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22,967 did: I obtained the numbers of patients who froze eggs for non-medical reasons from 2009 to 2022 from SART directly.

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The United Kingdom has also seen: Human Fertilisation and Embryology Authority (HFEA), “Fertility Treatment 2021: Preliminary Trends and Figures,” 2023, hfea.gov.uk/​about-us/​publications/​research-and-data/​fertility-treatment-2021-preliminary-trends-and-figures/.

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“one of the most significant”: Sonia Allan et al., “International Federation of Fertility Societies’ Surveillance (IFFS) 2019: Global Trends in Reproductive Policy and Practice, 8th Edition,” Global Reproductive Health 4, no. 1 (2019): 51, doi.org/​10.1097/​grh.0000000000000029.

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young users extol: Naomi May, “Gen Z Are Freezing Their Eggs. Why?,” Vice, July 20, 2023, vice.com/​en/​article/​bvj7nz/​why-gen-z-are-freezing-eggs.

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“I would’ve given anything”: Danielle Pergament, “Jennifer Aniston Has Nothing to Hide,” Allure, December 2022, allure.com/​story/​jennifer-aniston-december-2022-cover-interview.

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in the next twenty to forty years: Henry T. Greely, The End of Sex and the Future of Human Reproduction (Cambridge, MA: Harvard University Press, 2016).

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Remy: She asked for her name to be changed to protect the privacy of her family.

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“geriatric pregnancy” and “advanced maternal age”: Historically, “advanced maternal age” has been defined as women who are thirty-five years of age or older at estimated date of delivery. This—rudely—used to be called a “geriatric pregnancy.” The age cutoff was based on evidence of declining fertility and concern surrounding increasing risks for genetic abnormalities identified in the offspring of pregnant women older than thirty-five. As of 2022, “pregnancy at age 35” is the term preferred by the American College of Obstetricians and Gynecologists. To simplify things, ACOG recommends that doctors and researchers indicate patients’ age in five-year increments (35–39 years, 40–44 years, etc.), which better stratifies the possible pregnancy risks associated with advancing age. See “Pregnancy at Age 35 Years or Older,” American College of Obstetricians and Gynecologists 140, no. 2 (2022): 348–366, doi.org/​10.1097/​aog.0000000000004873.

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Chapter 2

bacterial vaginosis: Bacterial vaginosis, or BV, is the most common vaginal condition in women ages fifteen to forty-four. Douching, not using condoms, and having new or multiple sex partners can upset the normal balance of vaginal bacteria and increase a woman’s risk of getting BV.

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since sex ed was introduced: Jonathan Zimmerman, Too Hot to Handle: A Global History of Education (Princeton, NJ: Princeton University Press, 2015).

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The vast majority: “The SIECUS State Profiles 2022,” Sexuality Information and Education Council of the United States (SIECUS), accessed January 3, 2023, siecus.org/​the-siecus-state-profiles-2022/ [inactive].

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school districts aren’t required: Guttmacher Institute, “Sex and HIV Education,” last modified September 1, 2023, guttmacher.org/​state-policy/​explore/​sex-and-hiv-education.

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little evidence that providing: Kathrin Stanger-Hall and David Hall, “Abstinence-Only Education and Teen Pregnancy Rates: Why We Need Comprehensive Sex Education in the U.S.,” PLOS One 6, no. 10 (2011), doi.org/​10.1371/​journal.pone.0024658.

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teen births and risky sexual behaviors: American College of Obstetricians and Gynecologists, “Committee Opinion No. 678: Comprehensive Sexuality Education,” Obstetrics and Gynecology 128, no. 5 (2016; reaffirmed 2020): 9–10, doi.org/​10.1097/​AOG.0000000000001769.

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risk of being sexually abused: Eva S. Goldfarb and Lisa D. Lieberman, “Three Decades of Research: The Case for Comprehensive Sex Education,” Journal of Adolescent Health 68, no. 1 (2021): 13–27, doi.org/​10.1016/​j.jadohealth.2020.07.036.

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twenty-five states: Guttmacher Institute, “Sex and HIV Education.”

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seventeen states: Guttmacher Institute, “Sex and HIV Education.”

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young people are less likely: Laura D. Lindberg and Leslie M. Kantor, “Adolescents’ Receipt of Sex Education in a Nationally Representative Sample, 2011–2019,” Journal of Adolescent Health 70, no. 2 (2022): 290–297, doi.org/​10.1016/​j.jadohealth.2021.08.027.

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“It was as if”: Katie Wheeler, “We Teach Girls to Be Ashamed in Sex Ed. This Has to Change,” The Lily, November 5, 2017, thelily.com/​we-teach-girls-to-be-ashamed-in-sex-ed-this-has-to-change-2/.

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Fewer than half: Laura D. Lindberg and Leslie M. Kantor, “Adolescents’ Receipt of Sex Education in a Nationally Representative Sample, 2011–2019,” Journal of Adolescent Health 70, no. 2 (2022): 290–297, doi.org/​10.1016/​j.jadohealth.2021.08.027.

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