There’s an interesting piece on the Guardian’s Comment is Free written by Barbara Ellen about a paper in the Lancet suggesting young women might freeze their eggs or ovarian tissue for future use. She is quite right to be concerned about the uncertainties around freezing as a solution – it is relatively new, expensive and comes with no guarantees – and yet having come across many women who are still unaware of the realities of their fertility I don’t think all women are aware of the way that fertility declines.
There may be endless screeching about this through the “media megaphone” as she describes it, and yet I regularly meet women in their forties who think that being fit and healthy and still having periods must also mean being fertile. I’m not sure where the disconnect is here, and whilst it is quite true that there are many women who may be unnecessarily anxious about their fertility in their early thirties, the realities of fertility in your forties still comes as a surprise to many others.
I’m not sure why this is – is it that women who are now in their forties didn’t get this message when they were younger? Is it that they are putting too much faith in fertility treatments to solve any problems? The realities of IVF success rates of less than 2% at the age of 45 combined with miscarriage rates rising to 93% at that age are still something too few women really appreciate.