Everything to know about freezing your eggs or embryos

More and more women are waiting to have children, with around 20% having their first child after the age of 35. Unfortunately, maternal age is also a cause of fertility problems. Freezing eggs or embryos allows you to preserve your fertility at its present state, so you can plan for a family in the future—when you’re ready.

You may want to consider freezing your eggs or embryos if you are:

  • Undecided about future children
  • Currently focused on other life events
  • Still searching for the right partner
  • Undergoing surgery, radiation, or chemotherapy
  • Showing signs of early menopause
  • Being deployed overseas in the US military
  • Surgically transitioning from female to male


FERTILITY PRESERVATION AT A GLANCE

 

Length of cycle:

14-16 days

Total doctor's visits:

5-7  

Medications needed:

5-6 

In-office procedures for female:

1   

Blood workup:

5-6   

Medication type:

Tablet, injection

Length of time medications may be taken:

8-14 days

Ultrasounds:

5-6

Labs required:

Endocrinology (blood), cryopreservation (freezing), embryology (embryo), if needed

Ranges in this chart are estimated and may vary depending on each patient’s medical history and physician’s recommendations.

FERTILITY PRESERVATION AT A GLANCE

 

Length of cycle:

14-16 days

Total doctor's visits:

5-7   

Medications needed:

5-6 

In-office procedures for female:

1  

Blood workup:

5-6  

 Medication type:

Tablet, injection

Length of time medications may be taken:

8-14 days

Ultrasounds:

5-6

Labs required:

Endocrinology (blood), cryopreservation (freezing), embryology (embryo), if needed

Ranges in this chart are estimated and may vary depending on each patient’s medical history and physician’s recommendations.



Starting the process

Your first step is to make an appointment with a reproductive endocrinologist (REI). These specialists have special training in fertility preservation care to help maintain a person’s ability to have children.

An REI will help you understand your fertility potential, the possible risks of delayed childbearing, and the egg freezing process, including cycle risks and side effects. Creating a discussion guide before your appointment can help you organize your thoughts and remind you of the topics you want to discuss.


What women can expect in a cycle

STEP 1

Testing and assessments

A thorough assessment of your reproductive health is necessary before you begin your cycle. Your REI may conduct ultrasounds and blood work to assess your current fertility, including egg quantity and quality.

STEP 2

Ovarian stimulation

Your doctor will start you on injectable fertility medications. These medications will be used for 8 to 14 days to stimulate your ovaries to produce multiple eggs. Regular ultrasounds or blood tests will be conducted during this time to monitor the growth of your follicles (the fluid-filled sacs containing eggs) and your hormone levels.

Your doctor may also prescribe other medications during this time, such as drugs to prevent you from ovulating early.

STEP 3

Egg retrieval

When the follicles reach a certain size, you’ll receive a single injection of human chorionic gonadotropin (hCG) trigger shot, which mimics the natural luteinizing hormone (LH) surge your body experiences before ovulation missing period. This will trigger your ovaries to fully mature and prepare to release eggs.

Within around 36 hours of this injection, your doctor will retrieve your mature eggs using a long needle and ultrasound guidance. Anesthesia will be used during the procedure to minimize discomfort.

On average, 8 to 15 eggs are retrieved. Some women may have spotting or discomfort for a few days after the procedure.

STEP 4

Fertilization

If you’re undergoing embryo cryopreservation, your eggs will be fertilized in the lab using sperm from your male partner or a sperm donor.

STEP 5

Freezing and storage

Your eggs or embryos will be frozen for future use and stored in tubes in a liquid nitrogen storage tank. The length of time a clinic will store your eggs or embryos varies. You and your doctor will discuss storage time and plans should you elect not to use them.


The entire process can take less than a month to complete. Some women may need to undergo more than one ovarian stimulation cycle to retrieve an adequate number of eggs for freezing. Your doctor can help determine the exact number needed.

EXPLORE MORE ABOUT EGG FREEZING