Let's Discuss Egg Freezing -- Pass the Wine
by Mary MacVean
If you peeked in on a recent party at the Viceroy Santa Monica, you might have noticed that the guests, almost all female, were chatting quietly, hesitantly, in pairs or trios. This wasn't a group of good friends — Prosecco and hors d'oeuvres aside.
by Mary MacVean
If you peeked in on a recent party at the Viceroy Santa Monica, you might have noticed that the guests, almost all female, were chatting quietly, hesitantly, in pairs or trios. This wasn't a group of good friends — Prosecco and hors d'oeuvres aside.
The
women were there to consider an investment: spending thousands of dollars to
retrieve and freeze their eggs in case they need them one day to try to become
a parent.
Egg-freezing
parties — this one called On Ice — are a thing now. The idea is that not enough
women are thinking about this procedure and are not thinking about it soon
enough.
"Everyone
who can afford to freeze their eggs should freeze their eggs. Women should take
this seriously," Dr. Vicken Sahakian said at the Viceroy hotel party.
"The older you are, the more eggs you need. The older you are, the fewer
eggs you produce."
Egg
freezing, or oocyte cryopreservation, is neither a sure thing nor cheap —
running $10,000 or more a cycle, not to mention hundreds of dollars a year in
storage fees, and rarely covered by insurance or employers (Facebook and Apple
being among the exceptions). And there is plenty of cultural debate over
whether egg freezing takes advantage of women desperate to have a child or is a
way to empower them.
But
doctors and women who've done it call it insurance; women say it enables them
to establish a career, travel or find the right partner before becoming a
parent.
"It
will be absolutely the greatest gift you can give yourself because it will give
you the opportunity to create the family of your dreams, and you will never
regret it," Dr. Carrie Wambach said at the Viceroy, where there was a
raffle for free medication needed for the process.
At the
Viceroy, and at parties on other nights at Boa Steakhouse on the Sunset Strip
and in the Beverly Wilshire hotel, doctors explain the procedure and answer the
nervous questions: I'm 39 — or 37 or 35. Is it too late?
The
first baby conceived from a frozen egg was born in 1986, and the procedure has
been used with women whose fertility could become compromised by chemotherapy
or other medical treatments.
A
couple of things converged in recent years to make the procedure increasingly
common.
One is
a flash-freezing system called vitrification — a "game changer,"
because it solved the problem of ice crystals that could damage the egg cell,
said Jason Barritt, embryology laboratory director at Southern California
Reproductive Center.
Second,
the American Society for Reproductive Medicine, a professional group, said in a
paper published in 2013 that egg freezing should no longer be considered
experimental.
But
information about how well it works today seems to be a moving target,
dependent on age, luck and genetics. Another statistical complication is that,
although many women have frozen their eggs, far fewer have so far returned to
use them.
The
American Society for Reproductive Medicine said the clinical pregnancy rate per
thawed egg in trials it reviewed was 4.5% to 12%. Some doctors recommend 10
frozen eggs for each desired pregnancy. For women older than 40, doctors say
fewer than 10% of the harvested eggs are genetically "normal."
Critics
and proponents say there is little long-term information about the health of
children born from frozen eggs. The Mayo Clinic notes that the risks of egg
freezing for the woman include rare complications from fertility drugs, as well
as emotional risks associated with the limited success rate of becoming a
parent.
The
Society for Assisted Reproductive Technology reports that at least 956 babies
were born from frozen donor eggs in 2013.
Jennifer Frappier, who has had some of her eggs frozen, is making a film called “Chill,” about “balancing life, career and cheating the biological clock.” (Francine Orr, Los Angeles Times) |
When
Jennifer Frappier's grandmother turned 35, she had given birth to 10 children.
When her mother turned 35, Frappier was 17.
Jennifer,
an actor, is 39 and single, with nine frozen eggs.
"One
of these could be my kid one day," Frappier said, looking at a photo on
her phone.
"My
mom calls them her frozen grandbabies."
She
broke up with a longtime boyfriend when she was 34 — an age when she never
expected to have to start over.
"This
is not what I thought I would be, or where I thought I would be, as a
kid," she said.
She was
worried her prospects for motherhood were diminishing. A therapist told her
about egg freezing, she started doing research and two years ago she underwent
the procedure.
She
talked about her decision in the Champagne Room at the Beverly Wilshire, where
waiters offered little tacos and grilled cheese sandwich bites to a
standing-room-only crowd. At the bar, people could order a pink cocktail called
a Banxxtini.
"I
thought: 'This makes a lot of sense. Why wouldn't I do this? I'm in a place
financially where I can. I don't have a reason not to. And I'll regret it if I
don't.'"
Her
friends suggested a blog, so she did one and is in the process of making a film
called "Chill," which she described as a documentary about
"balancing life, career and cheating the biological clock."
Jennifer Frappier, who has nine frozen eggs. |
Questions swirl around the egg-freezing phenomenon: Are women shouldering just another burden of creating families? Is it now their responsibility to freeze their eggs in time? Should we instead reform workplaces to support child-bearing and -rearing with such options as flexible employment and on-site day care?
Egg
freezing can "create the illusion that we can have it all," said
Miriam Zoll, author of "Cracked Open: Liberty, Fertility, and the Pursuit
of High-Tech Babies."
The
reproductive industry "has done a very good job of marketing the hope and
power," Zoll said.
Women
need to think clearly about "what is it you think you're going to
achieve," said Francoise Baylis, a professor of ethics in the medicine
faculty at Canada's Dalhousie University. "Is your goal to have a family?
Because there are easier ways."
Baylis
also questions whether parties are an appropriate place to discuss a medical
procedure — Botox parties notwithstanding.
"Do
you have a Champagne party to spread the word about a new hypertensive
drug?" Baylis asked.
Dr.
Kathleen Brennan of the UCLA Fertility and Reproductive Health Center, which
has not participated in egg-freezing parties, said she expects that "down
the road, people will do egg freezing in their college years, when they're
young. Put those eggs away, go on with their lives and deal with their
reproductive life later."
"We
need to make a stride in our society ... toward making families an important
part of society and being able to allow women to be part of the working world
and still be able to have kids," Brennan said.
Wendie
Wilson-Miller and Shalene Petricek founded Great Possibilities, the agency that
threw the party at the Viceroy. Their company helps women find the right
doctors, negotiate prices or financing and generally will "hold your hand"
through the process. They are paid by the patients.
They
also have gone through it themselves.
Petricek
had been climbing the corporate ladder in the biotech industry, and, when she
hadn't met a partner, decided to begin having her eggs frozen when she was 37 —
an age when many women are considering it but an age when statistics are
already against them.
Petricek,
now 44, has been through four cycles and may try three more, she said over
coffee. She was considered "a poor responder" and has 10 eggs — a
disappointing surprise.
"I
was in complete denial. I look young. I feel young," she said.
Wilson-Miller,
who has worked in assisted-reproduction technology for 16 years, froze 22 eggs
when she was 30 and single.
"For
me, personally, it allowed me to relax a little bit," Wilson-Miller said.
"I knew it wasn't a guarantee."
She
later married and had two children the conventional way. Some of her eggs were
then donated to a woman whose fertility was compromised by cancer treatments.
Christine
Hoffman was thrilled that Wilson-Miller froze her eggs. One of them led to the
birth of her daughter.
"If
you have a desire to have a child," she told the Viceroy gathering,
"and you have the opportunity to freeze that little egg, go for it."
No comments:
Post a Comment