What is social freez­ing?

Social freez­ing refers to the pre­cau­tion­ary freez­ing of eggs for non-med­ical rea­sons in order to pre­serve your fer­til­i­ty for a bio­log­i­cal­ly more favourable time. Women choose this option when hav­ing a child is not cur­rent­ly a priority—for exam­ple for per­son­al, pro­fes­sion­al or rela­tion­ship rea­sons.

The freez­ing of egg and sperm cells has also been used for med­ical rea­sons for many years, for exam­ple before chemother­a­py or radio­ther­a­py. This long-stand­ing expe­ri­ence forms the basis for mod­ern meth­ods such as vit­ri­fi­ca­tion, which allow eggs to be cry­op­re­served par­tic­u­lar­ly gen­tly today and pre­served for lat­er fer­til­i­ty treat­ment.

Who is social freez­ing suit­able for?

Logo Ikon Women who wish to have a child lat­er

Social freez­ing can be use­ful if you gen­er­al­ly wish to have a child but would like to realise this at a lat­er time—for exam­ple due to your per­son­al, rela­tion­ship or pro­fes­sion­al cir­cum­stances.

Logo Ikon Women who would like to pre­serve their fer­til­i­ty ear­ly as a pre­cau­tion

For lat­er chances of suc­cess, age at the time of freez­ing is the key fac­tor. Con­di­tions are usu­al­ly most favourable if eggs are frozen in the ear­ly 30s or ear­li­er, as egg qual­i­ty and often ovar­i­an reserve are still good at that time.

Logo Ikon Even if you decide lat­er

Social freez­ing is not lim­it­ed to women in their ear­ly 30s. Even if the deci­sion is made in the mid to late 30s, freez­ing eggs can still be worth­while. How­ev­er, as age increas­es, egg qual­i­ty in par­tic­u­lar declines. This may mean that more eggs and, if nec­es­sary, sev­er­al stim­u­la­tion cycles are required to cre­ate a good basis for a lat­er desire to have a child. We will dis­cuss your indi­vid­ual chances of suc­cess with you based on your age and ovar­i­an reserve.

Logo Ikon Women with a fam­i­ly his­to­ry or low ovar­i­an reserve

If there is a fam­i­ly his­to­ry of ear­ly menopause or indi­ca­tions of a reduced ovar­i­an reserve, it may be advis­able to address pre­serv­ing your fer­til­i­ty at an ear­ly stage. In an indi­vid­ual con­sul­ta­tion, we will show you whether and which fer­til­i­ty preser­va­tion options may be appro­pri­ate in your per­son­al sit­u­a­tion and what tim­ing is favourable.

Dott. Mag. Sara Comploj in conversation with a patient. Illustration of the uterus to explain diagnostics and treatment when trying to conceive.

When is freez­ing eggs rec­om­mend­ed?

The rea­sons for hav­ing eggs frozen as a pre­cau­tion are high­ly indi­vid­ual. In addi­tion to per­son­al and rela­tion­ship con­sid­er­a­tions, med­ical rea­sons may also sup­port pre­serv­ing your fer­til­i­ty ear­ly.

Non-med­ical rea­sons (social freez­ing):

  • You wish to have a child, but the right time has not yet come.
  • Your cur­rent rela­tion­ship or life sit­u­a­tion is not yet right for start­ing a fam­i­ly.
  • Pro­fes­sion­al or per­son­al plans mean that hav­ing a child is post­poned for the time being.
  • You would like more flex­i­bil­i­ty in terms of tim­ing for fam­i­ly plan­ning.
  • You would like to have sev­er­al chil­dren in the future and want to fac­tor fam­i­ly plan­ning for fur­ther preg­nan­cies in ear­ly on.
  • You would like to learn about your cur­rent options for fer­til­i­ty preser­va­tion and make a con­scious pro­vi­sion for the future.

Med­ical rea­sons (med­ical freez­ing):

For med­ical rea­sons, it may be advis­able to freeze eggs before a pos­si­ble impair­ment of ovar­i­an func­tion. This includes, for exam­ple:

  • planned chemother­a­py or radio­ther­a­py
  • Endometrio­sis, espe­cial­ly before cer­tain oper­a­tions on the ovaries
  • planned ovar­i­an surgery in which healthy ovar­i­an tissue—and thus the ovar­i­an reserve—could be affect­ed
  • an increased risk of pre­ma­ture impair­ment of ovar­i­an func­tion, for exam­ple due to cer­tain genet­ic or fam­i­ly fac­tors

Whether and when cry­op­reser­va­tion is med­ical­ly advis­able always depends on your indi­vid­ual sit­u­a­tion. We will advise you per­son­al­ly and dis­cuss togeth­er which options may be suit­able for you.

