
Egg freezing
What is oocyte preservation?
To understand this, it is essential to first understand women's physiological issues and lifestyles. The quality and quantity of a woman's eggs gradually decline with age. Female fertility begins to decline slowly after age 25. Even though younger women have more eggs of better quality, they may not choose to conceive at this time for various reasons: illness may prevent them from having children; or they may be in the prime of their careers and not plan to have children. Egg freezing services offer them more flexibility in their fertility and family plans. Women can undergo egg freezing surgery while young to retrieve their eggs, then freeze these high-quality eggs for future use when they decide to have children. We Hong Kong S&B Medical provides egg freezing services. The entire process is meticulous and comprehensive, from assessment and consultation to ovarian stimulation, egg retrieval, freezing, and storage. For further information about our clinic 's egg freezing process and egg freezing cost, please contact us.
When is best to undergo egg freezing?
Women in Hong Kong choose to freeze their eggs for various reasons, mainly aiming to preserve their fertility without affecting their life plans. They are usually not overly concerned about the egg freezing cost. Many women believe that the younger they are and the earlier they freeze their eggs, the better. So, is there a golden age for egg freezing? We can start by discussing the success rate of egg freezing at different age.

The younger you are when you decide to freeze your eggs, the fewer egg retrievals you'll need, and the higher your success rate. Women under 30 can retrieve an average of about 20 eggs in a single egg retrieval, with a live birth rate as high as 80% and a significantly higher chance of pregnancy. However, after age 35 the number of eggs retrievable and pregnancy rate per cycle are much reduced. For example, at age 40, the number of eggs retrieved in a single egg retrieval will be much lower (usually less than 10), and the live birth rate will be only 20 %. To achieve a higher pregnancy rate, multiple egg retrievals are required (for example, about 3 to 4 egg retrievals are needed for a 70% live birth rate). Therefore, the older you are when you decide to freeze your eggs, the higher the overall cost will be.
Previously, Hong Kong law stipulated that frozen eggs could be stored for a maximum of 10 years (unless there were special medical circumstances, such as needing to freeze eggs for cancer, in which case the eggs could be stored for 10 years, or until the patient reaches the age of 55, whichever is later). Although Hong Kong law removed the maximum age limit for frozen eggs and embryos in 2025, egg freezing at a very young age may not necessarily be beneficial. The utilization rate of frozen eggs is generally low globally because some women may have already conceived naturally or ultimately have no intention of getting married and having children. In other words, freezing eggs too early may be wasteful: for example, freezing eggs at only 18 or 20 years old, but not having the intention of getting married and having children 20 years later, would be a waste of the stored eggs and the egg freezing cost would be wasted. Therefore, it is advisable to plan ahead and budget for the cost of egg freezing before deciding to freeze eggs. In addition, Hong Kong law stipulates that women can only use frozen eggs and their husband's sperm for insemination after marriage. Therefore, women should also pay attention to this before oocyte cryopreservation.
Detailed Explanation of the oocyte cryopreservation Process
If a woman has carefully planned her egg freezing process, including fertility arrangements and budgeting for the costs, then she can formally undergo egg freezing services. Below, we will detail the egg freezing process to help you understand and prepare mentally. The entire egg freezing process can be divided into three parts:
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Step 1: Ovarian stimulation
The egg freezing process will usually start on the second or third day of the menstrual cycle. On that day, the doctor will perform a transvaginal ultrasound to determine if there are any ovarian cysts. If it is the woman's first egg freezing cycle, she may need to undergo blood tests to check if her hormone levels are suitable for egg freezing. The doctor will assess the woman's overall condition to make the most appropriate preparations for egg freezing.
Once everything is confirmed to be feasible, egg stimuating drugs are injected to stimulate the ovaries. This process causes multiple follicles to develop and mature, rather than one single egg in each natural cycles. Since each follicle contains one egg, a certain number of eggs can be retrieved. The ovulation-inducing drugs are injected daily for approximately 8 to 12 days. During this period, women can either go to the clinic for injections regularly or learn the injection method beforehand and administer the medication at home, reducing the number of follow-up visits and minimizing disruption to their work and life. During this period, the doctor will take blood for evaluation and arrange for ultrasound scan to monitor the follicle growth progress and condition. Additionally, women may need to take additional medications during this period to prevent premature ovulation before the egg retrieval procedure. When the largest follicle reaches a diameter of 18 mm or more, it indicates that the eggs are ready. At this point, a trigger shot is administered to induce egg maturation. On the day of the trigger shot, blood is also drawn to test hormone levels.
