Thursday 30 October 2014

Egg Freezing for a Future Pregnancy: What to Know

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WebMD Health News

Oct. 29, 2014 -- Soon after Apple and Facebook announced plans to offer workers egg freezing as a health plan benefit, debates began about whether this newest corporate-America perk is good or bad for women, the workplace, and motherhood.

No matter what side you take in that debate, you may have questions about the technique itself.

WebMD asked three experts to address the questions they most often get about egg freezing.

What is egg freezing, and how long has it been available?

Women can have their own eggs frozen and stored, or can have donor eggs frozen and stored if there's a medical issue that prevents them from using their own.

The focus is often on using the technique for working women who aren't ready for motherhood. But the organization for fertility doctors, the American Society for Reproductive Medicine, hasn't yet endorsed the procedure solely for this purpose. The group says there isn’t enough data on the “safety, efficacy, cost-effectiveness, and emotional risks” of elective egg freezing for it to be recommended.

Also, some women may choose to have their eggs frozen because of medical issues, such as cancer treatment, that may affect their fertility.

About 5 million babies have been born worldwide after regular in vitro fertilization, or IVF, Richard J. Paulson, MD, estimates. He's chief of reproductive endocrinology and infertility at the Keck School of Medicine, University of Southern California. IVF combines eggs and sperm outside the body in a lab, allowing the sperm to fertilize the eggs. Once an embryo or embryos form, they're then placed in the woman's uterus.

Exact statistics on the number of babies born from frozen eggs are hard to get, says Zsolt Peter Nagy, PhD, an Atlanta embryologist and laboratory director. But he thinks it's about 5,000 births worldwide.

The process of freezing eggs was first described in people in 1986, Nagy says. The first reported birth from a frozen egg was that year.

A newer technique known as vitrification uses ultra-rapid cooling that is not true freezing, but causes less damage to the egg than actual freezing, Nagy says.

What else does egg freezing involve?

First you receive fertility drugs to spur your ovaries to help more than one egg mature at a time, says Daniel Shapiro, MD, an Atlanta reproductive endocrinologist. This is called ovarian stimulation. It can help your body make 20 or 25 mature eggs (which are ready to be to be fertilized) per month, Shapiro says. That's instead of the usual one mature egg women release, or ovulate, into the uterus each month. 

The procedure involves a variety of medications, including shots. Your doctor may give you other medicines  to help your eggs mature and to prevent them from being released too early.



source : Egg Freezing for a Future Pregnancy: What to Know

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