More women than ever are choosing to freeze their eggs, but the process is far more complex than many realize. Between 2019 and 2023, egg freezing cycles in the UK surged by 170%, fueled by increasing awareness and even corporate subsidies from companies like Meta and Goldman Sachs. Yet, despite its growing popularity, oocyte cryopreservation – as it’s medically known – remains shrouded in confusion and commercialization. This is what you need to know before embarking on the process.
Egg Freezing Isn’t Just Preservation – It’s a Step Toward IVF
Many assume freezing eggs is a simple insurance policy. In reality, it’s often the first stage of an eventual IVF cycle. Like IVF, the process involves hormonal stimulation to maximize egg production. The eggs are retrieved, frozen, and later thawed, fertilized, and transferred to the womb – just like IVF. If natural conception fails, you’re effectively signing up for IVF.
Frozen Eggs Don’t Guarantee a Child
Success isn’t assured. Some eggs won’t survive the thaw, fertilization, or transfer. Experts advise viewing egg freezing as an addition to your reproductive options, not a guarantee. It increases your chances, but doesn’t eliminate the possibility of needing further intervention.
Choosing the Right Clinic Matters
Research is crucial. The HFEA website and resources like Seen Fertility offer clinic listings. Consider what matters most: a larger clinic with impersonal service, or a smaller, more hands-on approach? Call clinics to gauge their fit.
Avoid clinics that overpromise or use aggressive marketing tactics. Look for those with strong live birth rates per embryo transfer – a more reliable metric than vague claims.
The Time Commitment Is Significant
The process isn’t a quick in-and-out procedure. A single cycle can take two weeks or more, often disrupted by your menstrual cycle. Expect regular scans that require time off work. Clinics may offer appointments outside normal hours, but proximity to your home or workplace is vital.
The Injections Aren’t as Bad as You Think
Most women are surprised by how quickly they adjust to self-injecting. Fertility injections are typically subcutaneous – short needles that go into the fat under the skin. It’s not pleasant, but far less painful than intramuscular shots.
If you miss an injection by a few hours, it’s usually not critical. But missing one entirely could jeopardize the cycle. Keep medication with you, even on hikes, using insulated containers if necessary.
Age Is the Biggest Factor
While the American Society for Reproductive Medicine lacks conclusive data on the optimal age, younger women have higher live birth rates. Fertility doesn’t decline sharply at 35, but egg quality diminishes with age. Freezing at a younger age significantly increases your chances of success.
Multiple Rounds May Be Necessary
Many underestimate the need for multiple cycles. A 36-year-old may only retrieve six eggs, which is relatively low. Studies suggest a 35- to 37-year-old may need 15 eggs for a 70% chance of a live birth, while a 37-year-old might need 20 for a 75% likelihood. However, egg quantity and quality are not the only factors; uterine health also plays a crucial role.
Skip Expensive Supplements
Focus on a healthy lifestyle – balanced diet, adequate sleep, and exercise. Avoid smoking, excessive alcohol, and recreational drugs. If you choose supplements, vitamin D, folic acid, and coenzyme Q10 may be beneficial, but they’re no substitute for a healthy foundation.
Budget for Hidden Costs
Egg freezing and thawing typically cost between £7,000 and £8,000, but hidden fees can quickly add up. Clinics may quote lower initial prices that don’t include blood tests or scans. Medication costs can range from £500 to £1,500, depending on individual needs. Build a financial buffer into your budget.
Adjust Your Fitness Routine
Intense workouts should be avoided during stimulation to minimize the risk of ovarian torsion. While rare, this complication can cut off blood supply to the ovary. Light exercise is fine, but heavy lifting should be put on hold.
Egg Retrieval Isn’t Scary
The procedure is typically performed under sedation, with eggs drained using a thin needle. It takes about 30 minutes, and most women go home the same day. Mild side effects, such as fatigue or bloating, are common.
Emotional Fluctuations Are Normal
The hormonal stimulation can cause mood swings. Be prepared for emotional ups and downs throughout the process.
Ultimately, egg freezing is a complex decision. It’s not a guaranteed solution, but it can be a valuable option for those who want to preserve their fertility. By understanding the process, costs, and potential challenges, you can make an informed decision that aligns with your goals
