‘A lottery ticket, not a guarantee’: fertility experts on the rise of egg freezing

Hannah Devlin

The Guardian

Originally posted 11 NOV 22

Here is an excerpt:

This means that a woman who freezes eggs at the age of 30 boosts her chances of successful IVF at 40 years. But, according to Dr Zeynep Gurtin, a lecturer in women’s health at UCL, this concept has led to a false narrative that if you freeze your eggs “you’ll be fine”. “A lot of people who freeze their eggs don’t get pregnant,” Gurtin said.

First, only a fraction opt to use the eggs down the line – some get pregnant without IVF, others decide not to for a range of reasons. For those who go ahead, HFEA figures show that, as an average across all age groups, just 2% of all thawed eggs ended up as pregnancies and 0.7% resulted in live births in 2018. For each IVF cycle, this gives a 27% chance on average of a birth for those who froze their eggs before the age of 35 and a 13% for those who froze their eggs after this age. The most common age for egg freezing in the UK is 38 years old.

A recent analysis by the Nuffield Council on Bioethics found women often felt frustrated at having received insufficient information on success rates, but also reported feeling relief and a sense of empowerment.

Egg freezing, Gurtin suggested, should be viewed as “having a lottery ticket rather than having an insurance policy”.

“An insurance policy suggests you’ll definitely get a payout,” she said. “You’re just increasing your chances.”

As lottery tickets go, it is an expensive one. The average cost of having eggs collected and frozen is £3,350, with additional £500-£1,500 costs for medication and an ongoing expense of £125-£350 a year for storage. And clinics are not always upfront about the full extent of costs.

“In many cases, you’re going to spend a third more than the advertised price – and you’re spending that money for something that’s not an immediate benefit to you,” said Gurtin. “It’s a big gamble.”

“When people talk about egg freezing revolutionising women’s lives, you have to ask: how many can afford it?” she added.

Travelling abroad, where treatments may be cheaper, is an option but can be logistically problematic. “When it comes to repatriating eggs, sperm and embryos, it is possible, but it’s not always that straightforward,” said Sarris. “You need to follow a process, you don’t just send them with DHL.”

The info is here.

Freezing Eggs and Creating Patients: Moral Risks of Commercialized Fertility

Elizabeth Reis and Samuel Reis-Dennis
The Hastings Center Report
First published: 24 November 2017

Abstract

There's no doubt that reproductive technologies can transform lives for the better. Infertile couples and single, lesbian, gay, intersex, and transgender people have the potential to form families in ways that would have been inconceivable years ago. Yet we are concerned about the widespread commercialization of certain egg-freezing programs, the messages they propagate about motherhood, the way they blur the line between care and experimentation, and the manipulative and exaggerated marketing that stretches the truth and inspires false hope in women of various ages. We argue that although reproductive technology, and egg freezing in particular, promise to improve women's care by offering more choices to achieve pregnancy and childbearing, they actually have the potential to be disempowering. First, commercial motives in the fertility industry distort women's medical deliberations, thereby restricting their autonomy; second, having the option to freeze their eggs can change the meaning of women's reproductive choices in a way that is limiting rather than liberating.

The information is here.

Left Out in the Cold: Seven Reasons Not to Freeze Your Eggs

By Françoise Baylis
Impact Ethics
Originally posted October 16, 2014

Here is an excerpt:

These professional cautions are of no consequence to Facebook or Apple, however. Both of these companies have decided to include egg freezing in their employee benefit package. As an alternative, they could have decided to improve the health benefits offered to all employees. Or, to stay focused on the issue of reproduction, they could have included a full year of family leave in the benefit package. Instead, they chose to pay up to $20,000 for egg freezing. Now call me crazy, but I think this choice just might have to do with their corporate priorities – which include keeping talented workers in their 20s to early 30s in the workplace, not at home caring for babies.

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Second, contrary to popular belief, egg freezing does not set back a woman’s biological clock. While it is certainly true that eggs from a younger woman are more likely to generate a healthy embryo and a healthy pregnancy than eggs from an older woman, it very much matters that the body into which the embryos will be transferred is the body of an older woman. From a purely biological perspective, it is in the interest of women to have their children while they are younger.

The entire story is here.