Questions & Answers about Being an Egg Donor

Why do many couples need an egg donor’s help to get pregnant?
What does egg donation involve?
Who makes a good donor?
How often is the procedure successful?
Will I run out of eggs if I give them to someone else?
How long does the process take?
What are the side effects of the fertility medications?
Can I accidentally get pregnant as a result of the egg donation procedure?
What are the legal responsibilities of egg donors and patients?
Do I have to meet the couple who is receiving my eggs?
Compensation
About the clinic
About our philosophy for taking care of patients

Women who volunteer to serve as egg donors have a choice to give infertile couples a most precious gift: a baby to call their own. Egg donation is a simple medical procedure. Thousands of women donate eggs each year.

This web page is intended to answer basic questions about the egg donation process. Please feel free to contact our Donor Egg Program Coordinator or make an appointment with our doctors for additional information.

Why do many couples need an egg donor’s help to get pregnant?

There are a number of reasons why infertile couples need donor eggs in order to have a baby. Some women suffer form early menopause in their 20’s and 30’s and run out of eggs before they have their children. Others lose their ovaries as a result of surgery for severe gynecological diseases such as endometriosis, pelvic infections, or ovarian cancer.

The most common use of egg donation is to treat women in their 40’s who have run out of fertile eggs and are unable to get pregnant on their own. It turns out that the age of a woman’s eggs is the main factor that determines her fertility. A woman enjoys her peak fertility from her teens until her mid 30’s . This is the time of her life when she ovulates her best and most healthy eggs. By the time a woman reaches her mid 40’s she will have used up her healthy eggs. The majority of eggs that remain in her ovaries have abnormal chromosomes and are incapable of producing a healthy baby.

Although a woman may run out of healthy eggs in her 40’s or lose her ovaries to premature menopause or surgery, her uterus remains a healthy place to have a baby well into her 50’s. Since it is the age of her eggs, or her lack of eggs, and not the health of her uterus that determines whether she can have a baby, obtaining healthy eggs from young fertile women is the perfect solution to many couple’s infertility problems.

What does egg donation involve?

Egg donation makes use of the in vitro fertilization or “test tube baby” procedure.

There are three steps in the process:

1. Evaluation and preparation

The first step is to evaluate your health and prepare you for the medical procedures. You will have an interview with the nurse who coordinates the care of our egg donor program. This visit is designed to answer your questions concerning the egg donation process and to make sure that this is an appropriate program for you. Later you will see us for a medical history and physical examination to make sure that you have no undiscovered health problems. Laboratory tests will be performed to evaluate your fertility and check for common illnesses.

2. Administration of “fertility medications”

Fertility medications used to help a woman’s ovaries produce from 10-30 eggs. We use three (3) principal fertility medications to make this happen. A highly purified Follicular Stimulating Hormone and Pergonal are purified forms of the natural hormones your body uses to regulate the production of eggs each month. Since experience tells us that women who are taking these drugs tend to ovulate their eggs before the doctor can harvest them for the in vitro process, we use a drug called Lupron to prevent premature ovulation.

All of these drugs are inactivated by the digestive system and must be given by injection. Most egg donors take their shots at home and find that they are not particularly uncomfortable. In most cases these drugs are given over the course of 2-3 weeks. You will have 4-6 visits to the clinic during this time for blood tests and ultrasound pictures of your ovaries to follow the effects of the fertility medications on egg production.

3. The “egg harvest” procedure

A minor surgical procedure is performed to remove eggs from the ovaries for the in vitro fertilization process. This safe and comfortable procedure takes advantage of the fact that your ovaries lie less than an inch from the back of your vagina. To perform an “egg harvest” your doctor uses the picture made by an ultrasound machine to guide a very fine needle through the back of your vagina and into the ovaries. Eggs are removed one at a time during the course of 30minutes - 1-½ hours.

The comfort and safety of our egg donors are our prime concern. To make sure that you will feel no pain, we ask an anesthesiologist to give you a small amount of a morphine-like substance and a valium-like drug through an IV line. These medications will make your very drowsy and prevent you from feeling any pain. In most cases the drugs wear off within 10-20 minutes and you will be ready to go home within an hour. We also give you antibiotics to prevent infection.

