Global Health Asia-Pacific March 2020 | Page 49

with a diminished reserve of healthy eggs, which isn’t the best-case scenario. While many women look upon egg freezing as an infertility treatment, it’s actually meant to be a preventative treatment. The longer you delay your egg freezing, the less effective the procedure gets. Ladies who undergo the procedure at an advanced age are also likely to spend more on the process; they’ll have to do more cycles, and take more medication during each cycle. Last but not least, do note that plenty of women have expressed regret after freezing their eggs. In a study published by the University of California, San Francisco, it came to light that 49% of women surveyed regret their decision to undergo their egg freezing procedure (Greenwood, Pasch, Hastie, Cedars & Huddleston, 2018). According to senior author Dr. Heather Huddleston, these participants had “unrealistic expectations” of being able to conceive using their frozen eggs, with some of the women estimating that their likelihood of having a baby with their frozen eggs was 100%. #3: Lubricant is good for fertility Think lubricant is good for fertility? Think again. According to a study by the State University of New York’s Upstate Medical Center, plenty of widely- available lubricants can harm sperm, and reduce your chances of getting pregnant (Sandhu, Wong, Kling, & Chohan, 2014). In this study, which was published in the Fertility and Sterility journal, the co-authors state that “commercial coital lubricants have been wrongly perceived to maintain fertility.” The co-authors tested five different commonly available types of lubricants, and four out of the five lubricants impaired sperm’s overall movement, as well as their ability to move forward. The only exception to the rule occurs when you’re using a lubricant that’s specially formulated for couples trying to conceive. Your options include Pre- Seed, Conceive Plus, Yes Baby, Sliquid Oceanics, and Astroglide. GlobalHealthAndTravel.com #4:You are only infertile when you reach menopause Humanity is an unique species in how our fertility and reproductive life is effectively terminated at mid- life. However, many mistakenly associate the lost of fertility with menopause, that the cessation of fertility only happens when a woman encounters menopause. However, this is not the case for most people: there is often a decade or more between the loss of fertility in eggs and the end of menstrual activity. #5:The exception is not the rule! There was a popular article written around 20 years ago by a journalist which sought to debunk the reproductive medicine industry: this journalist had 3 children after the age of 35, and made the claim that not only does fertility not decline with age, but that any claims regarding the declining fertility in women was a huge con-job created by the IVF industry. This reminds me of an argument back when the Royal College of Surgeons released its 1962 report on the connection between smoking and cancer. At the time, there were people who insisted that this link could not exist, as people had that one relative or acquaintance who smoked 60 cigarettes a day and lived to 85! The fact is that in science, exceptions and outliers will always exist. In addition, scientific statistics are shaped around the average population: no one is suggesting that the human race is programmed to experience reproductive obsolescence on everyone’s 40th birthday. For every woman who gets pregnant at the age of 41, there is also someone who is infertile before their 30th birthday. Expecting one to be an outlier, in a good way, is a dangerous way to wager one’s dreams of starting a family. While many women look upon egg freezing as an infertility treatment, it’s actually meant to be a preventative treatment Professor Christopher Chen is a fertility medicine pioneer and the founder of the Advanced Centre for Reproductive Medicine in Singapore. Professor Christopher Chen Chair for Reproductive Medicine, University of Queensland, Australia. Professor, University of Newcastle, Australia. MARCH 2020 47