Anonymous donor egg
We thank you for that you have expressed desire to become the donor and to help fruitless women, whose hopes of desired pregnancy are realizable only by means of donor eggs.
In this article we will acquaint you with donor egg process, stages of selection and check of potential donors and recipients (women whom replace an egg), a rate of commission and possible by-effects of the given procedure.
1. WHO receives my egg?
There is a set of the reasons on which some women cannot independently become pregnant. This congenital absence of ovaries, their removal by surgical operations, an early menstrual pause. However such woman can take out pregnancy if to it the donor egg is replaced. Besides, some women are carriers of serious genetic diseases which can be transferred to their children. With reception of a "healthy" egg the risk of transfer of these diseases disappears. To the third category of women for which donor eggs are necessary, fruitless women with eggs of bad quality concern. It mostly women aged are more senior 40 years which are already close to a menstrual pause. Chances to become pregnant and give birth to the healthy child at such women increase to 70 % if it replace a healthy egg of the young woman.
2. WHO and how can become the donor eggs?
The woman at the age of 20-30 years, wishing to help fruitless steams by participation in the donor egg program. The donor should be a normal constitution (without excess weight), to have own healthy children, not to smoke, not to suffer gynecologic and other diseases. It passes full inspection on presence of such diseases, as a HIV, a syphilis, a hepatitis In and With, a gonorrhoea, a clamidiosis, a mycoplasmosis, an ureaplasmosis, a cytomegalovirus, a henital herpes. Besides, it is surveyed by the therapist and there passes interview with the psychologist.
3. How I can become donor eggs?
For our card file the woman fills the special form and represents the recent photo. These data are stored in strict confidentiality. The photo allows to select the potential donors most suitable to external signs and recipients.
During the first reception the doctor will discuss with you a condition of your health, ultrasonic for an estimation of the general state of health and a condition of your ovaries will inspect also. During the following visit you will hand over blood and dab for the subsequent analyses. After reception of results of inspection you will meet the psychologist who will carry out the psychological analysis and will discuss with you psychological aspects of a donor service.
Then selection of suitable recipients is spent. After that you can begin participation in the program.
4. What process of a donor service, after acknowledgement of my participation in the program?
After you were chosen by any married couple, your medical procedures are synchronised with procedures of the woman-recipient. To you can appoint contraceptive tablets within 1 month before the beginning of medical process. A following medicine which you will accept - the DIFERELIN.
In a natural menstrual cycle monthly after has begun menstruations some eggs start to grow, but only one egg continues the development till a full maturity and ovulation. The remained eggs which have started to develop, stop development and resolve in ovaries. Applying ganadotropins, we can "rescue" these eggs and compel them to finish the process of maturing. It allows to collect more than one mature egg for fertilisation in laboratory.
The egg develops in a follicle - the vial filled with a liquid. The follicle grows in process of maturing of eggs. We have possibility to define how your eggs in reply to ganadotropins quickly develop, spending ultrasonic for definition of the size of growing follicles. Ganadotropins are entered by a hypodermic injection, as well as diferelins, or an intramuscular injection (into area of a muscle of a hip). You will prick ganadotropins once a day, continuing thus diferelin injections. The injection of ganadotropins should do daily during 4х days, and for 5th day to come to clinic for repeated ultrasonic. 1-2 ultrasonics within 8-10 days can be necessary for you to define the best day for gathering of eggs.
After results of ultrasonic will show, that eggs have ripened, it will be necessary for you to make last prick - a preparation of pregnils. It is an intramuscular injection in a hip muscle. Pregnils gives a signal to eggs to definitive maturing that they could be impregnated. In laboratory. If not to enter this preparation there will be no normal fertilisation of eggs. The doctor will ask to make you an injection a pregnil during strictly certain time (for example, at 11 o'clock in the evening) so that gathering of eggs to make exactly in 35 hours after introduction of this preparation.
Procedure of gathering of eggs occupies about 10 minutes and is spent in a handling room.
