisted reproductive technology (ART) -including egg freezing -allows women to delay childbearing [5][6][7]. Although it provides an opportunity to delay childbearing and reduces the risk of involuntary childlessness, ART does not guarantee success [8,9].…”

Section: Introductionmentioning

confidence: 99%

Regret over the delay in childbearing decision negatively associates with life satisfaction among Japanese women and men seeking fertility treatment: a cross-sectional study

Adachi

Endo

Ohashi

2020

Preprint

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Background: Currently, in developed countries, increasing numbers of women and men are delaying childbearing but begin seeking fertility treatment later in life. Some women undergoing infertility treatment develop negative feelings such as depression associated with low life satisfaction and regret over the delay in childbearing. We therefore examine the association of life satisfaction with regret over the delay in childbearing decision and infertility-related factors among Japanese women and men seeking fertility treatment.Methods: This cross-sectional study included 253 women and 196 men referred to fertility facilities in Japan from July to December 2018. Participants completed a questionnaire on life satisfaction, regret over the delay in childbearing decision, infertility-related factors and sociodemographic characteristics. Life satisfaction was measured using the Satisfaction with Life Scale (SWLS), and the degree of regret over delay in childbearing decision was measured on a 7-point Likert scale. Multiple linear regressions, conducted separately by gender, were used to analyze the association of life satisfaction with regret over the delay in childbearing decision and infertility-related factors.Results: Of the 253 women and 196 men, 102 (40.3%) women and 43 (21.9%) men answered “strongly agree” regarding their regret over the delay in childbearing decision. Among women, life satisfaction was negatively associated with regret (β = -0.155, 95% CI [-0.938, -0.093], p = 0.017), use of assisted reproduction technology (ART) (β = -0.135, 95% CI [-2.977, -0.020], p = 0.047). In contrast, previous live birth was positively associated with life satisfaction (β = 0.134, 95% CI [0.12, 3.739], p = 0.037). In men, we found no significant association of life satisfaction with regret over the delay in childbearing decision and infertility-related factors.Conclusions: Regret over the delay in childbearing decision is negatively associated with life satisfaction among Japanese women seeking fertility treatment. It may be important for women to make better informed decision regarding the timing of childbearing to not regret later in life. Health professionals should address regret over the delay in childbearing decision during fertility treatment and explore ways to spread information on fertility awareness.

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“…Advances in oocyte cryopreservation techniques, with the development and subsequent success of vitrification, have created the opportunity for elite sportswomen to freeze oocytes or embryos until professional contentment has been achieved. However, postponing childbearing in this manner is a reproductive gamble owing to the possibility of treatment failure with a finite number of stored eggs, and there are significant financial, legal and obstetric considerations . As such, it is essential that sportswomen wishing to defer pregnancy, or electively cryopreserve their oocytes or embryos, receive comprehensive fertility counselling.…”

Section: Clinical Presentationmentioning

confidence: 99%

Sports gynaecology

Jones

L’Heveder

Saso

et al. 2019

The Obstetric & Gynaecologis

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While the physiological, psychosocial and obstetric health benefits of exercise are well established, there is less awareness of the health implications of long-term intense exercise. Relative Energy Deficiency in Sport (RED-S) represents a complex inter-relationship of health consequences that arise as a result of low energy availability. The common presentations of elite sportswomen to gynaecologists include menstrual abnormalities, delayed menarche, subfertility and urinary incontinence. Gynaecology input, including screening, recognition and management, can minimise the risk of consequences and optimise health, fertility and performance. Learning objectivesTo understand the short-term and long-term impacts of elite sport on gynaecological health.To describe the gynaecologist's role in the screening, investigation and management of elite sportswomen. Ethical issuesElite sportswomen should be fully informed about the potential health implications of long-term vigorous exercise to enable autonomous decision making. While it is the role of the coach to optimise performance, it is the physician's responsibility to prioritise the health of sportswomen, even if this is at the expense of performance level, ability to train or competition rules. To reach an elite level, training is often necessary from childhood; however, many girls will not have capacity, and the health consequences of RED-S can cause them irreversible problems.

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The dawn of a new ice age: social egg freezing

Cited by 38 publications

References 29 publications

Regret over the delay in childbearing decision negatively associates with life satisfaction among Japanese women and men seeking fertility treatment: a cross-sectional study

Regret over the delay in childbearing decision negatively associates with life satisfaction among Japanese women and men seeking fertility treatment: a cross-sectional study

Regret over the delay in childbearing decision negatively associates with life satisfaction among Japanese women and men seeking fertility treatment: a cross-sectional study

Sports gynaecology

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