Of all the questions we wish we had the answer to, “Doctor, will these eggs make a baby one day?” is at the very top of that list. But despite our white coats, our medical degrees, and our fancy instruments, we don’t know it all. We actually aren’t even close to knowing it all, especially when it comes to egg quality. Currently, we have really no way of looking at an egg, even under a microscope on high-power magnification, and knowing its potential.
Will it make an embryo that will be ready for transfer (ET), or will it barely survive the subsequent thaw? Will it result in a baby, or will it barely make it past the fertilization stage? Unfortunately, we still have no good way of predicting this. Therefore, while we can give you percentages based on your age, your fertility history, your family history, and your ovarian reserve, we can’t give you definites.
If you choose to egg freeze, you should be aware of this. You should be comfortable with the notion of possibilities, potentials, and perhaps—because in reality, this is all that any fertility MD can really give you.
Before a woman chooses to egg freeze, she will most likely meet with a fertility specialist to talk about the procedure, both in generalities and in particulars. What the overall process is like, what to expect on a day-to-day basis, and what the recovery period is like: these are the “generals.” As a result, you will get a lot of general answers.
Following this, your doctor will probably personalize the generals and add the specifics based on you, your medical/GYN history, your family history, and your ovarian reserve. Based on all of these factors, we can give you a projected response to the medications (a.k.a. how many eggs will you get). And this is the important stuff, the info you really need to know. Speaking in broad terms is nice, but it isn’t super helpful. You want to know how you will feel, how you will react to the medicine, and how this will determine your chances of having a baby in the future. Make sure you get this. Even if it’s speculative, it’s better than simplifications.
So if we can’t answer your burning fertility questions, what does egg freezing teach you? Is it even worth doing? (You could do a lot of good online shopping with that money!) So here’s what it for sure teaches you:
- You have eggs.
- How you will respond to fertility medications.
- Your ovarian reserve (we measure hormones like FSH and AMH to get an idea on how to dose the hormones).
- You are a tough cookie to take shots every day for several days—and you are a proactive, no-nonsense woman in the know for even asking these questions about your fertility future.
But with all the good it does, what it won’t tell you is if those eggs that you made will make a baby or the answer to your huge question: am I fertile? Fertility is one’s ability to conceive. And unless you are out there trying, we can’t really tell if you are fertile or infertile. Even women who respond poorly to fertility medications, make only a few eggs, and have abnormal ovarian reserve testing (low AMH or high FSH) can be fertile. We’ve seen it many times!
Don’t let the number of eggs you make in an egg-freezing cycle make or break your baby-making future. It could mean very little.
So while your eggs are a potential insurance policy, they are not your guarantee. Don’t look at eggs like babies because they are not; they are only just the beginning. We promise we aren’t Nelly Negatives or Debbie Downers. There are no bigger fans of egg freezing and reproductive choice then us at Truly, MD. We believe women should have options when it comes to their bodies, particularly their gametes (a fancy word for eggs).
But we are also big fans of honesty, transparency, and truth. You should know the truth about what egg freezing can tell you and what it can’t. It can’t give you complete clarity about your reproductive future, but it can give you choice. It can’t give you answers, but it can give you options. It can’t give you a slam dunk, but it can give you a shot. And even one shot can be the winning point.