Fertility Preservation Programme

Our approach to fertility preservation

Every patient considering fertility preservation receives a structured counselling session covering ovarian reserve assessment, expected egg yield per cycle for their age and AMH, the number of eggs typically needed for a reasonable chance of one live birth at the planned future age, and the realistic costs and timeline. No patient signs up for preservation without understanding what it does and doesn’t guarantee.

Egg freezing for age

For women in their early-to-mid thirties planning to delay pregnancy, egg freezing offers meaningful protection — but is most effective when done before 35 and ideally before AMH has declined significantly. We discuss the trade-offs (more cycles needed at older ages, lower expected outcomes per egg as age advances) frankly. Marketing campaigns suggesting “freeze your eggs, freeze your future” oversimplify a more nuanced decision.

Embryo freezing

For partnered patients, embryo freezing offers higher per-unit outcomes than egg freezing — frozen embryos thaw and transfer with better expected results than frozen eggs do. The trade-off is the legal and practical implications of frozen embryos belonging to a couple.

Oncofertility

For patients facing gonadotoxic cancer treatment, fertility preservation before treatment is one of the most important conversations in their care. We coordinate with oncology colleagues, with cycle timelines compressed where necessary, to give every patient a fair chance at future fertility regardless of treatment plans.

Fertility preservation topics

Guidelines we follow

• ESHRE Guideline on Female Fertility Preservation
• ASRM Practice Committee opinions on fertility preservation
• Oncofertility consortium standards

Where this fits

Fertility preservation overlaps with evaluation and may intersect with endometriosis fertility planning. For surrounding cycle decisions, see the IVF process.