, Volume 13, Issue 1, pp 21–40 | Cite as

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

  • Emily JacksonEmail author
Original Article


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.


egg freezing fertility informed consent medicalisation egg donation 



  1. Adams, V., Murphy, M. and Clarke, A.E. (2009) Anticipation: Technoscience, life, affect, temporality. Subjectivity 28: 246–265.CrossRefGoogle Scholar
  2. Alter, C., Tsai, D. and Trianni, F. (2015) What you really need to know about egg freezing. Time. July 16.Google Scholar
  3. Arie, S. (2015) Is too much hope placed in egg freezing? British Medical Journal 351: h5955.CrossRefGoogle Scholar
  4. ASRM (2014) Can I Freeze My Eggs to Use Later if I’m Not Sick? Alabama: ASRM.Google Scholar
  5. 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.CrossRefGoogle Scholar
  6. 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.CrossRefGoogle Scholar
  7. Baylis, F. (2015) Left out in the cold: Arguments against non-medical oocyte cryopreservation. Journal of Obstetrics and Gynaecology Canada 37: 64–67.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. Becker, G. (2000) The Elusive Embryo: How Women and Men Approach New Reproductive Technologies. Los Angeles: University of California Press.CrossRefGoogle Scholar
  10. Beeson, D. and Lippman, A. (2006) Egg harvesting for stem cell research: Medical risks and ethical problems. Reproductive BioMedicine Online 13: 573–579.CrossRefGoogle Scholar
  11. Bennett, J. (2014) Company-paid egg freezing will be the great equalizer. Time October 15: 1–2.Google Scholar
  12. Bewley, S. (2016) Shock! Horror! Or business as usual? Bionews. 6 June.Google Scholar
  13. 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.CrossRefGoogle Scholar
  14. 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
  15. Carbone, J. and Cahn, N. (2013) Gender/class divide: Reproduction, privilege, and the workplace. Florida International University Law Review 8: 287.Google Scholar
  16. Carbone, J. and Cahn, N. (2015) The triple system for regulating women’s reproduction. The Journal of Law, Medicine & Ethics 43: 275–288.CrossRefGoogle Scholar
  17. Chen, C. (1986) Pregnancy after human oocyte cryopreservation. The Lancet 327: 884–886.CrossRefGoogle Scholar
  18. Daly, I and Bewley, S. (2013) Reproductive ageing and conflicting clocks: King Midas’ touch. Reproductive BioMedicine Online 27: 722–732.CrossRefGoogle Scholar
  19. Daniluk, J.C. (2015) “Sleepwalking into Infertility”: The need for a gentle wake-up call. The American Journal of Bioethics 15: 52–54.CrossRefGoogle Scholar
  20. 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.CrossRefGoogle Scholar
  21. 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
  22. 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.CrossRefGoogle Scholar
  23. Ericson, R. (2005) Governing through risk and uncertainty. Economy and Society 34: 659–672CrossRefGoogle Scholar
  24. 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.CrossRefGoogle Scholar
  25. ESHRE Task Force on Ethics and Law (2012) Oocyte cryopreservation for age-related fertility loss. Human Reproduction 27: 1231–1237.CrossRefGoogle Scholar
  26. Evers, J.H. (2016) Santa Claus in the fertility clinic. Human Reproduction 31: 1381–1382.CrossRefGoogle Scholar
  27. Franklin, S. (1997) Embodied Progress: A Culture Account of Assisted Conception. Routledge: London.CrossRefGoogle Scholar
  28. Goold I. and Savulescu, J. (2009) In favour of freezing eggs for non-medical reasons. Bioethics 23: 47–58.CrossRefGoogle Scholar
  29. 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
  30. 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.CrossRefGoogle Scholar
  31. Harper, J. et al (2012) When and how should new technology be introduced into the IVF laboratory? Human reproduction 27:303–313.CrossRefGoogle Scholar
