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Dr. Susan Fox · Jun 17, 2026

Family Building Is Changing—It’s Time to Catch Up

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Dr. Susan Fox · Dr. Susan Fox

The way we think about fertility has long been shaped by assumptions about timing and biology, a so-called “traditional” path to parenthood. Yet the reality of how families are built has already shifted, and it’s time to catch up. More people delay having children, face unexpected fertility challenges, or are male couples wishing to have children, and options such as egg donation are life-bearing gifts.

Egg freezing and egg donation are strategic decisions that can help realize the dream of a family. While over ninety percent of women express interest in egg freezing, the overwhelming barrier is cost. This highlights a broader issue within fertility care, where solutions are not equitable.

Moreover, the transactional nature of egg donation, where compensation varies based on factors such as education, background, or physical traits, creates a system that feels misaligned. This model also raises deeper questions about transparency, anonymity (where genetic testing has made transparency impossible).

Beyond the financial and ethical considerations, fertility decisions aren’t just clinical; they are deeply personal. The idea of needing an egg donor can carry a sense of stigma. Yet one in three women over the age of forty undergo IVF using donor eggs.

Here is where Cofertility introduces a new model. It uses egg sharing, where individuals are able to freeze their eggs at no cost by donating a portion. This creates a system that is both more accessible and provides a sense of mutual benefit over a transaction. This approach also introduces structural changes, such as limiting the number of families a donor can contribute to and offering greater transparency through disclosed donation options.

Emphasis on informed decision-making, which begins long before any procedure takes place, and starts with questions such as how many children one hopes to have. Fertility has a timeline, particularly in the context of age-related changes or secondary infertility.

Early education and awareness, long before “go-time” expands choices. Understanding your ovarian reserve or exploring fertility preservation options provides clarity, which in turn offers agency over later decisions.

At its core, this conversation is not just about egg freezing or donation, but about how we think about reproductive health as a whole and adopting a more integrated, transparent, and proactive approach that reflects the realities people are actually living in today.

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