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| EGG
DONATION - RECIPIENT INFORMATION
The typical egg donor falls
into one of three categories: anonymous donor; patient-donor; and
designated non-anonymous donor.
Anonymous
Donor
Our program primarily follows the anonymous donor model. This has
been standard for sperm donation for decades. While no identifying
information about the donor is revealed, detailed personal, medical
and family profiles are provided to recipients in the process of
selecting a donor. Our donors are committed to the concept of anonymity
and would not be interested in participating in the program in any
other way. In most cases, anonymity best protects the privacy and
interests of both the donor and the recipient.
Patient
Donor
In some cases, young infertility patients undergoing IVF are willing
to donate some of the extra eggs produced during ovarian stimulation
for a reduction in their own costs. If a satisfactory match can
be made, this arrangement can be highly rewarding for both the donor
and the recipient. While patient-donors are less frequently available,
the cost of these types of arrangements is less than that of compensated
donors.
Designated Donor
Some couples strongly prefer to pursue conception with eggs donated
by someone they know. This designated non-anonymous donor can be
a young, fertile family member or close friend. We are open to this
type of arrangement provided that the prospective donors meet our
standard screening criteria and provided that thorough psychological
counseling and evaluation are completed for all participants. While
in-family donation can be a satisfactory solution for some couples,
it may also have profound effects on long-term family dynamics.
Assessment by an experienced mental health professional is required
for the best outcome. Follow-up sessions with a counselor after
either a successful or failed egg donation procedure is strongly
recommended.
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HOW
IS THE RIGHT DONOR SELECTED?
We make every effort to find a donor that the recipient couple will
feel entirely comfortable with. We guide you through this difficult
and unique process. Using your preferences, priorities and exclusions,
we try to identify donors who generally meet your requirements and
who are available within your time frame. We then provide you with
detailed personal, family, educational and medical information about
a few donors. We give you as much information as possible without
compromising confidentiality. The final selection is made jointly.
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WHAT
ARE THE RECIPIENT'S TREATMENTS?
In addition to a semen analysis, a current HSG (dye study of the
uterus) or hysteroscopy to evaluate the uterine cavity, and blood
tests for both partners, the woman may be tested for rubella and
STDs. If there is any question that the male partner may not be
present around the day of egg retrieval (which can be a few days
earlier or later than expected), then a backup specimen of his frozen
sperm should be sent to our program well in advance of the scheduled
treatment.
Preparation of the recipient's uterine lining for implantation
is key to the success of PRIDE. If she has no periods or ovarian
function, the recipient is placed on a protocol of estrogen replacement
to build up the uterine lining. One or two blood tests and ultrasounds
are done in our office to monitor response to the medications. Dosage
adjustments are made as necessary. Once the date of egg retrieval
is set, the recipient adds twice-per-day injections of progesterone-in-oil,
vaginal progesterone or oral progesterone (or any combination of
these). It is most important that the recipient does not start progesterone
until specifically instructed by our office. If the recipient has
periods, and therefore ovarian function, her own hormone production
first needs to be suppressed so that it does not interfere with
the above hormone replacement protocol. Therefore, women with ovarian
function receive either Lupron or Synarel, which suppressed ovarian
function, before starting estrogen and progesterone.
The hormone preparations, estradiol and progesterone are identical
to the hormones which your body would naturally produce during spontaneous
pregnancy. There is no need to worry about their possible adverse
effects on the developing fetus because these hormones are exactly
the same as the one produced in all human pregnancies. Unfortunately,
the FDA requires that a warning about be included in the package
about the use of any hormones during pregnancy. However, this policy
does not distinguish between artificial hormones (such as those
found in birth control pills) and natural hormones necessary to
prepare the uterus for embryo implantation and pregnancy.
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SCHEDULE
OF MEDICATIONS
Before the treatment cycle begins, you will be given a preliminary
schedule of medications. In most cases, this schedule will need
to be modified during the actual treatment cycle to achieve perfect
synchronization with the egg donor's cycle. Occasionally we perform
a trial cycle to test whether the standard protocol results in good
uterine lining. In these cases, an endometrial biopsy may also be
performed. In most cases, however, the standard protocol prepares
the uterine lining well, so that a trial cycle and biopsy are not
necessary.
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DONOR
TREATMENT
The egg donor will undergo the first two phases of IVF: controlled
ovarian hyperstimulation and egg retrieval. They receive a series
of daily injections of gonadotropins to stimulate their ovaries
to produce multiple eggs. During this time, they are closely monitored
with frequent blood tests and ultrasounds to determine the optimum
day of egg retrieval.