Process: How does egg freez­ing work?

At our pri­vate fer­til­i­ty cen­tre Die Kinder­wun­schärztin in Munich, we will explain trans­par­ent­ly how social freez­ing works and what indi­vid­ual steps you can expect dur­ing treat­ment.

  1. Ini­tial con­sul­ta­tion: coun­selling & diag­nos­tics

    At the begin­ning, there is a detailed med­ical con­sul­ta­tion in which we dis­cuss your per­son­al sit­u­a­tion, your life plans and your ques­tions about social freez­ing.

    Using an ultra­sound exam­i­na­tion of the ovaries and a hor­mone analy­sis, we deter­mine your ovar­i­an reserve and hor­mone sta­tus and clar­i­fy whether fur­ther exam­i­na­tions are use­ful or nec­es­sary.

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  2. Indi­vid­ual Treat­ment Plan

    Based on your ovar­i­an reserve and your age, we cre­ate an indi­vid­ual stim­u­la­tion plan.

    We will dis­cuss the selec­tion and use of the med­ica­tion as well as the treat­ment sched­ule so that you can start the stim­u­la­tion phase well pre­pared.

  3. Hor­mon­al stim­u­la­tion & mon­i­tor­ing

    Sim­i­lar to IVF or ICSI treat­ment, hor­mon­al stim­u­la­tion encour­ages sev­er­al eggs to grow at the same time.

    The stim­u­la­tion phase usu­al­ly lasts around 9 to 12 days. From about the 6th day of stim­u­la­tion, we close­ly mon­i­tor fol­li­cle growth with ultra­sound exam­i­na­tions and blood tests every two to three days. In most cas­es, two to three short morn­ing check-up appoint­ments are required in total. As soon as the fol­li­cles are large enough, we will deter­mine the exact tim­ing of egg retrieval togeth­er.

  4. Egg retrieval & cry­op­reser­va­tion

    A spe­cial injec­tion trig­gers the final mat­u­ra­tion of the fol­li­cles. Short­ly before they would rup­ture spon­ta­neous­ly, the eggs are retrieved from the ovaries in a short out­pa­tient pro­ce­dure.

    This is usu­al­ly done under a short anaes­thet­ic; if only a few eggs are matur­ing, retrieval may be pos­si­ble in some cas­es with­out anaes­the­sia. Under ultra­sound guid­ance, the eggs are col­lect­ed from the fol­li­cles using a fine nee­dle and care­ful­ly assessed in the embry­ol­o­gy lab­o­ra­to­ry. Mature eggs are then select­ed for cry­op­reser­va­tion. How many eggs can be retrieved varies great­ly from per­son to per­son and depends in par­tic­u­lar on age, ovar­i­an reserve and response to hor­mon­al stim­u­la­tion.

    The eggs are then cry­op­re­served using vit­ri­fi­ca­tion and stored safe­ly. In this state, they can be kept for many years and used lat­er for fer­til­i­ty treat­ment.

Social freez­ing – a med­ical assess­ment

Gold stan­dard

Social freez­ing with vit­ri­fi­ca­tion is now an estab­lished method of fer­til­i­ty preser­va­tion. Over­all, the treat­ment is con­sid­ered safe and well proven; however—like any med­ical treatment—it is asso­ci­at­ed with cer­tain risks. These include, in par­tic­u­lar, pos­si­ble side effects of hor­mon­al stim­u­la­tion and rare com­pli­ca­tions dur­ing egg retrieval.

Lat­er chances of suc­cess depend pri­mar­i­ly on age—and there­fore the qual­i­ty of the eggs at the time of freezing—as well as the num­ber of eggs retrieved. Frozen eggs can pre­serve the chance of a lat­er preg­nan­cy with bio­log­i­cal­ly younger eggs, but they do not guar­an­tee the birth of a child. That is why a real­is­tic and indi­vid­ual assess­ment of your per­son­al chances of suc­cess is par­tic­u­lar­ly impor­tant to us.

