Skip to main content
Log in

The ambiguities of ‘social’ egg freezing and the challenges of informed consent

  • Original Article
  • Published:
BioSocieties Aims and scope Submit manuscript

Abstract

Fertility clinics (and some employers) in the UK and other high-income countries have recently started to offer egg freezing to women concerned about their age-related fertility decline. Because the use of egg freezing for this purpose is new, there is no reliable evidence of its usefulness, or otherwise. There are no guarantees that egg freezing will work, and for many and perhaps most women, their frozen eggs will never be used. It is also unclear whether egg freezing is a positive development for women in general. It offers an additional choice, and it may enable some women to have genetically related children more easily in the future. At the same time, it could be argued that egg freezing individualises and medicalises the social problem of a mismatch between female fertility and when women and men feel ready to have children. This article suggests that egg freezing is an ambiguous technology, whose benefits are as yet speculative, and that women therefore need as much clear and frank information as possible in order to navigate this new and by no means straightforward choice.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Adams, V., Murphy, M. and Clarke, A.E. (2009) Anticipation: Technoscience, life, affect, temporality. Subjectivity 28: 246–265.

    Article  Google Scholar 

  • Alter, C., Tsai, D. and Trianni, F. (2015) What you really need to know about egg freezing. Time. July 16.

  • Arie, S. (2015) Is too much hope placed in egg freezing? British Medical Journal 351: h5955.

    Article  Google Scholar 

  • ASRM (2014) Can I Freeze My Eggs to Use Later if I’m Not Sick? Alabama: ASRM.

    Google Scholar 

  • Baldwin, K., Culley, L., Hudson, N. and Mitchell, H. (2014) Reproductive technology and the life course: Current debates and research in social egg freezing. Human Fertility 17: 170–179.

    Article  Google Scholar 

  • Baldwin, K., Culley, L., Hudson, N., Mitchell, H. and Lavery, S. (2015) Oocyte cryopreservation for social reasons: Demographic profile and disposal intentions of UK users. Reproductive BioMedicine Online 31: 239–245.

    Article  Google Scholar 

  • Baylis, F. (2015) Left out in the cold: Arguments against non-medical oocyte cryopreservation. Journal of Obstetrics and Gynaecology Canada 37: 64–67.

    Article  Google Scholar 

  • Baylis, F. and McLeod, C. (2007) The stem cell debate continues: The buying and selling of eggs for research. Journal of Medical Ethics 33: 726–731.

    Article  Google Scholar 

  • Becker, G. (2000) The Elusive Embryo: How Women and Men Approach New Reproductive Technologies. Los Angeles: University of California Press.

    Book  Google Scholar 

  • Beeson, D. and Lippman, A. (2006) Egg harvesting for stem cell research: Medical risks and ethical problems. Reproductive BioMedicine Online 13: 573–579.

    Article  Google Scholar 

  • Bennett, J. (2014) Company-paid egg freezing will be the great equalizer. Time October 15: 1–2.

  • Bewley, S. (2016) Shock! Horror! Or business as usual? Bionews. 6 June.

  • Bretherick K.L. et al (2010) Fertility and aging: Do reproductive-aged women know what they need to know? Fertility and Sterility 93: 2162–2168.

    Article  Google Scholar 

  • Callahan, J.C. and Roberts, D.E. (1996) Feminist social justice approach to reproduction-assisting technologies: A case study on the limits of liberal theory. Kentucky Law Journal 84: 1197.

    Google Scholar 

  • Carbone, J. and Cahn, N. (2013) Gender/class divide: Reproduction, privilege, and the workplace. Florida International University Law Review 8: 287.

    Google Scholar 

  • Carbone, J. and Cahn, N. (2015) The triple system for regulating women’s reproduction. The Journal of Law, Medicine & Ethics 43: 275–288.

    Article  Google Scholar 

  • Chen, C. (1986) Pregnancy after human oocyte cryopreservation. The Lancet 327: 884–886.

    Article  Google Scholar 

  • Daly, I and Bewley, S. (2013) Reproductive ageing and conflicting clocks: King Midas’ touch. Reproductive BioMedicine Online 27: 722–732.

    Article  Google Scholar 

  • Daniluk, J.C. (2015) “Sleepwalking into Infertility”: The need for a gentle wake-up call. The American Journal of Bioethics 15: 52–54.

    Article  Google Scholar 

  • Daniluk J.C. and Koert, E. (2013) The other side of the fertility coin: A comparison of childless men’s and women’s knowledge of fertility and assisted reproductive technology. Fertility and Sterility 99: 839–846.

    Article  Google Scholar 

  • Department of Health (2009) Impact Assessment for the Human Fertilisation and Embryology (Statutory Storage Period for Gametes and Embryos) Regulations. London: Department of Health.

