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How would you like your eggs? Frozen, thanks.

The Independent Online is reporting more women are freezing their eggs as a preemptive fetility treatment.

We can tell from the opening, however, that this article is probably not going to be the most scientific analysis of the matter.

Career women who want a family are freezing their eggs for later use to remove the pressure to find Mr Right, research shows.

But let’s not begin with relying on stereotype in the name of accuractly characterizing study results!

The difficulty of finding a partner to father their children is a key reason why women try to preserve their fertility into their 40s, the first study of motives behind egg freezing reveals.

First, let’s talk about how this sentence is phrased. I don’t think that these women are likely to be having difficulty finding men who *can* father their children. It’s just, you know, they have standards. I also really don’t like this because it seems like just another way to bash women who are denying their true maternal calling in their mid-twenties.

Secondly, there isn’t really much research that indicates that freezing eggs actually works or is broadly effective. The article references the birth of *two* babies that have been born using this technique. In 2002, 200,000 babies were born with the aid of assisted reproductive technologies.* Fertility clinics didn’t do it for a long time because it’s much harder to preserve eggs than it is to freeze sperm or embryos. There is some speculation about why this is, including the theory that the more robust tissue in eggs is more susceptible to damage in the freezing process, the higher water content of eggs compared to sperm (resulting in the possible formation of ice crystals which damage the cell), and so on. But moving right along…

Advances in freezing will revolutionise IVF by allowing women to store “young” eggs when they are in their twenties and thirties .

Here’s the problem. It’s still a matter of some speculation about what is a function of the age of eggs and of maternal age at the time of conception. For example: there is one theory which claims that the increased rate of birth defects in babies born to older women is caused by the age of the eggs, which have deteriorated. There’s a competing theory which suggests that there is more evolutionary pressure on older women (particularly those who are having their first baby), and so they are more likely to maintain a pregnancy that might otherwise have resulted in a miscarriage in a younger woman. Egg freezing *might* prove to be a viable (sorry, I know) reproductive technique. But it’s still far too soon to be anything approaching a revolution. And, let’s face it, we all know the real revolution in IVF will be the invention of artificial wombs. (I kid. Sort of.)

Highlights from the findings which surveyed twenty women (which is a really small sample size) in 2005.

All the women were single, with an average age of 38.6…none had a medical reason (such as impending radiation therapy) for seeking egg banking. Half of the women said they felt pressured by their biological clock and 60 per cent wanted to be sure they had taken advantage of “all possible reproductive opportunities”. Half said they saw egg freezing as an insurance policy but would probably never use the eggs. Four out of 10 said that they would be willing to become a single parent and eight out of 10 said they were either willing or unsure. Just two out of 10 ruled out the possibility of having a baby on their own.

I’m a little unclear about this “four out of ten” thing. If the sample size was 20, 40% would be eight women, but maybe this is just poor writing on the part of the newspaper? Hard to say.

Of course, these women are not representative of the population seeking egg cryopreservation anyway!

Most women who freeze their eggs do so because they have cancer and the treatment could leave them infertile, or they have ethical objections to freezing embryos.

As opposed to being women who can be characterized as selfish, unmarried career women who are being overwhelmed by their biological clocks. At the moment, it’s still a matter of speculation as to whether or not egg freezing will become a popular choice. These women are not part of a new big rush towards a novel fertility treatment.

Gillian Lockwood, director of Midland Fertility Services , said last month that women in their thirties should think about freezing their eggs. If they found themselves childless a decade on, it would greatly increase their chances of conceiving. Fertility clinics could come under increased pressure from older women who believed they had a right to have their own stored eggs fertilised and replaced in the womb decades later, she said.

First of all, “greatly increase their chances of conceiving” is damn speculative. A word of advice: never, ever trust statements of efficacy from fertility clinics. Their statistics are advertising material, and most of them go to great lengths to present the most flattering data possible. Yes, they are required to be truthful, but still. In the United States, fertility clinics are virtually unregulated, so how they define successes and failures is highly subjective. Other observers are not nearly so optimistic about the success of egg freezing:

The technology of egg freezing was still untried, the outcomes uncertain and the safety questionable, she said. “To freeze your eggs at 38 cannot give you a good outlook.

