• Saiprasad N Gundeti
• Dr. Aniruddha Malpani
• Dr. Shri Dhar Singh

Elective oocyte cryopreservation (EOC) has gained global acceptance as a proactive fertility preservation strategy for women facing delayed childbearing due to personal, social, or professional reasons. Advances in vitrification technology have significantly improved oocyte survival, fertilization, and pregnancy outcomes, rendering egg freezing a clinically reliable and non-experimental intervention. Female fertility is intrinsically age-dependent, with progressive deterioration in both oocyte quantity and quality. Anti-Müllerian hormone (AMH), a key biomarker of ovarian reserve, often demonstrates early decline in contemporary women, potentially influenced by lifestyle-related stressors, metabolic factors, and environmental exposures. This narrative review examines the physiological basis of ovarian aging, the impact of modern lifestyle factors on ovarian reserve, and the clinical rationale for elective oocyte cryopreservation. Particular emphasis is placed on the importance of age at freezing, highlighting superior outcomes when oocytes are cryopreserved in the late 20s to early 30s. Ethical, psychological, and counseling considerations are discussed, positioning elective oocyte cryopreservation as a shift toward preventive and patient-centered reproductive medicine

Elective oocyte cryopreservation; egg freezing; ovarian aging; anti-Müllerian hormone (AMH); ovarian reserve; fertility preservation; delayed childbearing; vitrification; assisted reproductive technology

"Elective Oocyte Cryopreservation as a Preventive Reproductive Strategy in Modern Women", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.13, Issue 1, page no.d494-d497, January-2026, Available :http://www.jetir.org/papers/JETIR2601361.pdf

"Elective Oocyte Cryopreservation as a Preventive Reproductive Strategy in Modern Women", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.13, Issue 1, page no. ppd494-d497, January-2026, Available at : http://www.jetir.org/papers/JETIR2601361.pdf