Opinion | Wait, Optionality Isn’t Universal? Rethinking Fertility, Access, And The Privilege Of Choice

Choice is never purely individual. It is shaped by money, healthcare infrastructure, generational belief systems, and social conditioning

We talk endlessly about choice and how the decisions we make shape the lives that we build. While we celebrate optionality as progress, choice is actually less straightforward than it appears. Options technically exist, but access to them is heavily dependent on financial, cultural, or emotional factors. So the question here is, who can actually exercise them?

This question became more real to me after hosting a fertility-focused session a couple of weeks ago. The conversation was meant to be educational and empowering, centred on helping women understand their reproductive timelines and available medical options. Renowned IVF specialist Dr Rishma Dhillon Pai spoke about fertility preservation tools such as egg freezing, embryo freezing, and IVF. She explained when these interventions make sense and how women can make informed decisions. Body positivity & mental health advocate Anshula Kapoor shared her personal experience navigating PCOS and egg freezing, emphasising that reproductive decisions should belong to women themselves, even though in Indian society they can often be dictated by family pressure or social timelines.

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