You should come for 30 minutes prior to the beginning of procedure. After midnight before a puncture of eggs it is impossible to drink and accept food. As it was spoken above, eggs ripen in the vials (cysts) filled with a liquid named follicles. We can take ripened eggs from your ovaries, directing a narrow needle through a vagina wall is direct in follicles and supervising this process on the screen of the ultrasonic device. To take an egg, we exhaust a liquid from follicles. The needle has little bit more diameter, than a needle for gathering of blood from a vein. We try to take eggs from each large follicle in both ovaries. Usually we manage to collect 10-20 eggs.
Directly ahead of procedure of gathering of eggs the anaesthesiologist will make to you intravenous anaesthesia. Procedure will pass under full anaesthesia, therefore you will not test painful discomfort.
After the termination of procedure you should have a rest within 1-2 hours. The special chamber is for this purpose provided. Then you will be free and can go home after payment of your services. As you had an anaesthesia, it is better, that somebody has taken you home. You should not sit down a wheel till next day. To work it is possible to return next day. Sexual relations it is possible to renew after following menstruations. With following menstruations can, if want, to renew reception of contraceptive tablets.
5. I will receive what indemnification for the participation?
Before the beginning of the program of a donor egg with you the contract consists. Thus your participation in the donor egg program is paid. For each cycle of a donor service to you pay 600 dollars (in roubles) in day of a puncture of eggs.
6. Whether there will come at me a menstrual pause before term after delivery of my eggs?
At the 12-year-old girl in ovaries is about 300 000 eggs. For genital years in process of ovulation by ovaries it is spent less than 500 of them. The remained 299 500 eggs are exposed to process under the name «atresya» at which they, not ripening, resolve in ovaries between the period of approach of a sexual maturity and a menstrual pause. In connection with presence of a considerable quantity of these "spare" eggs, there are no bases to believe, that the drug intake during donor process, or an in itself donor egg can reduce stocks of eggs in such degree to lead to an early menstrual pause.
7. What possible by-effects of a donor egg?
The small percent (less than 10 %) the women accepting a diferelin and ganadotropins, finds out such time by-effects from these medicines, as a headache, hypostases and frequent differences of mood. They disappear with the drug intake termination. Medical process is the big stress for our fruitless patients because of their huge desire to become pregnant, and the stress strengthens these symptoms. As you do not pass through the same strong stress during a drug intake, you are less subject to any of these by-effects.
Process of gathering of eggs is connected with very insignificant risk of bleedings and infections. It is very improbable, that you will lose more than a teaspoon of blood during extraction of eggs. And the risk of damage of belly bodies a needle for gathering of eggs is even less. For protection against infections during procedure we give you an antibiotic. The probability of a bleeding or infection occurrence is extremely small, much less, than 1 to 1000. At one of the doctors of our clinic having experience in EKO about 12 years, it was never observed similar complications.
At some women after last injection a pregnil some days are observed an insignificant swelling of a stomach. It is called as a syndrome of hyperstimulation of ovaries. Doctors will attentively track your reaction to medical products by results of ultrasonic and will take all necessary measures to lower probability of occurrence of these complications. The stomach swelling usually completely passes within 10 days after gathering of eggs. In very rare cases (less than 1 %) the patient can be hospitalised for inspection.
7. How many time it is possible to hand over eggs as the donor?
In Russia there are no methodical recommendations of Ministry of Health about this question as the donor egg has no long-term by-effects. In our practice we follow recommendations of the American Society of Reproductive Medicine where it is specified, that the donor can hand over the eggs to six times.
8. What should be having rummaged between donor service cycles?
Theoretically eggs it is possible to hand over each menstrual cycle (every month), but we do at least a two-month break between donor service cycles to give rest to ovaries of the donor.
9. How my anonymity is observed?
All information on donor programs is stored in the safe of the head physician.
The married couple receiving your eggs, signs the statement that they undertake not to establish the person of the donor of eggs and understand, that their further communications, or their children, with you are impossible. They will not know your name. But it will give the general information concerning your weight, growth, appearance, a national identity and history of illnesses in a family.
In summary
We hope, that this the information has helped you to understand better the responsibility connected with process donor eggs, and all procedure which it is necessary to pass thus. Your donor service becomes an invaluable gift to those fruitless steams for whom the unique chance to become pregnant is to become pregnant by means of voluntary participation of such women, as you.