    Google Scholar 

  • Dunson, D.B., Colombo, B. and Baird, D.D. (2002) Changes with age in the level and duration of fertility in the menstrual cycle. Human Reproduction 17: 1399–1403.

    Article  Google Scholar 

  • Ericson, R. (2005) Governing through risk and uncertainty. Economy and Society 34: 659–672

    Article  Google Scholar 

  • Ericson, R., Barry, D. and Doyle, A. (2000) The moral hazards of neoliberalism: Lessons from the private insurance industry. Economy and Society 29: 532–558.

    Article  Google Scholar 

  • ESHRE Task Force on Ethics and Law (2012) Oocyte cryopreservation for age-related fertility loss. Human Reproduction 27: 1231–1237.

    Article  Google Scholar 

  • Evers, J.H. (2016) Santa Claus in the fertility clinic. Human Reproduction 31: 1381–1382.

    Article  Google Scholar 

  • Franklin, S. (1997) Embodied Progress: A Culture Account of Assisted Conception. Routledge: London.

    Book  Google Scholar 

  • Goold I. and Savulescu, J. (2009) In favour of freezing eggs for non-medical reasons. Bioethics 23: 47–58.

    Article  Google Scholar 

  • Hammarberg, K. and Clarke, V.E. (2005) Reasons for delaying childbearing – A survey of women aged over 35 years seeking assisted reproductive technology. Australian Family Physician 34: 187–189.

    Google Scholar 

  • Hammarberg, K. et al (2013) Knowledge about factors that influence fertility among Australians of reproductive age: A population-based survey. Fertility and Sterility 99: 502–507.

    Article  Google Scholar 

  • Harper, J. et al (2012) When and how should new technology be introduced into the IVF laboratory? Human reproduction 27:303–313.

    Article  Google Scholar 

  • Hartouni, V. (1997) Cultural Conceptions: On Reproductive Technologies and the Remaking of Life. Minneapolis: University of Minnesota Press.

    Google Scholar 

  • Harwood, K. (2009) Egg freezing: A breakthrough for reproductive autonomy? Bioethics 23: 39–46.

    Article  Google Scholar 

  • Hass, N. (2011) Time to chill? Egg-freezing technology offers women a chance to extend their fertility. Vogue. April 28.

  • Hodes-Wertz, B. et al, (2013) What do reproductive age women who undergo oocyte cryopreservation think about the processes as means to preserve fertility? Fertility and Sterility 100:1343–1349.

    Article  Google Scholar 

  • Human Fertilisation and Embryology Authority (2015) General Directions 0006 version 4 Import and Export of Gametes and Embryos. London: HFEA.

    Google Scholar 

  • Human Fertilisation and Embryology Authority (2016) Fertility Treatment 2014: Trends and Figures. London: HFEA.

    Google Scholar 

  • Inhorn, MC (2013) Women, consider freezing your eggs. CNN April 9.

  • Irons, B. and Hepburn, C. (2007) Regret theory and the tyranny of choice. Economic Record 83: 191–203.

    Article  Google Scholar 

  • Jackson, E. (2016) ‘Social’ egg freezing and the UK’s statutory storage time limits. Journal of Medical Ethics. Online First: 23 August 2016.

  • Karpin, I.A., Millbank, J., Stuhmcke, A. and Chandler, E., (2013) Analysing IVF participant understanding of, involvement in, and control over embryo storage and destruction in Australia. Journal of Law and Medicine 20: 811–830.

    Google Scholar 

  • Klein, J. et al, (2006) P-486: Preliminary experience of an oocyte cryopreservation program: Are patients presenting too late? Fertilty and Sterility 86: S315.

    Article  Google Scholar 

  • Krähmer, D. and Stone, R. (2013) Anticipated regret as an explanation of uncertainty aversion. Economic Theory 52: 709–728.

    Article  Google Scholar 

  • Kuleshova, L. et al. (1999) Birth following vitrification of a small number of human oocytes: Case Report. Human Reproduction 14:3077–3079.

    Article  Google Scholar 

  • Lemoine, M.E. and Ravitsky, V. (2015) Sleepwalking into infertility: The need for a public health approach toward advanced maternal age. The American Journal of Bioethics 15: 37–48.

    Article  Google Scholar 

  • Lockwood, G.M. (2011) Social egg freezing the prospect of reproductive “immortality” or a dangerous delusion? Reproductive BioMedicine Online 23: 334–340.

    Article  Google Scholar 

  • London Egg Bank website (2016) http://www.londoneggbank.com/how-do-i-freeze-my-eggs/freeze-and-share accessed 14 September 2016.

  • Loomes G. and Sugden, R (1982) Regret theory: An alternative theory of rational choice under uncertainty. The Economic Journal 92: 805–824.

