Social freezing (oocyte freezing for later use)
Social egg freezing
Fertility preservation via egg freezing was originally proposed to women for oncology or medical reasons but nowadays there is a big shift and social egg freezing is available to every woman concerned about her fertility.
While female biologic clock is generally accepted as a fact that cannot be changed, egg freezing is a relatively new IVF approach that helps to take some of the pressure off by giving women an option to freeze their eggs while they have good ovarian reserve and eggs are of good quality and possibly use them later in higher reproductive age. Women feel more relaxed by having a chance to postpone motherhood until the time is right.
Factors why women decide to preserve their fertility via egg freezing are different but mostly can be explained through: wish to peruse career and education goals, not yet meeting Mr Right or simply wanting to experience different things like travelling, financial independence or freedom of being in a relationship before starting to plan family and motherhood.
1. What is the age group of women freezing their eggs?
Research shows that most of the women undergoing this method of fertility preservation are in their late 30s. To get the most quality eggs and have the highest chances to obtain pregnancy later, reproductive specialists advise women to plan egg freezing earlier, while they are in their early 30s, when significantly better results can be expected. With more awareness and education of young women through media and local health care professionals, we expect in future to have younger women in their 30-ies undergoing this procedure.
2. How do I know if I qualify for egg freezing?
Genetics, current health condition, lifestyle, stress, nutrition are some of the factors that can influence female fertility. To assess your fertility level, there is a list of examinations that can be done with your local doctor or here at our clinic. Normally it includes:
- Hormonal profile: FSH, LH, estradiol, prolactin, testosterone, TSH, fT3, fT4 on 2-5 day of menstrual cycle
- AMH (Anti Mullerian hormone), indication of ovaries reserve
- Number of antral follicle count, via ultrasound control of ovaries
Based on these results, we can give your feedback about your fertility and further options.
3. How does procedure look like, what can be expected?
Based on evaluation described above + collecting general information about woman´s health condition and BMI, our doctors will prescribe an individual hormonal stimulation protocol. By applying hormonal injections we will stimulate growth of more follicles containing eggs to get more eggs for freezing in one stimulated cycle. Stimulation normally lasts 8-10 days and during this time a patient doesn´t need to be in Prague. She can administer the injections herself based on our protocol and instructions. By monitoring the reaction via ultrasound control (at home with local doctor or here at PFC) we will plan timing of egg collection.
Egg collection is done in total anaesthesia, therefore it is necessary to do in advance general assessment with local GP (EKG, blood test, liver tests, urine control, heart and lungs control with the conclusion that woman is healthy and that there are no serious chronic diseases or the familiar tendency to thrombosis). After egg collection, quality of eggs is assessed and they are frozen via vitrification method.
4. What happens when I decide to use the frozen eggs?
We thaw the eggs and fertilize them with your partner´s sperm via ICSI or PICSI method (intracytoplasmic sperm injection). This is how embryos are created. Embryos continue to grow another 2-5 days in laboratory culture and then they are transferred to your uterus using thin catheter, under an ultrasound control. Pregnancy success rate with one embryo transfer of two good quality embryos is statistically around 45-50%.
5. How many eggs should I freeze?
Optimally to plan one embryo transfer of two good quality embryos selected among more embryos, we recommend freezing around 10 eggs.
6. How long can my eggs stay frozen?
Eggs can be kept frozen (cryopreserved) for unlimited time.
7. What is the cost of the procedure?
The total cost of the procedure is 3.000 EUR which includes:
Prices do not include the cost of medication for hormonal stimulation and storage fees.
After one year, storage fees per year/per box cost 200 EUR.
Total cost of medication for hormonal stimulation depends on the doses and prescribed protocols, varying from: 800 – 1 000 EUR.
8. How long should I stay in Prague?
Normally a week-long stay in Prague is enough. It would normally include 1-2 ultrasound controls prior to egg collection, egg collection, rest in Prague and return home. We cooperate with hotels nearby and help you organize your stay.