Sup­ple­men­tary treat­ments & addi­tion­al options

FERTILITY TEST & ULTRASOUND

With the help of a hor­mone analy­sis and an ultra­sound exam­i­na­tion of the ovaries, we can assess your ovar­i­an reserve and cre­ate a sound basis for indi­vid­ual treat­ment plan­ning. Togeth­er with your age and your per­son­al fam­i­ly plan­ning, this also helps us assess whether social freez­ing may be appro­pri­ate for you and, if so, when.

ICSI with frozen eggs

If you would like to realise your desire to have a child at a lat­er time, the pre­vi­ous­ly frozen eggs can be thawed and fer­tilised as part of ICSI treat­ment. The key advan­tage: the eggs retain the bio­log­i­cal age at which they were frozen. This means that even years lat­er you can use your younger eggs and ben­e­fit from the asso­ci­at­ed high­er chances of preg­nan­cy and the birth of a child. The risk of mis­car­riage is also cor­re­spond­ing­ly low­er. A new hor­mon­al stim­u­la­tion and egg retrieval is not nec­es­sary, pro­vid­ed that enough frozen eggs are avail­able.

Why tim­ing is cru­cial in social freez­ing

In social freez­ing, age at the time of freez­ing plays a cru­cial role. The main rea­son is egg qual­i­ty: as age increas­es, the pro­por­tion of eggs in which chro­mo­somes are no longer dis­trib­uted cor­rect­ly ris­es. This reduces the like­li­hood that an egg will be suc­cess­ful­ly fer­tilised and devel­op into a chro­mo­so­ma­l­ly nor­mal embryo and ulti­mate­ly a preg­nan­cy. At the same time, the risk of mis­car­riage and cer­tain chro­mo­so­mal abnor­mal­i­ties increas­es. These age-relat­ed changes become sig­nif­i­cant­ly more pro­nounced from the mid-30s onwards.

In addi­tion to egg qual­i­ty, the num­ber of avail­able eggs also decreas­es over the course of life. Women are born with a lim­it­ed sup­ply of eggs, which con­tin­u­ous­ly dimin­ish­es. How quick­ly the so-called ovar­i­an reserve declines varies great­ly from per­son to per­son.

This is exact­ly where social freez­ing comes in: if eggs are frozen at a younger age, their bio­log­i­cal age at the time of cry­op­reser­va­tion is pre­served. If these eggs are used years lat­er for fer­til­i­ty treat­ment, their age-relat­ed char­ac­ter­is­tics still cor­re­spond to those at the time of freez­ing. There­fore, as a gen­er­al rule: the younger a woman is when freez­ing her eggs, the more favourable the con­di­tions are usu­al­ly for a lat­er preg­nan­cy with these eggs.

Based on cur­rent knowl­edge, vit­ri­fi­ca­tion itself does not lead to an increased risk of mis­car­riage or chro­mo­so­mal abnor­mal­i­ties. The deci­sive fac­tor for lat­er chances of suc­cess is there­fore pri­mar­i­ly the age of the eggs at the time of freez­ing.

Close-up of a flower vase in the bright practice atmosphere at the fertility center in Munich for a relaxed consultation.

Social freez­ing in Munich – our exper­tise at a glance

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  • Indi­vid­ual Treat­ment Plan­ning

    We tai­lor your hor­mon­al stim­u­la­tion indi­vid­u­al­ly to your ovar­i­an reserve, your age and your per­son­al sit­u­a­tion.

  • Hor­mone Lab­o­ra­to­ry

    Our in-house hor­mone lab­o­ra­to­ry enables short dis­tances, rapid results and clear com­mu­ni­ca­tion of find­ings.

  • Mod­ern IVF and cryo lab­o­ra­to­ry

    The retrieved eggs are vit­ri­fied direct­ly in our own lab­o­ra­to­ry accord­ing to cur­rent sci­en­tif­ic stan­dards and stored long term.

  • Flex­i­ble con­sul­ta­tion hours

    With appoint­ments ear­ly in the morn­ing and in the evening, treat­ment can be inte­grat­ed into your dai­ly rou­tine as smooth­ly as pos­si­ble.

  • Cen­tral Loca­tion

    Our pri­vate fer­til­i­ty cen­tre is cen­tral­ly locat­ed in Munich city cen­tre and is very easy to reach.

