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Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians.
Hum Reprod. 2016 Feb; 31(2):403-11.HR

Abstract

STUDY QUESTION

What knowledge, attitudes and intentions do US obstetrics and gynecology (OB/GYN) residents have toward discussing age-related fertility decline and oocyte cryopreservation with their patients?

SUMMARY ANSWER

Most OB/GYN residents believe that age-related fertility decline, but not oocyte cryopreservation, should be discussed during well-woman annual exams; furthermore, nearly half of residents overestimated the age at which female fertility markedly declines.

WHAT IS KNOWN ALREADY

Oocyte cryopreservation can be utilized to preserve fertility potential. Currently, no studies of US OB/GYN residents exist that question their knowledge, attitudes, and intentions toward discussing age-related fertility decline and oocyte cryopreservation with patients.

STUDY DESIGN, SIZE, DURATION

A cross-sectional online survey was conducted during the fall of 2014 among residents in American Council for Graduate (ACOG) Medical Education-approved OB/GYN residency programs. Program directors were emailed via the ACOG Council on Resident Education in Obstetrics and Gynecology server listing and asked to solicit resident participation.

PARTICIPANTS/MATERIALS, SETTING, METHODS

Participants included 238 residents evenly distributed between post-graduate years 1-4 with varied post-residency plans; 90% of residents were women and 75% were 26-30 years old. The survey was divided into three sections: demographics, fertility awareness, and attitudes toward discussing fertility preservation options with patients. Descriptive and inferential statistics were conducted.

MAIN RESULTS AND THE ROLE OF CHANCE

A strong majority of residents (83%) believed an OB/GYN should initiate discussions about age-related fertility decline with patients (mean patient age 31.8), and 73% percent believed these discussions should be part of an annual exam. One third of residents overestimated the age at which there is a slight decline in female fertility, while nearly half of residents overestimated the age at which female fertility markedly declines. Over three-quarters of residents (78.4%) also overestimated the likelihood of success using assisted reproductive treatments (ARTs). Residents were likely to support oocyte cryopreservation in cancer patients irrespective of the woman's age, but much less likely to support elective oocyte cryopreservation. For elective oocyte cryopreservation, 40% believed OB/GYNs should initiate discussions with patients (mean age 31.1), while only 20% believed this topic should be part of an annual exam.

LIMITATIONS, REASONS FOR CAUTION

Because the study invitation was sent through US OB/GYN residency program directors rather than directly to residents, it is possible that some residents did not receive the invitation to participate. This limits the generalizability of the findings.

WIDER IMPLICATIONS OF THE FINDINGS

Within the USA, there appears to be a critical need for improved education on fertility decline in OB/GYN residency programs. To promote informed reproductive decision-making among patients, efforts should be made to help OB/GYNs provide comprehensive fertility education to all women, while also respecting patient choices.

STUDY FUNDING/COMPETING INTERESTS

None.

Authors+Show Affiliations

Yale University School of Medicine, Obstetrics Gynecology and Reproductive Sciences, New Haven, CT, USA.Chapman University, Crean College of Health and Behavioral Sciences, Orange, CA, USA.Department of Anthropology, Yale University, New Haven, CT, USA.Department of Psychology, Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA.Yale University School of Medicine, Obstetrics Gynecology and Reproductive Sciences, New Haven, CT, USA Yale University Fertility Center, New Haven, CT, USA pasquale.patrizio@yale.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26677956

