At JIVA Fertility, we understand that life’s journey doesn’t always align with our plans. Fertility preservation is an established process which allows you to freeze your gametes (eggs or sperm) or embryos for future use, giving you the choice of starting a family when the time feels right for you.
There are only finite number of eggs in the ovaries - the number and quality of eggs and fertility declines with advancing female age. So, if you are focussing on your career, awaiting the right life partner, or facing medical treatments that might impact your fertility, egg freezing (oocyte cryopreservation) offers a way to preserve your mature eggs at their current quality and hence reproductive options for the future. This process allows you the flexibility to pursue pregnancy later, using your own eggs when the time feels right.
- Personal Reasons: If you’re not ready to start a family due to personal or professional reasons
- Medical Reasons: Prior to treatment for cancer or severe endometriosis affecting your ovaries
- Gender transition: Before commencing gender affirming hormone treatment for gender transition.
- Family history: If you have a close family member with early menopause (premature ovarian insufficiency).
- Age Considerations: Freezing your eggs when you are young (25-35 years) ensures that you have healthy eggs stored for future.
The number and quality of your eggs and Fertility declines with age. Freezing younger, healthier eggs increases the chances of success in the future. The ideal time to freeze your eggs is between the ages of 23 to 35 years, when in most women the egg quality is its best and there is a good possibility of obtaining good number of mature eggs with milder stimulation of ovaries.
1. Assessment:
At your initial assessment with one of our consultants, we review your personal and family medical history, discuss your future reproductive goals, and we will be able to advise you if egg freezing request can be supported.
2. Personalised plan:
We create a personalised stimulation plan designed to optimise the number and quality of eggs retrieved. You will then start an IVF process which could take 2-3 weeks.
3. Suppressing your Natural Menstrual Cycle Hormones:
As a first step, you will be given medication either an injection which you can administer yourself daily or a tablet to suppress your natural menstrual cycle. In most, the tablet or the injection is commenced during the treatment cycle and will be continued until you are ready for egg retrieval procedure. For some, the injection may have to be started from the previous cycle.
4. Stimulating your ovaries using medications:
Gonadotrophins are used for stimulating the ovaries to help the growth of many egg containing sacs (follicles) together. You will take gonadotropins as a daily injection for around 9-14 days. There are various types of gonadotropin preparations available commercially and our consultants will guide you to choose the appropriate ones based on your circumstances.
5. Follicular tracking:
Our team will closely monitor your progress throughout the ovarian stimulation by doing trans-vaginal ultrasound scans and, sometimes with blood tests measuring hormone levels.
6. Trigger injection:
Between 34 and 36 hours before your eggs harvesting, you will be given a hormone injection to help your eggs mature and for them to be ready to be released. This depends on the treatment protocol and can be either a GnRH analogue (Buserelin) and/or human chorionic gonadotrophin (hCG).
7. Transvaginal Oocyte Recovery (eggs harvesting):
You will be given conscious sedation medications and pain killers through your vein. A hollow needle attached to the ultrasound scan probe is used to collect the eggs vaginally from the follicles on each ovary. Very occasionally, this may have to be performed trans-abdominally (through your abdomen). You will be discharged home the same day, and you may experience some period-like cramps, feel a little sore and bruised and/or experience a small amount of bleeding for a few days.
8. Eggs Freezing:
The collected eggs will then be prepared by Embryologists in the laboratory, and mature eggs will be frozen by a process called vitrification before being safely stored, ready for you to use in the future.
9. Update telephone call:
We will make a telephone call to you to update you of the number of eggs stored
When you are ready to conceive using your frozen eggs, they will be thawed and fertilized in the laboratory using either your partner/husband’s sperm or donor sperm depending on your circumstances. You will be given medications to prepare the lining of the womb. A good quality embryo from the resulting embryos will be selected and transferred to your womb (uterus).
Your eggs can be initially stored for 10 years (and up to a maximum of 55 years if the consent to store eggs is renewed every 10 years).
Your clinic will contact you at the 10th year mark for you to extend your consent on the relevant Consent forms. Hence, it is important to update us and the clinic where the eggs are stored of any changes to your contact details as you will need to be contacted.
If appropriate consents are not in place or if you do not pay for on-going storage, your clinic will be within its rights to remove the eggs from storage and dispose them of.
Although the eggs can be stored for a maximum of 55 years, fertility clinics may not support fertility treatment using frozen eggs after the age of 50 for women.
Egg freezing is not a guarantee, but it gives you options for the future.
- If you freeze 10–15 eggs before age 35, you have a good chance of a future pregnancy using assisted reproductive technologies.
- Not all eggs will survive thawing, fertilization, or implantation—so the more eggs you freeze, the better your chances.
We’ll talk through your individual chances of success at your consultation so you can make the best decision for you.
No, the process does not take away eggs that you would have used in the future, it only stimulates the eggs you would have naturally going to lose that month.
Absolutely, egg freezing does not change your natural fertility. Depending on your circumstances, we generally encourage you to try to conceive naturally before considering using frozen eggs. We will be happy to see you for a consultation when you feel ready to start the family to advise you appropriately.
Some women experience mild bloating, cramps, or mood changes from the hormone injections, but these usually go away after the cycle is completed.
Severe ovarian hyperstimulation syndrome and pelvic infection and excessive bleeding from egg collection procedures are uncommon risks.
Not all the eggs survive the process of freezing and thawing, not all of them will be suitable for fertilization and not all of them develop into embryos which can be used for fertility treatment.
There are different options:
- You may wish to donate your eggs to someone else to build a family
- You can donate them to training or research
- You may to dispose them off by advising them to be removed from storage and allow them to perish in warmer temperature
- Expert Team: Our experienced specialists are dedicated to providing personalised care throughout your fertility journey.
- Evidence based practice: We utilise latest evidence to ensure the best for egg freezing.
- Supportive Environment: We prioritise your comfort and well-being, offering guidance and support at every step
Preserving your fertility for the future is a personal decision, and at JIVA Fertility, we are here to support you with compassion and expertise in your decision making.