 

What Our Patients Say

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Sandra B
105 days ago
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Had a very good experience, I felt very well taken care of, everyone very professional, standardized routines, can definitely recommend
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Lauren W
141 days ago
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We flew from overseas to work with Dr Mann and her team. Everyone was so kind, empathetic and extremely helpful. Everyone spoke English and made us feel very welcome. We could not have asked for better care than what we received from Dr Mann and her team. Bonus, the offices are beautiful.
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Andrea C
185 days ago
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After visiting two other fertility clinics (one of which I left in tears), I had almost lost hope of finding a place where I would truly feel heard. Then I met Dr. Sarah Comploj, and everything changed. From the very first consultation, I felt genuinely listened to and treated as an individual. Unlike my previous experiences, where I was quickly told I needed IVF without anyone really taking the time to understand my situation or carefully review my test results, here I felt that my case truly mattered. Every step was explained thoughtfully, and my concerns were taken seriously. What stood out the most was that I never felt like just another patient or that the focus was on money. Instead, I felt that the entire team was committed to helping me achieve my dream in the most appropriate and personal way possible. Today, I am holding my one-month-old baby in my arms, and I will forever be grateful for the care, compassion, and expertise I received here. I can only highly recommend this clinic and Dr. Comploj 🩷
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Viktoria O
323 days ago
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Every appointment I’ve had over the last few months has been consistently informative, professional, and conducted in a personal manner. The treatment plan was explained in detail and any concerns or questions always answered. She also speaks perfect English if required. I’m impressed with how well organised the clinic is and how quickly results are processed, and last-minute appointments made available. For anyone who is going through the struggle of infertility it’s a difficult and vulnerable time, but I always felt so reassured and in good hands with Dr Mann.
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Local R
331 days ago
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A heartfelt thank you to Dr. Gerber for the exceptional support and warmth during a very sensitive journey. I always felt respected and in good hands. Truly grateful.
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V D
452 days ago
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I'm very grateful for my experience, the staff from reception to the doctors were very kind. You can feel accompanied during the treatment. Also, overall I had a successful treatment, especially considering my age, it's a costly treatment but it's worth it. So I'm very happy for the result, my doctor was Sara Comploj.
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Marina
489 days ago
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I had a wonderful experience with the Kinderwunsch practice, and especially with dr. Corina Mann. From the very beginning, dr Mann was attentive, knowledgeable, and truly invested in helping me achieve the best possible outcome. She took the time to understand my goals and tailored my treatment plan to make sure I had the best chance of success. Thanks to her care and expertise, I was able to maximise my results and reach my goals. I always felt supported, informed, and in the best hands. Dr Mann always answered my countless questions with a smile :) I’m incredibly grateful for her dedication and would wholeheartedly recommend her to anyone starting their fertility journey.
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Carmencita
491 days ago
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I just want to say a big thank you to the whole team of Dr. Mann and Dr. Albrecht. I felt really taking care off in this Praxis and really can recommend everyone to go to this clinic, as here you can get at least the most possible personalization and time dedicated to you! Thanks again for your support!
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Maria K
587 days ago
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Since my doctor was busy and couldn't do the procedure herself, I had an appointment with Sarah to have my fallopian tubes checked. I was very nervous before the procedure, but it turned out to be for nothing! Sarah described and explained every step of the procedure and was extremely friendly.
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Jay B
1149 days ago
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Our multiple years-long Kinderwunsch journey was spent under the care of Dr. Mann and her Kinderwunsch practice team. Dr. Mann is not only a highly competent expert in her field, she's also empathetic and kind. She treated each appointment with a sense of being genuinely invested — listening to concerns or questions, planning for my unique treatment needs, and explaining processes or procedures without rushing (because she knows it's likely your first time going through something ... even though it might be her 40000th time). Her practice is busy and it's because she's the best. The practice team is cheerful and helpful. The waiting area is comfortable with pleasant music, flowers, and they even laid out gingerbread during Christmas time. They have a lab on-site so results are often same-day. I particularly found the technology they use to share results via email quickly so helpful. And I always felt at ease speaking in my native language and not pressured to try to keep up with unfamiliar German terminology. I'm forever grateful to have found Dr. Mann. We plan to visit soon with our new plus-one :) - RB & JB
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Aparna P
1649 days ago
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Dr.Albrecht is really good and friendly. She is best at her own way. But reception staff is very very very worst and disappointing. They themselves book an appointment and say it’s not booked. Luckily in Doctorlib my appointment was visible. Staff is very very rude. And they respond very rudely. I can give 0 rating for Staff at reception.
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Cindy L
1670 days ago
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We had an absolutely wonderful experience with Dr. Mann. Her positive energy and competence was so reassuring and much appreciated during the potentially stressful time of trying to have a baby. I really loved how we could communicate in either English or German over complicated and sensitive reproductive matters. She took the time to answer all of our questions and offered us a wealth of information regarding the treatments. And her staff brought the same good vibes and Expertise to the practice. Some of the best and painless blood draws I’ve ever had, and they were always very responsive through emails as well as telephone communication. Online appointment system was also great. Video consults super convenient. The setting of the practice itself is an oasis of peace and calmness. As soon as I stepped through the doors I felt relaxed with the music, green plant wall, and well designed and decorated space. Technology and quality of equipment is very good. Yes, sometimes the waiting time had been 30+ minutes, but because the patient care is so excellent, I’ll be back for future treatments as needed, and would highly recommend this practice and team to anyone.
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Raluca O
1854 days ago
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I have only the best words to describe my experience at the clinic. I personally worked with Dr. Albrecht and she was amazing. Every appointment was done on time, informative and clear on what the next steps are. She offered details and support with my every question. Where I wasn’t sure of my German we swapped to English to make sure I understood everything. The clinic is run in a very efficient way, organized, planned and as a process oriented person I loved it!
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Costs of freez­ing eggs

