Egg donation may be required in case of depletion of their own ovarian reserve (stock of follicles capable of further development). Women during menopause, with pathologies of ovarian development, after radiation or chemotherapy, usually can not have children, but if you want, in this case, you can use the donation program. For a donor, this is an opportunity to help someone find the happiness of motherhood.
Egg donation in the USA and Europe
In America and Europe, the fertility rate among mature women remains stably high. With age, the number of own eggs decreases significantly, so the solution is IVF with its own or donor biological material. The cost of an egg donation in the USA for a donor depends on many factors. The average IVF price is about 5 thousand dollars, and the donor can pay from 15 to 100 thousand. In the USA, this service sector is based on the principles of the free market.
In many European countries, the attitude towards donation is ambiguous. This is permitted in France and Belgium, and is prohibited by law in Italy, Austria and Switzerland. In Sweden and the Netherlands, the clinic is required to provide prospective parents or the child with complete information about the donor. In the UK, the program is legal, but the cost of an egg donation is only 250 pounds. In Greece, donation is free. You can only rely on compensation for wages and transportation costs.
Donor programs in Russia
In Russia, either the recipient's relatives or anonymous women can become egg donors. Such programs are not banned at the legislative level, and donors are supposed to pay remuneration.
Egg donor requirements
Not every woman can help a barren couple to feel the happiness of motherhood. An egg donor must meet certain criteria and not have health problems. Women who already have one healthy child or several children can participate in the program. The age of the donor should be in the range from 20-21 to 32-34 years.
A woman should have a normal physique (there is no excess weight or lack of kilograms), physical and psychological health. Patients with hepatitis A, diabetes mellitus, some chronic and any acute diseases, including gynecological, who underwent surgery on the ovaries and mammary glands, are not allowed to donate. The donor should not have pronounced phenotypic traits.
How to become an egg donor
How is egg donation? The program takes from three weeks to three months if all tests are normal and treatment is not required. This is the time from the first call to the clinic until receiving financial compensation on a bank card.
First you need to sign up for a consultation at the selected clinic. During the first visit, the woman will receive a referral to all necessary tests and information on further actions. The cost of an egg donation for a donor is determined after a genetic examination.
Medical examination of a donor
A medical examination includes: a coagulogram, blood tests for hepatitis B and C, syphilis, HIV, general and biochemical, determination of the group and Rh factor, general urine analysis, cytology of scraping from the cervix, smears from the cervical canal and urethra, determination of purity vagina, fluorography, electrocardiogram. You need to visit a psychiatrist and get an opinion on normal mental health. According to the results of the examination, a conclusion is issued by the genetics, obstetrician-gynecologist and therapist.
Ovarian Stimulation Program
The essence of the donation program is to stimulate the maturation of several eggs in the ovary. To do this, a special hormone therapy course is prescribed, after which the egg will be collected. If the material will not undergo cryopreservation, then the goal of hormone therapy is also to synchronize the menstrual cycles of the donor and recipient.
During stimulation, the donor is advised to refrain from sexual intercourse and physical activity, to completely eliminate bad habits. It is not recommended to limit yourself to food, but you need to eat properly. It is necessary to exclude coffee and not go to baths, saunas. Before the puncture of the eggs, it is recommended not to eat or drink after midnight.
Biological material transfer
After preparation of the mucous membrane of the uterus of the recipient for the transfer of donor material, a donation of the egg cells of the donor is performed. The procedure is performed under local anesthesia. Further, in the laboratory, the donor egg is fertilized with the sperm of the recipient’s partner or donor sperm, and then the embryos are implanted in the patient’s uterus.
Depending on the state of health of the donor, 10-40 eggs can be obtained. Usually, several germ cells mature in the natural cycle, but only one continues to grow until maturity and subsequent ovulation. During stimulation, several eggs continue to grow. If as a result there are few cells or they are of poor quality, the donor will still be paid a reward. Once again, participation in the program is possible only if the stimulation is successful.
