nav

Sunday, June 15, 2014

5 steps to IVF with a known egg donor

after deciding to move forward with k as our donor, 
what happens next? that is the question that we've been asked many times.

since ours is not an anonymous arrangement, 
our clinic considers it a "known donor" scenario 
(even though we've not actually met k in person).
this is what happens in a known donor situation…

step 1: psychological consultation
both parties meet separately with a therapist to discuss potential issues/concerns related to the egg donation. the purpose is to ensure that all parties have thought about the different aspects and future implications of the donation and are in a healthy place to move forward.
topics usually discussed with the donor:

Personal History 
 Family History 
 Educational Background 
 Assessment of Stability/Current Life Stressors and Coping Skills 
 Motivation to Donate/Compliance 
 Psychological Issues 
 Reproductive History 
 Interpersonal Relationships 
 Sexual History 
 History of Major Psychiatric and Personality Disorders 
 Substance Abuse 
 Legal History 
 History of Abuse or Neglect 
 Possible contact issues 

with the recipient parents (that's what A and I are called), 
the session can really go anywhere and varies from couple to couple.
with us, the focus was on future contact with our donor, appropriate boundaries, history of our infertility, stability of our marriage, open communication with our child about the way he/she came into the world, whether to openly disclose our egg donation and to whom. things like that.

after the donor's session, the recipient parents receive a report with the answers the donor provided to all of the topics above. of course, k passed the screening with flying colors and we couldn't be happier with the things we learned about her.

step 2: egg donor testing
the egg donor goes through a lot of testing to ensure that she is a prime candidate for the egg donation process. we weren't worried about this with k since she has already donated twice. but she still needed to go through the process with our clinic. 
donor testing and desired results at San Diego Fertility Center include:
Day 3 FSH (desired <9.0mIU/ml), Estradiol (desired <65pg/ml), AMH (desired >1.5), Antral Follicle Count or AFC (desired >12), FDA required communicable disease testing, and drug and nicotine screening.

step 3: recipient parents preparation
to ensure the recipient parents are ready for their role in the egg donation process:
- the recipient father must have a recent semen analysis
- recipient mother must have a sonohysterogram that shows a normal uterus
- recipient mother must do a uterine evaluation cycle to ensure that her uterine lining can get thick enough for implantation of the embryo to occur (desired >8mm)
- both intended parents need to have updated labs and communicable disease testing

step 4: genetic risk assessment and testing
this is both a panel of genetic blood tests as well as a questionnaire about the donor's family history. the purpose of this screening is to determine whether the potential child will have an increased risk for any genetic diseases. good news here too. k is not at an increased risk for any of the diseases that the clinic tested for.

step 5: legal contracts
once all of the results are in from steps 1-4 and everything looks good, it is finally time to move forward with legal contracts. keep in mind that if you go through a private agency or a fertility clinic in-house donor program, you won't have to worry about the legal paperwork. i'm pretty sure they take care of all that. but for a known or semi-known arrangement, you're on your own. 

usually the clinic will provide the recipient parents with a list of preferred attorneys. typically, you want to select an attorney that practices in the state where your egg donation will occur. but more importantly, you want to select an attorney who is well versed in reproductive law. the recipient parents and the donor will need separate attorneys to represent them. 

i would recommend calling a few different attorneys as their rates vary considerably. they all do free phone consultations and sometimes their rates are negotiable. once you secure an attorney, he/she will refer the donor to an attorney to represent her. then terms of the agreement are set by the recipient parents. the contract is drafted. both parties review and make edits. both parties sign.

after the contracts are signed, you've got yourselves an egg donation agreement 
and are ready to move forward with IVF. 


it's official.
k and i…and our hubbys have signed the egg donation agreement. 
so freakin' exciting!


40 comments:

Infertile625 said...

Oh Jessah - HOW FREAKING EXCITING !!!!!

Non Sequitur Chica said...

Woo hoo! Congrats!

waiting and wishing said...

This is amazing news!!! I am thrilled for you and cannot wait to follow along on this journey! So many prayers and well wishes headed your way! I can't even imagine how excited and hopeful you are right now!!!

Laura Rahel said...