The costs of social freez­ing vary indi­vid­u­al­ly and depend on the scope of the respec­tive treat­ment. Your age and ovar­i­an reserve play an impor­tant role in treat­ment plan­ning, as they help deter­mine how many eggs can like­ly be retrieved in one stim­u­la­tion cycle and whether one or more treat­ment cycles may be advis­able. The indi­vid­u­al­ly required hor­mone dose and the dura­tion of stim­u­la­tion also influ­ence the over­all costs.

Before treat­ment begins, we will dis­cuss with you how many eggs can like­ly be retrieved and whether one or more stim­u­la­tion cycles may be advis­able for your per­son­al goal. This allows you to assess the pos­si­ble scope of treat­ment and the asso­ci­at­ed costs well.

Social freez­ing with­out a med­ical indi­ca­tion is a self-pay ser­vice. The costs are there­fore gen­er­al­ly not cov­ered by either statu­to­ry or pri­vate health insur­ance. If treat­ment is planned due to an ill­ness that may impair fer­til­i­ty, dif­fer­ent require­ments apply for pos­si­ble cost cov­er­age. We will explain this to you dur­ing your first appoint­ment.

Before treat­ment begins, you will receive a trans­par­ent, indi­vid­ual cost plan from us so that you know what costs you can expect.

To the cost overview
Ini­tial con­sul­ta­tion incl. basic diag­nos­tics – ca. €470–550

The ini­tial con­sul­ta­tion includes detailed med­ical coun­selling and an ultra­sound exam­i­na­tion to assess the ovaries and ovar­i­an reserve. In addi­tion, indi­vid­u­al­ly tai­lored hor­mone diag­nos­tics are per­formed. Which lab­o­ra­to­ry val­ues are deter­mined depends on your per­son­al sit­u­a­tion and any find­ings already avail­able. The actu­al costs may there­fore vary slight­ly.

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Cycle mon­i­tor­ing (per appoint­ment) – approx. 150–170 €

Cycle mon­i­tor­ing is used to close­ly mon­i­tor stim­u­la­tion through ultra­sound exam­i­na­tions and blood tests in order to man­age fol­li­cle growth safe­ly and deter­mine the opti­mal time for egg retrieval.

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Egg retrieval & freez­ing – ca. 1,700–2,200 €

The costs include sur­gi­cal egg retrieval (punc­ture) with sub­se­quent mon­i­tor­ing after the pro­ce­dure, as well as all steps in the IVF lab­o­ra­to­ry: iden­ti­fy­ing the eggs in the retrieved fol­lic­u­lar flu­id, assess­ing them and prepar­ing them for cry­op­reser­va­tion, and freez­ing them using vit­ri­fi­ca­tion. The eggs are then safe­ly stored in our cryos­tor­age facil­i­ty and can be kept there long term.

