Egg freezing assessments: What Happens Before Stimulation
Before egg freezing starts, the clinic assesses whether treatment is suitable and how to plan it. This is an opportunity to discuss your health, understand the proposed tests and get practical instructions. An assessment does not commit you to stimulation, and its results cannot guarantee how many usable eggs or future pregnancies treatment will produce.
Bring the information that could affect treatment
Prepare a list of medicines and supplements, allergies, previous operations and any problems with sedation or anaesthesia. Include relevant diagnoses and previous fertility treatment records. Tell the team about difficulties with internal examinations so that comfort, consent and possible adjustments can be discussed before a scan or procedure.
If preservation is connected with cancer or another medical condition, bring the treating team’s details and the proposed treatment dates. The teams need to agree what is safe and how the schedules fit together. Do not stop regular medicines or postpone medical treatment on your own.
Understand what ovarian reserve testing contributes
Assessment may include a blood test for anti Müllerian hormone, called AMH, and an ultrasound count of small follicles. These can help estimate response to stimulation and inform planning. They cannot show that every visible follicle will yield a mature egg.
Reserve tests mainly describe quantity and expected response. They are not a reliable standalone test of natural fertility or a guarantee of egg quality and future live birth. Ask how your age, history and results are being considered together. The age and freezing guide explains why one reassuring number should not settle the whole decision.
Ask what screening and consent are for
The clinic will explain infection screening, including tests such as HIV and hepatitis. These results can affect handling and storage arrangements; a positive result should lead to an individual discussion rather than an assumption that preservation is impossible.
Review consent for collection, storage and future use, and ask where copies will be kept. Clarify who contacts you about results and which findings could change the plan. If a test or form is unclear, ask what decision it supports before treating it as routine paperwork.
Leave with a workable starting plan
Before injections begin, obtain the medicine schedule, training arrangements and the monitoring plan. Check how to reach the team if you miss a dose, become ill or cannot attend a scan. Ask what circumstances could lead to postponement or cancellation and how that would be discussed.
Confirm the arrangements for collection and recovery using the egg retrieval guide. It is also reasonable to ask for written estimates of treatment and storage costs before agreeing to proceed. You should know both the next clinical step and whom to contact if you are not ready for it.
References
- Guy's and St Thomas': Fertility preservation assessment and choices (opens in a new tab)
- ASRM: Interpreting ovarian reserve tests (opens in a new tab)
- HFEA: Egg freezing, risks and success rates (opens in a new tab)
- Guy's and St Thomas': Freezing eggs or embryos for future use (opens in a new tab)
- ASRM: Fertility preservation for medical indications (opens in a new tab)
