But that’s the thing. Why wait until you're in your 40s to find out? Why not have a better understanding of where you fall on the spectrum by the time you’re 35?
These blood tests for FSH and AMH, as well as an antral follicle count (AFC), which assess your fertility potential, are far from foolproof — they may predict a problem when there’s none — but wouldn’t you want some information, however imperfect, sooner rather than later? (And if there’s no problem, that may be just the time to freeze — younger eggs always being better than older ones.)
You might want to take these tests to avoid what happened to L.A. actress and writer Sarah Fizeli, who wrote last year on XO Jane “I Went to Freeze My Eggs and They Told Me I Don’t Have Any Left.” Her AMh at 40, was, undetectable. “If only I’d frozen my eggs at age 30, when I was ready but my husband wasn’t. Or age 33. Or 35.”
“There’s very few things that can predict the future,” said Dr. Jamie Grifo, program director for the Department of Obstetrics and Gynecology at NYU Langone’s Fertility Center, which has done about 2,500 egg-freezing cycles, thawing 250, resulting in 100 babies so far. Dr. Grifo said the tests can predict trends, not whether someone will have a baby. When it comes to freezing your eggs, “there is no right answer.”
But getting the information is key. Some women are fatalistic, choosing not to, saying “It’s in God’s hands; we’ll see what happens,” but it’s better to be proactive.
“They think about their life and their options and consider what they want to do,” — given the information they have about their own possible fertility future — “and if you’re paying attention and making choices, you’ll have better outcomes than someone who doesn’t.”
So, ladies, I won’t bore you with all my fertility woes, and how much I wish I knew about reproduction when I was your age. I won't tell you about how I might have gotten pregnant with my boyfriend at 39 and not waiting to get married at 41, I won't take you through our nine rounds of IVF with ten doctors over four years, finally getting pregnant (but not with my own eggs). I have a beautiful baby now, so I have to try not to have too many regrets about how I should have done it differently.
Instead I’ll just say this one last time: Know thyself. Know thy thyroid, thy ovaries, thy fallopian tubes, thy eggs, and thy hormones.
Then make the appropriate decision, whether it’s marrying your boyfriend or kicking him to the curb, or stopping to date narcissist studs who will waste your time, or curtailing your long work hours to find the one, or getting pregnant this very second, or starting the egg freezing process, or deciding to never have kids and finding that wonderful travel gig that will take you on wonderful life adventures.
We women have so many options in life. It's good to know what they are.