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If using fresh sperm, the partner will need to visit CHR to produce a sample at this time. This part of the process is the same as IVF. The retrieved eggs are fertilized with partner's or a donor's sperm. (Travel costs will be covered.) Step 5: Fertilization and Embryo Transfer for the Recipient Long-distance donors who are from another part of the United States will be required to travel to our center in New York City for 3 nights and 2 days for egg retrieval. The donor will be required to take the rest of the day off to recover. While the donor is asleep (under IV sedation), one of our physicians will use an aspiration needle, guided by ultrasound, to transvaginally retrieve the eggs.
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Two days later, her eggs are retrieved in a short in-office procedure, called egg retrieval. When the ultrasound imaging shows that the donor's eggs have sufficiently developed, the donor will be instructed to trigger ovulation with an injection of hCG. Step 4: Triggering Ovulation and Egg Retrieval for the Egg Donor Some patients with autoimmune abnormalities may use additional medications to improve the chance of implantation. Fortunately, CHR has demonstrated special expertise in this area. In rare cases, some patients have difficulties in reaching minimal endometrial thickness and may require special treatments. Developing the endometrium for embryo transfer is usually not a problem. While the egg donor develops eggs for retrieval, the recipient takes estrogen and progesterone to prepare her endometrial lining for implantation.
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On the recipient's side, a favorable uterine environment, especially an endometrium of at least 7 mm, is crucial in the success of a donor egg cycle. Step 3: Endometrial Lining Development for the Donor Egg Recipient (Long-distance donors go to collaborating IVF centers that are local to them.) These monitoring sessions are scheduled in early morning in order to avoid interfering with the donors' daily schedule of school and work. This means that egg donors need to visit our center in the Upper East Side of Manhattan frequently during this phase. In a natural cycle, only one egg matures gonadotropins injections encourage more than one egg to mature for retrieval.ĭuring ovarian stimulation, the egg donors are monitored closely through blood tests and ultrasound, ensuring that the ovaries are responding well and not going into hyperstimulation. During the ovarian stimulation phase, the egg donor uses daily injections of gonadotropin to stimulate her ovaries. The egg donor will self-administer daily injections of a medication called Lupron to suppress her natural cycle, so that her and the recipient's cycles are synchronized. Step 2: Suppression and Ovarian Stimulation for the Egg Donor Some donors are selected and matched to a recipient very quickly after they apply others may take months or years before they are selected still others may never be selected. If the egg donor is available for the recipient's desired time frame, and passes an FDA-required round of testing, an official match is made. Our IVF coordinator will contact the egg donor to confirm her availability. A tentative donor egg match is made when a recipient decides to move forward with a specific donor. When intended parents decide to use donor eggs, they can view the pre-screened pool of egg donors online and select a candidate. CHR's egg donor program is very selective: on average, we accept only about 1-3% of applicants to our donor program. Only the donor applicants who pass all these screening steps will be added to our egg donor program, and can be matched with a recipient couple.
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You will see a doctor for a physical exam, a health history, a family history, and some testing. Egg Donor Application and Screeningīefore everything else can happen, potential egg donors must apply to our egg donation program and then go through an initial screening process and two rounds of interviews (one with our clinical coordinators and another with our physicians). As you think about this opportunity, it is important for you to fully understand our egg donor requirements, the egg donation process, and your responsibilities as an egg donor. Medically reviewed by Norbert Gleicher, MD, FACOG, FACS - Written by CHR Staff - Updated on Dec 10, 2020īecoming an egg donor is a big decision and commitment. Egg Donor Requirements and Egg Donation Process FAQ