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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.

Frozen Egg Rights & Options: Jana’s Story at the Infertility Center of St. Louis (Part 8)

Episode 8—the finale of Jana’s egg-freezing docuseries—shifts from science to stewardship: what happens if frozen eggs are never needed? Sitting with Dr. Sherman J. Silber at the Infertility Center of St. Louis, Jana puts voice to a common worry—“Will my eggs be in limbo forever?” Dr. Silber clarifies that the oocytes are the legal property of the patient; the clinic’s role is that of custodian, maintaining secure storage until the owner decides otherwise.

During the original consent appointment, every patient selects a forward-looking directive, recorded in the electronic chart and revisable at any time:

  1. Continue Storage – Keep the eggs vitrified and pay the yearly cryo-maintenance fee.

  2. Discard – Authorize the clinic to thaw and biologically inactivate the eggs if they become unnecessary or if the patient wishes closure.

  3. Donate to Another Patient – Offer the eggs anonymously or through a known-donor arrangement, giving another person or couple a chance to conceive.

Dr. Silber stresses that these directives are not set in stone. Life circumstances—marriage, natural conception, or evolving family goals—may lead patients to update their choice. The clinic sends annual renewal notices and requires written confirmation before any action is taken, ensuring no decision occurs by default or mistake. He also notes that ethical guidelines and FDA regulations govern donation pathways, including infectious-disease screening and age limits to protect recipients.

Jana appreciates the clarity, saying it “removes the guilt question” that often lingers after successful natural pregnancy. She concludes the series by summarizing her journey: knowledge, planning and transparent policies transformed a daunting medical process into empowerment. The takeaway for viewers: egg freezing doesn’t lock you into an uncertain future; it places you in the driver’s seat, with multiple respectful options for every possible outcome.