What No One Tells You About Freezing Your Eggs
As your Facebook news feed fills with baby announcements and pictures, it's easy to assume that getting pregnant naturally is simple. But achieving pregnancy with ART (Assisted Reproductive Technology) is more common than we think. According to a 2015 report by the U.S. Society of Assisted Reproductive Technology, 1 million babies born in the U.S. between 1987 and 2015 were born through the use of IVF, an egg donor, or a sperm donor. A common misconception is that only women over a certain age use IVF, but women of all ages struggle with fertility challenges. Conditions such as PCOS, endometriosis, or fibroids can cause some women to be unable to get pregnant naturally or be unable to carry to term.
Egg freezing, while relatively new, has opened up avenues for women to explore prolonging their fertility, however, there is still limited knowledge about the process. A recent study conducted with a cross section of reproductive age women reported that "overall, 87.2% reported awareness of egg freezing, yet only 29.8% knew what it really entails." In addition, for many women, egg freezing can be a cost-prohibitive process, making it inaccessible to certain demographics. A recent report found that only 4% of respondents who froze their eggs were African American, 4% Hispanic and 1% Middle Eastern.
Our Biological Clock
A girl is born with all the eggs she will ever have, approximately two million of them. By the time she begins menstruating, she will have about 400,000 remaining, and from then, about 1,000 die each month. On average, she will have approximately 12% of her reserve at age 30 and only 3% at age 40. This decline continues until she reaches menopause at an average age of 51. Technically, a woman can naturally conceive until she reaches menopause, but it becomes harder with time.
From ages 30–34, a healthy woman trying to get pregnant naturally has about an 86% chance of conceiving in a year and those odds decrease slightly to 78% from ages 35–39. By the time she is well into her 40s, 90% of her eggs will be chromosomally abnormal, making it harder to conceive and increasing her risk of a miscarriage, a Down syndrome pregnancy, or an abnormal pregnancy.
What egg freezing attempts to do is freeze time — that is, keep a woman's eggs at a certain point in time, when they were of higher quality. For example, if a 45-year-old woman were trying to conceive, typically, she is better benefited using the higher quality eggs she froze while at age 35.
My Journey
From a young age, having children has been one of my greatest life goals. While many girls dream of their wedding day, I'd fast forward to becoming a mother. I've even had the names of my future kids picked out since I was in high school. However, my dreams of motherhood juxtaposed traditional yet progressive ideals and that meant my dream would have to wait until I was in a great place in my career, had secured financial independence, and had a suitable partner to raise children with; a scenario familiar to many ambitious, family-oriented women.
At 28, it seemed I had it all. I had just graduated from a top MBA program, started my post-MBA career at a top management consulting firm, and was newly engaged to who I thought was the love of my life. Life was perfect, until it wasn't. Everything came crashing down when my relationship ended. Before that happened, the plan was to have my first kid at 30 shortly after we were married, the second at 32, and the third at 34. Instead, I was so devastated that I swore off relationships for the next three years to protect myself from another heartbreak. I spent the time focused on my career and traveling.
When I came out of my three-year dating hiatus, I had a moment of panic.
The societal pressures of getting married had started to get to me, and I could no longer ward off the not so gentle nudges from my family that I was getting older. Though I was thriving in other aspects, I felt like I was failing in life because I was nowhere close to being married and having children. During this time, I began to put a lot of pressure on myself to make it work with whomever I was seeing because "time was ticking". It became a roller coaster of finally liking someone, emotionally investing in them, then realizing we were not a great match and having to go back to the drawing board. I no longer enjoyed dating — it felt more like a draining task with a rabid sense of urgency. I'd wonder if every guy sitting across the table from me on a date could potentially become my husband/the father of my children.
But as strongly as I want to be a mother, I am also a hopeful romantic who believes in love and finding "the one" and I was not going to compromise on that.
I knew I had to reset and get back to my normal self. I wanted to date (and have fun doing so), take the time to properly get to know someone, let the relationship blossom, then proceed without the pressure of stressing about the future. Yet, knowing that my fertility doesn't depend on the pace I want to take things in my relationships, when my OB-GYN reminded me during my last annual that I needed to stop procrastinating on freezing my eggs. I recall her scolding me in her own endearing way, "If you're not going to get knocked up, you need to freeze your eggs," and I knew she was right so in July, I started the process.
What You Should Know About Egg Freezing
More than likely, you've heard of one freezing their eggs freezing being mentioned casually, but many do not know what it really entails. Having just completed my retrieval stage, here are some things I learned about the process:
Freezing your eggs does not guarantee a baby.
While the success rate has been improving, outcomes will vary depending on age, genetics, reproductive history, and other lifestyle factors.
