Egg freezing is presented as an empowering decision. A way of taking charge of your reproductive life, preserving your options and buying yourself a little more time. A chance to beat the clock. And for many women, that is precisely what happens. [1] But what happens psychologically after the eggs are frozen? This is an account of three women who underwent the same medical procedure, yet each had a very different psychological response.
When Relief Turns Into Disappointment
“At the time, when I froze my eggs, I felt relieved. I felt it was good self-care, I was being proactive and that it bought me some time. I can’t believe none of that is true now.” — MJ
One of the hardest things for MJ to reconcile was that her eggs did not survive the freeze-thaw process. She understood intellectually that egg freezing preserved reproductive potential rather than guaranteeing a baby. But that understanding was of little comfort when she discovered her eggs were no longer viable.
What struck me about MJ’s experience was not simply her disappointment with the medical outcome, but the loss of the psychological reassurance she had gained from freezing her eggs. It had felt like the responsible thing to do, allowing her to worry a little less about her reproductive future. When she discovered that her eggs had not survived thawing, she described feeling devastated, angry and incredibly anxious. It felt as though the rug had been pulled out from under her. In so many areas of our lives, taking action helps reduce uncertainty. We make plans, put safeguards in place and feel reassured that we have done what we can. But reproduction doesn’t always work that way. MJ had done what she could to preserve her fertility, yet the outcome was still beyond her control.
It wasn’t that she had done anything wrong, or that her eggs had somehow failed her. The science of egg freezing, despite how far it has come, still has its limitations. [4,5] And for MJ, those limitations had very real emotional consequences.
When Egg Freezing Creates More Anxiety
“It was really weird, I actually started to stress more about the whole thing. I thought freezing my eggs would bring relief, but it got worse! I worry if they really got enough, should I do it again as a safety measure, what about freeze-thaw? I don’t even know if there is a right or wrong place to stop.” — PG
PG’s experience was quite different. Before freezing her eggs, she worried about her age, whether she would meet the right partner, and whether she would have the opportunity to become a mother. She hoped egg freezing would quiet some of those worries. Instead, the object of her anxiety changed. Now she worried about the number of eggs she had frozen, whether they would survive thawing, whether they would fertilize, and whether she should undergo another retrieval, just in case. In other words, she had completed the medical procedure, but she didn’t feel psychologically finished.
This is something I see repeatedly in fertility treatment. We often imagine that reaching a particular medical milestone will bring psychological relief. But completing a medical procedure doesn’t necessarily mean the emotional uncertainty has been resolved. And while there may be sound medical reasons to consider another retrieval [4], there is also a psychological question worth considering:
Am I thinking about another cycle because it would meaningfully improve my reproductive options, or because I am hoping it will finally make me feel safe?
If what we really seek is certainty that everything will work out fine, there may never be a number of cycles that feels sufficient. The question then becomes how we live with that uncertainty. Sometimes we have to make decisions without knowing whether they are the right ones and learn to accept that we may never feel completely sure.
When Egg Freezing Doesn’t Change How You Feel
“I thought I’d feel more relieved, like I had done something. I actually don’t feel any different. I don’t even think about it.” — DD
DD’s response is interesting because it seems so uneventful. She had expected egg freezing to bring some emotional benefit—a sense of relief, accomplishment, and greater control over her reproductive future. Instead, she felt much the same. She was disappointed, having read about other women feeling empowered, liberated, and reassured by what was described as a meaningful form of self-care.
She had hoped her decision and emotions would line up, confirming that she had made the right choice. What she discovered was that she felt neutral, even after taking what felt like a big, worthwhile step. Psychologically, a neutral response is not a sign that something went wrong but maybe simply that the decision has settled into its proper place, as one sensible step rather than something that has to carry one's emotional future.
MJ, PG, and DD all went into the process of egg freezing with the same idea: to preserve their reproductive options and buy some time. Yet their emotional responses differed greatly, raising the question: What are we hoping egg freezing will do for us emotionally?
Sometimes we unconsciously give those eggs a much bigger job: to reassure us that motherhood will still be available when we are ready, or to allow us to stop thinking about fertility and regret. That’s a lot to ask of a collection of cells sitting in a laboratory freezer. And it could partly explain why psychological responses to egg freezing are so varied. Understanding what we are asking of egg freezing psychologically may help us recognise the kind of support we need, both during the process and afterwards.
Preserving Options Is Not the Same as Securing Outcomes
It’s important to remember that egg freezing can preserve reproductive options, but it cannot secure a reproductive outcome. Long-term research shows that many women who freeze their eggs never return to use them—and that for those who do, a live birth is by no means guaranteed. [3,4]
Frozen eggs preserve possibility, but possibility and certainty are not the same thing. If we expect egg freezing to provide both, even a medically successful retrieval may leave us feeling strangely unfinished.
Research has found that many women are satisfied with their decision to freeze their eggs, although some experience regret. [2,6] But satisfaction and relief are not the same thing. You can think, I’m glad I froze my eggs, and still feel, I’m worried about whether I will be able to have a child. In the end, perhaps one can only aspire to feel comfortable with the thought, I have given myself the very best opportunity in a situation that isn't entirely in my hands.
Client names and identifying details have been changed to protect confidentiality.
References
1. Baldwin, K., Culley, L., Hudson, N., & Mitchell, H. (2019). Running out of time: Exploring women’s motivations for social egg freezing. Journal of Psychosomatic Obstetrics & Gynecology, 40(2), 166–173. doi.org/10.1080/0167482X.2018.1460352
2. Greenwood, E. A., Pasch, L. A., Hastie, J., Cedars, M. I., & Huddleston, H. G. (2018). To freeze or not to freeze: Decision regret and satisfaction following elective oocyte cryopreservation. Fertility and Sterility, 109(6), 1097–1104.e1. doi.org/10.1016/j.fertnstert.2018.02.127
3. Blakemore, J. K., Grifo, J. A., DeVore, S. M., Hodes-Wertz, B., & Berkeley, A. S. (2021). Planned oocyte cryopreservation—10–15-year follow-up: Return rates and cycle outcomes. Fertility and Sterility, 115(6), 1511–1520. doi.org/10.1016/j.fertnstert.2021.01.011
4. Cascante, S. D., Blakemore, J. K., DeVore, S., Hodes-Wertz, B., Fino, M. E., Berkeley, A. S., Parra, C. M., McCaffrey, C., & Grifo, J. A. (2022). Fifteen years of autologous oocyte thaw outcomes from a large university-based fertility center. Fertility and Sterility, 118(1), 158–166. doi.org/10.1016/j.fertnstert.2022.04.013
5. Kawwass, J. F., Crawford, S., & Hipp, H. S. (2021). Frozen eggs: National autologous oocyte thaw outcomes. Fertility and Sterility, 116(4), 1077–1084. doi.org/10.1016/j.fertnstert.2021.05.080
6. Jaswa, E. G., Pasch, L. A., McGough, A., Wong, R., Corley, J., Cedars, M. I., & Huddleston, H. G. (2023). Decision regret among women considering planned oocyte cryopreservation: A prospective cohort study. Journal of Assisted Reproduction and Genetics, 40(6), 1281–1290. doi.org/10.1007/s10815-023-02789-w
