A month ago, I published a 13,000-word essay on IVF and egg freezing. The core argument is that the American fertility funnel pushes women toward far higher drug doses than the rest of the world, defaulting to the most aggressive protocol for nearly every woman — usually without telling her that gentler options exist and get comparable results.
This thread is the short version and should take 5 minutes, compared to the essay's 1 hour. It also clears up the mischaracterisations I keep hearing — some of them honest, given how long the piece is, and some from people with a vested interest in my being wrong.
The straw man goes like this: Riva said egg freezing and IVF are bad, exaggerated how many days American women take stims, and then told them to copy Japan, where IVF outcomes are notoriously worse. Don't bother reading it!
Egg freezing and IVF are incredible technologies. What I'm critical of is the methods and the advice young women are given.
Three approaches exist, but the US system defaults to the most aggressive one for nearly every woman: