Araştırma Makalesi
BibTex RIS Kaynak Göster

Evaluation of knowledge and attitudes of female university students about ovarian reserve awareness and echnologies for Ovarian Reserve: a cross-sectional study

Yıl 2025, Cilt: 18 Sayı: 1, 3 - 3
https://doi.org/10.31362/patd.1480552

Öz

Purpose: The aim of this study was to evaluate the knowledge and attitudes of female university students about ovarian reserve awareness and technologies for ovarian reserve.
Materials and methods: This study was designed as a descriptive and cross-sectional study and was conducted on 660 female university students. The data were collected by using a questionnaire form based on the literature on ovarian reserve and related technologies. The mean, standard deviation and percentage distributions of the data obtained through the WEB page and face-to-face interview technique were analysed in the SPSS programme.
Results: 86.2% of the students wanted to have children in the future and 75.8% planned to have children between the ages of 26-30. 56.7% of the students were aware of the availability of tests related to ovarian reserve and 86.6% of them demanded the development of new tests. In case of low ovarian reserve, 65.6% of the students stated that they could have children earlier, 68% could freeze their eggs, 51.2% could freeze their embryos, 73.8% could adopt a child and 84.7% could continue their work/education.
Conclusion: It is remarkable that the majority of the students did not make any attempt for ovarian reserve evaluation although they wanted to have a child. Among the reasons for this situation, besides the fact that the students are still receiving education, they have false beliefs that their ovarian reserves will be sufficient at the age when they want to have children, that a healthy lifestyle and activity protect the ovarian reserve, and that they can have children with assisted reproductive techniques even if their ovarian reserves are low. It is important to evaluate the ovarian reserves of young women at an early stage in order for them to make a more conscious career and family planning.

Kaynakça

  • 1. Hu M, Schultz RM, Namekawa SH. Epigenetic programming in the ovarian reserve. Bioessays 2023;45:e2300069. https://doi.org/10.1002/bies.202300069.
  • 2. Coccia ME, Rizzello F. Ovarian reserve. Ann N Y Acad Sci 2008;1127:27-30. https://doi.org/10.1196/annals.1434.011
  • 3. Alviggi C, Humaidan P, Howles CM, Tredway D, Hillier SG. Biological versus chronological ovarian age: implications for assisted reproductive technology. Reprod Biol Endocrinol 2009;7:101. https://doi.org/10.1186/1477-7827-7-101
  • 4. Committee on Gynecologic Practice of American College of Obstetricians and Gynecologists; Practice Committee of American Society for Reproductive Medicine. Age-related fertility decline: a committee opinion. Fertil Steril 2008;90:486-487. https://doi.org/10.1016/j.fertnstert.2008.08.006
  • 5. Iwase A, Hasegawa Y, Tsukui Y, et al. Anti-Müllerian hormone beyond an ovarian reserve marker: the relationship with the physiology and pathology in the life-long follicle development. Front Endocrinol (Lausanne) 2023;14:1273966. https://doi.org/10.3389/fendo.2023.1273966
  • 6. Sopiarz N, Sparzak PB. Primary Ovarian Insufficiency. In: StatPearls. Treasure Island (FL): StatPearls Publishing; March 6, 2023.
  • 7. Verrilli L. Primary ovarian insufficiency and ovarian aging. Obstet Gynecol Clin North Am 2023;50:653-661. https://doi.org/10.1016/j.ogc.2023.08.004.
  • 8. Davis M, Ventura JL, Wieners M, et al. The psychosocial transition associated with spontaneous 46,XX primary ovarian insufficiency: illness uncertainty, stigma, goal flexibility, and purpose in life as factors in emotional health. Fertil Steril 2010;93:2321-2329. https://doi.org/10.1016/j.fertnstert.2008.12.122
  • 9. Owen A, Carlson K, Sparzak PB. Age-related fertility decline. In: StatPearls Treasure Island (FL): StatPearls Publishing; February 02, 2024
  • 10. Benzies K, Tough S, Tofflemire K, Frick C, Faber A, Newburn Cook C. Factors influencing women's decisions about timing of motherhood. J Obstet Gynecol Neonatal Nurs 2006;35:625-633. https://doi.org/10.1111/j.1552-6909.2006.00079.x
  • 11. Proudfoot S, Wellings K, Glasier A. Analysis why nulliparous women over age 33 wish to use contraception. Contraception 2009;79:98-104. https://doi.org/10.1016/j.contraception.2008.09.005
  • 12. Olafsdottir HS, Wikland M, Möller A: Reasoning about timing of wanting a child: a qualitative study of Nordic couples from fertility clinics. J Reprod Infant Psychol 2011;29:493-505. https://doi.org/10.1080/02646838.2011.635298
  • 13. Cooke A, Mills TA, Lavender T. Advanced maternal age: delayed childbearing is rarely a conscious choice a qualitative study of women's views and experiences. Int J Nurs Stud 2012;49:30-39. https://doi.org/10.1016/j.ijnurstu.2011.07.013
  • 14. Bavan B, Porzig E, Baker VL. An assessment of female university students' attitudes toward screening technologies for ovarian reserve. Fertil Steril 2011;96:1195-1199. https://doi.org/10.1016/j.fertnstert.2011.08.018
  • 15. Hashiloni Dolev Y, Shkedi S. On new reproductive technologies and family ethics: pre-implantation genetic diagnosis for sibling donor in Israel and Germany. Soc Sci Med 2007;65:2081-2092. https://doi.org/10.1016/j.socscimed.2007.06.016
  • 16. Nouri K, Huber D, Walch K, et al. Fertility awareness among medical and non-medical students: a case-control study. Reprod Biol Endocrinol 2014;12:94. https://doi.org/10.1186/1477-7827-12-94
  • 17. Bretherick KL, Fairbrother N, Avila L, Harbord SH, Robinson WP. Fertility and aging: do reproductive-aged Canadian women know what they need to know? Fertil Steril 2010;93:2162-2168. https://doi.org/10.1016/j.fertnstert.2009.01.064
  • 18. Tan PL, Pan J, Xia X. Does information on age-related fertility decline and fertility policies affect university students' family and career expectations? Evidence from a randomized controlled trial. PLoS One 2023;18:e0287526. https://doi.org/10.1371/journal.pone.0287526

