The early 20s and early 30s are the best time for women to consider freezing their eggs, because they have the top quality and that's when doctors can have a good number of expertise. Egg freezing should be seen like an insurance that can be used when the woman is sure to get pregnant. Fertility Specialist Enrique Soto recommends trying another fertility treatment, like insemination, before using egg freezing. “As a last resort we would use those eggs. They last indefinitely," he says.
The chance to get pregnant is best when the woman is in her early 20s. The chance to conceive at that age is about 25% per month, according to Fertility specialist Enrique Soto, who says that after the age of 35 this number starts to go down very fast. The specialist adds that nowadays people are having kids at an older age and this is one of the reasons why theyâ€™re looking for a doctor in order to conceive. His recommendation is: “When the patient is younger than 35, the couple can wait up to one year in order to come to see the doctor. After that age, which is the majority of our patients, they can wait only 6 months to see a fertility specialist, who will do the basic tests and other exams to help them."
Having a healthy lifestyle, not smoking because it is a huge problem that affects the quality of sperm and eggs, exercising regularly and eating healthy are Fertility Specialist Enrique Soto's recommendations if a couple wants to have a huge impact in fertility. Also, he recommends freezing the woman's eggs in her early 20s or 30s, because after that time the number and quality of the egg dramatically go down. He says that the freezing process can take two weeks. “The specialist gives medication to a woman for two weeks, in order for eggs to grow. Then he removes the eggs with a very careful procedure, then sees which one of them is mature and freezes it," he explains.
Fertility Specialist Enrique Soto says that 3% of women and men can have fertility problems, because it is a combined thing. In order to help the couple to conceive, specialists do basic tests. “For men, a sperm test is conducted to know how many sperms there are, how well they move and the shape. The normal is over 15 million per millimeter but only one make's it. For women the basic tests are an X ray to see if the fallopian tubes are open and working well, see if the uterus is normal and hormonal testing, which is the most important one," he says. The specialist explains that there is a particular hormone, called anti-mullerian hormone, which gives an idea of how many eggs a woman has. “Every month, in order to release one egg, many are used. After the age of 35, this number goes down very fast. After the age of 40 this number goes much faster. When the woman is in her early 40s, 43-44, there are only very few eggs left. That's why It's so important to know the egg count."
In vitro fertilization is a common treatment for fertility. Fertility Specialist Enrique Soto explains they give a woman a medication for ten days, like FHS and LH, which are injected subcutaneously. “In that period, the woman will produce maybe ten eggs in each ovary and at the end of ten days, eggs will be removed, combined with sperm and doctors wait five or six days until that embryo grows in the lab. After that, they can either take an embryo (one or two) or place it into the uterus." He recommends that patients older than 35 do genetic testing on the embryo in order to rule out many genetic conditions.