Become an Egg Donor

You will be asked to complete a detailed questionnaire about your background, medical, family, and personal history. After that is complete and has been reviewed by our staff, we will call you to arrange screening appointments with our psychologist and genetic counselor. The last step is an appointment for a physical examination with a physician and laboratory tests.

• Once your questionnaire has been reviewed by our team, you will be scheduled for the screening process. This process involves meeting with a psychologist, genetic counselor, and reproductive endocrinologist. The reproductive endocrinologist will perform a physical exam includes a pelvic exam and cervical cultures; other blood tests will also drawn at this visit. Blood tests include screening for infectious diseases and carrier status for specific genetic diseases, as well as reproductive hormone levels.
• At this appointment, the members of our team will be available to discuss the process in detail and to answer any questions you may have. The reproductive endocrinologist will also review the medical procedures involved and discuss any risks to you entailed by the process.
• If you are accepted into the egg donor program, you will then be considered an active ovum donor candidate, and your profile will be accessible to patients in our practice who are interested in a donor ovum cycle. This is a confidential process, in which pictures and profile information supplied by you are shared with interested patients.
• Once a recipient has chosen you as their egg donor, you will attend a class taught by the clinic staff to learn how to prepare and administer your injectable medications. You may either administer the medications to yourself, or you may elect someone who would be willing to give you daily injections.
• When you are ready to proceed, your doctor and nurse coordinator will coordinate your cycle with that of your recipient. The cycle will begin with a few weeks of birth control pills (to synchronize your cycle with the recipient’s). This is then overlapped with injections that will temporarily halt your ovaries’ normal functioning (lupron). Egg production is then stimulated using injectable follicle-stimulating hormone (FSH), which is similar to the natural hormones your body makes before you ovulate.
• You will be given a detailed calendar which describes when to take your medication and when to come in for blood tests and ultrasounds. You will have short visits to the UCSF Center for Reproductive Health between 7:00am and 10:00am on approximately 7-10 mornings during a two week period. These visits include taking a blood sample and vaginal ultrasound to assess your progress. The egg retrieval is done at the end of the 2 week monitoring period and is performed transvaginally, using a light general anesthetic, given through an IV. You will need to have someone with you to drive you home after the retrieval, and will need to allow yourself a day for recovery when the retrieval is performed. Most donors can resume normal activities the next day, although occasionally the recovery period takes longer. Once the retrieval is performed, you will receive compensation for your time, travel and efforts.

The screening process generally takes a few weeks to complete. You will speak to the coordinator by phone and come into the office for a few short visits. Once you are chosen as an egg donor, a cycle takes approximately 4 weeks. During a two week period, you will come to the clinic approximately 7-10 times for ultrasound monitoring and blood tests. These appointments generally require a 15-30 minute visit in the morning. The day that you are scheduled for the egg retrieval, you will be at our clinic for a large portion of the day. Most donors are able to continue to work or go to school during the process.

As with any medical procedure, there are possible side effects and risks. Many women feel very minor or no discomfort during the donation cycle. Others have varying symptoms that typically resolve following the egg retrieval procedure. In some cases a donor might feel bloating, pressure, abdominal pain and swelling, breast tenderness and moodiness from the hormone medications, which will go away by her next period. Severe side effects are rare and will be discussed with you by a physician in detail prior to your entry in the program.

December 6, 2004,

Injection related:
The blood tests and hormone injections are usually well tolerated. However, some women

experience pain, redness, or minor bruising at the injection site. Allergic reactions are rare.

Medication related:

Hyperstimulation syndrome: There is a small risk of ovarian hyperstimulation syndrome (OHSS) developing during an egg donation cycle. OHSS generally occurs following the actually egg retrieval. It involves enlargement of the ovaries, significant increases in fluid retention within the abdomen and concentration of the blood within the blood vessels. It its more mild form, it can be uncomfortable but resolves within several days. The severe form occurs in approximately 1% of donor cycles. In severe cases, hospitalization may be required for monitoring. While the condition is serious, it usually lasts no more than one week.

Procedure related:

The egg retrieval is a transvaginal ultrasound guided procedure. The risk of serious complications of this procedure is rare: approximately 1 in 1,000. Serious complications involve bleeding, requiring observation in the hospital and/or blood transfusion, damage to internal organs and infection.

Other:

To date, available evidence does not suggest any increased risk of cancer of the breast or ovaries from serving as an egg donor. In addition there is no evidence of increased risk of infertility.

There is a chance of pregnancy occurring during the egg donation process, so it is critical to use barrier methods of contraception (e.g. condoms) or abstinence during this time period.

Your ovaries will become enlarged during the egg donation process. We request that you refrain from activities that involve high impact, such as running, mountain biking, jumping, etc until several weeks after the egg retrieval. After approximately one month, your ovaries will return to their normal size.

Yes! It is very important that you avoid intercourse from the time you start the hormone medication until 3 weeks after your egg retrieval. This will prevent an unwanted pregnancy and make sure the cycle proceeds as planned.

Yes, you can still work and go to school. However, the ovum donation process requires you to adhere strictly to your medication and appointment schedule. You must take the medication as instructed, and on time. You must be on time for all monitoring appointments and arrange for transportation to and from the egg retrieval. This requires that you make your ovum donor cycle a top priority during the few weeks that it occurs, and you may have to reschedule other events, classes or work times when necessary.

Yes. The shots are done at home. You can do them yourself, or have a close friend or family member help you with them. We will teach you how to mix and administer your medication in our office.

No. The procedure itself does not have any impact on your future ability to have children. Females are born with approximately two million eggs. Each month in a woman’s life a group of eggs begin the maturation process, but the body selects only one egg each cycle to ovulate while the rest are absorbed by her own body. Fertility medications “rescue” a portion of these excess eggs that the body would have ordinarily discarded.

When you agree to donate your eggs, you are giving up all rights and responsibilities associated with eggs and any child born as a result of them.

Most egg donor arrangements are anonymous, meaning you won’t know the recipients and they won’t know you. Information about you is shared with the recipients in a non-identifying manner. For example, you will be identified to patient couples by the following information: blood type, ethnic background of your mother and father, height, weight, body build, eye color, hair color and texture, years of education, occupation, and special interests and family medical history. Pictures you share with us will also be shared with potential recipients. We will not share the following information with the recipients: your last name, your address, your telephone number, your email address.

We are committed to creating egg donation arrangements that fit the personal needs of both donor and recipients. Some donors and recipients are interested in meeting each other and we support that process. On your application, you will indicate whether you are willing to meet the recipients, and whether you would be willing to meet their child when the child is an adult.

You must be truthful in all portions of the donor screening process, and follow the doctors’ orders during the treatment cycle. The ovum donation process requires you to adhere strictly to your medication and appointment schedule. You must take the medication as instructed, and on time. You must be on time for all monitoring appointments and arrange for transportation to and from the egg retrieval. This requires that you make your ovum donor cycle a top priority during the few weeks that it occurs. You will need to abstain from sex from the time you start the hormone medication until 3 weeks after your egg retrieval to prevent an unwanted pregnancy and make sure the cycle proceeds as planned.

Yes. If all goes well with your first ovum donation cycle, we would be happy to have you come back and donate again. Repeat donation may take less of your time, because you will have already completed the initial screening process. For your safety, ovum donors can donate no more than 6 times. This guideline has been published by the American Society for Reproductive Medicine.

With our egg donor program, you will receive top quality care within a highly respected university setting. Medical professionals will be involved at every level of your care. You will only have to go to one place for all your care, as opposed to signing up with an agency that might send you to donate at various locations.