Rebecca, an Orthodox Jew from California, was two weeks away from her marriage to the son of a respected rabbi when medication she was taking for migraines triggered a debilitating stroke.
She fell to the floor of the emergency room where she was working as a manager and broke her neck, suffering both spinal cord and brain injuries. When her fiance saw the extent of her disability, he called off the wedding.
"We did everything the Orthodox way," she said of their three-month engagement after being matched by family members. "I was in the hospital on my wedding day and they got out the wheelchair, and he was so frightened he backed off."
Now 38 and walking again, Rebecca is single, but her Orthodox faith implores her to find a husband and build a family. So she sought spiritual guidance from three or four rabbis and has decided -- with their blessing -- to have her eggs frozen for the future, when she hopes she will marry and start a family.
Doctors in the United States who are familiar with "halacha" -- or Jewish religious law -- say they are seeing more Orthodox patients who have been sent by their rabbis to freeze their eggs before their fertility wanes.
Orthodox Jews include a number of different sects worldwide, including the large Hasidic communities in New York City, which all place an importance on raising families.
"I couldn't think of a life without children because of our religion," said Rebecca, who did not want to share her name for privacy reasons. "That's the biggest mitzvah [commandment]. To bear kids and to bring them up the right way and to teach them the Torah is a woman's obligation."
Reproductive technology has perfected freezing techniques so that pregnancy rates are about the same as using fresh eggs when in vitro fertilization methods are used.
Rebecca is prepared to spend $7,000 to $10,000 per cycle to freeze her eggs with fertility specialists who can provide religious supervision.
"Most rabbis are strongly recommending this, and most should," said Dr. Sherman Silber, director of the Infertility Center of St. Louis, whose practice caters to Orthodox Jews. "'Be fruitful and multiply' is considered the first commandment."
The procedure helps make these single women more marriageable in the eyes of their communities, according to Silber.
"In truth, however, most orthodox women marry much earlier than this, often at age 20," he said. "So it is an uncommon event, but an important one for them."
About 5 percent of Silber's patients are Orthodox and his practice is supervised by top halachic authorities in Judaism from Jerusalem.
He recommends egg freezing "for all women who do not anticipate having a baby soon," he said. "Aging of the eggs is the critical and most important reason for the current infertility epidemic worldwide. And I would suggest well before age 38 to do that."
"We do everything we can to follow Orthodox halacha in all of our IVF practice," said Silber. "The patient can get her shots on Friday night before shabbos, and she can get her shots on Saturday night after shabbos. This is never a scheduling or dosage problem."
Rabbis also give special approval in rare cases when egg pick-up must be over the Sabbath, according to Silber, "as life trumps all other mitzvahs," including getting approval for a non-Jewish doctor.
In Israel the procedure is covered by the government. Some rabbis recommend every single woman over age 32 freeze her eggs as an insurance policy against infertility.