Young Women’s Attitudes Towards Modern Reproductive Practices: A Survey Study Assessing What Young Women Want.

OBJECTIVE: To assess young women's preferences and attitudes towards various options to create families at a time when women are increasingly postponing childbearing due to greater career focus and widespread availability of contraceptives. STUDY DESIGN: Reported data were obtained from an electronic survey distributed over 6 months to approximately 7,000 females enrolled in American universities. RESULTS: Most respondents ranked preferable childbearing modalities as follows: natural conception, assisted reproductive technologies, adoption, anonymous oocyte donation, and directed oocyte donation. The majority would consider using autologous oocyte cryopreservation for childbearing, but only a minority saw oocyte donation as a viable option. When queried about donating oocytes, 61% said they would donate to a sibling/friend, 51% to research, and 40% for clinical usage. Most would prefer to receive donation outcome information and would be comfortable being contacted by offspring. Most believed selecting recipient characteristics would increase their likelihood of donation, and 43% felt donors should receive additional compensation for desirable characteristics. CONCLUSION: Reproductive autonomy and fertility preservation are important to young educated females, a population sought-after for oocyte donation. Potential donors' desires for additional rights merit consideration as oocyte demand increases and frozen-oocyte banks emerge.