So much work! But oh so exciting that you guys are moving on to the next step! Congrats!

JoJo said...

Congratulations on finding(or should say being found) donor. Praying that the next steps go smoothly and quickly for u both(:

Elizabeth Lambert said...

Hooray! Congratulations, Jessica!

TwoPlusOne said...

That is a long tedious process, good on you for getting this far so quickly. Really excited for you two!

Lisa said...

So excited for you Jessah! Can't wait to hear about all the new adventures that lie ahead for you. xoxo

ADSchill said...

Ahhh! This is happening! I am bouncing around my computer. Congrats you guys!
MissConception

Aubrey said...

Yayyyyy! I love this so much! I love how all of this is working out- you can see God's hands all over this plan :) XOXO

Allison said...

I am so incredibly excited for you! K sounds like an amazing woman and I could not be happier that you two found each other. I look forward to following your donor cycle and all that comes with it. XOXO

Brianna said...

So excited for you!

Amanda said...

How WONDERFUL! Jessah, I'm so happy for you! It's so good to hear your excitement again!

Caroline said...

wahoooooooo LOVE this!!!!!!!!!

Just T said...

This is amazing news!!!!
DO you know when she will start to cycle yet or is that still down the road a little bit?

Dream Chase said...

Yay!!! I'm so excited for you!!! This makes me incredibly happy!!

ty said...

this is so exciting :) I was a donor twice, and I loved every step of it. if you have any questions from this side of things, feel free to shoot me an email :)

Elena Ridley said...

Wow!! A huge step taken!! Soo soo happy for you guys!! Sounds like you have truly found the perfect person to receive eggs from! Can't wait to hear more about this journey!! Here comes baby!!

Laura @ Making Baby Provence said...

Oh, my goodness, this is so exciting! My heart is full of happiness for you today!!

Krystal Sullivan said...

Congratulations! So happy for you on this journey. K is a wonderful person!

Kelly (leattc) said...

OMG!!! This is such exciting news! I can't wait to hear how the process goes.

acoursetothefinishline said...

WOO HOO!!!!

acoursetothefinishline said...

I tried this earlier and I'm not sure if it worked, so just in case it didn't- WOO HOO!

Suzanne said...

The anticipation of this cycle has me SO excited!! Thrilled that all things are coming together and moving along! xoxo

SmallTownFamily said...

it's official!!!! so exciting, jessah!

Sarah said...

SO EXCITING!!
i am thrilled for you. i can't wait to watch this progress!

Cairna Olivares said...

Yay! I'm so excited Jess for this new journey!

Lindsey Gage said...

Exciting is an understatement! WOW! SO thrilled for you all. :)

Charity said...

Glory to God! I'm so excited for you all to move forward Jessah! This is such great news.

The Granberrys said...

I was just going to ask about the timeline on all of that and where you were...well you're ready! WOO HOO!

Jennifer T said...

Aww I'm so excited for you too! This is going so great!!!

Brittnie said...

This is so exciting!! I am praying for your family and enjoy following along. :)

Finley S said...

yahoo! So excited that its official! Definitely be framing that one! this is wonderful Jessah xx

shay said...

Yay! Awesome! So glad you're ready to move onto the next steps!

Aislinn said...

How exciting! Thank you for blogging about all of this, I think it will be helpful for anyone who is looking for information about donor eggs as well as anyone who is curious about the process. I can't wait to follow the rest of your journey!

Katie said...

SO excited for you!! LOVE reading these update posts! Keep them coming!! praying for you guys!

Emily said...

What a great rundown of the process in short. So glad things seem to be going smoothly. It will be great to have the genetic screening info on your donor as well...something many couples don't even do before they combine their own sperm and eggs for IVF, but pretty important. Very excited for you guys!

Ashley @ Life on the Parsons Farm said...

I am overjoyed for you!! After all of our infertility we have gone through I can't help but think that if I was blessed in the opposite way (think Duggar) then I would do everything I could to help other couples make/grow their families. Thank you so much for sharing with us so openly.

Kim @ Infertile Myrtle said...

Aw Jessah, congratulations! That is so very exciting! Sending e-hugs :)

JenS said...

What fantastic news! Congrats!

Blogging tips