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What do aged-women (who had their eggs preserved) think about their decision?

What do aged-women (who had their eggs preserved) think about their decision?

November 21th, 2018

Women who decide to conceive at a later age either due to career or personal circumstances, not only expose themselves to difficulties on achieving a pregnancy but also they are more likely to suffer a spontaneous abortion. Egg freezing is now a trendy choice to preserve future fertility since this technique has been improved over the years and obtained better success rates.

The efforts have been made to better understand the impact of the procedure on the women who were already submitted to it; what they think, their level of fertility education, and the whole journey up to when they have decided to freeze their eggs.

A number of women - who underwent egg freezing- were questioned with a total of 183 have responded. 84% of them were older than 35 years old at the time of the procedure.

 

Results

 

Women’s Knowledge & Awareness

- 83% of the interviewers knew that fertility drops between 28 and 38 years of age.

- According to 55% of women, egg-freezing treatment should be performed between 29 and 34 years old.

- No one has recommended egg freezing above 38 years old.

 

Where did their knowledge about egg freezing come from?

 

Obstetric/Gynaecologist

  29%

Personal education/interest

  37%

Media

  14%

Friends & Family

  14%

 

Timing

79% of the respondents stated that they would have preferred to undergo treatment when they were younger. However,

- Some did not trust the technology,

- Others were not aware of how their reproductive future would be,

- And others couldn’t afford it.

 

How important is fertility in their lives?

- 93% stated it is important. However, when it comes to prioritizing, health was on the top and quality of life was the second. Interestingly, future fertility was prioritized over career.

- 96% of respondents prefer to conceive naturally, followed by medical-assisted reproduction, donation and adoption, respectively.

 

Reasons for holding on having babies

 

Lack of partner

88%

Career

24%

Financial reasons

15%

Big commitment

15%

Other reasons

8%

 

Outcomes following treatment

Out of the 183 women interviewed,

- Only 6% (11 women) mentioned the use of the frozen eggs:

  • 3 achieved pregnancies (number of oocytes retrieved were 6-20)
  • 5 did not get pregnant
  • 3 did not report

- 20% (37 women) have reported pregnancy since the treatment:

  • 50% (17) of women naturally
  • 40% with IVF or insemination
  • Unfortunately, 15% reported spontaneous abortion, occurred in women who were 35 years old and above

- 12% stated that they have changed their thoughts about parenting since their treatment,

- 59% considered egg freezing their back up plan if natural conception does not happen.

 

Discussion

o  Egg freezing can be more cost-effective than IVF at an advanced age if performed before the age of 38, due to the increasing risks of aneuploidy and spontaneous abortion.

o  Egg freezing performed before 35 years old gives better live birth success.

o  Egg freezing gives the women more time to think if they want to have genetically related babies in the future.

 

Source: Hodes-Wertz, B. et al. (2013) What do reproductive-age women who undergo oocyte cryopreservation think about the process as a means to preserve fertility? Fertility and sterility. 100 (5). 1343-1349.e2.


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