At RMAPA, we are dedicated to finding solutions to all our patients' needs. For many, that means utilizing donated eggs to experience pregnancy, delivery and holding a child you carried. The decision to utilize donated eggs is not a simple one. There are always questions and concerns; we're here to help you determine if this is the best option for your needs.
The IVF cycle is performed on your donor using one or more fertility drugs to increase the number of eggs produced. Multiple follicles (the part of the ovary that contains the eggs) are needed to increase the number of eggs retrieved, thereby increasing the number of embryos developed and hence the chances for conception.
The process begins with the synchronization of both donor and recipient's menstrual cycles and may require using birth control pills and the medication Lupron. Your donor will also be taking daily injections of Follistim, or Gonal-f which you will provide, to encourage this multi-follicular development. Follicular maturation is evaluated by daily blood levels and ultrasounds. At a time determined by the physician, an injection of human Chorionic Gonadatropin (hCG) is given to bring the eggs to final maturity. Approximately 36 hours after this injection, your donor will undergo the egg retrieval that is done in our surgery center on an outpatient basis.
Preparing Your Uterus For Implantation
You will be hormonally synchronized to your donor using Estrogen and Progesterone on a schedule comparable to your Prep Cycle. Your endometrial receptivity will be evaluated similarly using blood tests and ultrasounds. In addition, the angle and depth of your cervix and uterus will be determined using a catheter identical to the one that will be used for the actual embryo transfer.
Aspiration of follicles for eggs is performed through an ultrasound guided approach under IV sedation. The retrieval consists of aspirating the ovarian follicles and identifying the eggs in the follicular fluid under a microscope. The eggs are then held in an incubator until the time of insemination in the laboratory. On this day, your partner will be expected to produce a sperm sample that will be used to inseminate the eggs, or you will need to have donor sperm frozen in our lab.
The embryo transfer may be done 3-5 days after the retrieval. The physician performing the transfer will discuss with you the status of your embryos and the number to be replaced. The number of embryos transferred varies according to their quantity and quality. You may be offered the opportunity to cryopreserve
any remaining embryos that continue to develop normally, for possible transfer in future cycles.
You will come to the office for the transfer and the procedure will be done in the surgery center under sterile conditions, in a reclining position with legs up, as if having a pap smear. The transfer is easy and virtually pain free in most cases. Following the transfer you will lie flat for a half hour and afterwards may return home to relax for the remainder of the day.
Testing for Pregnancy
Approximately 1 week after the retrieval date you will come back to the office to check your progesterone level and one week after that for a pregnancy test. If you are pregnant we will follow your progress for an additional 4-5 weeks before discharging you to your own obstetrician.
There are many questions our patients ask as they explore the option of egg donation. The following questions are the some of the most common that we receive:
Overview & FAQ
"Thanks so much for all of your patience and understanding."
"We will always remember what you did for us with regards to our donor. We feel we had the best donor that we could have possibly had."
"My husband and I would like to thank you very much for all your insight and for your support... the camaraderie and care that you showed our donor was way beyond anything we might have hoped for."
"We were at several clinics/doctors prior to coming to you, and I can't tell you how they all pale in comparison to your facility, everyone demonstrated the utmost professionalism. We never had a question go unanswered and always felt the lines of communication were open. The enthusiasm, sensitivity, and compassion displayed by the staff was unparalleled to anything we had ever experienced."
"What started as an incredibly bleak and depressing situation evolved into one of the better experiences of our lives~and we have you all to thank for it!"
"Thank you a million times for upholding such a high standard of professionalism with such sincere sensitivity and compassion."
"Thank you so much for being there when we needed you. I realize it's not always possible to make contacts without answering machines, but somehow you managed to get through."
"It is a very stressful time in our lives, but it has been reassuring having you to handle the obstacles."
"You're not only great nurses - you've become great friends."
"Thank you again for all your efforts and care. Your sincerity and 'always on the job' character are comforting and cherished."
"Thank you for taking the time to talk to me and put me at ease."
"Thank you for your patience in dealing with myself and my donor. We really appreciate your kindness and all your understanding. You have made a difficult time that much easier for all of us. We'll never forget you."
"Once again, we want to let you know how much we appreciate your caring nature and all of your efforts on our behalf."
"I don't know if I could have done this if you were not around to help me, talk to me, be there supporting me, and giving me constant reassurance."
"It has been a very trying, emotional 3 years. I guess nature takes its time and when it's meant to be, it happens. It was just so good knowing that people like you were around."
"I am not sure how you always had or made the time, to be patient in listening to me... but you were always there, especially during the rough times."
"I just wanted to write you a note and say 'Thanks' for all you did to help us out over the past several months. You helped to make it all a little easier."
"Thank you for all the times you spent on the phone with me and answering all my questions with patience, concern and compassion. You really helped to make this very stressful time a much more pleasant one."
"You believed in me when I didn't. Thank you for your encouragement."
Dear Dr. Scott, Dr. Drews and Dr. Bergh:
I wanted to thank you so very much for all that you have done for me and my husband. I'm not even sure if the words thank you convey the depth of emotional gratitude that we feel. Your generosity has been remarkable. Your knowledge, skill and determination are astonishing and the nurses and office staff are amazing!
I believe in fate and our paths having crossed in the past for this exact point in my life. Apparently God had other plans for me although these past 20 months certainly have been a hard pill to swallow. But now I understand God's plan, it was meant for me to have these two babies and I guess on my own they might not have happened.
But these two precious beings are the chosen angels being sent down to me straight from heaven. And I feel it is all thanks to you. I am so blown away by the emotional impact of this actually happening that sometimes I shake my head and smile in complete wonder I am going to be a mother. I AM GOING TO BE A MOTHER! With tears in my eyes and a smile in my heart , I thank you.