Sow Fertility wants to enable and empower women to better plan their reproductive journey (Image: Getty)
Cover Sow Fertility wants to enable and empower women to better plan and own their reproductive journey (Image: Getty)

Sow Fertility, a platform launched by Dawn Chan, is a trove of factual information on the egg freezing process, advice on what you need to understand, location options and associated considerations and costs, as well as testimonials from women around the world sharing their experiences and learnings

In 2022, Cassie made the decision to freeze her eggs. She says that the road to making this choice was a lonely one, but once she had completed retrieval of her eggs over a three-week period in London this summer, she started to share her story and discovered many women of varying ages who were either thinking about egg freezing, in the throws of it, or had done it, and for a range of reasons, both medical and social, from fertility preservation to assisted pregnancies. 

For Cassie, who is in her mid-30s and currently single, it was about keeping her options open. Aside from contemplating conception challenges—fertility declines with age and at 35 years old a woman's chances of natural conception have halved—she says it’s also about egg quality, which deteriorates with age but can be maintained through cryopreservation. “It’s not even just if I’m single in a few years,” she says. “It’s also if I meet someone now, by the time we’re in a position that we’re looking at [having children] I would be in my late 30s, and if I was having a second or third child then I would be in my 40s, so there could be challenges or given my age bracket I might prefer the peace of mind of screenings and assisted conception routes. Those were some of the broader considerations, whereas I think some people think, ‘Oh you’re going to be a single mum at 40’—not necessarily.”

When contemplating the different options available, Cassie, who requested to use only her first name, went to a gynaecologist to first understand her current fertility and what her treatment path could look like. She then started to look at clinic options, both locally and internationally, which is where jurisdiction came into play as different countries have specific legal restrictions, particularly around eligibility and what you can do with your eggs after collection and for how long.

With this in mind, Cassie settled on a clinic in London for her treatment. While she had explored options in Hong Kong, where she is based, only married couples are able to use their frozen eggs, i.e. have them fertilised, which was a limiting factor.

While Cassie’s treatment was successful in that she came away with a number of viable eggs for freezing, there weren’t as many as she had hoped for and been led to believe she might retrieve, and she was also not completely happy with her overall experience. 

“It’s a big physical, emotional and financial investment,” she says. “To have a disappointing result and not really understand is really frustrating.” She feels that had she known more about various options and the questions to ask she might have done things differently and had a better outcome. 

Following her experience, Cassie discovered that many women she spoke to had also had disappointing experiences and had struggled with a lack of information. One of those women was Dawn Chan. 

Chan, who works in a hedge fund in Hong Kong, started thinking about freezing her eggs when she was 30 years old, and a year later underwent the process in LA. “Since my mid-20s I’d had this question over whether to have kids. It was never a definitive yes or no. I got engaged, married, turned 30 and the question lurked,” she says. It wasn’t until a friend told her she was taking an extended break in the US for egg freezing that Chan started to consider this as a scientific solution to her uncertainty and an option to explore. 

Tatler Asia
Dawn Chan, founder of Sow Fertility
Above Dawn Chan, founder of Sow Fertility

Broaching the topic of elective egg freezing with her gynaecologist in Hong Kong, Chan was surprised at the response, which was ‘You are still young, you may want to have kids soon’. “I could easily have taken the Hong Kong doctor’s opinion and waited. But I wanted medical information to consider. I visited an IVF clinic and they told me that adoption was an option. I hadn’t realised Hong Kong was so conservative until I started looking for information,” says Chan. 

It wasn’t only the resistance to social egg freezing in Hong Kong that led Chan to choose LA for her treatment, but also some of the regulatory constraints that her home city presented. Eggs, sperm and embryos can only be stored for a maximum of ten years in Hong Kong and then have to be discarded. “When someone is freezing their eggs for elective reasons in their early 30s, this doesn’t make sense. What if they have their first child in their late 30s and want a second, or encounter challenges the first time? That’s what pushed us to do international travel for this procedure,” says Chan, who completed her treatment in the summer of 2022. 

