||[Mar. 28th, 2007|10:44 am]
Fertility Clinic : Egg donation and diminished fertility(2)|
with Dr. Abayomi Ajayi, Nordica Fertility Center, Lagos
EGG donation allows for a genetic connection with the male partner. With egg donation, the recipient experiences the pregnancy, controls what the foetus is exposed to in-utero, bonds with the baby during the pregnancy, goes through delivery, and is able to breast feed.
As a woman, being presented with the very low likelihood for success using your own eggs due to elevated FSH levels, leaves you often initially unprepared to consider egg donation, but the availability of egg donation may help relieve the pressure of the “biologic clock.”
Since a woman has an excellent chance to achieve a pregnancy with donor eggs whether she is 35 or 50 years of age, she and her husband or partner can take the time to decide whether or not it is the right option for her. She can continue to try and conceive on her own, knowing that she can always consider egg donation in the future with no negative impact on her chance for success.
It is often very helpful for couples considering egg donation to meet with a therapist who has experience in this area. It may take patients months or even a year from the time they are initially presented with the option of egg donation before they are ready to proceed.Women planning to pursue pregnancy with egg donation should have a thorough medical evaluation, particularly as they get older, to determine that pregnancy will not cause significant health risks.
The couple should have psychological counseling to discuss the many issues that are unique to pregnancy with donor gametes. These issues may include choice of an anonymous or known, who if anyone to tell about the donor process, whether and when to consider telling the child, etc.
Usually, we suggest that the woman undergo a “test” cycle to determine what form and dose of oestrogen is most appropriate to prepare her uterine lining to receive the embryo. The uterus should also be evaluated for structural abnormalities (fibroids, polyps, or scar tissue) that could decrease the likelihood of implantation.Finding and selecting an egg donor is a major part of the process. While some couples will choose to use a donor who is a friend or relative, most couples may not know how to go about getting one. But fertility centers often have egg donors available as part of their egg donation programme.
In general a donor should be under 35. Donors are screened for infectious diseases (including HIV and hepatitis amongst others), medical disorders, genetic disorders as well as psychological stability. MWe also measure FSH levels in the egg donors.
In all respects, to become an egg donor, I often advise that you need to be a healthy woman between the ages of 21 and 33. Often, when you visit the fertility center, you may be asked to complete a questionnaire that asks specific questions about your medical and personal history. You may also be asked to complete medical and psychological screening.
The purpose of all this careful process is to help determine the degree of medical and genetic appropriateness to become a donor, and that egg donation would not be medically or emotionally harmful in any way.Of course all this information is completely confidential, but the patient is required to pay for all screening tests or consultations.