{"id":25249,"date":"2023-10-09T14:15:25","date_gmt":"2023-10-09T14:15:25","guid":{"rendered":"https:\/\/progyny.com\/?post_type=podcast&p=25249"},"modified":"2024-04-23T11:09:16","modified_gmt":"2024-04-23T11:09:16","slug":"episode-168","status":"publish","type":"podcast","link":"https:\/\/progyny.com\/education\/podcast\/episode-168\/","title":{"rendered":"Episode 168: Egg Freezing 101"},"content":{"rendered":"","protected":false},"template":"","categories":[246,244],"tags":[242],"class_list":["post-25249","podcast","type-podcast","status-publish","hentry","category-egg-freezing","category-fertility-101","tag-egg-freezing"],"yoast_head":"\nEpisode 168: Egg Freezing 101 | Progyny<\/title>\n<meta name=\"description\" content=\"Dr. Anate Brauer speaks about all things egg freezing, answering \u201cWhy do people freeze their eggs?\u201d to \u201cHow does it even work?\u201d\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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than 50% of my egg freezers have some type of coverage -- so don't assume that you don't!","episode_intro_guest":"Dr. Anate Brauer","episode_intro_company":"Shady Grove Fertility New York","episode_banner_section_intro_text":"This is Infertility is a bi-weekly podcast where we fuse narrative storytelling with experience and science to give you a new perspective on what it\u2019s really like to go through a family building journey. Each episode dives into the emotional, physical, and financial burdens carried by those who experience infertility on their path to parenthood. Be it IVF, IUI, egg freezing, surrogacy, adoption, etc., the path is never the same and it can be long, painful, and lonely. It\u2019s our mission to give those struggling a platform to be heard, a community connection, and an opportunity to raise awareness of the 1 in 6 who, for many reasons, struggle with infertility.","episode_page_title":"Episode 168: Egg Freezing 101","episode_embed_code":"<iframe style=\"border: none;\" title=\"Embed Player\" src=\"https:\/\/play.libsyn.com\/embed\/episode\/id\/28070151\/height\/128\/theme\/modern\/size\/standard\/thumbnail\/yes\/custom-color\/ffffff\/time-start\/00:00:00\/playlist-height\/200\/direction\/backward\/download\/yes\/stats-code\/landing168\" width=\"100%\" height=\"128\" scrolling=\"no\" allowfullscreen=\"allowfullscreen\"><\/iframe>","episode_details":"<span data-contrast=\"auto\">The Fertility 101 Series, because <\/span><span data-contrast=\"auto\">there\u2019s<\/span><span data-contrast=\"auto\"> no shortage of daunting terms to keep your mind running, is a quick and dirty breakdown on a specific topic with insights from a fertility expert.<\/span>\r\n\r\n<span data-contrast=\"auto\">In today\u2019s episode, our host speaks with Dr. Anate Brauer, IVF Director at Shady Grove Fertility New York about all things <\/span><a href=\"https:\/\/progyny.com\/education\/what-is-egg-freezing\/\"><span data-contrast=\"none\">egg freezing<\/span><\/a><span data-contrast=\"auto\">. She answers questions ranging from, \u201cWhy do people freeze their eggs?\u201d to \u201cHow does it even work?\u201d<\/span>\r\n\r\n<span data-contrast=\"auto\">If you\u2019re questioning whether you would like to freeze your eggs, or just wonder about this modern medical practice, let this educational episode serve as a starting place.<\/span>\r\n\r\n<span data-contrast=\"none\">For additional resources and answers to frequently asked questions, check out:<\/span>\r\n<ul>\r\n \t<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{"335552541":1,"335559684":-2,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"\uf0b7","469777815":"hybridMultilevel"}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/progyny.com\/education\/egg-freezing-frequently-asked-questions\/\"><span data-contrast=\"none\">Egg Freezing: Frequently Asked Questions<\/span><\/a><\/li>\r\n \t<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{"335552541":1,"335559684":-2,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"\uf0b7","469777815":"hybridMultilevel"}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><a href=\"https:\/\/progyny.com\/education\/progyny-webinar-egg-freezing-101\/\"><span data-contrast=\"none\">Progyny Webinar: Egg Freezing 101<\/span><\/a><\/li>\r\n \t<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{"335552541":1,"335559684":-2,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"\uf0b7","469777815":"hybridMultilevel"}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><a