  32. Hartouni, V. (1997) Cultural Conceptions: On Reproductive Technologies and the Remaking of Life. Minneapolis: University of Minnesota Press.Google Scholar
  33. Harwood, K. (2009) Egg freezing: A breakthrough for reproductive autonomy? Bioethics 23: 39–46.CrossRefGoogle Scholar
  34. Hass, N. (2011) Time to chill? Egg-freezing technology offers women a chance to extend their fertility. Vogue. April 28.Google Scholar
  35. 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.CrossRefGoogle Scholar
  36. Human Fertilisation and Embryology Authority (2015) General Directions 0006 version 4 Import and Export of Gametes and Embryos. London: HFEA.Google Scholar
  37. Human Fertilisation and Embryology Authority (2016) Fertility Treatment 2014: Trends and Figures. London: HFEA.Google Scholar
  38. Inhorn, MC (2013) Women, consider freezing your eggs. CNN April 9.Google Scholar
  39. Irons, B. and Hepburn, C. (2007) Regret theory and the tyranny of choice. Economic Record 83: 191–203.CrossRefGoogle Scholar
  40. Jackson, E. (2016) ‘Social’ egg freezing and the UK’s statutory storage time limits. Journal of Medical Ethics. Online First: 23 August 2016.Google Scholar
  41. 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
  42. Klein, J. et al, (2006) P-486: Preliminary experience of an oocyte cryopreservation program: Are patients presenting too late? Fertilty and Sterility 86: S315.CrossRefGoogle Scholar
  43. Krähmer, D. and Stone, R. (2013) Anticipated regret as an explanation of uncertainty aversion. Economic Theory 52: 709–728.CrossRefGoogle Scholar
  44. Kuleshova, L. et al. (1999) Birth following vitrification of a small number of human oocytes: Case Report. Human Reproduction 14:3077–3079.CrossRefGoogle Scholar
  45. 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.CrossRefGoogle Scholar
  46. Lockwood, G.M. (2011) Social egg freezing the prospect of reproductive “immortality” or a dangerous delusion? Reproductive BioMedicine Online 23: 334–340.CrossRefGoogle Scholar
  47. London Egg Bank website (2016) accessed 14 September 2016.
  48. Loomes G. and Sugden, R (1982) Regret theory: An alternative theory of rational choice under uncertainty. The Economic Journal 92: 805–824.CrossRefGoogle Scholar
  49. Lowe, P. (2016) Reproductive Health and Maternal Sacrifice: Women, Choice and Responsibility. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar
  50. 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.CrossRefGoogle Scholar
  51. Martin, L.J. (2010) Anticipating infertility: Egg freezing, genetic preservation, and risk. Gender and Society 24: 526–545.CrossRefGoogle Scholar
  52. McBride, C. (2013) I’m so glad I’ve frozen my eggs. The Guardian, 14 December 2013.Google Scholar
  53. Mertes, H. (2011) Social egg freezing: For better, not for worse’. Reproductive BioMedicine Online 23: 824–829.CrossRefGoogle Scholar
  54. Mertes, H. (2015) Does company-sponsored egg freezing promote or confine women’s reproductive autonomy? Journal of Assisted Reproduction and Genetics 32: 1205–1209.CrossRefGoogle Scholar
  55. 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.Google Scholar
  56. Mertes, H. and Pennings, G. (2011) Social egg freezing: For better, not for worse. Reproductive BioMedicine Online 23: 824–829.CrossRefGoogle Scholar
  57. Mertes, H. and Pennings, G. (2012) Elective oocyte cryopreservation: Who should pay? Human Reproduction 27: 9–13.CrossRefGoogle Scholar
  58. 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.CrossRefGoogle Scholar
  59. Mesen, T.B. et al. (2015) Optimal timing for elective egg freezing. Fertility and Sterility 2013: 1551-6 e1-4.Google Scholar
  60. 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
  61. Moynihan, R (2010) Prediseases: Who benefits from treating prehypertension? British Medical Journal 341: c4442.CrossRefGoogle Scholar
  62. National Institute for Health and Care Excellence (2013) Fertility: Assessment and Treatment for People with Fertility Problems. London: NICE.Google Scholar
