title: Impact of implementation of an embryo storage fee on embryo disposal activity.
abstract: OBJECTIVE
  To examine the impact of implementation of a new fee for continued storage of cryopreserved embryos on the rate of requests for disposal of embryos.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  A university-based assisted reproduction program.
  
  
  METHODS
  All patients with cryopreserved embryos.
  
  
  METHODS
  Implementation of a semiannual embryo storage fee of $100 to cover administrative and laboratory costs.
  
  
  METHODS
  The number of embryo disposal requests before and after implementation of the embryo storage fee was compared in relation to the activity of the cryopreserved embryo program as measured by number of frozen embryo transfers.
  
  
  RESULTS
  Annual requests for embryo disposal from 1992 through 1997 ranged from zero to three, which represented 0-5% of the annual frozen embryo program activity. In contrast, a significantly higher number of disposal requests (10, representing 18% of program activity) were received in 1998.
  
  
  CONCLUSIONS
  Fees for storage of cryopreserved embryos seem to influence patients' decisions about disposal of cryopreserved embryos.
authors.affiliation: South Texas Fertility Center, Department of Obstetrics and Gynecology, The University of Texas Health Science Center-San Antonio, San Antonio, Texas 78229-3900, USA. brzyski@uthscsa.edu
authors.forename: R G
authors.initials: RG
authors.lastname: Brzyski
authors.forename: P A
authors.initials: PA
authors.lastname: Binkley
authors.forename: J D
authors.initials: JD
authors.lastname: Pierce
authors.forename: C A
authors.initials: CA
authors.lastname: Eddy
mesh_terms: D002755:Choice Behavior; D015331:Cohort Studies; D015925:Cryopreservation / Q000191:economics*; D004624:Embryo Transfer; D004622:Embryo, Mammalian; D005307:Fertilization in Vitro; D006801:Humans; D012189:Retrospective Studies