So is it going to greatly improve my chances of conceiving? Or will it do nothing? Glad to know the article has taken a definitive stand on the issue. There’s one other thing that isn’t mentioned here: the length of time the eggs will be frozen. Embryos, for example, are generally not considered viable any more after a certain length of time in the freezer (approximately 7 years, although some pregancies have resulted from embryos which have been frozen longer). If you’re a woman in your mid-twenties, it is possible that your eggs could be in the freezer for fifteen years. It’s completely unknown whether or not long-term freezing is even possible.

And of course, we couldn’t end the article without some discussion of the politics:

“These women were all graduates and they knew it was less and less likely they would find a partner quickly and press them into having children. But I feel that it is the wrong way to think about becoming a parent. It is never going to be convenient. All career people face the same problem and they need to think about it in their early thirties. Men, too, need to think about their partners…These are not young eggs. People have to be reminded that they have to make compromises between children and career. It is not only a medical problem, it is a political one.”

I love this one reference to men, because no one ever asks men if they’re freezing their sperm, waiting for Ms. Right, or even if they’re planning to make compromises between family and work. Those questions aren’t even considered material or worthy of study. I certainly know men who are in their mid to late thirties who would really like to get married and have kids, but it’s not looking so optimistic right now. Potential partners just aren’t on the radar.

But it’s women for whom family and marriage are the aspirations. Not being married until you’re in your forties (horrors!) or not having children is not a sign of the apocalypse. Not every woman fits that husband and babies model, whether by choice or circumstance. But this article presents the possibility of not being able to have children as the worst thing that could ever happen. It’s presented as these women’s sole motivation. One of the extremely toxic effects of the patriarchy is that even if you’re *not* in fact a failure for not comforming to certain cultural scripts, you’re made out to be one.

*Yes, I know this means that I am comparing one technique against all others lumped together, but I think we can all agree on the fact that two babies are still not statistically significant.


20 thoughts on How would you like your eggs? Frozen, thanks.

  1. Heck, I’m 27 and already reading “studies” telling me that my fertility will start declining next year. This may be true, to a small percentage scientifically, but it’s not as if you go through perimenopause after you’re 26. However, certain people on the web have taken advantage of the “statistics” to remind people like me that we may have waited too long, that that’s what we get for not getting married and pregnant right out of college, and that if we want 2 kids or more, we’re screwed. (I don’t think that was the intent of the study–but you see the media interpretation bias there). I even read one blogger’s interpretation that “I need to marry my girlfriend by 22, because we need to have all of our kids by the time she’s 28. After that, it becomes difficult if not impossible and can even be dangerous.”

    5 years ago, 27 was considered a good age to have kids. Why all of a sudden is 27 the new 35 according to some folks? It seems like the age of “pressure” on women to start families is getting younger and younger.

  2. Ye gods, Marian, I’m 22 (shiver). I wouldn’t be that guy’s girlfriend for the world.

    Why is it that in articles like this it’s always about the sperm? I’d think that would be the least important reason to hold out for one’s child-producing Mr. Right. Sperm are easy to find. Good partners for actually raising children, maybe not so much, but that’s never the angle they take. So you get “these women can’t find a guy to knock them up because they’re too old and smart to be attractive,” not “they are waiting to meet a loving, responsible person who will be willing to get up for midnight feedings without bitching.”

  3. Fertility may *start* declining at 27, but that doesn’t mean a given woman who’s older than that can’t get pregnant. I mean, wrinkles also start around age 27, and we don’t suddenly morph into craggy-faced crones on our 27th birthdays. A woman who starts trying to get pregnant when she’s 35 and has severe fertility issues would probably have had those same issues if she’d tried to get pregnant at 25 instead. The whole age-related infertility thing tends to cluster around the marginal cases.

