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Egg freezing, also known as oocyte cryopreservation, is a process in which a woman's eggs are retrieved, frozen, and stored for future use. It has become an increasingly popular option for those who want to preserve their fertility for later in life, whether due to medical reasons or personal choice. We get a lot of questions from people wondering if egg freezing is an option for them, given their unique circumstances. In this article, we will share the most common questions we get and hopefully settle some debates once and for all.
Can I freeze my eggs if I have PCOS?
Absolutely. Like others, women with PCOS may want to freeze their eggs to proactively increase their chances of having children down the road. It’s best to freeze when you are younger, in order to get a greater number of eggs and the highest quality eggs possible.
You’ll want to make sure you work with the best doctors, because women with PCOS are more susceptible to developing ovarian hyperstimulation syndrome (OHSS) during egg freezing. This is because they are likely to have more follicles, and the more follicles an ovary has the more likely it is to be overstimulated by HCG, one of the drugs used during egg freezing.
Can I freeze my eggs if I have endometriosis?
Yes. Some doctors will actually recommend egg freezing for women with endometriosis while they're young and the condition is still in the early stages. Because some surgeries for endometriosis can worsen fertility by inadvertently removing healthy ovarian tissue or compromising vascular supply to the ovary, egg freezing should be done before any such surgeries.
Can I freeze my eggs if I’m a virgin?
Being a virgin does not prevent you from being able to freeze your eggs for future use. The egg freezing process is the same for all patients, and it does not involve any kind of sexual contact. If you are considering egg freezing, reach out to see if we can help.
Can I freeze my eggs if I’m on birth control?
It depends on which type! Hormonal birth control methods work by regulating hormones in the body to prevent ovulation, while non-hormonal methods physically prevent sperm from reaching the egg or alter the environment in the uterus to prevent implantation. While it is possible to freeze your eggs while on various types of birth control, it depends on which one.
- Definitely okay: condoms, diaphragms
- Generally okay: IUD, birth control implant
- Need to stop: the pill, the patch, NuvaRing
- Potential wait of three-six months: Depo-Provera
Of course, do not start or stop your current birth control regimen without talking to your fertility doctor first.
Can I freeze my eggs if I have HPV?
An HPV diagnosis alone should not affect your ability to get pregnant or to freeze your eggs. Most fertility specialists will require an up to date pap smear and HPV test as part of their evaluation and you’ll usually be allowed to continue with the freezing process as long as the HPV is low-risk, since those cases are expected to clear on their own.
If you do have a high-risk HPV, you’ll need to discuss those results with both your OB/GYN and your fertility doctor to figure out what next step is right for you. Depending on the specific HPV strain, if there are any lesions and how advanced they are, your doctor will recommend continuing with egg freezing or delaying until after treatment.
Can I freeze my eggs if I’ve had gender affirming surgery?
It depends on what was involved in the surgery. If the ovaries were removed (an oophorectomy or total hysterectomy), you will not be able to freeze your eggs. This is because egg freezing requires the ovaries to produce mature eggs, which are then retrieved and frozen for future use. If the ovaries have been removed, then the eggs were removed too and egg freezing is not an option.
Can I freeze my eggs if I have started hormone therapy?
If you have already started hormone therapy, such as testosterone (T) therapy, it may still be possible to freeze your eggs. However, your doctor will likely recommend discontinuing testosterone until your period returns (usually under six months) to begin the egg freezing process.
Can I freeze my eggs if I’m afraid of needles?
Yes, it does involve both injections and blood draws. This is because the process of egg freezing involves stimulating the ovaries with hormones (aka fertility medication) to produce multiple eggs, which are then retrieved with a needle. There are also blood draws to determine your hormone levels, and an IV for sedation during the retrieval itself. If you are afraid of needles, it's important to acknowledge your fear and work through it. Ignoring or avoiding the issue will only make it worse.
Can I freeze my eggs if I vape?
While the effects of vaping on fertility are still largely unknown, many fertility clinics advise their patients to quit vaping in an effort to improve egg freezing outcomes related to quality and quantity based on the above research on smoking. Lower quality eggs with a higher DNA damage rate could impact the success of a future pregnancy using these frozen eggs, as these eggs may be less likely to fertilize into embryos (or result in a successful implantation). In addition, fewer eggs retrieved from those who vaped may result in fewer options for future use, which can increase the likelihood of needing additional egg freezing cycles.