Step 2: Egg retrieval surgery
Around 34 to 36 hours after the trigger shot, the egg freezing procedure is performed at the licensed IVF center. During this process, an ultrasound probe is inserted into the woman's vagina to locate the follicle. Then, under monitoring, a fine needle is inserted through the vagina into the follicle, and an aspiration device is used to retrieve the eggs to be frozen. Women can choose to undergo this procedure under local anesthesia or monitoring anesthesia. If they choose local anesthesia, the doctor will inject local anesthetic agents into their vagina before egg retrieval, keeping them conscious without causing severe pain during the procedure. If they choose monitoring anesthesia, an anesthesiologist will inject anesthetic drugs into the back of the woman's hand before the procedure. During the procedure, they will be unconscious and will not feel pain, till waking up after the procedure. The entire egg freezing procedure takes about 30 to 45 minutes to complete. After the procedure, the woman needs to rest at the center for about two hours until her blood pressure and heart rate are at normal levels. Then she can leave the center accompanied by an adult relative or friend. It is generally expected that she will need to rest for a full day on the day of the procedure before she can go back to work the next day.
Step 3: Freezing the eggs for future use.
The extracted mature eggs are typically mixed with a cryoprotectant, then vitrified and frozen before being placed in a liquid nitrogen storage container. Because the eggs have been extracted and frozen, their quality is fixed. When a woman plans to conceive, the eggs are thawed and then combined with her husband's sperm to create embryos. These embryos are then transferred to the uterus for successful implantation.
Adequate nutrient absorption cultivates healthy eggs and freezes eggs.
As women age, their egg-producing function gradually declines, especially for women over 40. The quantity and quality of their eggs decrease significantly, making conception more difficult. Therefore, it is crucial to undergo egg freezing at the appropriate age. Cultivating high-quality eggs further increases the success rate of pregnancy after egg freezing. In fact, we can make improvements in our diet and daily life to positively impact egg cultivation.
Let's start with diet. Ideally, you should eat a balanced diet, consuming different types of nutrients to maintain overall health, which is more conducive to cultivating healthy eggs. Additionally, adequate sun exposure is recommended as to ensure enough Vitamin D3, which can be produced naturally by the body through sun exposure. However, every woman's body is different, so if you have any doubts, you can consult an obstetrician gynecologist.

Improving Lifestyle Habits for Egg Freezing
To improve egg quality and increase the chances of successful conception, extra attentions in daily life are essential, and adjustments and improvements to lifestyle habits are necessary. For example, it is crucial to avoid smoking and reduce alcohol intake, maintain a regular sleep schedule, and avoid staying up late. These measures can effectively improve a woman's health and have a significant positive impact on egg quality and pregnancy success rate.
Reasonable Egg Freezing Price
Egg freezing involves multiple steps and utilizes advanced freezing technology, so the price is generally relatively high. For example, the egg retrieval procedure, including some laboratory fees, can cost HKD30,000 or more; the fees for the surgeon and anesthesiologist are also around HKD30,000 or more; each egg storage tube costs about HKD1,000; and the storage fee varies depending on the storage period. Storage for the first three months typically costs several thousand dollars, while storage for one year usually costs tens of thousands of dollars. If you want to freeze your eggs for 10 years, the price can reach hundreds of thousands. Our clinic's egg freezing fees are similar to the market price and are reasonable. Please feel free to inquire.
Frequently Asked Questions about Egg Freezing
1. What types of women typically choose egg freezing?
Firstly, some women are in poor health and unsuitable for pregnancy and childbirth at that time, thus requiring oocyte cryopreservation. They plan to conceive later when their health improves, for example, some cancer patients or patients with other serious illnesses affecting their ovarian function by treatments or surgeries. Therefore, they pay for egg freezing before undergoing such treatment to ensure future fertility. Additionally, some women may not choose to conceive during their prime reproductive years due to work or other personal reasons. However, as they age, such as after 35 years old, the number and quality of their eggs gradually decrease. Therefore, planning ahead for future fertility and egg freezing is a good option for them, as it is financially affordable.
2. What is the best age for women to freeze their eggs?
Indeed, a woman's age at egg freezing often significantly impacts her future ability to conceive using these frozen eggs. Doctors generally recommend that women undergo egg freezing between the ages of 25 and early 30. This is because after age 35, the quality and quantity of a woman's eggs gradually decline, greatly reducing the chances of successful pregnancy. However, it's crucial to avoid overdoing it. Freezing eggs too young , such as at age 20, means there's still a considerable period when the body can conceive naturally, making the frozen eggs unnecessary and easily a waste of the money spent on egg freezing. Under Hong Kong law, there is currently no time limit for egg freezing storage. However, it's also considered that even if a woman freezes her eggs at age 20, waiting until age 40 or 50 to use these frozen eggs, while the chances of conceiving with frozen eggs do not differ significantly with age, the risks during pregnancy and childbirth will greatly increase. Therefore, it's recommended that women plan ahead or set a specific timeframe for egg freezing beforehand. Under current law, women who wish to continue egg freezing after five years need to see a doctor every two years for continuation of storage.
