刘风华：政策技术社会三方协同保护生育力

Core Viewpoint - The article discusses the importance of fertility preservation in the context of China's declining birth rate and aging population, emphasizing that maintaining an appropriate fertility level is essential for protecting reproductive capacity [1] Group 1: Policy Initiatives - Guangdong Province has established a three-dimensional collaborative model for fertility preservation, which includes policy coverage, technical implementation, and social cooperation [2] - The province has implemented insurance for assisted reproduction to reduce family childcare costs and expanded eligibility for fertility preservation to include patients at risk of ovarian function decline due to benign diseases [2] - The "Drug and Device Communication" project in the Guangdong-Hong Kong-Macao Greater Bay Area aims to trial new drugs, reagents, and devices [2] Group 2: Technical Advancements - The reproductive center at Guangdong Provincial Maternal and Child Health Hospital has mature fertility preservation technologies, with high rates of oocyte freezing and clinical pregnancy [2] - Ongoing evidence-based medical research is being conducted on stem cell therapy and the integration of traditional and Western medicine to improve fertility [2] Group 3: Social Engagement - Collaborative efforts with media to promote fertility preservation knowledge and enhance sex education for adolescents are underway to create a fertility-friendly environment [2] - A special fund has been established to provide childcare subsidies for low-income families, promoting workplace fertility optimization plans [2] Group 4: Ethical Considerations - Guangdong Province has strengthened the ethical review role of reproductive ethics committees, ensuring strict scrutiny of key aspects such as freezing indications and patient informed consent [3] - Patients are categorized and prioritized for fertility preservation based on medical necessity, with clear communication regarding success rates, costs, and health risks to offspring [3] Group 5: Misconceptions and Challenges - There are several misconceptions regarding fertility preservation, such as equating oocyte freezing with unlimited "fertility insurance" and underestimating the impact of age on oocyte quality [4] - The belief that fertility preservation is only applicable to cancer patients is outdated, as the indications have expanded to include those requiring long-term immunotherapy or with conditions leading to ovarian function decline [4] Group 6: Future Directions - The article calls for innovation in technology, policy support, and social consensus to achieve accessible reproductive autonomy and inclusive societal growth [5] - Recommendations include integrating fertility assessments into pre-marital checks, establishing a national fertility assessment management system, and improving oocyte freezing and recovery rates [5] - Encouragement for collaboration among hospitals, enterprises, communities, and families to build a comprehensive public education system to eliminate misconceptions about fertility preservation [5]