When To Freeze Your Eggs

Reality Ahead

In the UK eggs can usually be frozen for up to 10 years, unless there are special medical circumstances and then this can be extended.  When you go to use your eggs you can do so with a partner or using donor sperm, you can also choose to export your eggs to another country and use them there. In the UAE as far as I can decipher the law is different.  You can actually freeze your eggs here, but there are restrictions around their use.  They can be frozen for up to five years, you can only use them if you are married and you can not export them out of the country to use.

Generally speaking egg quality is better when you are younger (in your 20s or 30s) and as you get older you become less fertile and your egg quality declines.   This decline increases significantly after 35.

It is a difficult question to know when you should go ahead and freeze your eggs.  Ideally you would do it when you are at your most fertile, in your 20s, but firstly who has that kind of cash at 20!? (because the process is not cheap) and secondly who wants to openly admit in their 20s that by the time they are 40 (when they are likely to have diminishing ovarian reserve (DOR)) that they aren’t going to have met ‘Mr Right’ and already be a mother?  I know I hadn’t even heard of ‘egg freezing’ when I was 20!

Family or careerSo now, women like me, who have hit their late 30s or 40s, been focusing on a career and haven’t yet met Mr Right have the option to try, at this late stage, and freeze their eggs or give up their dream of becoming a biological mother. There are some companies like Apple and Facebook, who are moving in the right direction by offering to pay for female employees to freezing their eggs so as to delay motherhood a little longer.  These companies, in my view, have got it right and I wish there were more like them and that egg freezing was more accepted, not something that is talked about behind closed doors.

A single female should be proud of the fact that she is taking control of her declining fertility. Egg freezing should be openly talked about and accepted, it is an insurance policy and in my view a sensible option for a single women in their 30s who wants to one day possibly become a mother.

 

Basics about Egg Freezing

Egg-freezing-illo

Egg Freezing follows a similar process to IVF.  The first part of both Egg Freezing and IVF involves the stimulation of your ovaries using fertility drugs.  There is no such thing as a ‘typical round‘ but generally speaking starting on day 2 or 3 of your period, you inject hormones into your stomach each day with the hope that as many follicles as possible will grow.  You have regular scans and blood tests every few days during the stimulation phase to measure the follicle growth and check your hormone levels which will indicate if the process is working or not.   Usually the stimulation phase lasts about 10-12 days. During this time hopefully all the follicles will grow to a good size.  When the majority of them are around 18-22mm, you are ready for egg collection.

The next hurdle is to see how many of the follicles contain an eggs (some are empty this is not possible to see from your scans).  The eggs are collected under ultrasounds scan guidance using sedation and then examined by an embryologist to see if they are mature or not.  The mature ones are able to be frozen and any others are discarded.

There are many things that can cause problems or force a cycle to be cancelled during the stimulation or egg collection process. I only know a handful of the things that have happened to me on my journey so far.  Below are a few that I wish I had known when I started my egg freezing journey:-

  • On day 2 or 3 of your period you might not be able to start treatment for many reasons eg: a cyst, no follicles etc
  • During the stimulation phase your body may not react to the hormones at all.  This may be seen through your blood work or the fact that on your scans the follicles are not growing
  • You might have many follicles on your day 2/3 scan but then only a few may grow
  • You might ovulate before egg collection
  • You might have several follicles that grow, but they may not contain any eggs
  • You might have eggs collected but they might not be mature and thus not be able to be frozen

And this is all BEFORE you get into the ‘defrosting’ of these eggs to hopefully use them for a pregnancy!