There exist many possible causes why using donor eggs may turn out to be necessary, like when there are chances of inheriting a disease. However, the most common reason why a woman may need donor eggs is low ovarian reserve. When there is poor egg quality or the woman presents a poor response to fertility medicines while taking ovulation enhancing drugs, using the eggs of a young, healthy woman is an advisable option.
Having a baby via egg donation is not allowed worldwide. Besides, in countries where it is indeed allowed, there are long waiting lists due to a shortage in egg donors. For this reason, sometimes couples wishing to be on parenthood are forced to travel abroad in order to have access to the fertility treatment they need.
Within Europe, Russia is considered to be one of the countries in which regulations governing medically assisted reproduction are quite comprehensive. In other words, a great number of techniques is allowed, including those where egg donation is required. All these elements make Russia one of the most common destinations of the so-called fertility tourism.
Types of egg donors
As for choosing the egg donor, one can choose between two options, given that both anonymous and known egg donation are allowed. In case an anonymous donor is chosen, information about general characteristics of the donor can be given, such as:
- Blood type
- Hair and color type
- Eye color
- Weight and height
- Some egg donor databases include audio notes, so that the intended parents can hear the voice of their donor, as well as a childhood picture of her
In this type of donor-egg IVF, which is the most frequent option, any information about the donor remains strictly confidential, and the same for the intended parents. Plus, the whole process is carried out through the assistance of the medical team, which acts acts as an intermediary. This modus operandi aims at protecting not only the donor and the intended parents, but also the baby-to-be. It is in the hands of the prospective parents if they wish to reveal to their baby that he/she was conceived via egg donation.
In case the patient has a preference for known egg donation, then the prospective egg donor will have to go through a strict medical screening process before being accepted as a donor. Moreover, there should be some sort of connection between the donor and the recipient, either a family relationship or a friendship.
Donor-egg IVF process
When a woman undergoes this fertility treatment, it is necessary that she prepares her endometrium so that the embryos, once transferred, are able to implant, which would mean the woman has achieved pregnancy.
Such medications can be self-administered either through oral, vaginal or patch route, which means subcutaneous injections are unnecessary. The thickening of the endometrial tissue will be monitored via vaginal ultrasound until it reaches the adequate size—trilaminar appearance, with an endometrial thickness above 7 mm. At that moment, the embryo transfer will be performed.
In the case of international patients, they are allowed to monitor endometrial preparation in their own country and travel to Russia only the day when the embryo transfer is scheduled, or a few days before if they wish to. Besides, to perform the in vitro fertilization, in case a fresh semen sample is needed, at least the man is required to visit the clinic in person that day. Another option, as long as it is permitted by the Russian fertility clinic, is freezing the semen sample in their country and ship it to the assisted reproduction center in Russia.
Embryo transfer stands for a simple, painless procedure after which the woman only requires between 15-30 minutes of rest. After that, she can continue with her usual lifestyle, always following indications given by the experts of the fertility center. That day or the following, she can travel back to her country of origin.