2026-08-10T11:46:00-0400 / 哥伦比亚广播公司新闻
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更新于：2026年8月10日 / 美国东部时间上午11:56 / 哥伦比亚广播公司新闻
华盛顿——纽约州民主党众议员亚历山德里亚·奥卡西奥-科特茨对着镜头给自己注射冻卵疗程的第一针时，对网友提出了一个要求：“别对这件事大惊小怪，尽管我知道你们肯定会的。”
“其实没那么糟，”她在给自己的下腹部注射完后说道。
这位36岁的纽约众议员——同时也是2028年总统大选的潜在候选人——正利用八月的休会期进行冻卵。美国有数万名女性都经历过这一过程，希望未来某一时间能够生育。
在选定生育诊所并完成初步检查后，整个疗程大约需要两周时间，每天都要自行注射激素，并定期前往生育诊所。接下来会注射一支“触发针”，随后在麻醉状态下取出卵子。之后，卵子会被快速冷冻并储存起来。
奥卡西奥-科特茨表示，她会记录整个过程并解答女性们的疑问。她提到，费用是自己在考虑该疗程时压力最大的因素之一——她这次的花费至少为8000美元。这类疗程每个周期的成本最高可达1.5万至2万美元，另外还要加上每月或每年的储存费用，而且通常不在保险覆盖范围内。这还不包括卵子解冻或体外受精（IVF）的费用。特朗普政府曾采取措施试图降低相关药物的成本。
“我的保险一分钱都不会报销这项费用，”奥卡西奥-科特茨在她的Instagram快拍中说道。“完全需要自掏腰包。这甚至不算在我的免赔额里。什么都不算。保险一分都不 cover。”
奥卡西奥-科特茨决定冻卵的决定进一步加剧了人们对她2028年参选计划的猜测。她上周日在美国广播公司的《本周》节目中表示，她并未排除竞选总统或美国参议院的可能性。
“我做出这个选择是为了能更好地掌控自己的人生，”她在Instagram上说道。
一些网络批评者对奥卡西奥-科特茨提出了指责，提及她的年龄并质疑她为什么不现在就生孩子。不过，也有其他女性分享了自己的冻卵经历，并表示庆幸自己完成了这个过程。
对于正在考虑冻卵的女性，哥伦比亚广播公司新闻医疗记者塞琳·贡德博士表示，冻卵时的年龄是最终成功率的最大影响因素。卵子的质量和数量会随着年龄增长而下降。
“冻卵时的年龄是预测你能否成功生育的最大因素，”同时担任KFF健康新闻公共卫生特约编辑的贡德在《CBS晨间新闻》中说道。“所以在35岁或更年轻时冻卵的女性，活产率约为50%，而等到40岁之后再冻卵，这一比例会降至约20%。所以越年轻越好。”
这些数据是针对每一轮体外受精周期的。贡德还提到，另一个需要考虑的因素是，无论女性冻卵时年龄多小，高龄怀孕仍会给母亲和胎儿带来风险。
“没有百分之百的成功保障，”她说。“在被冷冻的卵子中，约有80%能在解冻后存活，但在体外受精的每个阶段，成功率都会有所下降。你应该询问的关键数据是，按冻卵时的年龄划分的每位患者的活产率。”
女性选择冻卵的原因有很多，但根据调查，最主要的原因是目前没有伴侣。
加州大学洛杉矶分校健康中心的一项研究发现，选择冻卵的女性中，很少有人会在未来几年内使用自己冷冻的卵子。这项于去年发表的研究发现，在2014年至2016年间冻卵的女性中，仅有5.7%在该研究为期5至7年的随访期内选择使用卵子。
男性的生育能力也会随年龄增长而下降。正如贡德所指出的，英国一项针对8515例计划妊娠的研究发现，40岁及以上的男性在一年内成功受孕的几率约为25岁以下男性的一半。
https://www.cbsnews.com/video/key-things-to-know-about-egg-freezing/
关于冻卵你需要了解的关键信息
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Alexandria Ocasio-Cortez shares her egg-freezing journey online. Here’s what to know about the process.
2026-08-10T11:46:00-0400 / CBS News
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Updated on: August 10, 2026 / 11:56 AM EDT / CBS News
Washington— Democratic Rep. Alexandria Ocasio-Cortez had one request for the internet as she pointed at the camera and injected the first shot of her egg-freezing protocol: “Don’t be weird about this, even though I know all of you will be.”
“That wasn’t so bad,” she said after she injected the shot into her lower abdomen.
The 36-year-old representative from New York — and a potential 2028 presidential hopeful — is spending her August recess freezing her eggs, joining tens of thousands of women in the U.S. who have undergone the same journey in hopes of having children at some point in the future.
After a fertility clinic is decided upon and initial tests are run, the process involves about two weeks of daily self-iinjections of hormones and regular visits to the fertility clinic. Next comes a “trigger shot,” followed by a retrieval of the eggs under sedation. Then, the eggs are flash-frozen and stored.
Ocasio-Cortez said she’ll be documenting the process and answering questions women have. The cost, she said, was one of the most stressful parts for her as she considered the process — at least $8,000 for her. Those costs can run as high as $15,000 to $20,000 per cycle, plus monthly or annual storage costs, and generally aren’t covered by insurance. That doesn’t include the thawing of the eggs or the IVF process. The Trump administration has taken steps to try to bring down the costof the medication involved.
“My insurance does not cover one penny of this,” Ocasio-Cortez said in her Instagram story. “It is 100% out of pocket. It doesn’t go to my deductible. Nothing. It covers nothing.”
Ocasio-Cortez’ decision to freeze her eggs is only fueling more speculation about her potential 2028 ambitions. She said on ABC’s “This Week” Sunday that she hasn’t ruled out running for president or the U.S. Senate.
“This is a choice that I am making to feel more in control of my life,” she said on Instagram.
Some online detractors criticized Ocasio-Cortez, noting her age and questioning why she doesn’t go ahead and have children now. Still, other women shared their stories of egg freezing and how glad they were that they went through the process.
For women considering egg freezing, CBS News medical correspondent Dr. Céline Gounder said age at the time of freezing is the biggest factor in their ultimate success rate. Egg quality and quantity declines with age.
“Age at freezing is the biggest predictor of whether you can have a live birth,” Gounder, who is also editor-at-large for public health at KFF Health News, said on “CBS Mornings.” “So women who froze at 35 or younger had about a 50% live birth rate, whereas if you wait until after 40, that drops to about 20%. So younger is better.”
Those figures are per IVF cycle. Another thing to consider, Gounder said, is that pregnancy at an older age still carries risks for the mother and the baby, regardless of how young the woman was when she froze her eggs.
“There is no guarantee of success,” she said. “So of the eggs that are frozen, about 80% will survive thawing, and then each step of IVF, you see a decrease in probability. The stat to ask for is live births per patient by age of freezing.”
Women choose to freeze their eggs for a number of reasons, but lacking a current partner tops the list in surveys.
A UCLA Health study found that relatively few women who freeze their eggs return for them in the next few years. The study, published last year, found that only 5.7% of women who froze their eggs between 2014 and 2016 returned to use them within the study’s follow-up period of five to seven years.
Men’s fertility declines with age, too. As Gounder noted, a British study of 8,515 planned pregnancies found men 40 and older had about half the odds conceiving within a year as their counterparts under 25.
https://www.cbsnews.com/video/key-things-to-know-about-egg-freezing/
Key things to know about egg freezing
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