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Patient
Information & Instructions
Click
Here for Frequently Asked Questions About Donor Oocyte
Click
Here to Download the Donor or Recipient Applications
The
Donor Oocyte (egg) Program was established in 1988 to broaden the
potential for pregnancy to patients who otherwise could not conceive
with the help of our unique program. Donation of oocytes is an option
for those IVF participants in need of some financial assistance.
By donating half of the recovered eggs during an IVF cycle, the
donor has the opportunity to assist another infertile person or
couple to achieve a pregnancy, as well as receive some financial
assistance to cover the expense of IVF. The donor, in exchange for
the sharing of her eggs, has the egg retrieval, anesthesia for the
procedure, the embryo transfer, and the majority of necessary medications
paid for by the recipient of the eggs. Those IVF patients wishing
to donate eggs are selected anonymously by a patient who needs donor
eggs, (a recipient). We cannot guarantee that all women wishing
to be a donor will be selected. We also have some women who wish
to donate all of the eggs retrieved during an IVF cycle for financial
compensation. This is an option for these women, but again we cannot
guarantee that all women wishing to participate in this manner will
be selected.
The
IVF cycle includes the ultrasound guided transvaginal retrieval,
incubation, fertilization, and development of embryo(s), and transfer
of embryo(s). Both donor and recipient are responsible for their
own preliminary IVF testing. Recipients and their partners
infectious bloods and cultures are updated once a year. Donor and
their partners infectious bloods and cultures are updated
every six months. Donors and Recipients are also responsible for
their own blood work/ultrasounds for the cycle. If necessary, each
party will be responsible for the cost of sperm washing, sperm donation,
sperm freezing, cryopreservation of excess embryos and embryo storage
costs.
The
total number of oocytes will be equally divided between the donor
and the recipient at the time of retrieval. If an odd number of
oocytes are obtained, the recipient will receive the extra egg.
For instance, if fifteen oocytes are obtained, the donor will keep
seven and the recipient will retain eight oocytes. If less than
six oocytes are obtained, the recipient will receive all of the
eggs from that cycle. The recipient will then be financially responsible
for another IVF cycle and medications for the donor. During the
donor's next attempt at retrieval, the donor will retain the same
number of oocytes as produced in her previous cycle where less than
six oocytes were obtained. Any remaining oocytes will then be equally
divided between the donor and the recipient, if requested by the
recipient. A donor who has produced fewer eggs than expected has
the right to keep all the eggs for herself. The recipient much be
reimbursed for all of the medication costs. In the case of a compensated
donor, and there are two recipients splitting the cycle of eggs
retrieved, the recipient with seniority in the program will receive
the extra egg if an odd number of eggs are retrieved.
On
occasion it has become necessary to cancel a donor cycle when stimulation
is inadequate after the maximum amount of gonadotrophin therapy
is prescribed. The IVF physician will review the cycle and make
the final determination based on many factors. Inadequate stimulation
usually precludes a donor from participating in our program as an
egg donor again. Both donor and recipient will be notified by the
IVF staff that the cycle is canceled. The donor is obligated to
return all unused medication to the recipient.
In
the event the egg donor experiences ovarian hyperstimulation syndrome
and must freeze all of the embryos, the egg recipient will be responsible
for an additional $1200.00 to cover the added expense of a frozen
embryo transfer for the donor. In very rare instances it may become
necessary to retrieve the eggs via an abdominal approach, instead
of entering through the back of the vaginal wall. In the event it
becomes necessary to use this approach there will be an additional
charge of $500.00 to the recipient for this procedure. It is also
recommended that all donors receive anesthesia for the egg retrieval
as this will benefit both donor and recipient. When the donor experiences
less discomfort and is more sedated during the procedure it becomes
easier for the physician to retrieve all available eggs. There is
an additional charge of $350.00 for the nurse anesthetist to administer
anesthesia paid by the recipient for the procedure.
In
the event a donor refuses to donate her oocytes in accordance to
the procedure set forth above, the donor will then be responsible
for the payment of all costs relating to the donor cycle. This includes
the retrieval, incubation and fertilization, transfer, any medication
provided by the recipient, plus the recipient's medication costs
for the cycle. This payment must be made prior to the retrieval
of oocytes. The recipient is relieved of any further obligation
to the donor if the donor refuses to donate.
