Illustration by Sophie Greenspan
It’s billed as the answer to your supposedly ticking biological clock. But is it safe or effective?
Egg Freezing

What’s going on

It’s billed as the answer to your supposedly ticking biological clock. Egg freezing—oocyte cryopreservation—is the process of collecting unfertilized eggs from the ovaries and, essentially, putting them on ice for later. When it’s time to try and make a baby, the eggs are thawed, mixed with sperm in a lab, and implanted into the uterus. You might have heard the term in vitro fertilization or IVF. That’s what’s going on there.

There are a number of reasons why someone might want to set their eggs aside for later. A 2018 survey of U.S. and Israeli women listed ten.1

The six likely reasons for single people include:

  • Being single
  • Divorced or divorcing
  • Broken up
  • Deployed overseas
  • Single mother
  • Career planner

And the four reasons for people with partners include:

  • Partner not ready to have children
  • Relationship too new or uncertain
  • Partner refused to have children
  • Partner has multiple partners

The survey also found that just 2% of single (cis) women froze their eggs to pursue careers and delay pregnancy—so this idea that people with ovaries turn to freezing because of work demands may not be true.1 Problems around partnerships were found to be the leading cause of egg freezing.1

One very small UK study (20 participants) published in 2015 found the average age of egg freezers was 36.7 years. Just over a quarter of these self-identified cisgender women were 35 or under and 13% between 40 and 44.2 The vast majority identified as single, with only 13% reporting they were in a relationship.2 The interviews in this study also revealed that another major reasons for egg freezing was that participants had medical conditions that compromised their fertility (e.g. PCOS or endometriosis).2

The cost of egg freezing may range from USD $9,000 to $15,000 for the initial extraction procedure, and there are significant additional costs for egg storage.3

How Common is This?

We don’t know! No central registry maintains a complete count of those who have frozen eggs.3 There are conflicting numbers out there for how many babies have actually been born from frozen eggs. In 2008, researchers counted that only 936 babies had been born internationally from frozen eggs.4 You can find numbers from 2,000 to 5,000 floating around the internet, but neither seem to be verified by credible sources.

The Society of Assisted Reproductive Technology (SART) has documented births from frozen eggs in the U.S. Their data shows that in 2016, 1,104 babies were successfully born from frozen eggs.5

The Society for Assisted Reproductive Technology is made up of industry professionals who could have it in their interest to promote this technology by inflating the numbers of supposed successful cases. We don’t know but we do spot a potential conflict of interest here which could compromise the quality of this information. We looked high and low and could not find better information. Better research on success rates for frozen eggs is needed.

How Can I Take Care of My Pussy*?

While companies like Facebook, Google and Apple offer egg freezing as an employment perk, ostensibly to give people with pussies* more options when it comes to family and career planning, there’s no guarantee it works. A study of more than 113,000 women who started IVF in the UK between 1999 to 2008 using their own eggs and their partner’s sperm showed 29.1 per cent ended up with a child after their first complete cycle of treatment. After six complete cycles, 43% of survey participants had given birth successfully.6

The safety of egg freezing is up for debate. In October 2012, the American Society for Reproductive Medicine stated that egg freezing “should no longer be considered experimental,” but also noted that “there are not yet sufficient data to recommend [egg freezing] for the sole purpose of circumventing reproductive aging in health women.”7 According to a 2016 white paper from the Reproductive Health Technologies Project, there has been “virtually no research into the long-term health risks of women who underwent ovarian stimulation and egg retrieval in order to become egg donors or to freeze their own eggs for later use.”8

There are those who argue egg freezing increases flexibility, and therefore autonomy, for people with ovaries and uteruses, freeing them to have children when it works for them.9 Others believe that it perpetuates backwards ideas about childbearing and gender roles. While some critics claim that egg freezing is an example of harmful “medicalization”—where doctors play god, subverting natural human functions to obtain more power and control.7

Society’s opinions aside, at the end of the day, it’s your body and your choice.

Sources

1.

Inhorn MC, Birenbaum-Carmeli D, Westphal LM, Doyle J, Gleicher N, Meirow D. “Ten pathways to elective egg freezing: a binational analysis.” Journal of Assisted Reproduction and Genetics. 35(11). (2018): 2003-2011. <https://www.ncbi.nlm.nih.gov/pubmed/?term=30074130>.

2.

Kylie Baldwin, Lorraine Culley, Nicky Hudson, Helene Mitchell, Stuart Lavery. “Oocyte cryopreservation for social reasons: demographic profile and disposal intentions of UK users.” Reproductive Biomedicine Online. 31(2). (2015): 239–245: <https://www.rbmojournal.com/article/S1472-6483(15)00202-3/fulltext>.

3.

Martin, Lauren Jade. “Anticipating Infertility: Egg Freezing, Genetic Preservation, and Risk.” Gender & Society. 24(4). (2010): 526-545. <https://www.researchgate.net/publication/240696495_Anticipating_InfertilityEgg_Freezing_Genetic_Preservation_and_Risk>.

4.

Noyes N, Porcu E, Borini A. “Over 900 oocyte cryopreservation babies bon with no apparent increase in congenital abnormalities.” Reproductive BioMedicine Online. 18(6). (2009): 769-776. <https://www.rbmojournal.com/article/S1472-6483(10)60025-9/fulltext>.

5.

“National Summary Report 2016.” The Society for Assisted Reproductive Technology.* Accessed 2019. (FILTER for 2016 and FROZEN EGGS. then in section PRELIMINARY LIVE BIRTH PER NEW PATIENT,  do math of cycles divided by live births, for each section (patient’s own eggs and donor eggs) for FROZEN EGGS only, not fresh eggs) <https://www.sartcorsonline.com/rptCSR_PublicMultyear.aspx?ClinicPKID=0#>.

6.

David J McLernon, Ewout W Steyerberg, Egbert R te Velde, Amanda J Lee, et al. “Predicting the chances of a live birth after one or more complete cycles of in vitro fertilisation: population based study of linked cycle data from 113 873 women.” The BMJ. 355. (2016): i5735. <https://www.bmj.com/content/355/bmj.i5735>.

7.

Cattapan A, Hammond K, Haw J, Tarasoff LA. “Breaking the Ice: Young Feminist Scholars of Reproductive Politics Reflect on Egg Freezing.” International Journal of Feminist Approaches to Bioethics. 7(2). Special Issue on Transnational Reproductive Travel (2014): 236-247. <https://www.jstor.org/stable/10.3138/ijfab.7.2.0236>.

8.

“More ART than Science: What We Still Don’t Know About the Long-Term Health Risks of Ovarian Stimulation and Egg Retrieval.” Reproductive Health Technologies Project. (2016). Accessed 2019: <http://rhtp.org/wp-content/uploads/2016/08/RHTPMoreARTthanScience.pdf>.  

9.

Shkedi-Rafid S, Hashiloni-Dolev Y. “Egg freezing for non-medical uses: the lack of a relational approach to autonomy in the new Israeli policy and in academic discussion.” Journal of Medical Ethics. 38(3). (2012): 154-157. <https://www.ncbi.nlm.nih.gov/pubmed/21964479>.