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On July 25th, 1978 in Oldham, England, a baby girl named Louise was born.
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Unlike any baby before her, Louise was conceived in a Petri dish by a remarkable new procedure known as in vitro fertilization or IVF.
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Since then millions of so-called "test-tube babies" have been born.
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Today 1 in 60 American births is thanks to IVF and other fertility treatments, which have spawned a booming new industry in many different countries.
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But, are fertility businesses making promises they can't keep?
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Sacha Nauta can help answer that.
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She's the public policy editor at The Economist.
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So there's a lot going on in the fertility industry.
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Firstly you're seeing a lot of growth in people seeking out IVF treatment.
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IVF provides a valuable option for people who, for whatever reason, are unable to conceive.
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But, there's another emerging market.
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There's quite a lot of exciting stuff going on around so-called fertility "preservation."
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That's freezing of egg or sperm cells for IVF in the future, often years later.
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Egg freezing is a relatively new procedure and was officially considered experimental in America until 2012.
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It's actually aimed at sort of millennials--people in their 20s--who aren't thinking about having babies at all, but who might want to preserve the idea of having kids.
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It opens up the idea that as a person at sort of peak fertility, in say your mid-20s, you can take your cells, put them on ice, and in theory take them out whenever suits you when you're ready to have a baby.
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This is what egg-freezing businesses appear to promise: a chance to put parenthood on ice, which appeals to young people who are increasingly interested in having children later, for a variety of reasons.
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What clinics sell you tends to be time, or women's empowerment, or taking control of your destiny.
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All of these things that you know chime with what younger women right now would like to have.
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And women are increasingly buying in.
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The number of egg-freezing procedures has grown rapidly over the past decade.
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The process isn't cheap.
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Egg freezing can cost $15,000-$20,000 per cycle, which is a single batch of eggs.
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It often requires multiple cycles to increase chances of success.
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Egg freezing and similar services are part of the burgeoning women's-health industry dubbed "femtech," and are attracting plenty of interest from investors.
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So we've seen a lot of particularly private-equity money go into the sector as well as venture capital into the more early stage stuff.
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Investment in fertility firms grew from less than $200 million in 2009 to $624 million in 2018.
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Investors are attracted to the growth prospects, high-profit margins, and recession-proof demand.
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Investors, businesses, and prospective parents all stand to benefit.
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But the reliability of these services might be oversold.
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IVF has a success rate of about 25-30% per cycle.
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But that doesn't tell you much.
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It depends on who you are. It very much depends on how old you are.
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On freezing I'm a bit more cautious.
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They're, it's really early days.
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Birth rates from frozen eggs should be taken with a grain of salt.
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Most women who have had their eggs frozen have not yet retrieved them.
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So the sample sizes are small.
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It's just too soon to draw reliable conclusions.
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Still, clinics might misrepresent the data to encourage freezing.
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An egg-freezing clinic might tell you "our success rate is "X" and you might think "oh that sounds good."
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And what they may not tell you is that is based on donor eggs of 25-year-olds.
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Whereas actually you're a 38-year-old, which is the average age of most people who go to egg clinics and therefore your chances are much lower.
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So you are not that number that they're showing you.
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I think the most important caveat is that there is no such thing as a guarantee to have a baby.
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And one of my concerns in the industry right now is that the caution isn't being sold enough.
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It may well help you one day, but there's also a very good chance that it won't.
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There is also a lack of sufficient regulation of fertility services, especially in America.
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Freezing clinics in particular — you know a young, new industry.
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I think there's a lot of problems there.
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There have been a few quite well-published scandals around loss of these cells, loss of embryos.
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I think about who they could have been and what they would have been like and yeah, those were our future children.
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And what we're seeing right now is when these kind of dramatic things do happen, it's clear that it's a totally under-regulated sector where there are no clear standards for how you look after these cells.
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So what's needed from the fertility sector?
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It's honesty — it is just more honesty about the limits of the science, honesty about the costs, and yes more investment in R&D, which is I think a great thing.
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There is still so much more to explore and so much room for improvement around these treatments and clearly a growing market.