title: Awareness, knowledge, and perceptions of infertility, fertility assessment, and assisted reproductive technologies in the era of oocyte freezing among female and male university students.
abstract: OBJECTIVE
  The aims of our study were to analyze university student's knowledge and attitude towards parenthood, female fertility, fertility assessment, and oocyte freezing and to explore associations between these aspects and the participant's sex or degree program they were registered for.
  
  
  METHODS
  The study was designed as an online-based cross-sectional survey. A total of 1144 participants answered 27 questions. The data were analyzed using descriptive statistics. Linear regression models were employed to explore associations between sex or university program and attitude towards parenthood, fertility assessment, and oocyte freezing.
  
  
  RESULTS
  Female students and students of non-medical degree programs were more likely to plan to have children earlier than male students or students of medical degree programs. Female sex or medical degree program was associated with an overall better knowledge about women's fertility. The better the participant's knowledge about fertility, the more likely the students would consider assisted reproductive technology (ART) treatments as an option to become pregnant when ovarian reserve is low. The majority of students knew the principal of oocyte freezing but would not consider using it. However, in the case of a low ovarian reserve, oocyte freezing would be accepted as an option.
  
  
  CONCLUSIONS
  Students planned to have children at an age when women's fertility is already declining. Gaps in knowledge about female fertility and the potential of ART were more pronounced in male students and students of non-medical degree programs suggesting an increase of fertility awareness is necessary in these groups to prevent them from infertility and unwanted childlessness.
authors.affiliation: Department of Obstetrics and Gynecology, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Meissner
authors.affiliation: Department of Obstetrics and Gynecology, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Schippert
authors.affiliation: Department of Obstetrics and Gynecology, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany. vonversen-hoeynck.frauke@mh-hannover.de.|Department of Obstetrics and Gynecology, Stanford University, Stanford, CA, USA. vonversen-hoeynck.frauke@mh-hannover.de.
authors.forename: Frauke
authors.initials: F
authors.lastname: von Versen-Höynck
mesh_terms: D000367:Age Factors; D015925:Cryopreservation; D005260:Female; D005298:Fertility; D059247:Fertility Preservation; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007246:Infertility / Q000523:psychology*; D008297:Male; D008423:Maternal Age; D009865:Oocytes; D065851:Ovarian Reserve; D013334:Students / Q000523:psychology*
keywords: Fertility assessment; Fertility awareness; Oocyte freezing; Ovarian reserve; University students