Tag: egg freezing

  • Egg Freezing : Who Should Consider It and How It Works

    Egg freezing explained: Cryopreservation tank for egg freezing with numbered labels

    Egg Freezing Explained

    Egg freezing has become a powerful option for women who want to preserve their fertility for the future. Whether it’s due to career plans, medical reasons, or personal choice, understanding who should consider it — and how the process works — is essential. Let’s break it down.

    You wake up in your 30s or 40s, wondering: will I still be able to have a baby when I’m ready? Maybe you’re focused on your career, or still waiting for the right partner. Or maybe life just hasn’t followed the timeline you imagined. And the clock? It’s ticking louder every year.

    But what if you could press pause? Egg freezing—also known as oocyte cryopreservation—offers women the chance to preserve their fertility, giving hope and options for the future. It’s no longer an experimental procedure; it’s an empowering choice backed by science.

    Egg Freezing Explained:Who Should Consider it?

    Egg freezing isn’t just for celebrities or influencers. It’s for every woman who wants more time and control over her reproductive choices. Here’s who might benefit the most:

    • Women delaying pregnancy for personal or career reasons: If you’re focused on education, building a career, or haven’t met the right partner, freezing your eggs before 35 preserves better-quality eggs for the future.
    • Women facing medical treatments that threaten fertility: Chemotherapy, radiation, or ovarian surgery can damage your egg reserve. Freezing eggs beforehand offers a safeguard.
    • Women with endometriosis or family history of early menopause: These conditions may accelerate fertility decline. Egg freezing keeps doors open later.
    • Women undergoing IVF but wanting flexibility: Some women prefer freezing eggs instead of embryos, avoiding legal or ethical issues linked to embryo storage.

    Egg Freezing Explained: How Does it Work?

    The process may sound intimidating, but advances in technology have made it smoother and more effective. Here’s a step-by-step breakdown:

    1. Ovarian Stimulation: You’ll take hormone injections for 10–14 days to stimulate multiple eggs. Doctors monitor you via ultrasound and blood tests.
    2. Egg Retrieval: When the eggs are mature, a minor procedure retrieves them using a thin needle under light sedation.
    3. Freezing: The eggs are flash-frozen through vitrification—a rapid method that prevents ice crystals and improves survival rates.
    4. Storage: Frozen eggs are kept in liquid nitrogen at -196°C. They can remain stored for years, though most clinics recommend using them within 10–15 years.

    Egg Freezing Explained Success Rates: What Are the Chances?

    One question women ask: “How many eggs do I need to freeze?” The answer depends largely on your age:

    • Under 35: Freeze 10–15 eggs for a strong chance of 1 live birth.
    • 35–37: Freeze 15–20 eggs.
    • 38–40: Freeze 20–30 eggs.
    • Over 40: Freeze 30+ eggs—but understand success rates drop significantly after 40.

    Each egg’s chance of resulting in a live birth declines with age. Freezing before 35 offers the highest success, as younger eggs have better quality and survival after freezing, thawing, and fertilization.

    Egg Freezing Explained – Costs: Is Egg Freezing Affordable?

    Cost is a major consideration. Prices vary by country and clinic:

    CountryAverage Cost per Cycle (USD)
    United States$6,000 – $15,000
    UK$5,000 – $8,000
    Canada$8,000 – $12,000
    Brazil$3,000 – $5,000
    India$2,000 – $4,000

    Storage fees add $300–$1,000 per year. Some employers now cover egg freezing as a benefit, so check your insurance or HR policies.

    Egg Freezing Explained – Risks and Limitations

    While egg freezing offers hope, it’s not a guarantee. Key risks include:

    • Ovarian Hyperstimulation Syndrome (OHSS): Hormonal treatment may cause bloating, nausea, or discomfort. Severe cases are rare.
    • Egg Survival Rate: Not all eggs survive freezing and thawing; survival rates range 80–90% with vitrification.
    • No Guarantee of Pregnancy: Even with many frozen eggs, pregnancy depends on egg quality, sperm quality, and uterine health.

    Egg Freezing ExplainedEgg vs. Embryo Freezing: Which is Better?

    Both options have pros and cons:

    • Egg freezing: Ideal for single women or those wanting flexibility. Avoids legal/ethical issues around embryos.
    • Embryo freezing: Offers slightly higher live birth rates but requires sperm and is less flexible for single women.

    Egg Freezing Explained – Final Thoughts

    Egg freezing isn’t just a medical procedure—it’s an emotional, financial, and personal decision. It offers peace of mind, but it’s not a guarantee. The earlier you freeze, the better your chances. Talk to a fertility specialist to explore your ovarian reserve and personal goals.

