Is There Ever a Right Time? An Evaluation of Family Planning During Otolaryngology Residency.

OBJECTIVES

To assess perspectives and institutional support regarding assisted reproductive technologies among female U.S. otolaryngology residents.

METHODS

This cross-sectional survey study examined ACGME-accredited U.S. otolaryngology residency programs from June 2024 to August 2025. A 15-question anonymous REDCap survey was distributed to otolaryngology residents examining demographics, reproductive goals, and program support for assisted reproductive technologies.

RESULTS

Of 48 respondents (response rate 6.53%), an overwhelming majority (87.5%) planned first childbirth after age 30, and 83.3% reported delaying pregnancy during residency; while 68.8% expressed interest in oocyte freezing, only 18.8% reported employee-sponsored fertility benefits, and 89.6% received no fertility preservation education.

CONCLUSION

Findings highlight a mismatch between rigorous residency demands and family planning. While avenues exist for preserving fertility, lack of support and education complicate navigating these processes. Expanding benefits, integrating fertility education into residency curricula, and fostering open dialogue may support resident well-being.

LEVEL OF EVIDENCE: 3.