  63. 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.CrossRefGoogle Scholar
  64. Office of National Statistics (2015) Births by Parents’ Characteristics in England and Wales: 2014. London: ONS.Google Scholar
  65. Peck, S. (2014) Egg freezing: The perfect 30th birthday gift for women. The Daily Telegraph, 27 October 2014.Google Scholar
  66. 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
  67. 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.Google Scholar
  68. Petropanagos, A. (2015) Is advanced maternal age a public health issue?’ The American Journal of Bioethics 15: 56–58.CrossRefGoogle Scholar
  69. 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.CrossRefGoogle Scholar
  70. Petryna, A. (2013) Life Exposed: Biological Citizens After Chernobyl. Princeton: Princeton University Press.CrossRefGoogle Scholar
  71. 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.CrossRefGoogle Scholar
  72. Practice committees of the SART and ASRM (2013) Mature Oocyte Cryopreservation: A Guideline. Alabama: ASRM.Google Scholar
  73. Rapp, R. (1999) Testing Women, Testing the Fetus: The Social Impact of Amniocentesis in America. New York: Routledge.Google Scholar
  74. Richards, S.E. (2013a) Why i froze my eggs (and you should, too). The Wall Street Journal, May 3.Google Scholar
  75. 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
  76. Richards, S.E. (2013c) Freezing eggs – is this what we’re all doing now? Cosmopolitan, 15 June.Google Scholar
  77. Rienzi et al. L. (2010) Embryo development and gestation using fresh and vitrified oocytes. Human Reproduction 25: 1192–1198.CrossRefGoogle Scholar
  78. Robertson, J. (2014) Egg freezing and egg banking: Empowerment and alienation in assisted reproduction. Journal of Law and the Biosciences 1:113–136.Google Scholar
  79. 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
  80. Rosen, C. (2013) The ethics of egg freezing. Wall Street Journal 4 May.Google Scholar
  81. 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.CrossRefGoogle Scholar
  82. Sarner, M. (2015) I’m 29, should I free my eggs? The Guardian 14 August.Google Scholar
  83. 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.CrossRefGoogle Scholar
  84. Slaughter, A.M. (2012) Why women still can’t have it all. The Atlantic, June 13.Google Scholar
  85. Stoop, D. (2010) Social oocyte freezing. Facts, Views and Vision in ObGyn 2:31–34.Google Scholar
  86. 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
  87. 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.CrossRefGoogle Scholar
  88. 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.CrossRefGoogle Scholar
  89. 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.CrossRefGoogle Scholar
  90. 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.CrossRefGoogle Scholar
  91. 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).Google Scholar
  92. Van de Wiel, L. (2015) Freezing in anticipation: Eggs for later. Women Studies International Forum 53: 119–128.CrossRefGoogle Scholar
  93. Waldby, C. (2015a) The oocyte market and social egg freezing: From scarcity to singularity. Journal of Cultural Economy 8: 275–291.CrossRefGoogle Scholar
  94. Waldby, C. (2015b). ‘Banking time’: Egg freezing and the negotiation of future fertility. Culture, Health and Sexuality 17: 470–482.CrossRefGoogle Scholar
  95. (2015) Demand for Private Fertility Treatments in UK More than Doubles in One Year. (available at, accessed 13 September 2016).
  96. 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.CrossRefGoogle Scholar
  97. Zeelenberg, M. (1999) Anticipated regret, expected feedback and behavioural decision making. Journal of Behavioral Decision Making 12: 93–106.CrossRefGoogle Scholar

Copyright information

© Macmillan Publishers Ltd 2017

Authors and Affiliations

  1. 1.Law DepartmentLondon School of Economics and Political ScienceLondonUK

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