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Stor­age – ca. €380/year

For the long-term stor­age of your frozen eggs in our cryos­tor­age facil­i­ty, annu­al stor­age costs of approx. €380 apply. The eggs are stored under con­tin­u­ous­ly con­trolled con­di­tions at –196 °C. For ini­tial stor­age, an addi­tion­al one-off pro­cess­ing fee of €75 applies.

Notes on Billing

No fixed or flat-rate prices: We bill on the basis of the offi­cial scale of fees for doc­tors (GOÄ). Accord­ing to the GOÄ, we are not allowed to quote fixed or flat-rate prices for med­ical ser­vices. The prices men­tioned are intend­ed to pro­vide ori­en­ta­tion and are typ­i­cal for the treat­ments men­tioned.

Pos­si­ble VAT lia­bil­i­ty: Med­ical ser­vices may be sub­ject to VAT (cur­rent­ly 19%). This applies if, after diag­nos­tics have been car­ried out, no med­ical indi­ca­tion or con­firmed diag­no­sis is present and it is there­fore not a med­ical treat­ment in the strict sense. This can be the case in par­tic­u­lar with social freez­ing treat­ments, but also with the treat­ment of sin­gle moms and same-sex cou­ples.

Note on Cost Cov­er­age

We would be hap­py to pro­vide you with detailed cost infor­ma­tion for the planned treat­ment in advance. This allows you to clar­i­fy cost cov­er­age with your pri­vate health insur­ance (PKV) as best as pos­si­ble before­hand. Statu­to­ry health insur­ance (GKV) does not cov­er costs at our cen­ter.

Fre­quent­ly asked ques­tions about social freez­ing

At what age should you freeze your eggs?

From a bio­log­i­cal per­spec­tive, freez­ing eggs ear­li­er is gen­er­al­ly more favourable, as egg qual­i­ty decreas­es with age. For many women, how­ev­er, social freez­ing only becomes a con­crete con­sid­er­a­tion in the ear­ly 30s—at a time when per­son­al life and fam­i­ly plan­ning can often be assessed more clear­ly. The years between the late 20s and mid-30s can there­fore be a sen­si­ble peri­od to engage with the top­ic.

How­ev­er, what tim­ing makes sense for you indi­vid­u­al­ly does not depend on age alone. Ovar­i­an reserve, your per­son­al desire to have a child and your broad­er fam­i­ly plan­ning also play an impor­tant role in the deci­sion.

How many eggs should you freeze?

There is no fixed num­ber that makes equal sense for every woman. Depend­ing on age, per­son­al fam­i­ly plan­ning and the desired num­ber of chil­dren, around 20–30 mature eggs can be a use­ful guideline—however, the tar­get num­ber may be sig­nif­i­cant­ly high­er or low­er on an indi­vid­ual basis.

Dur­ing the con­sul­ta­tion, we cal­cu­late what chances are asso­ci­at­ed with a cer­tain num­ber of frozen eggs. We take into account your age at the time of freez­ing, your ovar­i­an reserve and your per­son­al fam­i­ly plan­ning, and dis­cuss togeth­er what tar­get num­ber makes sense for you and how many stim­u­la­tion cycles will like­ly be nec­es­sary.

Can you still freeze eggs at 40?

In prin­ci­ple, eggs can still be frozen at the age of 40. How­ev­er, lat­er chances of suc­cess are sig­nif­i­cant­ly low­er due to the age-relat­ed decline in egg qual­i­ty than if eggs are frozen at a younger age. The num­ber of eggs that can be retrieved in one stim­u­la­tion cycle also often decreas­es with increas­ing age.

We there­fore dis­cuss par­tic­u­lar­ly care­ful­ly whether social freez­ing at the age of 40 is still advis­able in your indi­vid­ual case. We take into account ovar­i­an reserve, ultra­sound find­ings and your per­son­al sit­u­a­tion, and pro­vide open advice on what chances can real­is­ti­cal­ly be expect­ed.

What are the chances of becom­ing preg­nant lat­er with frozen eggs?