    For many women, freezing eggs represents more than biology—it’s about keeping dreams alive, even when life’s timeline shifts.

    This article is for informational purposes only and does not replace medical advice. Consult a healthcare professional for personalized guidance.

    Egg Freezing Explained – References

    1. Cardim, H.J.P. Vencendo a Dificuldade de Engravidar. Editora Pensamento-Cultrix Ltda, 2009.
    2. Practice Committee of the ASRM. “Egg Freezing Guidelines.” Fertility and Sterility, 2022. DOI: 10.1016/j.fertnstert.2022.01.016
    3. ESHRE (European Society of Human Reproduction and Embryology). “Oocyte Cryopreservation: Success Rates and Recommendations.” Human Reproduction Update, 2023. Available at: https://academic.oup.com/humupd/article/29/4/455/7191461
    4. Cobo, A.; Garcia-Velasco, J. “Oocyte Cryopreservation for Age-Related Fertility Decline.” Journal of Assisted Reproduction and Genetics, 2022. DOI: 10.1007/s10815-022-02591-9
    5. Smith, R.; Kilani, S. “Long-Term Outcomes of Egg Freezing: A Systematic Review.” Human Reproduction, 2023. Available at: https://doi.org/10.1093/humrep/dead123
  • What is Ovarian Reserve? How to Test It. Can You Improve Your Egg Quality?

    Microscopic image of multiple eggs retrieved for fertility treatment, representing what is ovarian reserve.

    What Is Ovarian Reserve? Siomara’s Fertility Future

    By Dr Pereira

    What Is Ovarian Reserve? Siomara’s Fertility Future

    Siomara was 30 years old, vibrant, full of plans. She had recently gotten engaged and couldn’t stop smiling. Her wedding would be in the spring, and motherhood was part of her dream—just not yet. “Maybe after 35,” she said casually, brushing off the subject as something far off.

    But when she sat in my office that day, I gently asked a question that made her pause.

    “Siomara, have you ever checked your ovarian reserve?”

    She blinked. “What is ovarian reserve?”

    That single question became a turning point.


    What Is Ovarian Reserve?

    A woman is born with 1 to 2 million eggs, but by the time she reaches puberty, only around 300,000 remain. With each menstrual cycle, several eggs are lost, even though only one typically matures for ovulation. As a woman ages—especially after 30 and more rapidly after 35—her egg count declines. But it’s not just about quantity. Egg quality also diminishes over time.

    So, what is ovarian reserve? It’s a measure of the quantity and quality of eggs left in a woman’s ovaries. And it’s one of the most important indicators of future fertility. Understanding what is ovarian reserve is key for any woman planning her future.

    Why Does It Matter?

    For Siomara, like many women waiting to have children later in life, understanding ovarian reserve is essential. It’s not about panic. It’s about information. Knowledge. Control. Knowing what is ovarian reserve provides a realistic roadmap.


    Why Ovarian Reserve Is So Important

    The concept of ovarian reserve may seem abstract, but its importance is concrete. Here’s why understanding what is ovarian reserve matters:

    • It helps predict natural fertility potential: Women with a strong ovarian reserve are more likely to conceive naturally.
    • It guides fertility treatment planning: If the reserve is low, time-sensitive treatments like egg freezing or IVF may be recommended.
    • It gives insight into menopause timing: While not exact, a diminished ovarian reserve can signal early menopause.

    Low Ovarian Reserve Does Not Mean Infertility

    This is important: having a low ovarian reserve doesn’t mean a woman can’t get pregnant. Many women conceive with a low reserve, especially when guided by a fertility specialist. But it does mean fewer eggs, and potentially lower quality—so timing and strategy become critical. Understanding ovarian reserve means understanding how time impacts your chances. That’s why it’s essential to ask: what is ovarian reserve and how does it apply to me?


    How Do We Test Ovarian Reserve?

    Siomara was surprised to learn that testing ovarian reserve wasn’t difficult. In fact, it can be done with a combination of blood work and an ultrasound. Knowing what is ovarian reserve also means knowing how it’s measured.

    Hormonal Blood Tests

    TestWhat It MeasuresOptimal Range
    Anti-Müllerian Hormone (AMH)Egg supply1.0–4.0 ng/mL
    Follicle Stimulating Hormone (FSH)Ovarian function<10 mIU/mL (Day 3)
    Estradiol (E2)Ovarian response25–75 pg/mL (Day 3)
    Inhibin BFollicle activity>45 pg/mL

    AMH is the most stable marker. It doesn’t fluctuate much during the cycle. FSH and estradiol help give a fuller picture, but they can vary month to month.