Can I freeze my eggs if I drink?
Yes, but alcohol consumption is not recommended during the egg freezing process itself. Studies have shown that alcohol consumption can negatively impact fertility and may also increase the risk of certain complications associated with egg freezing. The good news is there are loads of EANABs (equally-appealing, non-alcoholic beverages) these days. Try a soda water with lime and no one will bother you!
Can I freeze my eggs if I’m a smoker?
Smoking is not recommended during the egg freezing process (or ever!). Studies have shown that smoking can negatively impact fertility and may also increase the risk of certain complications associated with egg freezing. Smoking can decrease the number and quality of eggs retrieved, and increases the risk of ovarian hyperstimulation syndrome (OHSS), a potentially serious complication of the egg freezing process.
Can I freeze my eggs if I'm over a certain age?
American Society for Reproductive Medicine (ASRM) does not recommend egg freezing for people older than 38, but this isn’t a strict cutoff. Everyone’s ovarian reserves declines at a different rate. Having your fertility hormones checked can sometimes help you and your doctor get a general idea of what your ovarian reserve is. This can better help you decide if egg freezing is right for you.
Can I freeze my eggs if I'm not ready to have children yet?
Absolutely! Egg freezing is often chosen by those who are not yet ready to start a family, but want to keep options open for the future. It’s important to understand that the younger you are when you freeze your eggs, the higher the chances of success.
Can I freeze my eggs if I have already had children?
Absolutely. In fact, some people choose to freeze their eggs after having children, including those who went through divorce, as a way to preserve their fertility for future pregnancies.
Can I freeze my eggs if I have had my tubes tied?
If you have had a tubal ligation (commonly known as "getting your tubes tied"), you can still be a candidate for egg freezing as the process does not require the fallopian tubes to be open.
Can I freeze my eggs if I’m on antidepressants?
For sure. The most commonly used antidepressant (SSRIs) and anti-anxiety medications (benzodiazepines) don’t have any clear, long-term impacts on egg quantity or quality, ovulation, or chances of conception (though SSRIs do have short-term effects on sperm).
Can I freeze my eggs if I have diabetes?
While egg freezing can be a game-changer, it's not without risks. Women with diabetes may have an increased risk of ovarian hyperstimulation syndrome (OHSS). However, with proper medical supervision and careful management of blood sugar levels, most women with diabetes successfully undergo egg freezing.
Let us help you freeze those eggs!
Cofertility is a human-first, tech-enabled fertility ecosystem that provides people agency over if, how, and when they have babies — today or someday. We have two programs for egg freezers:
- Our Split program, which offers women a chance to both freeze their own eggs and donate half the eggs to a family who cannot conceive otherwise. If you qualify for the program and decide to donate half of your retrieved eggs, every expense associated with the egg freezing procedure — medications, supplements, travel if necessary, insurance, and 10 years of storage — is completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.
- Our self-pay Keep program allows women to freeze their eggs and keep them all for their future use. Through Keep, we offer our members partnerships and discounts to lighten the financial load of egg freezing, as well as access to our member community.
The benefits for of working with Cofertility include:
- Power of choice: Freeze your eggs more affordably or, if you qualify, freeze for free when you give half to a family who can’t otherwise conceive.
- Community: Our inclusive online spaces allow you to connect with others going through the process in our private online community.
- Compassion: We’ll always treat you with care, and our Split program gives you the opportunity to make someone’s family building dreams a reality.
- Data-driven: We provide you with trustworthy guidance and evidence-based research so you can make informed decisions about your fertility.
- Free egg freezing: Freeze and store your eggs for 10 years, entirely for free if you qualify for our Split program.
Ready to learn about more affordable (even free!) egg freezing with Cofertility? Fill out this quick quiz to learn about our accessible egg freezing options and see if you qualify for our programs — it only takes one minute.
Halle Tecco, MPH, MBA
Halle Tecco is a healthcare founder and investor, and women's health advocate. She previously founded Rock Health and then Natalist (acquired by Everly Health). She is a Board Director at Resolve and an Adjunct Professor at Columbia Business School. Halle received her MBA from Harvard Business School and her MPH from Johns Hopkins University with a concentration in Women’s and Reproductive Health.
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