Navigation Links
What does delaying childbearing cost?

Freezing eggs or ovarian tissue for the sole purpose of delaying childbearing for social reasons may prove too costly for society, according to a recent analysis by a University of Illinois at Chicago researcher.

Fertility preservation -- freezing eggs or ovarian tissue -- was originally intended for women undergoing medical treatments that could affect their fertility.

But now, fertility centers around the country are offering these technologies to women who are not undergoing treatment, but who are "trying to create a backup plan for delaying pregnancy," says Dr. Jennifer Hirshfeld-Cytron, assistant professor of obstetrics and gynecology at UIC and lead author of the study, published in the March issue of Fertility and Sterility.

Using decision-analysis techniques, the researchers compared the cost-per-live-birth for three alternative strategies a 25-year-old woman might use if she wants to delay childbearing until age 40.

Those scenarios included doing nothing (no cryopreservation), freezing eggs, or freezing ovarian tissue. The cost of each technique was based on published data.

"We found, in order to create one additional live birth with the mechanisms of freezing either ovarian tissue or freezing eggs, it would cost society an additional $130,000," said Hirshfeld-Cytron, director of the fertility preservation program at the University of Illinois Hospital & Health Sciences System.

In the statistical model, women at age 40 would attempt natural conception for six months before using assisted reproductive technology. After trying unsuccessfully to get pregnant on her own, the woman would either receive the standard of care (in vitro fertilization), or she would utilize either the frozen ovarian tissue or frozen eggs.

The analysis showed that freezing eggs was less expensive than freezing ovarian tissue, and doing nothing was the most cost-effective.

"In any scenario where a woman has undergone a procedure to freeze eggs or part of her ovaries for future use, and then she changes her mind, that is tissue that is never used," Hirshfeld-Cytron said. "The cost estimates in our study are actually very conservative."

Like all medical specialties, obstetrics and gynecology sometimes "can be victim to the tyranny of technology," Hirshfeld-Cytron said. Clinicians get excited about new options and offer them to a wider range of patients.

"Whether or not this is cost-effective is something that needs to be talked about and potentially decided as a society," said Hirshfeld-Cytron.

"It's also possible to argue that we could perhaps avoid these costs by providing an environment for young women that fosters career development and family-building at the same time," she said.

Co-authors are Dr. William Grobman and Dr. Magdy Milad of Northwestern University.


Contact: Sherri McGinnis Gonzalez
University of Illinois at Chicago

Related medicine news :

1. Delaying ACL reconstruction in kids may lead to higher rates of associated knee injuries
2. Delaying retirement age -- least prejudicial solution
3. Delaying Intravenous Feeding of ICU Patients May Aid Recovery
4. Delaying Sex Might Strengthen Marriage
5. New research finds delaying surgical procedures increases infection risk and health care costs
6. No Benefit Seen in Delaying Infant Vaccinations
7. Lower wages, lack of job opportunities means more Americans delaying adulthood
8. Delaying post-surgical radiation increases risk of breast cancer recurrence in older women
9. CT scans for dizziness in the ER: Worth the cost?
Post Your Comments:
(Date:10/13/2017)... ... , ... As health professionals work to improve their approach to healthcare, there ... more than filling out a survey; in many cases health professionals and patients are ... care and research on the importance of active engagement with patients and members of ...
(Date:10/13/2017)... , ... October 13, 2017 , ... ... the certification process to promote standards of excellence for the field of eating ... for March 22 – 25, 2018 in Orlando, Florida at the Omni Resort ...
(Date:10/13/2017)... ... ... Lori R. Somekh, founder of the Law Office of Somekh & ... and special needs planning attorneys. “Membership in ElderCounsel helps our office remain up to ... with elder law attorneys nationwide,” said Somekh. , ElderCounsel was founded ...
(Date:10/13/2017)... ... ... The Visiting Nurse Association (VNA) of Somerset Hills is proud to host ... items from across the nation, this holiday-themed event will raise funds and awareness for ... The boutique will be open Saturday, November 4 (10:00 a.m. – 5:00 p.m.) ...
(Date:10/13/2017)... Texas (PRWEB) , ... October 13, 2017 , ... Yisrayl ... this week that explains one of the most popular and least understood books in ... like cryptic and puzzling descriptions that have baffled scholars for centuries. Many have tossed ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... 2017 AVACEN Medical (AVACEN) announced that its ... helping those with the widespread pain associated with fibromyalgia ... in Essex, England commented, "I ... experiencing no sleep at all, tremendous pain, with every ... recommend [the AVACEN 100] enough, how this has and ...
(Date:9/18/2017)... Pa. and KALAMAZOO, Mich. , Sept. 18, ... , and OptiMed Specialty Pharmacy of ... to offer a strategic hub service that expedites and ... sought-after personal spirometer, Spiro PD 2.0, and wellness management ... spirometer is a medical device used to measure lung ...
(Date:9/12/2017)... and NEW YORK , Sept. 12, 2017   ... for global supply chains, has published the first annual edition of its ... of more than 20,400 companies evaluated by EcoVadis, based on Scorecard Ratings ... 2016. ... CSR Risk & Performance Index ...
Breaking Medicine Technology: