Egg freezing, also known as oocyte cryopreservation, has become an increasingly popular option for people with ovaries looking to preserve their fertility. Whether you're focusing on your career, haven't found the right partner, or are facing medical challenges, egg freezing offers a way to potentially extend your reproductive lifecycle. But like any medical procedure, it's important to be well-informed before making this life-altering decision.
Let's explore the key questions you should ask before embarking on your egg freezing journey.
Egg freezing questions
1. What's my fertility status?
Before diving into the egg freezing process, it's crucial to understand your current fertility status. Ask your OB/GYN or fertility specialist about fertility testing, which typically includes blood tests to measure your hormone levels and an ultrasound to assess your ovarian reserve. This information will give you a clearer picture of your reproductive potential and help set realistic expectations for the egg freezing process.
Also, don't be afraid to ask for a detailed explanation of your test results. This will empower you to make educated decisions along with your provider about your reproductive future. Remember, everyone's fertility journey is unique, and there's no one-size-fits-all approach.
2. What does the egg freezing process involve?
Egg freezing is not a simple or quick procedure, so you'll want to have a clear understanding of what's involved before going in. Ask your doctor to walk you through the entire process, from initial consultation to egg retrieval and storage. Typically, it involves hormone injections to stimulate your ovaries, regular monitoring through blood tests and ultrasounds, and finally, a minor surgical procedure to retrieve the eggs.
One major consideration is the time commitment required. How many clinic visits will you need? How long does the hormone stimulation phase usually last? Understanding the timeline can help you plan accordingly, especially if you need to take time off work or rearrange your schedule.
3. What are the success rates?
When considering egg freezing, it's natural to want concrete answers about success rates. However, success rates can vary widely depending on factors such as your age at the time of freezing, the number of eggs frozen, and the clinic's experience with the procedure.
Ask your doctor about their clinic's specific success rates, but also inquire about national averages. Having realistic expectations is key. Remember, freezing your eggs doesn't guarantee a future pregnancy, but it does increase your chances compared to not freezing eggs at all.
4. What are the potential risks and side effects of egg freezing?
Like any medical procedure, egg freezing does carry some risks and potential side effects, including bloating, mood swings, and discomfort from the hormone injections. More serious risks, although rare, can include ovarian hyperstimulation syndrome (OHSS).
Don't shy away from learning more about these worst-case scenarios. While it's unlikely you'll experience severe complications, being aware of all possibilities allows you to go into the process with eyes wide open. Also, ask about potential strategies to minimize risks and manage potential side effects. It's always better to be safe than sorry!
5. How much does egg freezing cost?
Egg freezing can be a significant financial investment, so having a clear understanding of all associated costs from the start will save you from a potential headache later. Ask your clinic's finance department for a detailed breakdown of expenses, including the initial consultation, fertility medications, egg retrieval procedure, and annual storage fees. And don't forget to inquire about any additional costs that might come up, such as fees for thawing and using the eggs in the future.
Here's what most people don't realize: Elective egg freezing is covered by 21% of all large employers, according to Mercer's 2024 National Survey of Employer-Sponsored Health Plans. That's a significant jump from previous years and shows this benefit is becoming more mainstream.
Most employers offering fertility benefits (64% of large employers) say that they are intended to be inclusive, meaning eligibility is not limited to those meeting the clinical definition of infertile. This is huge — it means you don't need to try to conceive for a year before getting coverage.
It's worth checking with HR before you assume you're paying out of pocket. Respondents that have added coverage within the last two years are far more likely to have done so in support of DEI: 61% of respondents cited it as a primary objective, so companies are increasingly viewing this as essential, not optional.
And remember, this might not be a one-and-done situation. Many women need multiple cycles to get enough eggs, especially if you're over 35. Ask about package deals — most clinics offer discounts for multiple cycles purchased upfront.
While the cost of egg freezing can be substantial, many women find the potential for future family planning to be worth the investment.
6. How long can frozen eggs be stored?
The length of time eggs can be stored is a common concern for many people considering this option. Current research suggests that eggs can be safely stored for many years without degradation in quality. However, regulations regarding storage time limits can vary by country and even by state.
Chat with your doctor about any legal or clinic-specific time limits on egg storage. Ask about backup systems and emergency protocols. What happens if there's a power outage or equipment failure? Also, inquire about what happens if you reach any storage time limit but aren't ready to use your eggs, and what your options are for transferring them if you move. Understanding these logistics can help you plan for various future scenarios.
7. What happens when I'm ready to use my frozen eggs?
While it may seem far off, familiarizing yourself with the process of using your frozen eggs when you're ready to try for a pregnancy will help you better envision the entire process from start to finish. Ask your doctor to explain the thawing process, fertilization methods (usually through in vitro fertilization or IVF), and the steps involved in embryo transfer.
It's also worth discussing success rates for pregnancies from frozen eggs. Remember, while egg freezing preserves your fertility at the time of freezing, other factors like uterine health and overall health can impact future pregnancy success.
Embracing your reproductive choices
Egg freezing is a personal choice that can offer you much-needed peace of mind and an expanded reproductive timeline. By asking these key questions, you're taking a proactive step in understanding and managing your fertility, and with that information, you have the power to make educated decisions that best suit your life and aspirations. Whatever path you take, know that you're taking control of your reproductive future, and that's something to be proud of.
Kristyn Hodgdon is a passionate women's health advocate and the Co-Founder and Chief Creative Officer of Rescripted, where she helps break down complicated medical info into content that's easy to understand — and actually helpful. As an IVF mom who’s experienced pregnancy loss and lives with PCOS, Kristyn blends her professional know-how with real-life experience to support others navigating similar journeys. Her work has been featured on Good Morning America, ScaryMommy, and more, and she’s the host of the podcast From First Period To Last Period. A Fordham University grad, Kristyn also volunteers with the Fly Again Foundation, which supports breast cancer patients. You can find her on Instagram or connect with her on Linkedin.