href=\"https:\/\/progyny.com\/education\/five-egg-freezing-myths-and-facts\/\"><span data-contrast=\"none\">Five Egg Freezing Myths and Facts<\/span><\/a><\/li>\r\n<\/ul>\r\n<b><span data-contrast=\"none\">Guest: <\/span><\/b><span data-contrast=\"none\">Dr. Anate Brauer, Shady Grove Fertility New York<\/span>\r\n\r\n<b><span data-contrast=\"none\">Host: <\/span><\/b><span data-contrast=\"none\">Dan Bulger, Progyny<\/span><span data-contrast=\"auto\">\u202f<\/span>\r\n\r\n<span data-contrast=\"none\">For more information, visit Progyny\u2019s Podcast page and <\/span><a href=\"http:\/\/www.progyny.com\/education\"><span data-contrast=\"none\">Progyny\u2019s Education page<\/span><\/a><span data-contrast=\"none\"> for more resources. Be sure to follow us on Instagram, @ThisisInfertilityPodcast and use the #ThisisInfertility. Have a question, comment, or want to share your story? Email us at <\/span><a href=\"mailto:thisisinfertility@progyny.com\"><span data-contrast=\"none\">thisisinfertility@progyny.com<\/span><\/a><span data-contrast=\"none\">.<\/span>\r\n\r\nYou can also watch the podcast on YouTube:\r\n<iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/vWbp_NUkJZc?si=LuLIb9s-0QJwG-pu\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe>\r\n<span data-contrast=\"none\">Here are some highlights from this episode:<\/span>\r\n\r\n<span style=\"text-decoration: underline;\"><b>What is Egg Freezing?<\/b><\/span>\r\n\r\n<span data-contrast=\"auto\">01:14 \u2013 02:20<\/span>\r\n<div style=\"padding-left: 40px;\"><b><span data-contrast=\"auto\">Dr. Anate Brauer:<\/span><\/b><span data-contrast=\"auto\"> So, egg freezing is the ability to stop your biological clock. We are born with all the eggs we'll ever have, and we lose them over a lifetime. So, when we evaluate the ovaries, we care about two things, egg quantity and quality. So, as we get older, not only do we lose eggs, but the eggs retain age so they get more and more DNA mutations, which leads to an egg with the wrong number of chromosomes which either won't fertilize<\/span><span data-contrast=\"auto\">,\u00a0<\/span> <span data-contrast=\"auto\">or will fertilize and not implant<\/span><span data-contrast=\"auto\">,\u00a0<\/span> <span data-contrast=\"auto\">or will fertilize and lead to miscarriage. That\u2019s why we put eggs in the freezer, it gives us the ability to put them in the freezer when we have more of them and when they're better quality.<\/span><\/div>\r\n<span style=\"text-decoration: underline;\"><b>Why Might Someone Freeze Their Eggs?<\/b><\/span>\r\n\r\n<span data-contrast=\"auto\">02:34 \u2013 03:45<\/span>\r\n<div style=\"padding-left: 40px;\">\r\n\r\n<b><span data-contrast=\"auto\">Dr. Anate Brauer:<\/span><\/b><span data-contrast=\"auto\"> Category one is medical egg freezing. And in that category, we have patients who, unfortunately have been diagnosed with cancer at a young age, or an autoimmune disease that requires them to go on a medication that they can't be on for conception, or anyone interested in gender affirming surgeries, or anyone who has endometriosis, which is a severe disease, destructive to the ovary. And so, all of those and some others are grouped in medical egg freezing, which is a wonderful technology that we have to help those categories of patients.<\/span>\r\n\r\n<b><span data-contrast=\"auto\">Dan Bulger:<\/span><\/b><span data-contrast=\"auto\"> Then there's the other category where egg freezing is solving a very serious and fairly modern problem that many with ovaries face around the world today. And that used to be called social egg freezing. And then people started to call it elective egg freezing. This is a category of people who were using egg freezing because for one reason or another, they are not in a position right now to have a baby. And they need to preserve their fertility for the future.<\/span>\r\n\r\n<\/div>\r\n<span style=\"text-decoration: underline;\"><b>What\u2019s the Egg Freezing Process?<\/b><\/span>\r\n\r\n<span data-contrast=\"auto\">05:47 \u2013 07:13<\/span>\r\n<div style=\"padding-left: 40px;\"><b><span data-contrast=\"auto\">Dr. Anate Brauer:<\/span><\/b><span data-contrast=\"auto\"> So, your brain makes FSH only enough as a trigger for one egg. That egg grows as it matures, it makes estrogen that estrogen then tells the brain \u201cOkay, I have my mature egg for the month, you can stop making FSH.