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OUT-OF-TOWN
RECIPIENTS
Since the treatment of the donors is more time-consuming than prepping
the recipients, PRIDE lends itself well to patients in the Central
New York region. However, with a world-side shortage of qualified
egg donors, many recipients may travel from out of state or abroad.
We have developed a system of evaluating potential recipients through
review of past medical records and telephone interviews with them
and their local gynecologists. This system allows most of them to
travel to Syracuse for only 5 to 7 days during the actual treatment
cycle. Accommodations close to the CNY Fertility Center are available.
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EGG
DONOR CYCLE PLAN (2)
This interest-free option was created to
help our patients pay for treatments over a period of one
year. We do require a minimum payment prior to your donor
starting her medications. The balance will be divided into
twelve interest free monthly payments. Your payment includes
donor monitoring (at our office), monitoring for the recipient (at our office) until day of embryo transfer including up to two ultrasounds for the Mock Cycle, egg retrieval,
embryo transfer, cryopreservation, storage, transfer of frozen
embryos within one year of retrieval date, and donor compensation.
These prices DO NOT INCLUDE MEDICATIONS.
Single Donor Per Cycle Payment Plan
(2)
| Cycle Number |
Cost of Donor
IVF Cycle |
Minimum
payment due |
Amount Financed |
Monthly Payment(1) |
| 1 |
$11000 |
$7500 |
$3500 |
$291.67 |
| 2 |
$10000 |
$7500 |
$2500 |
$208.33 |
| 3+ |
$9000 |
$6500 |
$2500 |
$208.33 |
Shared Donor Cycle (2) (one recipient and
one patient donating half her eggs)
| Cycle Number |
Cost of
Shared Cycle |
Minimum
payment due |
Amount Financed |
Monthly Payment(1) |
| 1 |
$6200 |
$4200 |
$2000 |
$166.67 |
| 2+ |
$5700 |
$3700 |
$2000 |
$166.67 |
Split Donor Cycle (2) (two recipients split
the eggs of one donor)
| Cycle Number |
Cost of
Split Cycle |
Minimum
payment due |
Amount Financed |
Monthly Payment(1) |
| 1 |
$6200 |
$4200 |
$2000 |
$166.67 |
| 2+ |
$5700 |
$3700 |
$2000 |
$166.67 |
(1) Payment is withdrawn monthly from a
debit or credit card.
(2) These prices do not include medications nor any additional
blood work or ultrasounds required after transfer.
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EGG
DONOR REFUND PLAN
This plan was
created for non-insured IVF patients who meet the eligibility
requirements (see below). For one single up-front payment
of $45,000 you are eligible for up to 4 fresh IVF Donor cycles
and unlimited frozen cycles over a 2 year period. This plan
also includes the donor’s medications. Payment in full
is required prior to starting your cycle. If you deliver
a baby within the 4 Donor cycles, or frozen cycles, you will
not be eligible for any refund. However, if you do not deliver
a baby after the 4 Donor cycles, and all frozen cycles, your
payment will be refunded in full.
Donor Refund Plan Qualification Criteria:
- The ability to generate an endometrium lining thickness of
7mm
- No hydrosalpinx or uterine fibroids (unless corrected prior
to treatment)
- Have not failed more than three previous Oocyte Donor IVF cycles at any
fertility center
- Male partner’s semen analysis
not indicative of azoospermia or severe oligiospermia. Post-vasectomy
patients may qualify, but require a diagnostic aspiration.
What is included in the Donor Refund Plan:
- Donors’ medications
- Ultrasounds and monitoring for recipient and donor (at our
office)
- Retrieval of embryos (within a 2 year period)
- Transfer of embryos (within a 2 year period)
- Transfer of all frozen embryos must be transferred prior to
starting a fresh cycle
- Embryos may be transferred into a carrier for an additional
charge
- Intracytoplasmic Sperm Injection (ICSI)
- Assisted Hatching (AH)
- Cryopreservation and storage of embryos for up to one year
after last cycle (additional fees apply after the one year period)
What is excluded from the Donor Refund Plan(1):
- Recipient’s medications
- Pregnancy blood work and ultrasounds
- Pre-screening tests
- Any additional blood work needed
- Surgeries
- Urology procedures
- Preimplantation Genetic Diagnosis (PGD)
- Intravenous Immunoglobulin (IVIG) therapy
- Donor Sperm
(1) Additional exclusions may apply. Qualifying
criteria or pricing may change without prior notice. For current
information, please contact our office.
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(Updated
3/21/08) |
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