Saving Your Nest Eggs For A Rainy Day

Chances are good you've heard of oocyte cryopreservation – in plain language, egg freezing – as a way for women with cancer to preserve their fertility just prior to undergoing chemotherapy or radiation treatments. But did you know that women without cancer can also choose to freeze their egg cells?

It's becoming more common for women – who are now far more savvy about fertility than past generations – to make use of their highly-informed foresight in family planning and opt for freezing their eggs, well in advance of when they plan to conceive.

Image:FreeDigitalPhotos.net

The technology used to freeze and thaw oocytes has rapidly advanced to be more reliable and effective, resulting in greater success rates. So more fertility centers are offering this option to women whose goals are simply to “freeze in place” their fertility. For example, women in their 20's who are super-busy with academic and career goal tasks might envision motherhood for their 30's. These same well-informed women also know that their chances at natural conception decrease with age. So far, it appears that freezing an egg cell now – in its healthiest condition – can result in thaw, conception, and pregnancy success several years down the road.

Many specialists -- including my own lab staff at Houston Fertility Center -- see the greater possibilities for use of egg freezing in this way, to preserve the family-building options for fertile women. I can't tell you how many times I've heard in my office, “Dr. Kristiansen, I cannot believe I spent all those years using contraceptives and trying NOT to get pregnant – and now when I want to, I can't!” For some of these patients, if egg freezing had been available, they could've continued with their contraceptive efforts until the time was right – as late as their 30's or 40's – and their eggs, frozen while still young, would be ready and waiting to be used to create embryos.

Perhaps egg freezing will eventually become just part of the normal course of reproductive health care management that young women learn about and use for wise family-planning.


~Dr. Sonja Kristiansen MD

Dragon Babies In the Making!

Surely, you've seen this recently? The Chinese New Year has arrived, and this year, deemed The Year of The Dragon by Chinese astrologers, is supposed to be especially auspicious for having babies.

The Wall Street Journal says that "dragon babies" -- those born from now until February 9, 2013 -- are supposed to be strong, smart, and lucky. Quite a combination! What parent wouldn't want those things for their child? Even if you think astrology is nothing more than silly fun...

But here's the modern twist on an ancient tale: Couples are actually taking advantage of assisted reproductive technology to boost their chances of getting pregnant with a Dragon Baby. In the article, one egg donation agency reports they've increased the number of donors with Chinese ancestry to prepare for an expected rise in intended parents.

What we're talking about here is a new kind of family planning, people taking full advantage of the availability and increasing reliability of fertility treatment success, even if there are no fertility problems. "But Dr. Kristiansen," you're wondering, "isn't IVF for fertile people going to extremes?" IVF is the most direct means of assisted conception for many people, but artificial insemination can work as well for some.

So if you want to have a Dragon Baby, you need to institute a plan and aim for conceiving by mid-May of this year. My staff at Houston Fertility Center will be happy to assist -- even if you think astrology is just for fun.

~ Dr. Sonja Kristiansen M.D.

Image: Naypong / FreeDigitalPhotos.net

The Other Side of the Age & Fertility Message

Just on the heels of a study declaring that 30-year-old women have lost most of their 'good' eggs, comes a report out of the UK that women in their 30's and 40's are winding up "accidentally" pregnant because they thought their chances at pregnancy were up.

The claims being made by the British Family Planning Association (FPA) are that messages about women's age and fertility are "overplayed" and leading to something like reverse anxiety. The organization, with a mission of enabling informed sexual health choices, is heading up a new public information campaign to remind women that unless they're willing to get pregnant without trying, contraceptives should be used until after menopause.

One of the messages in the FPA campaign: "Fertility. You'd be surprised how long it takes to disappear."

Menopause is defined as not having a period for at least a year. Perimenopause is what we call the years leading up to that final menstrual period. Perimenopause can last from a couple of years to more than five, and some women are fertile throughout that time.

I'm in agreement that women should remain vigilant about their chances for pregnancy until they are clearly no longer fertile. However, to imply that the messages being sent (about women's age and the natural decrease in fertility) are anything other than appropriate is itself an overstatement.

Coping With a Ticking Clock When You're Single

As I was exploring the Internet for fertility-related news the other day, I came up with this link to a psychologist's thoughts on single women and their biological clocks.

In "Tick-tock goes your biological clock" on Examiner.com, Dr. Paulette Kouffman Sherman makes some insightful comments on how single women might approach their natural drive to have a baby. I was frankly surprised to see that she included egg freezing as one of the alternatives to quickly tracking down a mate. Apparently, word is really getting out beyond the infertility world that we have turned a bend in family planning.

If you're single and wondering about whether fertility treatments might be your answer to quiet a clanging clock, please feel free to inquire. Don't lose precious time simply by failing to educate yourself.