Your initial tests help your doctor assess if you may be a good candidate for egg freezing. After the initial consultation, you will go through robust testing of your fertility factors, reproductive health, STI status and genetics (if selected). You will learn numbers such as your AMH, FSH, and thyroid levels, etc. The results of these tests will help the doctor assess if you should continue with the process, and if so, which medications you will need. I opted for the full panel of tests, including genetic testing and in doing so, I learned more about my body than I ever thought possible. I was tested for every disease and genetic condition imaginable, most I had never heard of.
Freezing your eggs does not deplete your egg supply.
Your normal reproductive cycle won't be affected because only the eggs that will be "lost" anyway through the natural process will be captured. You will continue to have your cycle as normal.
Start the process when you feel most comfortable, but 'the earlier the better'.
On average, 25-year-old eggs are better than 30-year-old eggs and 30-year-old eggs are better than 35-year-old eggs, etc. If you're wondering when is the best time to freeze your eggs, the general rule is now.
Egg retrieval is the first stage of IVF.
In a full IVF cycle, after the oocytes are retrieved, sperm is used to create an embryo in vitro, and then the embryo is implanted. If you successfully freeze your eggs, and when you are ready to use them, you will conclude the second half of the IVF process.
It is not a quick process.
Durations vary, but it took about three months from the time I had my initial tests to the time I had surgery for the retrieval stage. While the injections themselves last 10–12 days, some tests leading up to it can only be done at certain times of the month.
Injections, injections, injections.
I almost changed my mind when I realized how many needles were involved because I am terrified of them. Brace yourself, there's a lot. There are frequent to daily blood draws to test hormone levels and then every night, I injected myself three times in my abdomen between 8–10 PM for 11 days.
My counter was filled with syringes, swabs and more.
You cannot travel for a period of time.
Throughout the three months, I was only able to squeeze in a week of work travel. As someone who loves to travel, my inability to do so felt suffocating. You have to visit the clinic frequently for blood tests and ultrasounds, hence the travel restriction.
Not everyone in your life will understand your decision.
If you are looking for unanimous support from friends and family, you might not get it. Some people may question your decision or even advise you to just "focus on finding a man instead". Expending your energy on trying to convince someone it is a good idea to freeze your eggs might be the wrong thing. As long as you (and your doctor) know why you're doing it, that's good enough.
That said, you will need support.
If you're a single, independent woman, you might be inclined to think you can do this entirely on your own, but it helps to have a support system, no matter how small. I was blessed to have the support of a couple loved ones and having them to talk to was invaluable. A great example was my best friend FaceTiming with me as I administered the injections the first day. I had called her in tears seriously doubting if I could do it, but she calmly cheered me on.
Even with support, the process will often feel long, lonely and emotional.
There is loneliness in the mere act of pricking yourself with needles every night and clinic visits every morning before the rooster crows. But also, due to the hormone injections, my estrogen level was incredibly high and I was very emotional. I felt proud about freezing my eggs but I also felt some sadness about having to do it at all. I'd cry when I'd see a baby, and even stayed off social media to avoid it. My normal routine was also completely thrown off track; one particularly tough morning, I got up at 4:30 AM to get to the clinic by 6 AM, but it was so packed that I was not seen till 7:30 AM, and I had an important 8 AM meeting with a 1+ hour commute.
I was so overwhelmed that as soon as I stepped into my car, I burst into tears. My weight was also out of control and I lost all the definition in my abs as my ovaries expanded. I had no desire to be social — I wanted to just stay home all day. But don't worry: This part only lasts for a few mentally and physically exhausting weeks.
The egg retrieval is a surgical procedure.
On your retrieval day, you will arrive at the clinic, be hooked onto an IV, then proceed to the operating room. A propofol-based anesthesia will be used to knock you out. Then the surgeon uses an ultrasound probe through your vagina to retrieve the eggs. You don't feel a thing. The surgery takes less than 30 minutes, but plan to be there for three hours. You must have someone accompany you as you will not be able to drive yourself home.
Give yourself time to recover.
Bravo, you made it! But your body just went through a lot. Take time off work if you need to and rest. It takes about a month for you to feel fully back to normal again. After my surgery, I still felt very bloated and had days of painful cramping. I was also nine pounds heavier, due to both the IV fluids and not being able to work out for weeks. You are advised to refrain from working out (or sex) for another 1–2 weeks.
You may need multiple cycles. Doctors advise freezing 6–10 eggs per live birth desired because when you are ready to use your eggs, some eggs may not survive thawing and some will not successfully fertilize into an embryo. Multiply this range by the number of kids you may want to have to get your suggested amount (e.g. 12–20 eggs for two). You will likely be unable to know if you will need more than one cycle until your first cycle is complete.
