Fertility Care Fertility Preservation and Egg Freezing

Fertility Preservation

Whether you’re considering delaying having children or are facing circumstances that may impair your fertility in the future, fertility preservation offers flexibility and hope for your future family-building journey.

Fertility preservation is an umbrella term incorporating a number of proactive measures used to protect your reproductive potential for the future. It is relevant to both women and men, and involves freezing eggs, sperm, ovarian tissue, or embryos that can be later used to achieve pregnancy.

Who should consider fertility preservation?

Choosing to pursue fertility preservation is a personal decision, influenced by a variety of factors including health, age, and life circumstances. Though having a baby now may be far from your mind, being proactive about your future family plans sooner rather than later can help keep your options open. 

A consultation with Dr Huang will provide you with personalised advice, detailed information on each fertility preservation procedure suitable for you, and support throughout the decision-making process. 

You may consider fertility preservation if you:

  • Want to delay childbearing for any reason
  • Are interested in expanding your future fertility options, such as improving your chances for subsequent children
  • Are undergoing a medical treatment that could affect your fertility, such as chemotherapy
  • Have a diagnosis that may impact your future fertility, including autoimmune diseases or genetic conditions

Egg freezing in Melbourne – what’s involved?

Egg freezing process overview

01

Initial consultation

The process begins with an initial consultation with Dr Huang to assess your overall health and fertility status. This appointment will also give you an opportunity to discuss your reasons for considering egg freezing and fertility preservation, and to establish realistic expectations of a future pregnancy using your frozen eggs.

02

Pre-treatment support with Genea

The egg freezing procedure is facilitated through Genea Melbourne City. You will be supported by Genea’s experienced administrative, nursing, and counselling teams, who will provide medication instructions, fee information, and what to expect during your egg freezing treatment. 

03

Ovarian stimulation

Daily injections of fertility hormones self-administered at home over 10-14 days will increase the number of mature eggs you develop during a single menstrual cycle. These hormone medications typically consist of follicle-stimulating hormone (FSH) and sometimes also luteinising hormone (LH). During this treatment phase, it is common to experience effects such as bloating, breast tenderness, or mood swings.

04

Egg retrieval

Egg retrieval is a minor surgical procedure performed in hospital under sedation to collect your eggs. A long, fine needle is inserted into your ovaries, guided by ultrasound, to suction the eggs directly from your ovarian follicles. The procedure typically takes about 15-20 minutes.   

05

Egg freezing

 Immediately after retrieval, your eggs are assessed for maturity in Genea’s cutting-edge laboratory. Mature eggs are prepared for freezing through a process called vitrification, which rapidly cools the eggs to a glass-like state while avoiding the formation of damaging ice crystals. The frozen eggs are stored in liquid nitrogen tanks under constant monitoring until you are ready to use them.

When you are ready to use your frozen eggs, these eggs are thawed and fertilised with sperm with IVF. The resulting embryos are assessed before one is chosen for transfer to your uterus  in the hope of achieving pregnancy.

What are the advantages of egg freezing?

Freezing your eggs effectively stops the biological clock at the age at which your eggs were frozen. With advancing age, your egg supply (ovarian reserve) and quality of the remaining eggs are slowly declining. Freezing your eggs at a younger age preserves a supply of “younger” and higher quality eggs for you to draw from when you feel more prepared for motherhood. 

Because of this, proactive fertility preservation with egg freezing gives you flexibility and control to enter parenthood when the timing is right for you, without compromising the quality of your eggs. It can also offer peace of mind for those affected by fertility-impairing conditions and their treatments.

Pregnancy success rates with frozen eggs

Your chances of having a baby from frozen eggs depend on several factors, including the age at which the eggs were frozen, how many eggs were collected, and what happens at each later stage such as thaw survival, fertilisation, embryo development, and transfer. In general, egg freezing is more effective at younger ages, because both egg number and egg quality are usually better.

The Australian Government-funded YouEggFreezeEstimator website provides estimates of the expected chance of a live birth from eggs frozen in one average egg freezing cycle. Based on those estimates:

  • At 35 years of age, the estimated chance of a live birth from 10 frozen eggs is around 56%
  • Between 36 and 39 years of age, the estimated chance of a live birth from 10 frozen eggs ranges from around 52% down to 34%
  • At 40 years and older, the estimated chance of a live birth from 10 frozen eggs is generally lower, at up to 27%

It is important to understand that these figures are not a prediction of your personal chance of having a baby from your own frozen eggs. Rather, they are calculator-based estimates derived from previously published outcomes in women who froze eggs in the available literature. They are best used to help set expectations and support decision-making, rather than to guarantee what your own outcome will be.