    Besides, I remember the high school friend whose mother got pregnant with twins at the age of 46. She had two kids from a previous marriage, her husband had a child from a previous marriage, and they were both gone 40 when they got married, so they decided not to have any more kids. And at 46 she gets pregnant, with twins no less, while using birth control! Packing one kid off to university while wrangling diapers with two tiny ones. And because it was multiples, everyone assumed she must’ve been on fertility drugs.

  4. If perchance a woman wants a child but is not ready before she’s 35 or 40 or whatever that magical age is, there’s also a wonderful thing called adoption that she can do for one of those already-born children without a family.

  5. Gillian Lockwood, director of Midland Fertility Services , said last month that women in their thirties should think about freezing their eggs.

    Never ask the barber if you need a haircut.

    Even if the technology were very reliable, it would be a long time before anyone but rather wealthy women were able to bear both the direct and indirect costs of freezing eggs.

    On the other hand, articles less this cause apoplexy among the “They should quit doin’ a may-un’s job and get back into the kitchen!” crowd, so it’s not all bad.

  6. Why all of a sudden is 27 the new 35 according to some folks? It seems like the age of “pressure” on women to start families is getting younger and younger.

    Well, I think that there is data to support the idea that younger women have an easier time getting pregnant. It’s just the way that data gets spun to make it seem like we’re denying our biological realities.

  7. Bizarre that a sensible precaution for preserving fertility (not as if cancer doesn’t strike the young, after all) is seen as anything but what it is: prudent. Saving money for later = good management of resources. Saving eggs = selfish. Weird.
    Whatever happened to ovary-freezing? I remember, nine years ago or so, reports of good ovary function after reimplantation (I believe part of the ovary was removed and frozen, and when replaced in the body functioned as a smaller, but working, ovary). Did it not work out, or is it seen as too invasive?

  8. I’ve always thought it was sort of a weird idea. I mean, if I got to 45 without doing the marriage thing and I decided it was time for kids… how’s about I adopt one? I get the appeal of having a kid that’s “partially you” or whatever, but hell… you’ve got a chance to fulfill a desire to raise a child AND help someone who would otherwise probably have been bounced around from foster home to foster home.

  9. Here’s the first successful* ovary-freezing case I can find: 2004 BBC article. I’d guess that it’s still in the medical test-case arena, and not yet ready for general public availability.

    There’s also some non-freezey ovary transplant stuff going on (successful pregnancy in 2005) from one fertile twin to an infertile twin, but that’s a bit different, even if they hope to someday have it work even between non-twins.

    *In the sense of, was able to get pregnant and have baby.

  10. Bizarre that a sensible precaution for preserving fertility (not as if cancer doesn’t strike the young, after all) is seen as anything but what it is: prudent. Saving money for later = good management of resources. Saving eggs = selfish. Weird.

    Well, I don’t think egg freezing has reached the level of sensible yet. At this point, it hasn’t been shown to do much other than alleviate anxieties of wealthy women in their late thirties. But you’re right, it is odd that this is framed as selfishness rather than prudence.

  11. Fertility may *start* declining at 27, but that doesn’t mean a given woman who’s older than that can’t get pregnant. I mean, wrinkles also start around age 27, and we don’t suddenly morph into craggy-faced crones on our 27th birthdays. A woman who starts trying to get pregnant when she’s 35 and has severe fertility issues would probably have had those same issues if she’d tried to get pregnant at 25 instead. The whole age-related infertility thing tends to cluster around the marginal cases.

    Well exactly!! My point is that there always seem to be those who will twist the data to guilt-trip women, even if they are twisting way out of proportion. “Begins to decline” becomes translated as “dangerous,” “impossible,” “advanced age,” etc.

  12. These women were all graduates and they knew it was less and less likely they would find a partner quickly and press them into having children

    was i the only one who cringed after reading this? as if women press, ie coerce, men into having kids so we can fulfill our duties, right?

    i’22 so this issue honestly isn’t even on my radar, but according to this article it is implied it should be so i won’t try to have kids when society deems me too old to do so.

  13. These women were all graduates and they knew it was less and less likely they would find a partner quickly and press them into having children

    Actually, I think I missed that entirely, and am now feeling a little foolish. You’re right, kristen, it’s absolutely cringe-worthy.