Citation

Yu, L, et al. "Knowledge, Attitudes, and Intentions Toward Fertility Awareness and Oocyte Cryopreservation Among Obstetrics and Gynecology Resident Physicians." Human Reproduction (Oxford, England), vol. 31, no. 2, 2016, pp. 403-11.
Yu L, Peterson B, Inhorn MC, et al. Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians. Hum Reprod. 2016;31(2):403-11.
Yu, L., Peterson, B., Inhorn, M. C., Boehm, J. K., & Patrizio, P. (2016). Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians. Human Reproduction (Oxford, England), 31(2), 403-11. https://doi.org/10.1093/humrep/dev308
Yu L, et al. Knowledge, Attitudes, and Intentions Toward Fertility Awareness and Oocyte Cryopreservation Among Obstetrics and Gynecology Resident Physicians. Hum Reprod. 2016;31(2):403-11. PubMed PMID: 26677956.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians. AU - Yu,L, AU - Peterson,B, AU - Inhorn,M C, AU - Boehm,J K, AU - Patrizio,P, Y1 - 2015/12/17/ PY - 2015/06/11/received PY - 2015/11/20/accepted PY - 2015/12/19/entrez PY - 2015/12/19/pubmed PY - 2016/11/5/medline KW - age-related fertility decline KW - elective oocyte cryopreservation KW - fertility awareness KW - fertility preservation KW - medical oocyte cryopreservation KW - obstetrics and gynecology residents KW - oocyte storage KW - ovarian aging KW - physicians KW - reproductive health education SP - 403 EP - 11 JF - Human reproduction (Oxford, England) JO - Hum. Reprod. VL - 31 IS - 2 N2 - STUDY QUESTION: What knowledge, attitudes and intentions do US obstetrics and gynecology (OB/GYN) residents have toward discussing age-related fertility decline and oocyte cryopreservation with their patients? SUMMARY ANSWER: Most OB/GYN residents believe that age-related fertility decline, but not oocyte cryopreservation, should be discussed during well-woman annual exams; furthermore, nearly half of residents overestimated the age at which female fertility markedly declines. WHAT IS KNOWN ALREADY: Oocyte cryopreservation can be utilized to preserve fertility potential. Currently, no studies of US OB/GYN residents exist that question their knowledge, attitudes, and intentions toward discussing age-related fertility decline and oocyte cryopreservation with patients. STUDY DESIGN, SIZE, DURATION: A cross-sectional online survey was conducted during the fall of 2014 among residents in American Council for Graduate (ACOG) Medical Education-approved OB/GYN residency programs. Program directors were emailed via the ACOG Council on Resident Education in Obstetrics and Gynecology server listing and asked to solicit resident participation. PARTICIPANTS/MATERIALS, SETTING, METHODS: Participants included 238 residents evenly distributed between post-graduate years 1-4 with varied post-residency plans; 90% of residents were women and 75% were 26-30 years old. The survey was divided into three sections: demographics, fertility awareness, and attitudes toward discussing fertility preservation options with patients. Descriptive and inferential statistics were conducted. MAIN RESULTS AND THE ROLE OF CHANCE: A strong majority of residents (83%) believed an OB/GYN should initiate discussions about age-related fertility decline with patients (mean patient age 31.8), and 73% percent believed these discussions should be part of an annual exam. One third of residents overestimated the age at which there is a slight decline in female fertility, while nearly half of residents overestimated the age at which female fertility markedly declines. Over three-quarters of residents (78.4%) also overestimated the likelihood of success using assisted reproductive treatments (ARTs). Residents were likely to support oocyte cryopreservation in cancer patients irrespective of the woman's age, but much less likely to support elective oocyte cryopreservation. For elective oocyte cryopreservation, 40% believed OB/GYNs should initiate discussions with patients (mean age 31.1), while only 20% believed this topic should be part of an annual exam. LIMITATIONS, REASONS FOR CAUTION: Because the study invitation was sent through US OB/GYN residency program directors rather than directly to residents, it is possible that some residents did not receive the invitation to participate. This limits the generalizability of the findings. WIDER IMPLICATIONS OF THE FINDINGS: Within the USA, there appears to be a critical need for improved education on fertility decline in OB/GYN residency programs. To promote informed reproductive decision-making among patients, efforts should be made to help OB/GYNs provide comprehensive fertility education to all women, while also respecting patient choices. STUDY FUNDING/COMPETING INTERESTS: None. SN - 1460-2350 UR - https://www.unboundmedicine.com/medline/citation/26677956/Knowledge_attitudes_and_intentions_toward_fertility_awareness_and_oocyte_cryopreservation_among_obstetrics_and_gynecology_resident_physicians_ L2 - https://academic.oup.com/humrep/article-lookup/doi/10.1093/humrep/dev308 DB - PRIME DP - Unbound Medicine ER -