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Ten pathways to elective egg freezing: a binational analysis.

Marcia C Inhorn1, Daphna Birenbaum-Carmeli2, Lynn M Westphal3

  • 1Department of Anthropology, Yale University, 10 Sachem Street, New Haven, CT, 06511, USA. marcia.inhorn@yale.edu.

Journal of Assisted Reproduction and Genetics
|August 4, 2018
PubMed
Summary
This summary is machine-generated.

Most women freeze their eggs due to partnership issues, not career goals. Understanding these pathways is crucial for fertility clinics to support single women seeking elective egg freezing (EEF).

Keywords:
Fertility preservationIsraelOocyte cryopreservationPartnersPathwaysUSA

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Area of Science:

  • Reproductive medicine
  • Sociology of health
  • Women's health

Background:

  • Elective egg freezing (EEF) is increasingly utilized by women for reproductive autonomy.
  • Understanding the motivations and life circumstances leading to EEF is essential for targeted support.
  • Previous research has often focused on career-related motivations, potentially overlooking other significant factors.

Purpose of the Study:

  • To identify the specific life circumstances and pathways that lead women to undergo elective egg freezing (EEF).
  • To explore the differences and similarities in these pathways between women in the USA and Israel.
  • To provide insights for fertility clinics to better support women pursuing EEF.

Main Methods:

  • A binational qualitative study involving 150 women who had completed at least one cycle of EEF.
  • Semi-structured interviews were conducted by medical anthropologists in the USA and Israel.
  • Interview data were audio-recorded, transcribed, and analyzed using qualitative data management software.

Main Results:

  • The majority of women (85%) were single at the time of EEF.
  • Six pathways to EEF were identified for single women, with career planning being the least common.
  • Four pathways were identified for women with partners, primarily related to relationship status or partner's readiness for children.

Conclusions:

  • Partnership-related issues, rather than career planning, are the primary drivers for most women pursuing EEF.
  • The identified pathways for EEF were largely consistent across the USA and Israel.
  • Fertility clinics should adopt patient-centered care models, particularly for single women, within the IVF landscape.