As women continue to strive towards full equity in every regard, and as the average marrying age increases, the rate of women choosing to freeze their eggs also continues to increase. In the past, egg freezing was thought to be a thing that women did so they can focus on their careers, but that is changing. A recent study found that 85% of women surveyed who had frozen their eggs said they did it because they had not yet found a person with whom to raise a family.
When I'm ready to start a family, I hope to conceive naturally but having my frozen eggs just in case makes me feel relieved, empowered, and less pressured in my dating.
If you're also considering freezing your eggs, I commend you on making this important decision. What you are about to embark on won't be easy, but if all works well, it will be worth it. Though you might feel overwhelmed, you are not alone. You are strong and amazing — you can do it!
Article originally published on Medium.
Featured image by Shutterstock
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ItGirl 100 Honors Black Women Who Create Culture & Put On For Their Cities
As they say, create the change you want to see in this world, besties. That’s why xoNecole linked up with Hyundai for the inaugural ItGirl 100 List, a celebration of 100 Genzennial women who aren’t afraid to pull up their own seats to the table. Across regions and industries, these women embody the essence of discovering self-value through purpose, honey! They're fierce, they’re ultra-creative, and we know they make their cities proud.
VIEW THE FULL ITGIRL 100 LIST HERE.
Don’t forget to also check out the ItGirl Directory, featuring 50 Black-woman-owned marketing and branding agencies, photographers and videographers, publicists, and more.
THE ITGIRL MEMO
I. An ItGirl puts on for her city and masters her self-worth through purpose.
II. An ItGirl celebrates all the things that make her unique.
III. An ItGirl empowers others to become the best versions of themselves.
IV. An ItGirl leads by example, inspiring others through her actions and integrity.
V. An ItGirl paves the way for authenticity and diversity in all aspects of life.
VI. An ItGirl uses the power of her voice to advocate for positive change in the world.
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My name is Yasmine Jameelah, and I’m a founder, journalist, freelance writer, and dog mama. Wellness is at the intersection of everything that I do.
Six years ago, I started a small wellness community on Instagram after embarking on a healing journey in my mid-twenties that I documented via a blog where I wrote about healing, therapy, celibacy, and growth after what felt like years of chaos. Six years later, that wellness community has blossomed into one of the largest online wellness platforms for Black women called Transparent Black Girl which has a reach of over five million Black women.
It still sounds crazy to say that aloud, to know that a 24-year-old girl planted the seeds of the life that this 30-year-old woman gets to live now.
While I was growing my company, because my love for writing was so strong, I went back to school and obtained my master's in journalism. I’ve worked as a freelance writer, an editor, and a frequent contributor to publications that I respect greatly, xoNecole being one of them! My journalism career has been a reflection of my passion and heart for wellness and the culture. My day-to-day is busy, but we manage to get it done, and on the days that I can’t, I give myself grace to do what I can with the time that I have.
My days consist of events, long walks with my dog, freelance pitching, and deciding what content creation and events will look like for my wellness collective, Transparent & Black.
Now, follow me on a random day in my life.
Morning
5:00 a.m.
My Goldendoodle keeps me on a schedule, so every morning, like clockwork, he wakes me up to use the bathroom and eat breakfast, at 5 a.m.! Am I usually over it first thing in the morning? 100%, but his being on a schedule challenges me to stick with mine and start the day on a productive note. He’s a wellness dog which means I feed him home-cooked meals and give him supplements daily to support his health, and he has a daily dental treat to keep his teeth healthy. Canine dental hygiene is imperative for a long life and a good smelling breath!
Today, I’m heading into the city, and I’ll be there almost all day, so when I’m gone that long, I take him to doggy daycare.
7:00 a.m.
Doggy daycare drop-off is filled with tons of barks, and my dog is practically jumping out of the car with excitement to see his friends. Now, some of y’all might be thinking, doggy daycare, sis, that’s too much for a dog! But it’s not, socialization is key for dogs, and so is keeping my house intact when I’m gone for long periods of time. Does he go daily? No, we aren’t rich (yet, we gotta manifest!), but when my dog is happy and experiencing play, and I’m happy attending events, I feel accomplished.
Having a pet is a serious responsibility, and I pride myself on knowing that I am invested in his mental and emotional health by encouraging his socialization with his friends.
7:30 a.m.
Headed to my local coffee shop to grab my go-to order. Iced coffee, a single shot of espresso, half and half, and 3 pumps of agave. Winter, spring, summer, fall, I am an iced coffee girl. I love it, especially after a workout where I’ve broken a sweat - nothing about having hot coffee after I’ve been sweating for over an hour feels good to me.
8:00 a.m.
