Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-25T07:08:14.286Z Has data issue: false hasContentIssue false

4A - Social Egg Freezing Should Be Available Up To the Age of 40 Years

For

from Section I - Limits for IVF

Published online by Cambridge University Press:  25 November 2021

Roy Homburg
Affiliation:
Homerton University Hospital, London
Adam H. Balen
Affiliation:
Leeds Centre for Reproductive Medicine
Robert F. Casper
Affiliation:
Mount Sinai Hospital, Toronto
Get access

Summary

Many women who are deciding on fertility preservation (FP) are doing so at an advanced reproductive age, probably because this option has become available relatively recently, or due to the lack of awareness in young women about the depletion of the ovarian reserve and its effects on fertility. Recent studies show that age is the most powerful variable related to success after FP, which directly affects the number of oocytes vitrified, oocyte survival and cumulative live birth rate, with highest outcomes achieved by women aged ≤35y. Nonetheless, women in the ‘over 40’s’ can also succeed with their vitrified oocytes, although their probability of success is extremely low. An individualised treatment in older women, together with a comprehensive explanation of their situation to avoid creating false expectations, would be more advisable in order to set an age limit at 40 and deny the opportunity to these women. Likewise, women should be encouraged to decide on FP at young ages, when the chances are significantly higher.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Stoop, D, van der Veen, F, Deneyer, M, Nekkebroeck, J, Tournaye, H. Oocyte banking for anticipated gamete exhaustion (AGE) is a preventive intervention, neither social nor nonmedical. Reprod. Biomed. 2014;28:548–51.CrossRefGoogle ScholarPubMed
Martinez, F. Update on fertility preservation from the Barcelona International Society for Fertility Preservation-ESHRE-ASRM 2015 expert meeting: indications, results and future perspectives. Hum Reprod. 2017;32:1802–11.CrossRefGoogle ScholarPubMed
Cobo, A, Meseguer, M, Remohi, J, Pellicer, A. Use of cryo-banked oocytes in an ovum donation programme: a prospective, randomized, controlled, clinical trial. Hum Reprod. 2010;25:2239–46.CrossRefGoogle Scholar
Cobo, A, Garcia-Velasco, JA, Coello, A, Domingo, J, Pellicer, A, Remohi, J. Oocyte vitrification as an efficient option for elective fertility preservation. Fertil Steril. 2016;105:755–64.e8.CrossRefGoogle ScholarPubMed
Cobo, A, Garcia-Velasco, J, Domingo, J, Pellicer, A, Remohi, J. Elective and Onco-fertility preservation: factors related to IVF outcomes. Hum Reprod. 2018;33:2222–31.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×