    I suspect that it goes back to the idea that marriage and children are really only considered goals for women. Men just don’t want these things and have to be coerced and pressured into them. It’s a variation on bribing men with pussy so you can have what you want.

  14. Just a few things.

    1. Fertility clinics have been freezing eggs (and embryos) for decades now. The current success rate for thawing eggs is over 60% (According to the National Infertility Association)

    2. There have been over 3 million babies born using ART since the first “test tube baby” 3 decades ago.

    3. The age of the eggs do affect the ability to conceive, there is extensive research in this area. One interesting thins is that there are fewer babies born with chromosonal abnomalities using IUI with frozen sperm that are spun before the process because the slower “defective” sperm either die off or get spun out. So it’s not the “fault” of old eggs.

    4. “Fertility clinics are largely unregulated”? Where are you getting this information? Fertility clinics in the last 15-20 years have become highly regulated because it is required be insurance companies of the lucky folks who actually get fertility benefits through their insurance companies. Now, as more and more insurance companies start to cut fertility benefits these clinics may either start to slip or become more accpuntable because folks will be more selective about what they pay for out of their pockets. This is something to watch closely.

    5. Men don’t need to worry so much about freezing their sperm unless they are being treated for cancer of some sort because sperm can be viable until a man is in his 70s and even “old” sperm can be spun to get the “strongest” ones and transfered via IUI.

    6. Decreased fertility with age is a real issue. We do a disservice to to young women by pretending that it is not. Being an academic and looking around at childhood friends who are my age and trying to conceive I see that infertility is a real problem. A problem that is exacerbated by age. There is a reason for the increase in the number of multiple births for women in their mid to late 30s 🙂 So while the article is a bit problematic is gives us the chance to think about some of the real issues.

    7. One of the things that isn’t getting discussed here is the cost. Who is doing the freezing? Yes, freezing eggs is possible, but it definitely ain’t cheap. Retrieval costs about $5000 and storage averages $1500 a year. Want to fertilize them and put them back? Your looking at an average of $8-10, 000 per try with about a 25% success rate for IVF. This isn’t a process for your average Jane.

    Just my $.02

  15. Fertility clinics have been freezing eggs (and embryos) for decades now. The current success rate for thawing eggs is over 60% (According to the National Infertility Association)

    Embryo freezing has been going on much longer than egg freezing. And by success rate, they mean the percentage of eggs that survive the unfreezing process. Not those which result in a successful pregnancy.

    There have been over 3 million babies born using ART since the first “test tube baby” 3 decades ago.

    Did I say otherwise? I was just talking about 2002.

    Fertility clinics in the last 15-20 years have become highly regulated because it is required be insurance companies of the lucky folks who actually get fertility benefits through their insurance companies

    I think we mean different things by “highly regulated”. There is almost no government control of private fertility clinics in the US.

    Decreased fertility with age is a real issue. We do a disservice to to young women by pretending that it is not. Being an academic and looking around at childhood friends who are my age and trying to conceive I see that infertility is a real problem. A problem that is exacerbated by age. There is a reason for the increase in the number of multiple births for women in their mid to late 30s 🙂 So while the article is a bit problematic is gives us the chance to think about some of the real issues.

    Except that there’s a big difference between confronting the fact of fertility declining with age and hand-waving about career women and their baby-making skills. The language of this piece tends to obscure the issue by talking about career girls waiting for Mr. Right. There’s a difference between being honest and being alarmist.

