Exploring the Fertility Needs of Women Before and After Oocyte Freezing for Medical and Non-Medical Reasons: A Scoping Review.

Abstract

<h4>Objective</h4>Oocyte cryopreservation represents an effective strategy for fertility preservation among women of reproductive age. The most consistent and robust body of evidence highlights female age at the time of oocyte retrieval as the single most critical biological determinant of reproductive outcomes. While fertility preservation enhances women's reproductive autonomy, it simultaneously presents significant challenges regarding the adoption and integration of this advanced technology.<h4>Methods</h4>We reviewed seven databases to assess the fertility needs of women before and after oocyte freezing for medical and non-medical reasons. The inclusion criteria targeted studies on fertility preservation in women, excluding research involving men, adolescents, and transgender individuals. Out of the 2550 screened publications, 44 studies met the eligibility requirements and were included.<h4>Results</h4>The synthesis revealed five key areas of reproductive needs for women before and after oocyte freezing. Included counseling and fertility-related information, decision-making support, and emotional care. Furthermore, obtaining informed consent and issues related to the secondary use of frozen eggs are critical considerations for healthcare providers.<h4>Conclusion</h4>Realistic counseling is essential to ensure that women understand both the opportunities and limitations of oocyte freezing. Balanced, evidence-based guidance can help women make informed decisions while avoiding unrealistic expectations. Future efforts should focus on integrating fertility preservation education into public health strategies, expanding insurance or subsidy programs to reduce financial burden, and developing culturally sensitive counseling frameworks.<h4>Trial registration</h4>This review was registered at PROSPERO with Registration ID: CRD42021223906.