Other fertility preservation options

Though Dr Huang has special expertise in egg freezing, other fertility preservation options are available.

Embryo freezing

An IVF/ICSI cycle may result in more than one viable embryo, though typically only one is selected for transfer to develop through pregnancy. You may choose to freeze and store any extra embryos that were not used for that pregnancy. These can later be used for future pregnancy attempts.

Ovarian tissue freezing

Ovarian tissue freezing is a lesser known fertility preservation option that may be considered for girls and women who are not suitable for egg freezing. This technique involves removing a section of your ovary, which is then frozen and stored. In the future, this ovarian tissue can be grafted back into your ovaries and return to its normal functions of producing hormones and maturing eggs. 

Ovarian tissue freezing may be appropriate for pre-pubescent girls who have not yet started ovulating, but whose future fertility is at risk from certain medical treatments, genetic conditions, or gender affirming therapies.

Sperm freezing

Sperm freezing is ideal for men who wish to preserve their fertility prior to undergoing medical treatments that may compromise fertility. It can also be an option for those regularly exposed to environments that may impact sperm production or sperm quality, whether through trauma and injury or exposure to hazards such as chemicals, heat, or radiation.

What can fertility testing identify?

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Frequently Asked Questions

There is no single “perfect” age to freeze eggs, because the decision involves a balance between egg quality and the likelihood you may actually need to use them in the future. In general, younger women tend to respond better to ovarian stimulation, produce more eggs, and freeze eggs of better quality. That means freezing in your 20s to early 30s may offer stronger biological outcomes. However, freezing very early is not always the most practical choice, because you may still go on to conceive naturally later and never need to use the eggs.

Paradoxically, the older you are at the time of egg freezing, the more likely it may be that you will need to rely on those eggs in the future, because age-related infertility becomes more likely. At the same time, egg quality and egg number are lower, which can reduce the usefulness of egg freezing. For many women, the most practical balance between likely need and egg quality is often somewhere between the mid-20s and early to mid-30s, but the right timing depends on your circumstances, ovarian reserve, and future family plans.

Dr Huang offers fertility preservation and egg freezing through Genea Melbourne City. Current Victorian treatment costs are listed on the Genea website, and these can change over time. If you have a medical indication for fertility preservation, such as treatment before chemotherapy, you may also be eligible for Medicare rebates in some circumstances.

In Victoria, cryopreserved eggs and sperm may generally be stored for up to 10 years, with the option to apply for an extension in certain circumstances. Storage limits and extension processes are governed by Victorian law and may change over time, so current requirements should be confirmed when treatment is being planned. This is also discussed as part of the mandatory pre-treatment counselling that Genea Melbourne City provides at no additional cost before egg freezing treatment.

No. Egg freezing does not guarantee a future baby. It is better thought of as a way of preserving additional options for the future. Success depends on several later steps, including how many eggs are frozen, how well they survive thawing, whether they fertilise, how the embryos develop, and whether transfer leads to pregnancy.

There is no single number that is right for everyone. The number of eggs needed depends heavily on the age at which they are frozen, because egg quality declines over time. In general, older women usually need more eggs to achieve the same estimated chance of a future baby. This is one reason a fertility assessment can be helpful before deciding whether egg freezing is likely to be worthwhile.

There is no strict age cut-off that applies to everyone, but egg freezing becomes progressively less effective with increasing age because both egg number and egg quality decline. As women get older, they may be more likely to need to rely on frozen eggs in the future, but less likely to obtain enough good-quality eggs in a single cycle for egg freezing to be as useful. Some women may therefore consider more than one egg freezing cycle to accumulate eggs. For example, the Australian Government-funded YourEggFreeze Estimator website indicates that at age 40, around 25 frozen eggs may be needed for an estimated 50% chance of a live birth. In general, the most practical balance between likely future need and egg quality is often somewhere between the mid-20s and early to mid-30s, although the right timing depends on your individual circumstances.

Start your fertility journey with Dr Huang now

Supported by the advanced technology and research of Genea, Dr Alice Huang offers comprehensive fertility care for individuals and couples at different stages of their family-building journey. Her rooms are conveniently located at Epworth Freemasons Hospital in East Melbourne.

To arrange an appointment and discuss your fertility or family-building options, please contact Dr Huang’s rooms.

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