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Infertile patients cannot afford to wait for treatment while their eggs get older.

Dr. Sherman Silber, Infertility Center of St. Louis, is offering video consultations for patients who need to plan now for their treatment while stay-at-home orders are in place. He is talking to and evaluating patients in their home to comply with social distancing measures.

Dr. Silber is discovering that patients actually prefer this method of telemedicine consultation over the conventional office visit. Patients have conveyed that “it is so much more convenient and less stressful” to have a telemedicine personal consultation than to take a day off from work to travel to the doctor’s office and sit with other nervous patients in the waiting room.

The COVID-19 pandemic is thus changing much of the way we will do things in the future, and for the better. “Our patients are surprisingly much happier with this approach. Of course, at some point we need to perform hands on treatment. But with this new manner of seeing patients, we can come to the right diagnosis and treatment plan for most patients more efficiently, quickly, and painlessly, with no loss of personal one-on-one communication.” This is a very welcome new era of telemedicine that has been forced on us by the current difficult times.

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The Infertility Center of St. Louis
The Infertility Center of St. Louis
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Delayed Motherhood & Infertility: Jana’s Story at the Infertility Center of St. Louis (Part 2)

Episode 2 of the eight-part series documenting Jana’s elective egg-freezing journey shifts from her personal timeline to the wider cultural forces that shaped her decision. Speaking in a cozy vlog format, the 30-year-old corporate project manager notes that many professionals in her social circle view the mid-30s or even early-40s as the “new normal” for starting a family—driven by career goals, student-loan burdens, and the desire for relationship stability. Jana contrasts this trend with biological reality: female fertility peaks in the late teens to mid-20s and then declines steadily, with a pronounced drop in both egg quantity and chromosomal integrity after 35.

Using simple graphics supplied by Dr. Sherman J. Silber’s team at the Infertility Center of St. Louis, she illustrates how monthly natural-conception rates fall from roughly 25% at age 30 to about 10% at 40, while miscarriage and aneuploidy risks rise. Jana points out that assisted-reproductive-technology (ART) usage statistics mirror this curve, with IVF cycles for women 40–42 increasing nearly four-fold over the past decade. She stresses that these numbers are not meant to frighten but to inform: “Knowledge is power—and procrastination without a plan can become panic.”

Jana then revisits her earlier choice to freeze eggs at 30, framing it as insurance rather than inevitability; she hopes to conceive naturally but feels reassured knowing vitrified oocytes await if needed. She encourages viewers to research ovarian-reserve testing in their late-20s, speak openly with partners about timelines, and investigate employer fertility-benefit programs. The episode closes with a preview of Part 3, where Dr. Silber will address common myths about hormonal stimulation and long-term egg quality. Jana’s takeaway: proactive fertility preservation offers emotional freedom and may spare couples the heartbreak of rushed, high-stakes ART later in life.