Egg freezing: how to do it? how much does it cost ?

It is now possible to have your oocytes stored and to be reimbursed without medical reason. What are the conditions and procedures? Explanations.

American actress Sienna Miller opened up to ELLE UK about having her eggs frozen at the age of 40. Since 2011, in France, you could have them stored under two conditions: just before a treatment that could affect fertility (for example chemotherapy) and if you were an egg donor yourself.

But since August 2021, the bioethics law has expanded the possibilities of freezing of its gametes: this is no longer limited to medical reasons. But concretely, what does the text say? To access it and benefit from social security coverage, you must meet age conditions: be between 29 and 37 years old. Besides, the procedure is simplified on certain pointsfor example, the spouse of the person who donates his gametes no longer has to give his consent.

If the ovarian stimulation and the oocyte retrieval intervention is reimbursed by health insurance, the conservation itself remains payable, ie approximately 40 euros per year.

Path to follow

The procedure to follow begins with a gynecological consultation. Then, you have to establish a kind of inventory of your fertility, which allows you to estimate your chances of conceiving by medically assisted procreation. After a few blood tests, gynecological examinations and ultrasound, you begin a treatment that lasts about 10 days to stimulate your egg production. Then a control examination is carried out before being able to take them.

The oocytes are stored in liquid nitrogen at -196 degrees Celsius without time limit. Each year, your consent to keep them is requested. Without news from you for 10 consecutive years, the gametes are discarded, as well as in the event of death.

Sources: Legifrance, Dondovocytes.fr.

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2/6 – What is the cost ? What reimbursement?
Not everything is reimbursed in oocyte preservation, but most of it is. You will be reimbursed for stimulation and collection intervention. It is the conservation itself that will be billed to you, it is estimated at 40 euros per year. Each year, you will have to complete a written document to say whether you want to continue freezing or renounce your oocytes. If you do not respond to the solicitation for 10 years, the gametes will be abandoned, the same in the event of death.

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3/6 – What steps? How long ?
Before proceeding with egg retrieval, there are several steps to follow, starting with an assessment of the patient’s situation. Blood tests, ultrasound, gynecological examinations will therefore precede the stimulation. Then, it takes about 10 days of stimulation from the second day of menstruation, before repeating an ultrasound to find out if the oocytes are ready to be collected. Two days later, the sample is taken.

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4/6 – Stimulation and puncture: is it painful?
Ovarian stimulation is done via subcutaneous injections every day over a period of 9 to 10 days. “Ovarian stimulation can cause pain similar to that sometimes felt at different stages of the menstrual cycle: heaviness, pelvic cramps (in the lower abdomen)”, specifies the Dondovocytes site. Then, the sample is taken under anesthesia, two options are possible, general or local.

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5/6 – Where can I achieve this preservation?
The decree stipulates that only public and private non-profit health establishments are accredited to be able to carry out oocyte conservation and be reimbursed.

© Shutterstock / Anamaria Mejia

6/6 – How are my oocytes preserved?
Eggs are placed in liquid nitrogen at -196 degrees Celsius, this is called cryopreservation. When they are reimplanted, it is estimated that their chance of functioning is almost the same as oocytes that have not been frozen.


Source: Topsante.com by www.topsante.com.

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