    Article  Google Scholar 

  • Lowe, P. (2016) Reproductive Health and Maternal Sacrifice: Women, Choice and Responsibility. Basingstoke: Palgrave Macmillan.

    Book  Google Scholar 

  • Maheshwari, A., Porter, M., Shetty, A. and Bhattacharya, S. (2008) Women’s awareness and perceptions of delay in childbearing. Fertility and Sterility 90: 1036–1042.

    Article  Google Scholar 

  • Martin, L.J. (2010) Anticipating infertility: Egg freezing, genetic preservation, and risk. Gender and Society 24: 526–545.

    Article  Google Scholar 

  • McBride, C. (2013) I’m so glad I’ve frozen my eggs. The Guardian, 14 December 2013.

  • Mertes, H. (2011) Social egg freezing: For better, not for worse’. Reproductive BioMedicine Online 23: 824–829.

    Article  Google Scholar 

  • Mertes, H. (2015) Does company-sponsored egg freezing promote or confine women’s reproductive autonomy? Journal of Assisted Reproduction and Genetics 32: 1205–1209.

    Article  Google Scholar 

  • Mertes, H. (2016) The role of anticipated decision regret and the patient’s best interest in sterilisation and medically assisted reproduction Journal of Medical Ethics Online First: 7 October 2016.

  • Mertes, H. and Pennings, G. (2011) Social egg freezing: For better, not for worse. Reproductive BioMedicine Online 23: 824–829.

    Article  Google Scholar 

  • Mertes, H. and Pennings, G. (2012) Elective oocyte cryopreservation: Who should pay? Human Reproduction 27: 9–13.

    Article  Google Scholar 

  • Mertes, H., Pennings, G., Dondorp, W. and de Wert, G. (2012) Implications of oocyte cryostorage for the practice of oocyte donation. Human Reproduction 27: 2886–2893.

    Article  Google Scholar 

  • Mesen, T.B. et al. (2015) Optimal timing for elective egg freezing. Fertility and Sterility 2013: 1551-6 e1-4.

    Google Scholar 

  • Mohapatra, S. (2014) Using egg freezing to extend the biological clock: Fertility insurance or false hope? Harvard Law and Policy Review 8: 382.

    Google Scholar 

  • Moynihan, R (2010) Prediseases: Who benefits from treating prehypertension? British Medical Journal 341: c4442.

    Article  Google Scholar 

  • National Institute for Health and Care Excellence (2013) Fertility: Assessment and Treatment for People with Fertility Problems. London: NICE.

    Google Scholar 

  • Nekkebroeck J., Stoop, D. and Devroey, P. (2010) A preliminary profile of women opting for oocyte cryopreservation for non-medical reasons. Human Reproduction 25: i14–i17.

    Article  Google Scholar 

  • Office of National Statistics (2015) Births by Parents’ Characteristics in England and Wales: 2014. London: ONS.

    Google Scholar 

  • Peck, S. (2014) Egg freezing: The perfect 30th birthday gift for women. The Daily Telegraph, 27 October 2014.

  • Pennings, G. (2000) What are the ownership rights for gametes and embryos? Advance directives and the disposition of cryopreserved gametes and embryos. Human Reproduction 15: 979–989.

    Google Scholar 

  • Petersen, K.B., Hvidman, H.W., Sylvest, R., Pinborg, A., Larsen, E.C., Macklon, K.T., Andersen, A.N. and Schmidt, L., Birch Petersen, K. et al (2015) Family intentions and personal considerations on postponing childbearing in childless cohabiting and single women aged 35–43 seeking fertility assessment and counselling. Human Reproduction 30: 2563–2574.

  • Petropanagos, A. (2015) Is advanced maternal age a public health issue?’ The American Journal of Bioethics 15: 56–58.

    Article  Google Scholar 

  • Petropanagos, A., Cattapan, A., Baylis, F. and Leader, A. (2015) Social egg freezing: Risk, benefits and other considerations. Canadian Medical Association Journal 187: 666–669.

    Article  Google Scholar 

  • Petryna, A. (2013) Life Exposed: Biological Citizens After Chernobyl. Princeton: Princeton University Press.

    Book  Google Scholar 

  • Politi, M.C., Clark, M.A., Ombao, H., Dizon, D. and Elwyn, G. (2011) Communicating uncertainty can lead to less decision satisfaction: A necessary cost of involving patients in shared decision making? Health Expectations 14: 84–91.

    Article  Google Scholar 

  • Practice committees of the SART and ASRM (2013) Mature Oocyte Cryopreservation: A Guideline. Alabama: ASRM.

    Google Scholar 

  • Rapp, R. (1999) Testing Women, Testing the Fetus: The Social Impact of Amniocentesis in America. New York: Routledge.

    Google Scholar 

  • Richards, S.E. (2013a) Why i froze my eggs (and you should, too). The Wall Street Journal, May 3.