Medical clinic guarantees
All clinics that implement the egg donation program provide patients with almost the same guarantees. The donor receives financial rewards for participating in the program. The cost of an egg donation depends on the number of germ cells received. Confidentiality and safety are also guaranteed (if you follow the doctor’s recommendations, the risks are minimal, and complications occur in 0.1% of cases).
On the day of egg collection, the patient is usually provided with a ward and free food, because after the puncture it is recommended that you be under the supervision of a doctor for some time to avoid complications. All necessary examinations are free of charge. At the place of registration, you need to take only a health certificate from a local therapist and a certificate from a neuropsychiatric dispensary stating that the woman is not registered there.
Egg Donation Cost
The cost is determined depending on the number of eggs received. For one procedure, a woman can receive an average of 50 to 100 thousand rubles. The cost of an egg donation in Moscow in private clinics is at least 60 thousand rubles. This is a material reward that is paid after the collection of biological material. In this case, the woman undergoes all necessary medical examinations at the expense of the clinic.
As for the cost of the artificial insemination procedure for the recipient, IVF with donor eggs costs 135-200 thousand rubles without the cost of biological material. Some clinics do not include the necessary preparatory procedures and medications in this amount. The "unlimited IVF" program, which includes consultations, testimony procedures, pregnancy diagnostics and hospital stay, as well as an unlimited number of fertilization attempts, costs about 400-600 thousand rubles.
Contraindications for Donostra
You can’t take part in the donation program for women with congenital pathologies and genetic diseases, a cyst or ovarian tumors, HIV, TORCH infections and AIDS, in case of disorders of the heart, kidneys and other vital organs, as well as in the presence of bad habits. Preliminary medical examination and tests are carried out specifically to exclude such diseases from the donor.
Judging by the reviews, egg donation is often denied to young mothers who have recently had a cesarean section and / or breastfeed. But these are not absolute contraindications to participation in the program. You can become a donor if at least 10-11 months have passed after cesarean and lactation has stopped. In total, you can participate in the program up to eight times, between stimulations there must be at least three to four normal menstrual cycles.
Possible consequences for the donor
Ovum donation for a donor is a relatively safe procedure, but if the doctor does not follow the recommendations, if there are contraindications or because of the individual characteristics of the body, adverse consequences are possible. The transfer of genetic material should be a voluntary and informed decision, and when participating in the program, a woman should have an idea of what the essence of the procedure is and what are the possible consequences for the donor.
Stimulation of egg maturation is carried out by hormonal preparations, which in some cases can affect weight. Hyperstimulation, which is provoked by improperly selected hormone therapy, can accompany donation. Possible consequences include the appearance of bleeding, sleep problems, the occurrence of edema, signs of depression and the development of infectious diseases.
In order for negative consequences to bypass the donor, it is necessary to take the issue seriously and follow all the doctor's recommendations. When interacting with qualified medical personnel, a woman’s health is not at risk.
How to become a donor in Russia: clinics
In Russia, women are mainly offered large (network) medical clinics that have representative offices in large cities of the Russian Federation to become an egg donor . In Moscow, egg donation is offered by Life Line reproduction centers (60 thousand rubles), New Life, the European Center for Surrogacy, VitroKlinik (50 thousand rubles), Nova Klinik (up to 70 thousand rubles). Remuneration is paid approximately the same.
In some centers, infertile couples are offered the opportunity to choose a donor: spouses can meet with several women and choose the one that they like best (in appearance or character, for example). In this case, the cost of egg donation in Moscow increases significantly. Where is more expensive? It is better to contact large perinatal centers and clinics of reproductive medicine.
In St. Petersburg, good financial rewards are paid to NGC. For the first time they pay about 55 thousand rubles, for the next - 60 thousand. If as a result a large number of eggs is obtained, a woman can be paid 65 thousand rubles. In addition, the clinic does not synchronize donor and recipient cycles, which is safer for women's health.