0, October 5th, 2015
How Are Egg Donors Selected?
If you answer an advertisement, you may be interviewed over the telephone, or be sent an application to fill out. Based on your responses, the program may decide that you are unlikely to be chosen, and you may not hear from them again. If the program decides that you are likely to be chosen, you may be invited to proceed with the selection process. Before you are accepted as an egg donor, however, you will be required to undergo medical and psychological screening.
Before you are screened, the egg donor program staff will thoroughly describe the procedures and risks involved in donation. That way, if you decide not to proceed, you can avoid the screening process. In any case, do not give your written agreement to become an egg donor before the screening process is complete. After you are screened, the results of your medical tests should be discussed – whether or not you become a donor.
Before you are screened for infectious diseases, make sure you understand the tests, and whether and how you will be given the results. If you have an infection, seek medical treatment to protect your own health and fertility.
For any close blood relatives who have died, you will need to know how old they were and the cause of death.
Some common diseases (such as cancer or heart disease) that strike when people are middle-aged or younger are influenced, at least in part, by genetics. If you do not have access to the necessary information, either because you are adopted or there is no informed person to ask, some centres usually advise you should not become an egg donor.
What If A Donor Is Not Accepted?
It’s natural to feel rejected if you are not chosen. Sometimes the decision is made to protect you from medical harm. Or, it might become apparent that you may find the process too time-consuming or emotionally difficult. In some cases, it simply means that the right match has not been found.
To prevent prospective donors from dwelling on the reason they were not accepted, some centres will not provide this information. If that is the policy where you are applying, make certain you are comfortable with that before going through the screening.
Will The Recipient Know The Egg Donor?
Most centres keep the identity of donors confidential (often called “anonymous donation”). If you enter one of these programs, the recipient will have important information about you, but you will never meet or know each other’s names. Other centres are more open.
They may accept:
No single type of arrangement is right for everyone. Each presents unique challenges during and after the donation.
Who Will Use The Eggs?
Egg donation is a treatment option for women who do not produce enough normal eggs but are otherwise able to be pregnant. Some of these women have malfunctioning ovaries or entered menopause at an early age. Others are at an age when they produce eggs less readily, even with fertility drugs. Still others tried standard IVF but produced poor quality eggs or embryos.
Less commonly, women decide to use donor eggs because they are aware of an increased risk for inherited disease in their biological offspring. For example, the woman herself may be healthy, but she and her partner may both carry a gene for the same disease. This creates a risk in the child if it inherits the altered gene from both parents. Using an egg donor who does not carry the gene eliminates this risk. Most often, donor eggs are used by women in their late 30s or 40s who are attempting to become pregnant. Very few women under the age of 36 use donor eggs. Centres have various upper age limits for recipients. Some, will allow women over age 50 to be recipients.
Most centres will treat unmarried women who are trying to become pregnant without a male partner and who require donor sperm as well as donor eggs. While some centres match an egg donor with more than one recipient. If you have concerns about who might receive your eggs, discuss them with the clinic before agreeing to become a donor. Some centres allow donors to place restrictions on the use of their eggs. However, no program can guarantee how your eggs will be used.
How Are Donors Matched With Recipients?
In most infertility centres that use “anonymous” donors, the staff in charge of donated gametes match a recipient with the donor who most closely resembles her, including ethnicity, height, body build, skin type, eye colour, and hair colour and texture.
Once a possible match has been found, the recipient is given information about the donor and decides whether to proceed or wait for another donor. In some centres, recipients are given information about several possible donors and select the match they would like to pursue. Donors may be asked to take intelligence tests or to provide other information (essays, school transcripts, lists of hobbies, etc.) that will be given to possible recipients.
Other programs, however, do not provide this type of information because it implies, without good evidence, that these characteristics are largely determined by genetics.