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Fertility Preservation and Treatment Coverage Among United States Plastic Surgery Trainees
Jessie L Koljonen1, Alexis M Ruffolo1, Kristin Delfino2
1Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, IL.
Plastic surgery trainees delay childbearing due to demanding residency programs. Most trainees desire fertility preservation but lack education and insurance coverage for services like oocyte freezing.
Area of Science:
- Medical Education
- Reproductive Medicine
- Surgical Training
Background:
- Plastic surgery trainees often postpone childbearing due to demanding residency schedules.
- Delayed childbearing increases risks of infertility and pregnancy complications for trainees.
Purpose of the Study:
- To assess awareness and desire for fertility preservation among plastic surgery trainees.
- To evaluate institutional coverage of fertility preservation services.
Main Methods:
- An online survey was distributed to plastic surgery trainees.
- The survey assessed childbearing plans, reasons for postponement, and attitudes toward oocyte freezing.
Main Results:
- 66% of trainees postponed pregnancy due to residency demands.
- 45.8% would consider oocyte freezing; 85.6% received no fertility preservation education.
- Only 17.8% had program-provided fertility preservation coverage.
Conclusions:
- Plastic surgery trainees face significant barriers to childbearing due to training demands.
- Lack of education and access to fertility preservation services impacts trainees.
- There is a need for improved institutional support and education regarding fertility preservation.
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