Abstract
STUDY QUESTION: What are women's motivations for social egg freezing and what are their experience regarding the egg freezing process in the Netherlands?
SUMMARY ANSWER: Women who engage in social egg freezing are driven by feelings of fear, including the fear of not finding the suitable partner and fear of declining fecundity. They aim to fulfil their desire for having children with a partner. Alternative ways to achieve parenthood are considered if the conventional way of motherhood cannot be achieved.
WHAT IS ALREADY KNOWN: The reasons for social egg freezing are multi-fold, including amongst others economic, social, health, educational and career factors. The lack of a (stable) partnership, and a strong desire for a genetically related child with a committed partner are considered main reasons.
STUDY DESIGN, SIZE, DURATION: A qualitative interview study, including 20 women, was conducted in the Netherlands between October 2018 and August 2019.
MATERIAL & METHODS: Women between 32 and 42 years of age, who had completed the egg freezing trajectory for social reasons at three different medical centres in the Netherlands participated in the study. Semi-structured interviews were conducted face-to-face or via a teleconference tool and were recorded and transcribed verbatim. The interviews lasted between 30 and 90 minutes. Data were analysed using thematic content analysis.
MAIN RESULTS AND THE ROLE OF CHANCE: This study identified one overall theme: "an unconventional path to conventional motherhood" and five interpretive theme's: "fear of not becoming a mother, peace of mind, an unconventional path to motherhood, conventional perspectives, and financial discrimination". Women were afraid of not becoming a mother in the future. Despite the fact that all kinds of alternatives were available, conventional motherhood was preferred. Women chose a non-conventional path to reach this goal and they had to let go of traditional perspectives. Although they had the feeling of being discriminated financially, it gave them 'peace of mind'. The preserved oocytes gave them the sense of a fertility insurance for the future.
LIMITATIONS, REASONS FOR CAUTION: The demographic profile displays a high degree of homogeneity, which may impact generalisability.
WIDER IMPLICATIONS OF THE FINDINGS: This study contributes to a better understanding of women who cryopreserve their oocytes for social reasons. Healthcare professionals need to be aware of these motivations and perspectives. Understanding the underlying factors and emotional considerations in the decision-making process is crucial to provide proper counselling and optimal patient-centered infertility care. Furthermore, it is important to raise awareness about the possibilities of pursuing (alternative) motherhood to support effective policy making. However, social egg freezing remains closest to women's preferences of conventional motherhood, even in a country like the Netherlands, which is known for its progressiveness and focus on gender equality. Last, policy makers need to stimulate cost-effectivity and prevent younger women of pursuing social egg freezing as kind of a prevention method.
Original language | English |
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Article number | 102268 |
Number of pages | 8 |
Journal | Journal of Gynecology Obstetrics and Human Reproduction |
Volume | 51 |
Issue number | 2 |
Early online date | 23 Nov 2021 |
DOIs | |
Publication status | Published - Feb 2022 |
Bibliographical note
Funding Information:Johanna Kostenzer has received funding from the European Union's Horizon 2020 research and innovation program under the Marie Skłodowska-Curie grant Agreement No 707,404.
Funding Information:
No specific funding was obtained for conducting this study. Part of this project has received funding from the European Union's Horizon 2020 research and innovation program under the Marie Skłodowska-Curie grant Agreement No 707404. The opinions expressed in this document reflect only the authors’ views. The European Commission is not responsible for any use that may be made of the information it contains. The grant was awarded to co-author Johanna Kostenzer.
Publisher Copyright:
© 2021 The Author(s)