Egg freezing today is sold as an empowering option for everyone. But for some patients of size, the promise of future family planning is a broken one. annalouiesuss reports
Photo-Illustration: Josiah Whitfield; Photos: Getty When Michelle went in for an egg-freezing consultation at a Sacramento, California, fertility clinic in February 2021, she was, in most ways, the typical egg-freezing patient. She was 36, a college-educated professional, and had spent much of her 20s and 30s focusing on her career and traveling to more than four dozen countries.
There is little, if any, research evidence on egg freezing and weight. The vast majority of studies examine BMI and in vitro fertilization, and results from these are mixed. Some have linked overweight and obesity with fewer eggs retrieved and lower rates of pregnancy and live births, while others find no impact of a high BMI on IVF outcomes. Dr.
Michelle wasn’t told any of this. Instead, the nurse suggested “a change in diet” for weight loss, without knowing anything about what Michelle currently eats, a clear sign, Michelle says, “that this person has assumptions because of your size.” Candace, a freelance web developer in San Diego, had been hoping to do IVF in Mexico, where the procedure is less expensive than in the U.S. The clinics she called, though, all had BMI limits lower than her BMI of 44. She called local clinics in Southern California, and eventually went in for a consultation at one for a 20-minute appointment that cost $195. The doctor took one look at her, she says, and told her she was a poor candidate for IVF.
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