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Freezing Eggs

Many people consider the choice of freezing their eggs so they can retrieve them at a later time and start a family. This process is, nowadays, more common than it used to be; there is more information available for people to become aware of the pros and cons, there are more facilities that can store your eggs at an affordable price, and more professionals will suggest it if you want to have your own family later in life, or are undergoing treatments that may affect your fertility. 

When Should I Consider it?

Most cis-women reach the peak of their fertility at age 30. While eggs continue to be produced and can be retrieved after that age, our egg production drops significantly around age 37, and completely stops when entering menopause–usually between 45-55 years of age. Patients who are experiencing severe health concerns that may affect their fertility– such as undergoing chemotherapy, having Polycystic Ovarian Syndrome, or endometriosis– may want to consider undergoing fertility treatments and retrieve their eggs for freezing. Egg freezing is also common among individuals who are undergoing hormone replacement therapy. 

What is the Process?

It is quite a straightforward process to freeze your eggs, so don’t be alarmed by the terminologies used or the clinical equipment needed. In fact, it is very similar to the process of in-vitro fertilization, with the difference being that the eggs are not fertilized immediately, but frozen. Most cycles are complete in about 2-3 weeks. 

  1. The first step would be to meet with a fertility specialist to discuss your desire to freeze your eggs. Then, you will schedule an exam for complete medical history, bloodwork, and hormone testing. Your doctor may also recommend a transvaginal ultrasound to assess your ovarian reserve. 
  2. You will need to monitor your menstrual cycle and determine the exact dates when you are ovulating. To get more accurate results, your doctor may recommend birth control. After that, you will start stimulating your egg production.
  3. Most commonly, you will start by injecting 2-3 hormone medications a day for about ten days. This will encourage a group of eggs to develop at the same time. 
  4. To track the ovulation and development of the eggs, you will have frequent blood work done and 4-6 pelvic ultrasounds. 
  5. Once your eggs have matured, they will be retrieved. This involves an ultrasound-guided surgical procedure that takes 20-30 minutes under anesthesia. 

And you will have reached the final step! Once an embryologist confirms the eggs are mature, which means they will have the potential to be fertilized, your eggs will head to their deep freeze home: liquid nitrogen tanks in an embryology lab. 

https://www.hopkinsmedicine.org/health/wellness-and-prevention/freezing-eggs-preserving-fertility-for-the-future 

https://www.healthline.com/health/egg-freezing-process#timeline

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Surrogate Mothers

You have probably heard of couples using surrogate mothers to conceive, or carry a pregnancy to term. The term is often associated with a couple’s fertility challenges, and difficult as those may be, it doesn’t stop being a wonderful way for a couple to have a baby– the parents who initiate the process are called the “intended parents,” and the individual carrying the fetus is the “surrogate mother.” Some of the reasons parents-to-be consider surrogacy may be: 

  • Trouble conceiving through IVF, which may be related to infertility of unknown origin
  • Medical issues that affect the uterus, or even a previous hysterectomy 
  • Conditions that make the pregnancy too high-risk, such as health concerns or advanced maternal age 
  • Queer couples 

If you didn’t know it, there are two types of surrogacy: traditional one and gestational surrogacy. 

Traditional Surrogacy: this is the least commonly used method of surrogacy as it comes with more legal and emotional complexities. In traditional surrogacy, the surrogate is both the egg donor and the surrogate mother. She uses her own eggs, and therefore has a genetic relationship to the baby. During this method, the surrogate is impregnated using intrauterine insemination. The doctor uses sperm provided by the intended father, transfers it into the uterus of the surrogate, and natural fertilization of the egg takes place from then on. As medical science advances, this type of surrogacy becomes increasingly less common. 

Gestational Surrogacy: this is the most commonly used type of surrogacy, and there is no genetic relationship between the surrogate mother and the fetus. Instead, an embryo is inserted into the surrogate’s uterus and she carries the pregnancy to term for the intended parents. To get to that point, the intended parents provide sperm and eggs–or use either/or from a donor–fertilize them and then have them inserted into the surrogate mother’s uterus using in vitro fertilization. In this type of surrogacy, the surrogate may be also called gestational carrier. 

Why this choice?

As mentioned above, there are several health reasons why intended parents may choose to find a surrogate mother. However, the decision does not have to rely on those health reasons, and it is always deeply personal and a private decision. The most common reason people choose surrogacy over adoption is that they want to have a biological connection to their child; even though familial bonds are not necessary to build a strong, happy, and healthy family, many parents do want a biological connection to their offspring. 

Surrogacy offers a safe and transparent pregnancy as the intended parents are there every step of the way. The most common concern with adoption is that the future parents do not know the medical history of the birth mother, or the father. This can raise serious concerns about their future baby’s medical history, and many parents feel uneasy not knowing whether their adoptive infant may have potentially been exposed to malnourishment or toxins in-utero. 

If you are considering a surrogate option for your family, consult with your family doctor first, and keep in mind you may also need to review your state’s laws around surrogacy agreements. 

 

https://www.surrogateparenting.com/blog/what-is-a-surrogate-mother/ 

https://www.fertilitypreservation.org/blog/when-to-consider-surrogacy-and-how-to-choose-the-right-one 



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