Do I Need an Egg Donor? IVF through using donor eggs at Strong Fertility Center offers a highly successful option for many couples who would otherwise have no way to become pregnant. We participate in both anonymous and known oocyte donation cycles and are the longest running donor oocyte program in Upstate New York. Indications for Egg Donation Premature ovarian failure Perimenopausal women with diminished ovarian reserve Older women who have experienced natural menopause Women who have had their ovaries removed but have a uterus Repeat IVF attempts without success IVF with poor egg or embryo quality To avoid passing a genetic illness Steps for Donor Egg Recipient Process A cycle takes 3–6 months to complete from initial screening to the actual retrieval and embryo transfer, depending on the type of donor oocyte program you choose. Step 1: Recipient Consultations and Screening Our physicians will thoroughly review your medical history to assure that this treatment is your best option. You must also be in good health, and must not be older than 50 years old. Depending on your medical history, you may be asked to have additional medical clearance before proceeding. We offer treatment with fresh donor eggs or frozen donor eggs. Our physicians will help you decide if fresh donor eggs or frozen donor eggs are best for you. You will also meet with the Donor Egg Coordinator to review the process in selecting an egg donor. Step 2: Psychological Preparation The decision to conceive a child through the use of a donated egg can be very difficult for a couple. Therefore, you and your husband or partner will meet with the psychologist for counseling and emotional support. It is important to discuss issues related to non-biologic parenting, past fertility problems, parenting at an older age, and positive and negative aspects of disclosure to potential offspring. Step 3: Recipient “Mock Cycle” You will do a preparation trial of medications to optimize the synchronization of your cycle with the donor’s. This will prepare your lining to accept the fertilized egg. You will also have screening blood work that is required by federal and state regulations. Step 4: Choosing an Egg Donor If you are interested in fresh donor eggs, our Donor Egg Coordinator will send you profiles on potential egg donors (Who is an egg donor?). If you are interested in frozen donor eggs, our Donor Egg Coordinator will explain the process for selecting frozen donor eggs from My Egg Bank® North America. You can also visit www.myeggbank.com for additional information. Step 5: Preparation for Embryo Replacement With fresh donor eggs, you will be monitored synchronously to the stimulation of the donor. To synchronize a donor/recipient for a fresh embryo replacement cycle, you will be treated with estrogen and progesterone to mimic the hormonal pattern in a normal cycle. You will be notified when the decision to proceed to the egg retrieval in the donor is made, and sperm will be collected the day of the retrieval for fertilization. With frozen donor eggs, you may begin your cycle once the donor eggs have been received by our embryologists. You will be treated with estrogen and progesterone to mimic the hormonal pattern in a normal cycle and you will be given an anticipated date for the embryo transfer. Step 6: Embryo Replacement – Recipient Once the donor oocytes are harvested or thawed, they are fertilized in the laboratory and the recipient will undergo a transfer of typically 3–5 days following the oocyte retrieval. Usually 1–2 embryos are replaced. Additional viable embryos may be frozen for use at a future time.