The chances of a lat­er preg­nan­cy depend pri­mar­i­ly on the age at which the eggs were frozen and how many mature eggs are avail­able. As a rule, the younger the eggs are at the time of freez­ing, the high­er the like­li­hood that they will lat­er result in a viable embryo and a preg­nan­cy.

How­ev­er, a cer­tain num­ber of frozen eggs is not a guar­an­tee of hav­ing a child. Not every egg sur­vives thaw­ing, can be fer­tilised suc­cess­ful­ly and then devel­ops into an embryo. That is why we cal­cu­late as indi­vid­u­al­ly as pos­si­ble already dur­ing plan­ning what chances are asso­ci­at­ed with a cer­tain num­ber of frozen eggs and what tar­get num­ber may be appro­pri­ate for your per­son­al fam­i­ly plan­ning.

Do I lose eggs through social freez­ing, or will I go through menopause ear­li­er as a result?

No. Hor­mon­al stim­u­la­tion does not sim­ply “use up” addi­tion­al eggs from your future ovar­i­an reserve. Ovar­i­an reserve decreas­es nat­u­ral­ly and con­tin­u­ous­ly over the course of life: every month, numer­ous eggs are lost through a nat­ur­al process known as atresia—regardless of whether hor­mon­al stim­u­la­tion is per­formed.

In every nat­ur­al cycle, sev­er­al fol­li­cles also begin to mature. Nor­mal­ly, only one fol­li­cle con­tin­ues to devel­op until ovu­la­tion, while the oth­ers regress. With hor­mon­al stim­u­la­tion, we make use of some of these fol­li­cles and sup­port sev­er­al of them in con­tin­u­ing to mature at the same time.

Egg retrieval there­fore does not cause the ovar­i­an reserve to be deplet­ed more quick­ly or menopause to occur ear­li­er.

Is egg retrieval painful?

Egg retrieval is usu­al­ly per­formed under a short anaes­thet­ic, so you do not feel any pain dur­ing the pro­ce­dure. Imme­di­ate­ly after­wards, mild low­er abdom­i­nal pain or a pulling sen­sa­tion may occur, which usu­al­ly sub­sides quick­ly. As the ovaries may still be enlarged due to hor­mon­al stim­u­la­tion, a feel­ing of pres­sure or ten­sion in the low­er abdomen may per­sist for a few days—especially if many fol­li­cles have matured. More severe or increas­ing pain is rare and should be med­ical­ly assessed.

How long does social freez­ing treat­ment take?

A social freez­ing cycle usu­al­ly takes about two weeks. Hor­mon­al stim­u­la­tion typ­i­cal­ly begins at the start of the cycle and lasts around ten to twelve days. Dur­ing this time, we reg­u­lar­ly mon­i­tor fol­li­cle growth with ultra­sound and blood tests and adjust treat­ment indi­vid­u­al­ly as need­ed.

As soon as enough fol­li­cles have matured, final egg mat­u­ra­tion is trig­gered. About 36 hours lat­er, egg retrieval is per­formed under a short anaes­thet­ic. The mature eggs retrieved are vit­ri­fied in the IVF lab­o­ra­to­ry on the same day and then stored.

In social freez­ing, are fer­tilised or unfer­tilised eggs frozen?

In social freez­ing, unfer­tilised eggs are frozen. This keeps future fam­i­ly plan­ning open and inde­pen­dent of a cur­rent part­ner. If you would like to use the eggs at a lat­er time, they are thawed and fer­tilised as part of fer­til­i­ty treat­ment.

Fer­tilised eggs can also be frozen. This is usu­al­ly done as part of IVF or ICSI treat­ment for cou­ples and should be dis­tin­guished from the cry­op­reser­va­tion of unfer­tilised eggs in social freez­ing.

How long can frozen eggs be stored?

Vit­ri­fied eggs can gen­er­al­ly be stored for many years. They are kept at around –196 °C in liq­uid nitro­gen. At these extreme­ly low tem­per­a­tures, bio­log­i­cal process­es in the cells vir­tu­al­ly come to a stand­still, so the eggs do not con­tin­ue to age dur­ing stor­age.

The deci­sive fac­tor for their age-relat­ed qual­i­ty there­fore remains the age at the time of freezing—not how many years the eggs are sub­se­quent­ly stored in cryos­tor­age.

How will my frozen eggs be used lat­er?