    Ultrasound Tests

    • Antral Follicle Count (AFC): Using a transvaginal ultrasound, we count the small resting follicles in each ovary. A higher count (>12) is considered reassuring. A low count (<5) suggests diminished reserve.
    • Ovarian Volume: Larger ovarian size tends to correlate with better reserve.

    When I performed Siomara’s ultrasound that same morning, I quietly counted the follicles. Eight on one side, six on the other. Fourteen in total. A healthy number for her age. That’s the value of understanding ovarian reserve—it allows for timely action.


    Factors That Influence Ovarian Reserve

    The concept of ovarian reserve is dynamic. It’s not the same for everyone, and many variables can affect it. To fully grasp what is ovarian reserve, we must also understand what impacts it.

    1. Aging
    • Natural egg loss accelerates after 30.
    • After 35, both quantity and quality drop faster.
    • Chromosomal abnormalities in eggs increase with age.
    1. Lifestyle
    • Smoking: Toxic to the ovaries. Advances menopause by up to four years.
    • Obesity: Alters hormonal balance and reduces fertility.
    • Excessive alcohol: Lowers AMH and damages DNA in eggs.
    1. Medical Conditions
    • Endometriosis: Can damage ovarian tissue.
    • PCOS: Often presents with high follicle count but poor egg quality.
    • Autoimmune disorders: Can cause premature ovarian failure.
    1. Family History

    If a woman’s mother or sister experienced early menopause, her own reserve may decline sooner than average.

    These insights helped Siomara reflect. Her aunt had menopause at 42. That detail suddenly felt more significant. Another reason why knowing what is ovarian reserve can be so impactful.


    Can You Improve Ovarian Reserve?

    I wish I could promise women like Siomara that a magic pill could increase ovarian reserve. But the truth is:

    • We cannot increase the number of eggs.
    • We cannot reverse aging.

    However, we can protect egg quality, and that makes all the difference. And understanding what is ovarian reserve helps us make these choices wisely.

    What Helps

    • Coenzyme Q10 (CoQ10): May improve mitochondrial function in eggs.
    • Healthy lifestyle: Stop smoking. Eat well. Move your body.
    • Stress reduction: Chronic stress can interfere with hormone levels.
    • Regular screening: Monitoring AMH and AFC over time.

    And most importantly:

    • Fertility preservation.

    That’s what I recommended to Siomara.

    “We can freeze your eggs now while your reserve is healthy. That way, if you decide to wait until after 35, you’ll have better-quality eggs stored.”

    She nodded slowly, absorbing the weight of the information. This was not a scare tactic. This was a gift: foresight. This is why understanding ovarian reserve is a cornerstone of reproductive planning.


    Real Stories, Real Impact: Why Women Are Asking “What Is Ovarian Reserve?”

    Siomara’s case isn’t isolated. Every week, I see women in their late 20s or early 30s who have never heard of the term. Once we explain what is ovarian reserve and how it affects their ability to plan their family in the future, the response is often the same—relief, empowerment, and sometimes a tinge of regret for not knowing sooner.

    Understanding what is ovarian reserve is no longer just for women undergoing fertility treatment. It’s a vital part of reproductive awareness—just like learning about ovulation, contraception, or STIs. It’s the kind of knowledge that can shape life decisions. That’s why more gynecologists, endocrinologists, and wellness professionals are starting conversations earlier, especially with women who plan to delay motherhood.

    There’s a shift happening—women want control. And to gain control, they need education. They need to ask: what is ovarian reserve, and why does it matter to me, now?


    What Is Ovarian Reserve? You Know the Answer

    Siomara’s story is not uncommon. Every day, women are postponing motherhood for valid and empowering reasons—careers, relationships, personal growth. But knowing your body is the most empowering step of all.

    What is ovarian reserve? It’s your window into reproductive health. It allows you to act in time, to explore egg freezing, to protect your dreams. Understanding what is ovarian reserve is the foundation of that journey.

    You don’t need to panic. You just need to plan. And it all starts by understanding ovarian reserve.

    Stay tuned for the next post: Egg Freezing Explained: The Science, Success, and Strategy.

    Would you like to assess your ovarian reserve? Book a consultation today and learn where you stand.

    Share this post and help another woman learn about her fertility future.

    References
    1. American Society for Reproductive Medicine (ASRM). "Ovarian Reserve Testing: What You Need to Know." Fertility and Sterility, 2023. “>American Society for Reproductive Medicine (ASRM). “Ovarian Reserve Testing: What You Need to Know.” Fertility and Sterility, 2023.
    2. Wallace, W.H.B., & Kelsey, T.W. "Human Ovarian Reserve from Conception to Menopause." PLoS ONE, 2010. “>Wallace, W.H.B., & Kelsey, T.W. “Human Ovarian Reserve from Conception to Menopause.” PLoS ONE, 2010.