The Scottish Mail on Sunday

Costly luxury? No, assisting these women benef its us all

- By PROFESSOR GEETA NARGUND SENIOR NHS CONSULTANT AND MEDICAL DIRECTOR OF IVF CLINIC CREATE FERTILITY

BRITAIN faces a fertility crisis that can only be sensibly and fairly addressed with radical action.

Over the past three years I have been campaignin­g to introduce fertility education into the curriculum across the UK. Considerab­le progress has been made, but I believe that we now need something more fundamenta­l.

That is why I’m calling on the Government to support the right for women between the ages of 30 and 35 who wish to have children but are not ready to start a family, to have their eggs frozen for free on the NHS.

To some, this will seem like an expensive luxury, but there are compelling social, ethical and financial reasons for doing it.

I believe that helping women and couples to conceive naturally is by far the best option. But the reality is that women are increasing­ly delaying having children until later in life.

For some this is to establish a career and seek financial security, but recent research shows it is mostly because they

New policy would help beat gender inequality

have been unable to find a suitable partner.

Of course, increased freedom and equality for women is welcome, but as a consequenc­e some of those who wait until later in life to start a family may struggle to conceive.

Egg freezing could avert that by offering women the opportunit­y to preserve their fertility. It is a revolution­ary step forward in empowering women to protect their fertility and in the UK take-up of egg freezing has increased 400 per cent since 2010.

However, egg freezing is currently only available to those who can afford the £3,000£5,000 cost of the procedure. It cannot be morally right that access to this treatment is governed by a bank balance.

Because of the cost, egg freezing is out of the reach of most women.

In fact, the women who most often come to freeze their eggs are older, by which time the efficacy is diminished.

We know the success rates for egg freezing are best for women who bank eggs before their mid-30s, so why not freeze them earlier and use them later when the time for motherhood is right? This would allow women to preserve their eggs for ‘self-donation’ rather than relying on egg donors.

In the longer term, it could save the NHS money because fewer women would be seeking expensive multiple cycles of IVF treatment in their late 30s and early 40s when success rates for fertility treatment drop considerab­ly.

If, instead, women were able to use previously banked eggs, the scarce resources of the NHS would be better served.

Research has shown that the live birth rate is higher with younger eggs, miscarriag­e rates are lower and there are fewer chromosome abnormalit­ies in children.

The proposal will also reduce reliance on egg donors, concerns about ‘reproducti­ve tourism’ for egg donation and the burden on the NHS left by the unscrupulo­us practice of some foreign clinics.

Thus, as well as the overall economic benefits of improved fertility, we could reduce the cost and strain placed on our already struggling NHS.

Children are vital to ensure a thriving economy and society. Although the global population is projected to rise by 2 billion by 2050, the UN says the population in Europe will decline by 14 per cent over the same period. Making it easier for women to become mothers makes sense for the long-term economic prosperity of the country.

A record number of women are now in work – something that the Government has advocated and encouraged. They contribute to Treasury coffers through income tax and National Insurance.

It is now time for the Government, through relevant department­s such as the Treasury and the Women and Equalities Office, not just the NHS, to develop a policy on fertility that has not only moved with technology, but also makes a stand against gender inequality.

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