Fertility Decoded

Elective freeze-all

Freezing all embryos and transferring in a later cycle rather than fresh.

The verdict

Useful for specific medical reasons (e.g. OHSS risk), not as a routine default.

Evidence positions on Elective freeze-all from HFEA, ESHRE, NICE and ISAR
BodyPosition
HFEA
  • Yellow — unclear/conflictingfor chance of a baby
ESHRENot for routine use

Not recommended for routine clinical use (specifically not for PCOS or for OHSS prevention as a routine default; freeze-all and fresh cycles are broadly equivalent, possibly longer time-to-pregnancy, lower OHSS risk).

Source
NICENot addressed

Not addressed as an add-on in NG257.

ISARNo position

Not addressed in the 2021 ISAR add-ons consensus.

In India

Vitrification/freezing ~₹25,000–60,000.

Sources

Take this further

Last reviewed .