Egg freezing glossary
Every term you'll hear at the clinic — decoded, in plain English.
Held is peer support and education — always check anything medical with your own care team.
- AMH · Anti-Müllerian Hormone
- A blood test that gives a rough sense of your egg supply (ovarian reserve). Higher usually means more eggs available to stimulate — but it does not measure egg quality or predict natural fertility on its own.
- Antral Follicle Count · AFC
- An ultrasound count of the small resting follicles at the start of your cycle. Together with AMH it helps your clinic estimate how you might respond to the medications.
- Stimulation · The "stim" phase
- Roughly 8–12 days of hormone injections that encourage many follicles to grow at once (instead of the single one your body usually matures). This is the bulk of the two-week cycle.
- Follicle
- A small fluid-filled sac in the ovary that holds an egg. Clinics track follicle size on ultrasound to decide when your eggs are ready.
- Monitoring · Monitoring appointments
- Short, frequent visits (bloodwork + ultrasound) during stims so your clinic can adjust your dose and watch your follicles grow. Usually early morning, every few days, then daily near the end.
- Trigger Shot
- A final injection given at an exact time that matures the eggs for collection. Retrieval is scheduled ~36 hours later, so the timing really matters.
- Retrieval · Egg retrieval
- A ~20-minute procedure under light sedation where eggs are collected from the follicles with a thin needle guided by ultrasound. You go home the same day.
- Vitrification · Flash-freezing
- The modern flash-freezing method used to store eggs. It freezes so fast that ice crystals (which used to damage eggs) don’t form, which is why success rates improved so much.
- OHSS · Ovarian Hyperstimulation Syndrome
- An uncommon over-response to the medications causing swollen, painful ovaries. Clinics watch for it closely. Tell your team about severe bloating, pain, or rapid weight gain.
- Mature (M2) Eggs · Metaphase II
- Only mature eggs can be frozen for future fertilization. That’s why the count your clinic freezes can be lower than the total eggs retrieved.
- Ovarian Reserve
- A rough sense of how many eggs you have left. It’s estimated — not measured exactly — from AMH and your antral follicle count together. It speaks to quantity, not egg quality.
- Oocyte · The medical word for an egg
- You’ll see “oocyte” all over clinic paperwork and lab reports. It just means egg.
- Baseline Scan
- The bloodwork + ultrasound at the very start of your cycle (usually day 1–3) that checks your ovaries are “quiet” and ready before you begin injections.
- Estradiol (E2) · A form of estrogen
- A hormone tracked in your monitoring bloodwork. It climbs as your follicles grow, so your clinic uses it — alongside ultrasound — to judge how you’re responding and fine-tune your dose.
- Protocol · Antagonist / agonist
- The specific plan of medications and timing your clinic chooses for you. The common “antagonist” protocol adds a medication partway through to stop you ovulating before retrieval. There’s no one-size-fits-all — it’s matched to you.
- Cryopreservation · Freezing & storing
- The umbrella term for freezing and storing eggs, sperm, or embryos. For eggs, it’s done by vitrification (flash-freezing).
- Thaw Survival Rate
- The share of frozen eggs that survive warming when you come back to use them. It reflects the lab’s skill — a fair question to ask before you choose a clinic.
- ICSI · Intracytoplasmic Sperm Injection
- How frozen eggs are usually fertilized later: a single sperm is injected directly into each thawed egg. Relevant when you return to use them, not during freezing.
- Egg Quantity vs Quality
- Tests (AMH, AFC) estimate how many eggs you’ll get — not how healthy they are. Quality tracks most closely with age, which is why age matters more than any single number.
Where this comes from
Independent, non-commercial sources — no clinic ads:
- ReproductiveFacts.org (ASRM) — Patient fact sheets and a step-by-step fertility-preservation journey, from the American Society for Reproductive Medicine.
- HFEA — The UK’s independent fertility regulator — a clear A–Z glossary and unbiased treatment information.
- SART — US clinic success-rate data and patient guides from the Society for Assisted Reproductive Technology.
- Mayo Clinic — A plain-language medical overview of egg freezing — what to expect, risks, and results.
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