Chan appreciated the flexibility around egg storage time in the US and the established legal framework should she divorce, separate or one of the couple should pass away. “I felt more comfortable handing over my tissues [in the US] because if anything should happen there’s resolution,” she says. However, she still came out of her treatment frustrated by the lack of upfront information and clear explanations from medical professionals, despite the more mature US market, and on her flight back to Hong Kong following her experience she started writing notes—what she would do differently if she were to do it again, the questions she would ask and what she needed to plan, particularly knowing that she had friends who were thinking about their own treatment options.

“I wanted to help other women out there who were still considering whether to freeze or not to have a better idea of what they can do to prepare and what it takes besides the medical piece,” she says.

These were the seeds that would become Sow Fertility, a platform to improve awareness and support for fertility preservation, and to empower women to take ownership of their own fertility journey. 

Sow Fertility provides a wealth of information on medical options and the treatment process, as well as a guide to planning your egg freezing journey including comparisons of cost, eligibility and restrictions around storage, transfer, egg and sperm donation and surrogacy in some of the most popular destinations for fertility treatment including Australia, the UK, the US, Hong Kong and Singapore with further information to come on Taiwan. It also shares the personal stories of women who have gone through the experience in places as far afield as London and LA, Tokyo and Taipei, covering why they did it, their outcomes and things they wish they had known.

In the process of pulling together all the information for Sow Fertility, which has been checked by a medical professional, Chan identified four key hurdles for those looking into elective fertility preservation, particularly in Asia. 

Fragmented information and lack of community support has been a common theme for those she has spoken to about fertility preservation. “A lot of women might be thinking about it but it takes a lot of effort to turn it into action and make it a reality,” says Chan, for whom a priority is to ease and shorten the decision making process around elective egg freezing, especially as research shows this can take as long as 24 months. “If you are mid-30s, that two years time is critical. It could potentially put your fertility at a very different level,” she says. "I really want to tackle how we convert that 24 months into a shorter period of time so women can decide earlier whether this is for them and if it is, act earlier."

Then, there’s the sub-par medical experience and personal opinions, which mean that a lot of patient advocacy is required. “There is a strong focus on fertility as a medical problem, rather than elective fertility preservation as a liberating opportunity,” says Chan. 

She has also found an absence of follow-up services and support. "Once women have done the treatment and retrieval, there is no follow-up besides payment for storage. How best should someone decide when to use their eggs and what it takes?"

Lastly, Chan identifies the regulatory constraints in much of Asia as a hard limitation. These include regulation around how you can use your eggs after freezing: Singapore, for example, made elective egg freezing legal from July 2023 for women aged from 21 and below 38, but to use their frozen eggs, as is the case in Hong Kong, women must be legally married. There are also regulations on how long you can store your eggs. A recent piece in the South China Morning Post demonstrated that local experts don’t believe there is demand to extend the ten-year storage limit on frozen eggs and embryos in Hong Kong to 55 years, as the UK did in 2022. Additionally, Chief Executive John Lee has said that extending storage time is "not aligned with” the government’s goal, which is to encourage couples to “have children early", as reported by Hong Kong Free Press. But as Chan says, it’s about giving people the option to reproduce at a time when they are ready socio-economically and psychologically. “If you are rushing for a timeline, women are usually the ones who fall out of work. It’s a woman empowerment issue. I hope we can have more conversations about this. Let’s raise awareness and prove there is demand for it.”

Sow Fertility aims to start these conversations, while also providing the information and support that those who have been through the process have found to be lacking. The website is just the beginning. Next, Chan plans to host community workshops with medical professionals in order to help women understand their options and treatment, enable them to openly discuss concerns and provide practical guidance on planning, empowering them to influence their fertility journey and own their reproductive timeline.

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