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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, answers questions posed by a reader about her concerns on fertility crisis among women and whether egg freezing is the way to go to address the problem.

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Transcript
00:00We talked about how sperm crisis is declining. We call it spermageddon.
00:06However, is it happening in women as well when it comes to the egg crisis?
00:12And what is the solution?
00:19Let's look into the actual decline in eggs in the women.
00:24In fact, there are three reasons why it's declining.
00:26Number one, physiologically.
00:29A woman is actually born with about 2 million eggs in their both ovaries.
00:34And by the time of puberty, that's reduced to 3,000.
00:37And then it's also by the time when somebody is actually sexually active,
00:41at the age of 20s, 30s and 40s, and the egg is declining fast.
00:47So when you reach something like the age of early 20s until early 30s,
00:54then this is at the peak of fertilizations and also peak of eggs' fertility.
01:02However, when it reaches 35, then there will be accelerations of the decline in egg production
01:08and also above 40, and that accelerations become really rapid.
01:12And with that, that will also contribute towards other problems,
01:17such as contributions of chromosomal defects.
01:21And also, if the child is born, there may also be association with preeclampsia
01:26and other age-related complications due to advanced age fertility.
01:33So that is the first reason why the eggs is declining naturally.
01:39However, there are also the second reason, which is delaying in having baby.
01:44For example, in the older generations, having babies in their 20s is actually quite common.
01:51However, Zenzi and newer generations, apart from not thinking of having babies,
01:56they are also delaying it until much later.
01:59As I mentioned, beyond the age of 35 and 40,
02:03then fertility is actually declining quite rapidly, and having baby is not so easy.
02:08The last one is the health of a society or health of women.
02:13So maybe, increasingly, more women are vaping, drinking more alcohol,
02:18having more stressful life, lack of sleep, obesity,
02:22that is associated with other medical conditions such as endometriosis
02:26and also polycystic ovarian syndrome.
02:29And all these contribute towards a poorer fertility.
02:33So with that, is there a solution?
02:36In the spirit of World Population Day, there is a solution.
02:40So the recent technology highlighted that there is a rapid freezing technology
02:46that actually reduces crystallizations of the eggs.
02:50Therefore, the eggs itself can withstand that freezing and can preserve its functions.
02:56So as the egg is preserved much earlier, below the age of 20s or, you know, be at the age
03:03of 30s,
03:04then it is actually preserving that fertility.
03:08However, it obviously comes with some complications because that itself requires some intervention.
03:13For example, it will require to have a stimulation, and that requires hormone,
03:18and that may not be suitable for everyone.
03:21Number two, it requires a retrieval of the eggs.
03:24Number three, it requires good technology to preserve that.
03:28For the last week of the month, we're going to talk about
03:31how actually can enhance the actual chances of pregnancy.
03:37So we're going to talk about the frequency of sexual activity,
03:41the timing of sexual activity,
03:43and perhaps position of sexual activity.
03:45So if you're interested, stay tuned for next week's Putting Dr. G on the Spot.
03:56You

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