PRELIMINARY
TESTING
This includes, but is not limited to, blood studies, cultures, IVF
consult, mock transfer, hysterosalpingogram (HSG), baseline bloods,
(day 2 or 3), injection instructions for medication administration,
and financial consult. All testing (blood work and cultures), HSG
and Mock transfer is to be completed prior to initiating an IVF
cycle. If the results of any of the screening procedures are not
satisfactory, the patient may be denied participation in the Program.
This requirement is to maintain the health and safety of the participants
in the In-Vitro Program. Please call the office, two weeks after
the testing is complete, to confirm the results. You should contact
the office where the testing was performed. Blood studies and cultures
must be repeated for donors and their partners every six months
and once per year for recipients and their partners. An appointment
is necessary to have cultures, semen analysis, consults, hysterosalpingogram,
and mock transfer.
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Female
- Blood Studies
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Female
- Blood Studies (Recipient)
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Male
- Blood Studies
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| HIV,
HbsAG, HcAb, RPR, Blood Type-RH, Rubella Antibody, CBC, Anti-Sperm
Antibody, Chlamydia Ab |
HIV,
HbsAG, HcAb, RPR, Blood Type-RH, CBC, APTT, Rubella Antibody |
HIV,
HbsAG, HcAb, RPR, Chlamydia Ab, Blood Type-RH |
Cervical
cultures for all female patients are required for GC, Chlamydia,
Mycoplasma and Ureaplasma before beginning a cycle. Cultures may
be done in any of our offices, Monday through Friday ONLY by appointment.
Semen cultures and analysis must be completed prior to initiation
of an IVF cycle. The semen analysis and cultures need to be scheduled
with the Andrology department at any of our offices.
For
women age 45 and over attempting to achieve a pregnancy the following
consult and testing in addition to the above are required: Pre-conceptual
consultation with a high risk OB/GYN; Medical clearance from family
physician; EKG with Stress Test, PT, PTT, Chemistry panel including
BUN, Creatinine, and Liver Function Studies, Fasting and 2 hr PP
Glucose or Glucose Tolerance Test.
CLOMIPHENE
CHALLENGE TEST
All donors wishing to participate in the donor egg program age 35
and over are required to undergo a Clomiphene Challenge Test prior
to being a candidate for selection to recipients. This test consists
of drawing the baseline bloods on day three for estradiol and FSH,
followed by taking two clomiphene tablets of 50mg each on cycle
days five through nine. The patient will then have blood tests repeated
on day 10 for estradiol, FSH, and progesterone. This test in aimed
at determining the patients egg reserve, which will allow us to
select the most beneficial stimulation protocol for each patient.
THE
EXPECTATION OF SUCCESS BY IN-VITRO FERTILIZATION
Your chance of becoming pregnant and delivering a healthy baby is
dependent on many factors. The most significant of which is maternal
age. Other factors that play a role are the exact cause of your
infertility such as: male factor, ovulatory dysfunction, endometriosis,
tubal factor, and habitual abortion. It's difficult to interpret
the statistical information that many IVF centers release to the
public. The average number of embryos we transfer per cycle is 3
or 4. At your request, we will provide you with our current pregnancy
rates. This rate includes all patients regardless of age, cause
of infertility, patients that have undergone multiple oocyte retrieval
cycles, and patients that have been denied treatment by other programs.
Unlike many other IVF centers, our policy is not to exclude any
patient based on their age or history of infertility, excluding
the donor egg program which must make age restrictions due to potential
outcome of egg retrieval cycle. Despite the encouraging statistics,
it must be emphasized that successful conception and childbirth
for any couple cannot be guaranteed by the Cooper Center.
A
PERSONAL NOTE
The process of In Vitro Fertilization can be psychologically stressful.
Significant anxiety and disappointment may occur. A substantial
commitment of time by the couple is needed. Some people have described
the IVF experience as an emotional roller coaster. The IVF staff
of physicians and nurses are well aware of the added stress and
burden that the In Vitro process can sometimes create. For donor
and recipient couples this stress may be more severe in some cases.
It is therefore, strongly recommended for the donor and recipient
participants that they obtain at the very least an initial consult
with a therapist or counselor to discuss the many involved issues
related to donating or receiving eggs. Please feel free to contact
our office for referral to a professional that can be of assistance
in this area.
If
any assistance is needed to clarify instructions, answer questions,
review protocols, or to provide additional information you may call
Terri Jamison, RN, Donor Egg Program Coordinator at 856-810-7853 or
e-mail at terri.jamison@ccivf.com.
Click
Here for Frequently Asked Questions About Donor Oocyte
Click
Here to Download the Donor or Recipient Applications
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