The egg harvest procedure is usually performed in the morning. In many cases donors tell us that they are completely back to normal by the afternoon. Most women tell us that they are a little sore for 1-3 days after the procedure, but otherwise feel well. Perhaps the best testimony about the ease and comfort of the egg harvest comes from two patients that served as Maids of Honor in a wedding the night that their eggs were taken out. Both were able to enjoy the wedding, perform all of their duties, and dance the whole night.

Once eggs are harvested, they are taken into the in vitro fertilization laboratory. There they are cleaned, inspected, and fertilized with sperm from the egg recipient’s husband. Several days later the fertilized eggs are placed into the uterus of the mother to be to begin a pregnancy.

Who makes a good donor?

The best egg donors are healthy women aged 21 to 32. Women in this age range are at the peak of their fertility and are best suited to help others have a baby. It is helpful for donors to have been pregnant in the past as a “check” of their fertility, but not required.

How often is the procedure successful?

Egg donation is the single most successful treatment known for infertility. Over half of our couples will become pregnant with each egg donation treatment. This is extremely gratifying for the donors and the medical team participating in their care.

Will I run out of eggs if I give them to someone else?

No. It is a little known fact that a woman goes through perhaps a thousand eggs each month to select the single one that is ovulated. The body absorbs the eggs that don’t complete the development process. Fertility drugs simply allow more of these eggs to mature, excess eggs, which the body would ordinarily discard. No extra eggs are used up in the process.

How long does the process take?

The fertility medications are usually given over the course of approximately two to three weeks. You will need to plan for 4 -5 visits to the clinic for the doctor to perform tests to monitor the progress of the medications. These visits usually last 15 to 30 minutes and are performed in the morning between 8am and 11 am. Out staff makes every effort to accommodate our donor’s schedule.

On the day of the egg harvest procedure you should plan to be in the clinic for half of the day. The egg retrieval is performed in the morning. You should plan to spend the rest of the day after the procedure resting at home.

What are the side effects of the fertility medications?

The fertility medications are all natural hormones or simple chemical derivatives of natural hormones. Doctors have had over 30 years experience with medications such as Pergonal and have found them safe and effective. Most of our patients and egg donors find that these medications have relatively few side effects. The side effects which people do notice are related to the action of the drugs. Lupron temporarily interrupts the production of hormones by the ovaries. This can result in hot flashes, vaginal dryness, and some mood swings. Pergonal and highly purified FSH causes the ovaries to make hormones and eggs. Some women complain of mood swings on these drugs, too. Most patients tell us that they don’t feel anything other than abdominal bloating as their ovaries grow in size as eggs develop.

Can I accidentally get pregnant as a result of the egg donation procedure?

Accidental pregnancies are unlikely. The reason is simple. Lupron given by itself prevents the development of eggs and is an excellent contraceptive.

Although the other drugs stimulate the production of eggs, there is only a several day period (around the time of the egg harvest) that you could become pregnant. We will know exactly when this “critical interval” is and advise you to avoid intercourse during this time.

What are the legal responsibilities of egg donors and patients?

The law is extremely clear on this matter. Children born as a result of the egg donation process legally belong to the couple receiving the donated embryos. Egg donors have absolutely no responsibility for the future welfare or support of these children.

Do I have to meet the couple who is receiving my eggs?

No. In many instances we perform anonymous egg donation. Neither the egg donor nor the recipient couple is aware of the identity of the other party. We do ask for you to provide us with a picture of yourself (and your children if you have any) to aid our patients in their selection of a donor.

Some recipient couples express a desire to meet their donor before the process begins. The choice to have an “open” arrangement is entirely up to the woman who is donating her eggs.

Compensation

Payment is contingent upon participation in the program. And may be prorated based on the number of steps completed in the procedure. Payment is not based on the number of eggs obtained.

About the clinic

Overlake Reproductive Health takes care of infertile patients from around the world. Dr. Kevin Johnson is a nationally recognized infertility specialist who has performed more than 500 in vitro fertilization procedures since 1989. Our nurses and staff take great pride in giving personalized care to each woman they meet.

About our philosophy for taking care of patients

Overcoming infertility requires a team approach. As an egg donor, you are a critical member of the team that will bring tremendous happiness to a family’s life. Do not hesitate to call our nurses or doctors with any questions or concerns. We greatly value your input and assistance.

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located in Bellevue and Kirkland, Washington (Seattle metro)
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