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Health Information | 01/18/2024

Empowering Choices: The Science and Art of Egg Freezing

By  Dr. Beth Plante
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In today's fast-paced world, women are increasingly redefining the traditional timeline for family planning. One empowering option gaining prominence is egg freezing. This remarkable reproductive technology allows women to preserve their fertility, providing flexibility and peace of mind as they navigate careers, relationships, and personal growth.

Egg Freezing 101: What Is It?


Egg freezing, technically known as oocyte cryopreservation, is a medical procedure that involves harvesting and freezing a woman's eggs for future use. While not a guarantee, egg freezing does offer women a viable option for fertility preservation.

Why Consider Egg Freezing?


1. Career Pursuits: Many women choose to focus on their careers in their 20s and 30s. Egg freezing provides the freedom to chase professional aspirations without feeling pressured by a biological clock.

2. Medical Reasons: Some medical conditions, such as cancer treatments, can harm fertility. Egg freezing before treatment allows women to preserve their ability to have biological children in the future.

3. Relationship Dynamics: Not everyone finds a partner at the "ideal" age for starting a family. Egg freezing can alleviate concerns about age-related fertility decline in the context of changing relationship dynamics.

The Egg Freezing Process

1. Ovarian Stimulation

Egg freezing begins with ovarian stimulation using hormones to encourage multiple eggs to mature simultaneously. This typically takes around 10-12 days, during which time hormone levels and ultrasound monitoring help track egg development.

2. Egg Retrieval

Once the eggs reach the appropriate stage of development, they are extracted under anesthesia through a very brief outpatient procedure called an egg retrieval.

3. Freezing and Storage

After retrieval, the eggs are rapidly frozen using a process called vitrification, which prevents ice crystal formation that can damage the eggs. Once frozen, the eggs are stored in a specialized facility until they are needed.

4. What Happens When You Decide You Want to Have a Baby?

Once you have determined that the time is right, the first step is to contact your fertility doctor to discuss what is required prior to thawing, fertilization, and transfer of your eggs. It will take at least two months from you initially contacting your doctor to the thawing of your eggs.

When fertilizing previously cryopreserved eggs, your fertility doctor will use a process called intracytoplasmic sperm injection (ICSI), which helps fertilization by directly injecting a single sperm into an egg. Then one or two resulting embryos will be painlessly transferred under ultrasound guidance. Any remaining embryos that are deemed to be potentially viable can be frozen for later use if desired.

The Age Factor


Egg quality and quantity decline with age. Hence, the optimal time for egg freezing is generally in one's 20s or early 30s when eggs are of the highest quality and there are more available. However, women of reproductive age should explore fertility preservation options with a specialist and discuss their health history to determine the path that best fits their individual situation.

Success Rates and Considerations


It's important to understand that egg freezing is not a guarantee of future pregnancy. Success rates depend on various factors, including the age at which the eggs were frozen, the number of eggs retrieved, and the quality of the sperm used for fertilization. Discussing your specific situation with a fertility specialist can provide a clearer picture of your individual chances of success.

Empowering Choices


Egg freezing is a powerful tool for reproductive autonomy, offering women the opportunity to take control of their fertility timeline. It's a testament to the remarkable advances in medical science and the evolving landscape of family planning.

However, it's essential to approach egg freezing with realistic expectations and informed decisions. Consult with a fertility specialist who can provide guidance tailored to your unique circumstances.

In the end, egg freezing represents a choice—one that empowers women to design their lives in a way that aligns with their goals and aspirations. Whether you're pursuing a thriving career, awaiting the right partner, or facing a medical challenge, egg freezing stands as a symbol of choice, hope, and the ever-expanding possibilities of modern reproductive medicine.

 

 

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Beth Plante

About The Author

Dr. Beth Plante

Dr. Beth Plante is board certified in obstetrics and gynecology and reproductive endocrinology and infertility. She received her medical degree from the University of Massachusetts Medical School and completed her residency training in obstetrics and gynecology at the Warren Alpert Medical School of Brown University. She then completed fellowship training in Reproductive Endocrinology and Infertility at the University of North Carolina School of Medicine. Her clinical and research interests include infertility, diminished ovarian reserve, primary ovarian insufficiency and polycystic ovary syndrome. Dr. Plante has been the winner of numerous teaching and clinical awards, including the Berlex Best Teaching Resident Award, Fellow Teaching Award, Faculty Excellence in Teaching Award, Patients’ Choice Award, and Compassionate Doctor Recognition. Dr. Plante is a member of many professional associations including the Alpha Omega Alpha Honor Medical Society, the American College of Obstetricians and Gynecologists, the American Society for Reproductive Medicine, the Society for Gynecologic Investigation, and the New England Fertility Society. In her free time, Dr. Plante loves spending time with her family, running, and learning to ski again after a 15 year hiatus.

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