Here’s a clear overview of modern fertility options for women — both for preserving fertility and treating infertility — with current medical approaches available today:

🌱 1. Fertility Preservation (Planning Ahead)

🥚 Egg Freezing (Oocyte Cryopreservation)

  • Eggs are hormonally stimulated and retrieved, then frozen for future use.

  • A common choice for women delaying pregnancy for career, personal, or medical reasons (e.g., prior to cancer treatment).

  • Success is generally higher when eggs are frozen at younger ages (often recommended before age 40). (Kindbody)

🧬 Embryo Freezing

  • Eggs are collected, fertilized with partner or donor sperm, and the resulting embryos are frozen.

  • Offers potentially higher success rates when used later compared with egg freezing alone. (Cleveland Clinic)

❄️ Ovarian Tissue Freezing

  • A piece of ovarian tissue is removed and frozen, then reimplanted later to restore fertility.

  • Useful for people who can’t delay treatment (e.g., urgent cancer therapy). (oncolink.org)

🌀 Oophoropexy (Ovarian Transposition)

  • A surgical move of the ovaries to protect them from radiation exposure (e.g., in cancer care).

  • Not a fertility treatment per se but helps preserve function when radiation is needed. (oncolink.org)

🤰 2. Assisted Reproductive Technologies (ART)

🧪 In Vitro Fertilization (IVF)

  • Eggs are collected and fertilized in a lab; embryos are later transferred to the uterus.

  • Can incorporate advanced techniques like ICSI (injecting a single sperm into an egg), preimplantation genetic testing (PGT), and embryo freezing.

  • There are ongoing innovations aimed at improving success rates (experimental egg-quality treatments and AI-guided timing protocols are among areas under study). (Kindbody)

🩺 Intrauterine Insemination (IUI)

  • Prepared sperm is inserted directly into the uterus around ovulation, increasing fertilization chances.

  • Less invasive and often used earlier in treatment sequences. (Kindbody)

🧬 Donor Options

  • Donor Eggs: Useful when a woman’s own egg quality is low or ovarian reserve is depleted.

  • Donor Sperm: Option for single women or same-sex couples.

  • Embryo donation is also possible. (Kindbody)

🦠 Gamete and Zygote Transfer Procedures

(Are less common today but still offered in certain cases.)

  • Gamete Intrafallopian Transfer (GIFT): Eggs mixed with sperm are placed in the fallopian tube. (Wikipedia)

  • Zygote Intrafallopian Transfer (ZIFT): A fertilized egg (zygote) is placed into the fallopian tube. (Wikipedia)

💊 3. Medications & Ovulation Support

🩹 Ovulation Induction

  • Oral or injectable medications stimulate the ovaries to release eggs:

    • Clomiphene citrate

    • Letrozole

    • Gonadotropins (FSH, hCG)

  • Often used for irregular ovulation or conditions like PCOS. (NICHD)

🧠 Adjunctive Support

  • Some supplements (e.g., CoQ10) are being explored for egg-quality support, particularly in older patients or those undergoing fertility treatments — though results vary and clinical guidance is advised. (Verywell Health)

📊 4. Emerging & Experimental Approaches

While not yet standard care, research is advancing in areas such as:

  • AI-guided IVF optimization (to improve timing and egg retrieval outcomes). (arXiv)

  • Mitochondrial and cellular therapies to enhance embryo viability. (Raveco Medical)

  • Micro-robotic sperm navigation systems still under study but showing future promise. (The Sun)

📈 Tips Before You Decide

  • Fertility evaluation (hormone tests like AMH, ultrasound) helps personalize plans and set realistic expectations.

  • Age matters: Egg quantity and quality decline with age, so options like egg freezing are more effective earlier. (Hopkins Medicine)

  • Healthcare specialist consultation (reproductive endocrinologist) is key to choosing and sequencing the right options for your goals.

If you’d like, I can explain what each option actually looks like in practice (e.g., timeline, cost, success rates) or help you understand what might fit your personal situation. Just let me know!

TALK TO A FERTILITY COACH