Kız üniversite öğrencilerinin over rezervi farkındalığı ve buna yönelik teknolojiler hakkındaki bilgi ve tutumlarının değerlendirilmesi: kesitsel çalışma

Yıl 2025, Cilt: 18 Sayı: 1, 3 - 3
https://doi.org/10.31362/patd.1480552

Öz

Amaç: Bu araştırmanın amacı, kız üniversite öğrencilerinin over rezervi farkındalığı ve buna yönelik teknolojiler hakkındaki bilgi ve tutumlarının değerlendirilmesidir.
Gereç ve yöntemler: Bu araştırma tanımlayıcı ve kesitsel tipte tasarlanmış olup,660 kız üniversite öğrencisi üzerinde yapılmıştır. Araştırmanın verileri over rezervi ve buna yönelik teknolojiler hakkında literatüre dayanarak hazırlanan bir anket formu kullanılarak toplanmıştır. WEB sayfası üzerinden ve yüz yüze görüşme tekniğiyle elde edilen verilerin aritmetik ortalama, standart sapma ve yüzde dağılımları SPSS programında analiz edilmiştir.
Bulgular: Öğrencilerin %86,2’si gelecekte çocuk sahibi olmayı istemekte ve %75,8’i ise 26-30 yaş arasında çocuk sahibi olmayı planlamaktadır. Öğrencilerin %56,7’si over rezervi ile ilgili testlerin olduğunun farkında olup, %86,6’sı ise yeni testler geliştirilmesini talep etmektedir. Öğrenciler over rezervlerinin düşük olması durumunda %65,6’sı daha erken çocuk sahibi olabileceğini, %68’si yumurtalarını dondurabileceğini, %51,2’si embriyolarını dondurabileceğini, %73,8’i evlat edinebileceğini ve %84,7’si iş/eğitimine kaldığı yerden devam edebileceğini belirtmiştir.
Sonuç: Öğrencilerin büyük bir çoğunluğunun çocuk sahibi olmayı istemelerine rağmen over rezervi değerlendirilmesi için herhangi bir girişimde bulunmaması dikkat çekicidir. Bu durumun nedenleri arasında ise, öğrencilerin henüz eğitim alıyor olmalarının yanında, çocuk sahibi olmak istedikleri yaşlarda over rezervlerinin yeterli olacağına, sağlıklı yaşam biçimi ve aktivitenin over rezervini koruduğuna, over rezervleri düşük olsa bile yardımcı üreme teknikleri ile çocuk sahibi olabileceklerine yönelik yanlış inanışlarıdır. Genç kadınların over rezervlerinin erken dönemde değerlendirilmesi daha bilinçli kariyer ve aile planlaması yapabilmeleri açısından önemlidir.

