Fertility awareness and oocyte cryopreservation among obstetrics and gynecology physicians

Abstract

Background: Fertility awareness, including the natural decline in fertility with age and fertility preservation through oocyte cryopreservation, is vital for reproductive health. OB/GYN physicians play a crucial role in educating women on these topics, yet their knowledge and attitudes in Saudi Arabia are underexplored. This study assessed OB/GYN physicians’ perceptions, knowledge, and attitudes regarding fertility awareness and oocyte cryopreservation, focusing on their understanding of age-related fertility decline and integration into patient discussions. Methods: A cross-sectional survey of 100 OB/GYN physicians in Saudi Arabia was conducted from April to July 2024, using stratified random sampling. The survey evaluated their knowledge of fertility issues, attitudes towards preconception planning, and views on incorporating oocyte cryopreservation discussions in practice. Data were analyzed using descriptive statistics and ANOVA. Results: Most physicians showed substantial knowledge of fertility decline, with 71% recognizing a slight decline at 35-39 years and 57% a marked decline at 45-49 years. Nearly all (96%) supported OB/GYN-initiated discussions on preconception planning, and 95% endorsed discussing age-related fertility decline. Additionally, 78% favoured discussing oocyte cryopreservation, with 63% supporting its inclusion in routine visits. Concerns about discussion frequency and potential emotional distress were noted by a minority. Conclusions: OB/GYN physicians in Saudi Arabia are generally aware of fertility issues, but knowledge gaps persist, particularly among less experienced physicians. While there is broad support for proactive fertility discussions, some reservations remain, highlighting the need for targeted educational initiatives.