If you would like to use your frozen eggs lat­er for fer­til­i­ty treat­ment, the required eggs are thawed and then fer­tilised in our IVF lab­o­ra­to­ry using ICSI. In this process, one sperm cell is inject­ed direct­ly into each egg.

After fer­til­i­sa­tion, the eggs are fur­ther cul­tured in the lab­o­ra­to­ry and their devel­op­ment is care­ful­ly mon­i­tored. A suit­able embryo is then trans­ferred into the uterus. Addi­tion­al frozen eggs can remain safe­ly stored in cryos­tor­age for a lat­er desire to have a child.

Can I still become preg­nant nat­u­ral­ly lat­er despite hav­ing frozen eggs?

Yes. Social freez­ing does not mean that you will lat­er be depen­dent on your frozen eggs. If you wish to have a child at a lat­er time and a nat­ur­al preg­nan­cy is pos­si­ble, you can first try to become preg­nant in the usu­al way.

The frozen eggs remain avail­able as an addi­tion­al option. They can be used lat­er if preg­nan­cy does not occur nat­u­ral­ly or if using eggs frozen at a younger age appears med­ical­ly advis­able.

Do all eggs sur­vive freez­ing and thaw­ing?

Vit­ri­fi­ca­tion is now a well-estab­lished method that allows eggs to be frozen gen­tly and stored for many years. The vast major­i­ty of mature eggs sur­vive lat­er thaw­ing well.

Nev­er­the­less, not every frozen egg lat­er results in a preg­nan­cy. After thaw­ing, the egg must first be fer­tilised suc­cess­ful­ly and then devel­op into an embryo. This is a nat­ur­al bio­log­i­cal selec­tion process and one of the rea­sons why sev­er­al mature eggs should be frozen in social freez­ing.

How many eggs make sense for your per­son­al fam­i­ly plan­ning depends in par­tic­u­lar on your age at the time of freez­ing and whether you would like to have one or more chil­dren lat­er. We cal­cu­late and dis­cuss these chances with you indi­vid­u­al­ly.

When does health insur­ance cov­er the costs of freez­ing eggs?

Social freez­ing for per­son­al, non-med­ical rea­sons is a self-pay ser­vice and is gen­er­al­ly not cov­ered by health insur­ance.

The sit­u­a­tion may be dif­fer­ent in the case of med­ical­ly nec­es­sary fer­til­i­ty preser­va­tion, for exam­ple before chemother­a­py or radio­ther­a­py or before cer­tain treat­ments that can impair ovar­i­an func­tion. In indi­vid­ual cas­es, con­di­tions such as endometrio­sis may also con­sti­tute a med­ical indi­ca­tion for pre­cau­tion­ary egg freez­ing.

Whether and to what extent costs are cov­ered depends on the indi­vid­ual med­ical sit­u­a­tion and the respec­tive insur­ance cov­er­age. Par­tic­u­lar­ly for pri­vate­ly insured patients, we rec­om­mend clar­i­fy­ing pos­si­ble cost cov­er­age with the health insur­ance provider before treat­ment begins. We will be hap­py to sup­port you with the nec­es­sary med­ical doc­u­men­ta­tion.

What side effects can social freez­ing have?

Hor­mon­al stim­u­la­tion is well tol­er­at­ed by most women. Tem­porar­i­ly, a feel­ing of pres­sure or ten­sion in the low­er abdomen, bloat­ing, fatigue or mild mood swings may occur. After egg retrieval, mild low­er abdom­i­nal pain or a feel­ing of ten­sion may per­sist for a short time.

A pos­si­ble com­pli­ca­tion of hor­mon­al stim­u­la­tion is the so-called ovar­i­an hyper­stim­u­la­tion syn­drome (OHSS), in which the ovaries react exces­sive­ly to the med­ica­tion. In social freez­ing, this risk can now be reduced very sig­nif­i­cant­ly through mod­ern stim­u­la­tion pro­to­cols and appro­pri­ate­ly adjust­ed trig­ger­ing of egg mat­u­ra­tion. Severe cas­es are there­fore rare.

Com­pli­ca­tions of egg retrieval such as bleed­ing, infec­tions or injury to neigh­bour­ing organs are also rare. Accord­ing to cur­rent sci­en­tif­ic knowl­edge, long-term health risks from hor­mon­al stim­u­la­tion or freez­ing eggs are not known.