Back home listening to Carlos King's commentary on YouTube in the shower (what can I say, commentary on reality TV drama relaxes me, don’t judge!) and prepping for the first stop on the agenda for today which is an event in the city. Without traffic, I’m about a 25-minute drive to Manhattan but it’s rush hour, so that 25 minutes is about 55 which means I have to head out soon so that I can arrive on time.
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9:00 a.m.
Headed to Manhattan for a Black History Month event with Meta, Peloton, and We The Culture. I wanted to take the train, but I ran out of time, so I hopped in an Uber because I didn’t want to be late, and I had my daily check-in with my best friend while I rode in the Uber. We talk daily and have since our early twenties to check in with each other. I'm grateful that while many aspects of my life have changed, this is still a constant. As we age, prioritizing our friendships for sure gets harder, but it’s not impossible in the least bit when both parties are invested.
9:30 a.m.
Emailing my editor from the car to ask for a deadline extension and sharing with her my ideas for pieces for the month! I’m grateful to have been on both sides of the journalism space. I’ve been a managing editor for years for publications, and I’ve also had the honor to work with managing editors, deputy editors, and editors-in-chief who have poured into me and understood how quickly my schedule can change, I’m honored at the magic we’re able to create together.
As a storyteller, from content that I share to my platform to pieces that I write, I’m having fun again in this season of my life, and I am loving it.
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10:00 a.m.
The event begins, and I can’t lie, when I host my own events, I’m not scared, but as a social anxiety girlie, events sometimes can be a little scary. I am naturally a very shy girl, but wellness events always feel like home to me. You don’t have to dress up; you can show up in workout gear because most of the time you’re experiencing some form of wellness and fitness even during the event. Moments into the panel discussion we experienced a seated meditation led by Peloton instructor Dr. Chelsea Jackson Roberts - talk about a way to kick the day off!
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The discussion hosted by Meta and Peleton touched on the importance of taking up space in industries and spaces where Black women and people are underrepresented, our self-care regimens, and We The Culture also shared how their work came to be. It was such a powerful event, and of course, we got the inside scoop on Peloton’s newest machines! I also spoke with some people (it’s important to me to always say hello to those who put on the event) and ended up sitting next to THE Pilates girl herself, Raven Ross. She was such a sweetheart, and we talked about our love for Pilates and the importance of community events like this.
Afternoon
2:00 p.m.
Leaving the event, I headed to Sephora to see if I could find Topicals' always sold-out Slick Salve, but to no avail, so I pulled out my phone and ordered it on their website as I walked back to the train station to head back home. I am a girl who loves to walk, so I’m always down for a long walk to the station and a walk back home when time permits, so that’s exactly what I did. I did about four miles just between walking back to Penn Station and walking back to my apartment once I got off the train!
4:30 p.m.
My phone started blowing up because the piece that Oprah Daily asked me to write was published for Black History Month, and my face was on Oprah’s website, AOL’s homepage, and the publication's Instagram page! My mama, aunties, cousins, dad, and everyone who has known me since I was a little girl were beyond proud and excited to see that and how far I’ve come.
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Evening / Night
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5:30 p.m.
I headed to my gym in my home (praise the Lord for apartment amenities) for a quick swim before I picked up my dog from daycare, and then I headed to the sauna and ran into a neighbor who is another successful Black woman killing it in her own right in the tech space. We chatted about life updates and the importance of taking time for our mental health and it felt good to ground myself with swimming. Much of my life has changed in the past few years, but swimming has remained a constant.
Whenever something amazing happens I soak it in and then immediately do what I can to ground myself to stay present, humble, grateful, and focused on what’s ahead.
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6:30 p.m.
It started raining badly and my anxiety is all over the place on the drive to pick up my dog but I practice some deep breathing and remind myself that I have had a calm day and it can end calm as well. I don’t need to rush there, I can drive at a pace that feels good to me. My mother calls to check on me because she sees the weather is terrible and asks me to let her know when I arrive safely.
7:00 p.m.
I arrived at doggy daycare, and the rain is calming down. Can y’all see why I take him?! They watch him all day! My dog is exhausted in the best way and ready to go home and sleep, and I can sit down and relax when we head back home.
9:00 p.m.
I’m back home, took a bath, ordered my favorite healthy Chinese takeout (beef and shrimp with broccoli, light sauce with brown rice), and I’m on the couch with a glass of sustainable wine from one of my favorite Black-owned brands, House of Brown watching Sistas with a side of kimchi to enjoy with dinner. My candles are lit, I’m letting the highs of the day sit with me and stillness come over me as I prepare for bed.
10:30 p.m.
I took my dog out for a final walk, gave him his bedtime treat, and it’s lights out to prepare for another day.
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