Abstract

Delayed childbearing is currently a major challenge in reproductive medicine as increased age has an important impact on successful conception, both in natural and in assisted reproduction. There is a lack of knowledge about the impact of age on fertility, even in highly educated populations. A number of initiatives have been taken to increase fertility awareness. Health care providers have been encouraged to talk with patients about their reproductive life plan (RLP) for almost a decade based on recommendations from the Centres for Disease Control and Prevention. This concept has been explored successfully in Swedish contraception counselling. A growing number of online interventions aim to raise fertility awareness. These websites or interactive tools provide relevant information for individuals and couples as they consider whether they want children, when they should have them, and how many they may wish to have. These interventions are important, because research depicts that knowledge helps people in their decision-making process. With new fertility preservations such as egg freezing now available, additional education is needed to be sure that women and couples are well informed about the cost and low success rates of this intervention.

摘要

延迟生育目前是生殖医学的主要挑战，因为年龄增长对自然受孕和辅助生殖的成功受孕具有重要影响。即使在受过良好教育的人群中，也缺乏关于年龄对生育力影响的知识。已经采取了许多措施来提高对生育的认识。根据疾病控制与预防中心的建议，已经鼓励卫生保健提供者与患者讨论其生殖生活计划（RLP）近十年。在瑞典的避孕咨询中已成功探索了这一概念。越来越多的在线干预旨在提高生育意识。这些网站或互动工具为个人和夫妇提供了相关信息，使他们可以考虑是否想要孩子，何时应该生育以及希望生育多少个孩子。这些干预非常重要，因为研究表明知识可以帮助人们进行决策。现在有了新的生育能力保护措施，例如冷冻卵子，需要进一步的教育，以确保妇女和夫妇充分了解这种干预措施的成本和成功率低。