\u201d Then your brain makes another hormone called LH that leads to the final steps of maturation and eventual ovulation of the eggs. So, everything we do is based on what happens in a natural cycle. When we're trying to stimulate someone's ovaries to grow eggs, retrieve them and freeze them. We give you FSH through injectable medications. To allow the growth of multiple eggs \u2014 we want to feed the follicles to grow. So, you're taking these injections for about 10 to 14 days. When the follicles have reached a certain size and the estrogen reaches a certain level, we mimic that LH surge that your body normally has. So, we trigger the final steps of maturation, instead of letting you ovulate we take you for an egg retrieval.<\/span><\/div>\r\n<span style=\"text-decoration: underline;\"><b>How Many Eggs Does Someone Need Frozen?<\/b><\/span>\r\n\r\n<span data-contrast=\"auto\">11:35 \u2013 12:30<\/span>\r\n<div style=\"padding-left: 40px;\">\r\n\r\n<b><span data-contrast=\"auto\">Dr. Anate Brauer:<\/span><\/b><span data-contrast=\"auto\"> So, we published at SGF, a very large study of babies coming from frozen eggs. We took all of our data over about a decade and worked backwards to say in an age group, how many eggs that a woman needs to create that baby. And we found that in our 30 to 34-year-olds. If you have 20 mature eggs in the freezer, you have about an 80% chance of having at least one baby from those eggs, and about a 60% chance of having a second and about a 30% chance of having a third. So, in my 30 to 34-year-olds, I want them to have at least 20 mature eggs in the freezer.<\/span>\r\n\r\n<span data-contrast=\"auto\">The older you get, the more you need. So, for example, the 37 or 40 age group, you need about 30 eggs in the freezer to get those same numbers. So, how many retrievals it can take to get there really depends on your age level.<\/span>\r\n\r\n<\/div>\r\n<span style=\"text-decoration: underline;\"><b>How Much Does It Cost?<\/b><\/span>\r\n\r\n<span data-contrast=\"auto\">15:29 \u2013 16:21<\/span>\r\n<div style=\"padding-left: 40px;\"><b><span data-contrast=\"auto\">Dr. Anate Brauer:<\/span><\/b><span data-contrast=\"auto\"> Depending on where you go, it's anywhere from $6,000 to $10,000 for the cycle itself. Usually that includes everything. It includes monitoring, meaning all the ultrasounds, blood work that you'll need, and includes the retrieval itself. Thankfully, more and more companies are covering this more and more insurances are covering this. And so, I do think I would say now about more than 50% of my egg freezers have some kind of coverage.<\/span><\/div>","episode_host_image":22673,"episode_host_title":"Dan Bulger, Producer at Progyny","episode_host_bio":"Dan has been in the healthcare industry for the past ten plus years as a multimedia content producer. Better known as \u2018Video Dan\u2019 he has interviewed numerous doctors, patients and other experts in the world of fertility. He\u2019s also the producer for this podcast, This is Infertility and the producer behind the<a href=\"https:\/\/www.youtube.com\/progyny\" target=\"_blank\" rel=\"noopener\" data-uw-rm-brl=\"exc\" aria-label=\"Progyny YouTube Channel - opens in new tab\" data-uw-rm-ext-link=\"na\">\u00a0Progyny YouTube Channel<\/a>\u00a0which features interviews with dozens of the nation\u2019s leading fertility specialists. On a personal note Dan\u2019s parents started fostering kids when he was four years old, and he considers himself a proud older brother to over 100 foster children.","episode_guest_1_image":25251,"episode_guest_1_title":"Dr. Anate Brauer, Shady Grove Fertility New York","episode_guest_1_bio":"Anate A. Brauer, M.D., FACOG, is a board-certified reproductive endocrinologist at Shady Grove New York. Dr. Brauer has extensive experience in treating all medical and surgical aspects of infertility. She serves as SGF New York\u2019s IVF Director. Dr. Brauer has published and presented at numerous national meetings on the topics of optimizing fertility treatments in patients with diminished ovarian reserve, polycystic ovarian syndrome (PCOS), or those using a gestational surrogate; fertility preservation; and complementary therapies in infertility.\r\n\r\nDr. Brauer earned her medical degree from the George Washington University School of Medicine and completed her residency in Obstetrics and Gynecology at New York Presbyterian Hospital-Weill Cornell Medical Center. Dr. Brauer subsequently completed fellowship training in Reproductive Endocrinology and Infertility at the Ronald O. 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