3. How many eggs are needed for egg freezing?
In fact, the more frozen eggs you have, the better, because each egg only has one chance of conceiving (but it does not mean having one baby). The more frozen eggs you have, the higher your chances of getting pregnant. Typically, a woman around 30 years old who has undergone egg freezing once will have more than 20 frozen eggs stored, and the chance of getting pregnant using these frozen eggs will be over 80%. In contrast, a woman around 40 years old who has undergone egg freezing once will usually only have fewer than 10 frozen eggs stored, and the chance of getting pregnant using these frozen eggs will only be about 20%. Even if she undergoes egg freezing twice, storing a total of more than ten frozen eggs, the chance of getting pregnant using these frozen eggs will only be 40% or less.
In addition, it also depends on how many children the woman wants in her ideal family plan. If the goal is to have 2 to 3 children, she may need to undergo repeated egg freezing cycles to increase the number of eggs and the chances of getting pregnant.
In summary, there is no single answer to how many eggs are sufficient; it depends on the woman's wishes regarding egg freezing, thus ensuring that the cost of egg freezing is not wasted.
4. Will thawing the frozen eggs cause a decrease in their quality?
Indeed, freezing and thawing eggs may affect some eggs, but the survival rate after thawing is generally around 80-90%. The survival rate depends on various factors, including the woman's age at the time of freezing and quality of the eggs. In other words, the younger the woman is when freezing her eggs, the higher the survival rate after thawing. Statistics also indicate that the chances of pregnancy with thawed eggs are roughly the same as those with eggs that have not been frozen.
5. After the egg retrieval procedure before egg freezing, how long does it typically take for my menstrual cycle to return to normal?
Throughout the egg freezing process, ovulation-inducing injections are used. These injections can cause the uterine lining to shed earlier. Therefore, about 8 to 10 days after the egg retrieval procedure before egg freezing, menstruation may arrive early, which is normal. Subsequent menstrual cycles will gradually return to a normal pattern. Don't worry.
6. Does freezing eggs lead to premature ovarian failure?
In our clinic's experience with egg freezing services, clients often ask if having multiple eggs retrieved within a short period of time will lead to premature ovarian failure, and they worry about entering menopause and aging earlier. These are common misconceptions. In each monthly ovulation cycle, a batch of eggs are awakened, but the body's hormones can only support the growth of one egg. Therefore, only one egg is released each month, and the others are naturally lost. The ovulation-stimulating injections administered to women aim to give those lost eggs a chance to mature. So, the egg freezing process does not involve "laundering future money," so please be assured!
7. If there are plans to freeze eggs, what current laws in Hong Kong must be followed?
Indeed, Hong Kong has strict regulations regarding assisted reproductive technology including egg freezing. For those wishing to use egg freezing service need to pay extra considerations in many details apart from paying the egg freezing price. Firstly, as a patient seeking egg freezing, all information about the procedure, the outcome, and the freezing process must be registered in the Human Reproductive Technology Authority's archives. This arrangement aims to ensure the legality of all egg freezing procedures. Secondly, egg freezing must be performed at a government-approved reproductive technology center or clinic, guaranteeing that the storage and use of the frozen eggs are legal.
Hong Kong law does not stipulate that individuals using egg freezing services must be married; even single women can pay the egg freezing fee to use this service and preserve their fertility. However, it's important to note that if a woman decides to conceive using frozen eggs later, she must be married and provide proof of marriage; otherwise, she will be violating the law, and the egg freezing fee will be wasted.
8. Will undergoing egg freezing surgery cause any side effects on the body?
Retrieving and freezing eggs from a woman for preservation is a minor surgical procedure with very mild side effects. After the procedure, there may be slight abdominal bloating and pain, along with a little bleeding, but generally no serious complications or long-term effects occur. A small number of women may experience ascites after egg freezing, but this is usually mild and subsides within a week. To address these side effects, women undergoing egg freezing at clinics or centers are usually allowed to rest for about two hours before undergoing examinations until their blood pressure, heart rate, and other vital signs return to normal. They can then leave accompanied by an adult family member or friend.
9. After the egg retrieval procedure during egg freezing, how many days of rest are needed before I can exercise?
After egg retrieval, it's best to wait until after your next menstrual period before engaging in strenuous exercise, such as running or lifting heavy objects. Similarly, sexual intercourse should be avoided during this period to allow the ovaries sufficient time to recover. Excessive activity during this time could lead to ovarian torsion, significantly hindering the recovery process and incurring additional medical expenses on top of the egg freezing costs. If a woman wishes to exercise after egg retrieval, she should choose gentle activities such as walking. After her menstrual period, she can gradually adjust her exercise routine according to her physical condition to resume normal activity levels.
10. What is the typical cost of egg freezing?
Because egg freezing involves advanced technology and requires a relatively long storage period, the cost can be substantial. The specific costs vary depending on the procedure. For example, the egg retrieval procedure itself costs approximately HKD$30,000 or more in the laboratory. The use of egg storage tubes also incurs a fee, with each tube costing over HKD$1,000. Storage costs also vary depending on the storage period; for instance, storing eggs for one year would cost over HKD$10,000, while storing them for 10 years would approach HKD$100,000. Therefore, careful budgeting is essential when considering egg freezing costs.