Kaynakça

  • 1. Hu M, Schultz RM, Namekawa SH. Epigenetic programming in the ovarian reserve. Bioessays 2023;45:e2300069. https://doi.org/10.1002/bies.202300069.
  • 2. Coccia ME, Rizzello F. Ovarian reserve. Ann N Y Acad Sci 2008;1127:27-30. https://doi.org/10.1196/annals.1434.011
  • 3. Alviggi C, Humaidan P, Howles CM, Tredway D, Hillier SG. Biological versus chronological ovarian age: implications for assisted reproductive technology. Reprod Biol Endocrinol 2009;7:101. https://doi.org/10.1186/1477-7827-7-101
  • 4. Committee on Gynecologic Practice of American College of Obstetricians and Gynecologists; Practice Committee of American Society for Reproductive Medicine. Age-related fertility decline: a committee opinion. Fertil Steril 2008;90:486-487. https://doi.org/10.1016/j.fertnstert.2008.08.006
  • 5. Iwase A, Hasegawa Y, Tsukui Y, et al. Anti-Müllerian hormone beyond an ovarian reserve marker: the relationship with the physiology and pathology in the life-long follicle development. Front Endocrinol (Lausanne) 2023;14:1273966. https://doi.org/10.3389/fendo.2023.1273966
  • 6. Sopiarz N, Sparzak PB. Primary Ovarian Insufficiency. In: StatPearls. Treasure Island (FL): StatPearls Publishing; March 6, 2023.
  • 7. Verrilli L. Primary ovarian insufficiency and ovarian aging. Obstet Gynecol Clin North Am 2023;50:653-661. https://doi.org/10.1016/j.ogc.2023.08.004.
  • 8. Davis M, Ventura JL, Wieners M, et al. The psychosocial transition associated with spontaneous 46,XX primary ovarian insufficiency: illness uncertainty, stigma, goal flexibility, and purpose in life as factors in emotional health. Fertil Steril 2010;93:2321-2329. https://doi.org/10.1016/j.fertnstert.2008.12.122
  • 9. Owen A, Carlson K, Sparzak PB. Age-related fertility decline. In: StatPearls Treasure Island (FL): StatPearls Publishing; February 02, 2024
  • 10. Benzies K, Tough S, Tofflemire K, Frick C, Faber A, Newburn Cook C. Factors influencing women's decisions about timing of motherhood. J Obstet Gynecol Neonatal Nurs 2006;35:625-633. https://doi.org/10.1111/j.1552-6909.2006.00079.x
  • 11. Proudfoot S, Wellings K, Glasier A. Analysis why nulliparous women over age 33 wish to use contraception. Contraception 2009;79:98-104. https://doi.org/10.1016/j.contraception.2008.09.005
  • 12. Olafsdottir HS, Wikland M, Möller A: Reasoning about timing of wanting a child: a qualitative study of Nordic couples from fertility clinics. J Reprod Infant Psychol 2011;29:493-505. https://doi.org/10.1080/02646838.2011.635298
  • 13. Cooke A, Mills TA, Lavender T. Advanced maternal age: delayed childbearing is rarely a conscious choice a qualitative study of women's views and experiences. Int J Nurs Stud 2012;49:30-39. https://doi.org/10.1016/j.ijnurstu.2011.07.013
  • 14. Bavan B, Porzig E, Baker VL. An assessment of female university students' attitudes toward screening technologies for ovarian reserve. Fertil Steril 2011;96:1195-1199. https://doi.org/10.1016/j.fertnstert.2011.08.018
  • 15. Hashiloni Dolev Y, Shkedi S. On new reproductive technologies and family ethics: pre-implantation genetic diagnosis for sibling donor in Israel and Germany. Soc Sci Med 2007;65:2081-2092. https://doi.org/10.1016/j.socscimed.2007.06.016
  • 16. Nouri K, Huber D, Walch K, et al. Fertility awareness among medical and non-medical students: a case-control study. Reprod Biol Endocrinol 2014;12:94. https://doi.org/10.1186/1477-7827-12-94
  • 17. Bretherick KL, Fairbrother N, Avila L, Harbord SH, Robinson WP. Fertility and aging: do reproductive-aged Canadian women know what they need to know? Fertil Steril 2010;93:2162-2168. https://doi.org/10.1016/j.fertnstert.2009.01.064
  • 18. Tan PL, Pan J, Xia X. Does information on age-related fertility decline and fertility policies affect university students' family and career expectations? Evidence from a randomized controlled trial. PLoS One 2023;18:e0287526. https://doi.org/10.1371/journal.pone.0287526
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kadın Hastalıkları ve Doğum
Bölüm Araştırma Makalesi
Yazarlar

Sinem Göral Türkcü 0000-0003-1574-0186

Sevgi Özkan 0000-0001-8385-210X

Erkan Alataş 0000-0001-6423-5106

Adnan Köksal 0000-0002-5445-6914

Erken Görünüm Tarihi 19 Temmuz 2024
Yayımlanma Tarihi
Gönderilme Tarihi 8 Mayıs 2024
Kabul Tarihi 16 Temmuz 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 18 Sayı: 1

Kaynak Göster

AMA Göral Türkcü S, Özkan S, Alataş E, Köksal A. Evaluation of knowledge and attitudes of female university students about ovarian reserve awareness and echnologies for Ovarian Reserve: a cross-sectional study. Pam Tıp Derg. Temmuz 2024;18(1):3-3. doi:10.31362/patd.1480552
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