A forum for your future. At FORA, we believe that you deserve to understand your fertility and your body. FORA will provide a personalized fertility assessment, including a 60 minute in depth consultation and ovarian reserve testing. Once testing has been completed, you will be positioned to make the choices right for you and your future family. Freezing eggs and embryos can be a helpful treatment strategy for those who desire to plan for a future family in the setting of diminished ovarian reserve (DOR), or beginning a family a bit later in life and wanting to plan for more than one child, or desiring to postpone conception for other reasons. In addition, fertility preservation helps preserve future fertility in the setting of cancer, surgery, or gender transition.
Egg freezing (oocyte cryopreservation) provides patients with the opportunity to pause time and keep future options open. FORA will create a personalized treatment plan based on your fertility assessment and will review realistic expectations prior to your cycle. Egg freezing requires a woman to take hormone injections over the course of approximately 2 weeks, while being monitored with blood work and ultrasound in the office to evaluate egg (oocyte) growth. Once eggs are at a mature size, they are collected and frozen for future use. Your eggs will remain safely stored until you are ready to start your family.
Embryo freezing, also known as embryo banking, can preserve future fertility or provide the opportunity to achieve a family size goal of more than one child. If you are partnered but not ready to conceive, embryo freezing will give the best odds of the future family of your dreams. Patients who are embarking on their fertility journeys but who ultimately desire more than one child can benefit from creating, testing, and preserving embryos for the future.
Embryo freezing involves a woman taking hormone injections over the course of approximately 2 weeks while being monitored with blood work and ultrasound in the office to evaluate egg (oocyte) growth. Once eggs are at a mature size, they are collected and fertilized with sperm in the lab to create embryos. The goal is then to grow (culture) embryos in the lab until they reach the potential implantation stage, called the blastocyst stage. At the blastocyst stage, most often embryos are sampled for genetic rearrangements which would make them unable to form a baby, and thus, unsuitable for embryo transfer. This testing technology is called PGT-A or preimplantation genetic testing for aneuploidy. Embryos found to have the correct chromosomal complement with PGT-A (called euploid embryos) have the highest chance of becoming a baby upon embryo transfer. Depending on your family building goals, we will discuss plans for subsequent cycles, current embryo transfer, or delayed embryo transfer.
Some individuals may wish to preserve their fertility when waiting to start a family or when undergoing a gender transition. Options for fertility preservation include sperm and egg freezing.
Sperm preservation (freezing) allows those who may wish to block testosterone to save sperm for use in future conceptions, since medications which stop testosterone production also stop sperm production. Egg preservation (freezing) involves the removal of eggs prior to testosterone hormone treatment, so that these eggs can be used in future family planning.
At FORA, we believe that there is no one way toward a family. We want to understand your goals and dreams, and help guide you on the best path toward parenthood.