  • Richards, S.E. (2013b) Motherhood, Rescheduled: The New Frontier of Egg Freezing and the Women Who Tried It. New York: Simon and Schuster.

    Google Scholar 

  • Richards, S.E. (2013c) Freezing eggs – is this what we’re all doing now? Cosmopolitan, 15 June.

  • Rienzi et al. L. (2010) Embryo development and gestation using fresh and vitrified oocytes. Human Reproduction 25: 1192–1198.

    Article  Google Scholar 

  • Robertson, J. (2014) Egg freezing and egg banking: Empowerment and alienation in assisted reproduction. Journal of Law and the Biosciences 1:113–136.

  • Rose, N. and Novas, C. (2004) Biological citizenship. In: Ong, A. and Collier S.J. (eds.) Global Assemblages: Technology, Politics, and Ethics as Anthropological Problems. Oxford, Blackwell Publishing. pp 439–463.

    Google Scholar 

  • Rosen, C. (2013) The ethics of egg freezing. Wall Street Journal 4 May.

  • Sandberg, T. and Conner, M. (2008) Anticipated regret as an additional predictor in the theory of planned behaviour: A meta-analysis. British Journal of Social Psychology 47: 589–606.

    Article  Google Scholar 

  • Sarner, M. (2015) I’m 29, should I free my eggs? The Guardian 14 August.

  • Skene, L. (2012) Proprietary interests in human bodily material: Yearworth, recent Australian cases on stored semen and their implications: Kate Jane Bazley v Wesley Monash IVF Pty Ltd [2010] QSC 118; Jocelyn Edwards; Re the estate of the late Mark Edwards [2011] NSWSC 478. Medical Law Review 20: 227–245.

    Article  Google Scholar 

  • Slaughter, A.M. (2012) Why women still can’t have it all. The Atlantic, June 13.

  • Stoop, D. (2010) Social oocyte freezing. Facts, Views and Vision in ObGyn 2:31–34.

    Google Scholar 

  • Stoop, D. et al (2015) Does oocyte banking for anticipated gamete exhaustion influence future relational and reproductive choices? A follow-up of bankers and non-bankers. Human Reproduction 30: 338–344.

    Google Scholar 

  • ter Keurst, A., Boivin, J. and Gameiro, S. (2016) Women’s intentions to use fertility preservation to prevent age-related fertility decline. Reproductive Biomedicine Online 32: 121–131.

    Article  Google Scholar 

  • Tsafrir, A. et al. (2015) Ovarian stimulation for oocyte cryopreservation for prevention of age-related fertility loss: One in five is a low responder. Gynecological Endocrinology 31: 779–782.

    Article  Google Scholar 

  • Tymstra, T. (1989) The imperative character of medical technology and the meaning of “Anticipated Decision Regret”. International Journal of Technology Assessment in Health Care 5: 207–213.

    Article  Google Scholar 

  • Tymstra, T. (2007) “At least we tried everything”: About binary thinking, anticipated decision regret, and the imperative character of medical technology. Journal of Psychosomatic Obstetrics and Gynecology 28: 131.

    Article  Google Scholar 

  • Van de Wiel, L. (2014) For whom the clock ticks: Reproductive ageing and egg freezing in Dutch and British news media. Studies in the Maternal 6(1).

  • Van de Wiel, L. (2015) Freezing in anticipation: Eggs for later. Women Studies International Forum 53: 119–128.

    Article  Google Scholar 

  • Waldby, C. (2015a) The oocyte market and social egg freezing: From scarcity to singularity. Journal of Cultural Economy 8: 275–291.

    Article  Google Scholar 

  • Waldby, C. (2015b). ‘Banking time’: Egg freezing and the negotiation of future fertility. Culture, Health and Sexuality 17: 470–482.

    Article  Google Scholar 

  • WhatClinic.com (2015) Demand for Private Fertility Treatments in UK More than Doubles in One Year. (available at http://www.whatclinic.com/about/press/, accessed 13 September 2016).

  • Wyndham, N., Figueira, P.G.M. and Patrizio, P. (2012) A persistent misperception: Assisted reproductive technology can reverse the “aged biological clock”. Fertility and Sterility 97: 1044–1047.

    Article  Google Scholar 

  • Zeelenberg, M. (1999) Anticipated regret, expected feedback and behavioural decision making. Journal of Behavioral Decision Making 12: 93–106.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Emily Jackson.

Additional information

Disclaimer

This manuscript is comprised of original material and it is not based upon an empirical study. I have no competing interests – intellectual or financial – in the research detailed in the manuscript.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jackson, E. The ambiguities of ‘social’ egg freezing and the challenges of informed consent. BioSocieties 13, 21–40 (2018). https://doi.org/10.1057/s41292-017-0044-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1057/s41292-017-0044-5

Keywords

Navigation