Are you a candidate for donor egg IVF?
Donor egg is an option if you are in your 40s or have been told by your physician that you have low ovarian reserve with poor quality eggs. You may have had several failed IVF cycles in which the quality of the embryos was poor. If you are a single man, or same sex couple, the path to parenthood may include donor egg IVF and gestational surrogacy. Donor egg IVF treatment is sometimes considered to avoid transmission of a genetic disease to the children.
What are your options?
The intended parents may consider surrogacy in which the male’s sperm is utilized to inseminate another woman who will conceive, carry the pregnancy and then give up the baby to the intended parent or parents. This requires a complicated and expensive legal contract which may be challenged in court.
The process of adopting a child is not easy and may take months or even years to accomplish. Several types of adoptions are available including private or independent adoption, public or private adoption agencies, and international adoptions. If you are considering adoption, you should contact one the many agencies and lawyers who specialize in adoptions.
Donor egg IVF
Couples can choose to use donor egg from an agency or an egg bank. The eggs are fertilized with the partner or donor sperm. The resulting embryos are implanted in the recipient’s uterus. The recipient may be the intended parent or a gestational surrogate. The donor is usually anonymous, although a known donor may also be used.Family Formers
How is the egg donor selected?
Anonymous donor: You may select an egg donor from our clinic’s available donor list or you may choose to use an independent organization to help you with your search for a donor.
Known donor: Using a known egg donor, such as a sister or friend, requires that you have a strong and healthy relationship with the donor.
Egg banks: More recently, frozen eggs obtained from egg banks have been successfully utilized. To date, over 1000 babies have been born worldwide using frozen eggs.
How much does it cost to use an egg donor?
- A $4000 -8000 donor fee is paid by the recipient to a lawyer who prepares the legal contract.
- Donor egg agencies charge a fee for their services in addition to the donor’s compensation.
- Egg banks typically charge $16-27,000 for 6-8 frozen eggs.
How long will it be before I can begin treatment?
- At BocaFertility you can expect to undergo donor egg IVF within two to three months after your initial consultation.
- The egg donor is asked to complete a detailed questionnaire about her personal, medical, obstetrical, surgical and genetic history.
- The egg donor is also required to have a thorough physical examination, psychological evaluation and counseling, blood tests for genetic diseases, such as cystic fibrosis, and infectious disease screening.
Before donor egg IVF treatment
Prior to beginning treatment your doctor will order a hysterosalpingogram (HSG) and a Saline Infusion Sonography (SIS) to see if there is any uterine or tubal abnormality which may interfere with embryo transfer and implantation. A mock trial transfer will be performed at the same time to make sure that the embryo transfer will proceed smoothly and to measure the optimal uterine location for transferring the embryos.
What is a Sonohysterogram or Saline Infusion Sonography (SIS)?
In this test, a vaginal ultrasound is performed while saline is injected into the uterus. Any abnormality such as fibroids, polyps, scar tissue or uterine malformations, which may interfere with embryo implantation, can be easily identified during the test. The procedure takes only a few minutes to complete and is associated with little, if any, discomfort.
In a normal test (fig.1) the walls of the endometrial cavity are smooth and no abnormalities are seen within the saline filling the uterus.
When the test is abnormal test (fig. 2), the uterine cavity has an irregular outline indicative of endometrial polyps (outlined in red and marked by white arrows).
The IVF cycle
- The donor is given daily hormone injections to stimulate the ovaries to produce multiple eggs.
- During this phase, you will be given transdermal estrogen for about 2 weeks to prepare your uterus (the recipient uterus) for embryo implantation.
Vaginal ultrasound (fig.3) examination will be performed to make sure that the thickness of the lining of the uterus (endometrium) is thick enough for the embryo to implant. Ideally, the endometrial lining should have a “triple line” appearance and be over 8 mm thick fig. 4).
- The donor is carefully monitored with ultrasounds and blood tests until her eggs are ready for ovulation (fig. 5).
- The donor is given HCG injection to trigger ovulation and her eggs will be retrieved about 35 hours later.
- After the HCG injection, the donor will begin making progesterone, which is crucial for the final phase of endometrial preparation for embryo implantation. At the same time, the recipient begins treatment with progesterone injections or suppositories, so that the recipient uterus and the donor uterus are in synch, both at the same stage of development and both equally capable of supporting the pregnancy.
- During egg retrieval, multiple eggs (oocytes) are removed from the donor’s ovaries and taken to the laboratory where they will be fertilized with your partner’s sperm. The embryos are checked daily and you will be given a daily update from our IVF nurses.
- The embryos will be transferred into the recipient 6 days after retrieval at the blastocyst stage.
How many embryos will be transferred?
At BocaFertility we will transfer a maximum of 2 good quality embryos; we also offer a single embryo transfer (SET) in selected patients to minimize the risk of twin gestation.
How successful is donor egg IVF?
BocaFertility has a successful donor egg IVF program achieving a delivery rate of about 60%
To learn more about our donor egg IVF contact us at 1.844.207.0044