  16. Decreased fertility with age is a real issue

    i have to vent a little here with regards to personal experience. this is somewhat off-topic but, i get triggered every time i read one of these articles. now i know that stats are stats & generalities mean nothing at a specific level, blah blah blah, but.

    i heard this over & over & over again for years. the deal about how “after 35 it gets so much harder to get pregnant!!!!” ::cue scary music::

    i didn’t meet anybody that i wanted to partner with until i was nearly 35. and then add in dating for a couple of years to make sure it was a good match, and all of a sudden there’s this horrible TICKING sound in the room. we started discussing what we wanted to do with the rest of our lives, did we want kids &c.

    and the whole thing was that there was this incredible sense of urgency around it all. because, you know, my eggs weren’t getting any younger. so we decided we wanted to try to be parents together (emphasis on the word “try” because, AT MY AGE, who knew if i could get pregnant? plus i only have one ovary to make it all even scarier).

    so even though we weren’t really in a good place to have a child yet, e.g. not married (which was important to both of us), didn’t have a suitable place to live, the financial situation was unsettled, my (now) husband was, and still is, working 60-70 hours/week, we decided we had better get right on & start trying because, you know, it could take YEARS!

    well, you can probably guess where this is going. it didn’t take years. it was more like a matter of days. so there we were, bam, pregnant, immediately, just like a pair of 16yos.

    and the last year has been so unbelievably stressful, it’s crazy. between getting married, having a baby, finding a house to buy, moving, trying to sell old house, me trying to take care of a baby by myself while my husband works 60-70 hour weeks, gah!

    the paradox being of course that i adore my son to distraction and wouldn’t trade him for anything.

    but it still ticks me off. it would have been so much easier for us to have waited a couple of years before having a child. but we didn’t think we had that luxury. i realise i’m a data outlier & they would probably through my stat right out of the studies. but it really ticks me off that my husband & i felt this horrible sense of urgency due to my age, entirely as a result of all the media reports about what a horrible problem it is, the whole aging/infetility thing.

    which i guess maybe it is.

    (ps: i hope this post doesn’t seem ungrateful, especially in light of all the infertile couples who do try for years to get pregnant & aren’t able to. it’s just that my own first-hand experience is so completely polar opposite of the conventional wisdom being shoved down our throats by the media, that, it really bothers me)

    thanks for the bandwidth

  17. I got pregnant 3x between 35 and 39. Twice by accident, while using birth control. All healthy, smart, active, loving and handsome sons.

  18. dr. b, you’re presenting a false dilemma. Nobody pretends that fertility is unchanged from menarche through menopause. The problem is the hysteria (sorry) about the rate of decline, and what exactly “decline” means. “It may take you a few months longer” is a far cry from “OMFG!!!11!! if you do not get a man by the time you are 30 your eggs will DRY UP and you will DIE ALONE!!!!”

  19. Trishka, I am really happy that you were able to get pregnant within days after 35, I too am talking from personal experience and looking at the women 35 and over around me who are trying toconceive and are finding themselve unable to or finding that it is only possible with ART, thousands of dollars, and years of trying.

    Mythago, I am not posing a false dilemma. I agreed that there was a problem with the rhetorical construction of the article and thought that it was a good place to begin a much needed conversation. I am not jumping on the hysterical bandwagon about the “rate of decline” but rather talking about the very real fact that there is a marked decrease after 35. Interestingly enough there is an increase in the number of twins born (without ART) after 35 and there is some new evidence that doing IUIs with spun sperm may decrease the number of Downs Syndrome cases.

    Evil Fizz, you jumped to the defensive far too quickly. I was not disputing what you said but rather adding more detailed information. I am fully aware that embryos have been frozen longer than eggs, but the article (and you) made it sound like eggs being frozen was a new thing (which it is not).

    I am the last person to advocate throwing off a career in order to have a family, but as I watch my friends come to terms with infertility/ delayed fertility I think that it is important to give people the necessary information to make an informed decision. So before ya’ll all jump on the defensive boat and think that I have gone soft in my old age take a moment to look at what I am actually saying.

  20. I was not disputing what you said but rather adding more detailed information.

    Funny, it sounded far more like an attempt to convince me I didn’t know what I was talking about. It’s also not particularly material to my point, which is that this article is more about hand-waving than it is about practical discussions of fertility and family planning (in the literal rather than contraceptive sense).

    And yes, fertility clinics have been freezing eggs for a while, but it has not been a regular part of practices the way that embryo and sperm cryopreservation are. In fact, contrary to what this article suggests, of the major reasons it’s not routine because it’s far less effective than freezing sperm or embryos.

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