Tuesday, March 4, 2008

Egg Donation Part 2 - Egg Retrieval Procedure

Once you have been pre-screened and qualified to be an egg donor for in vitro fertilization the egg donation center that you are working with will teach you how to self-administer the medications used during the process. Be forewarned that you will be injecting yourself with these medications. Two types of medication often used for controlled ovarian hyperstimulation include Follicle Stimulating Hormone (FSH) and Lupron. FSH stimulates the production of eggs while Lupron prevents the ovaries from releasing the eggs before the retrieval process takes place. Some possible side effects of these drugs include fatigue, moodiness, headache, ovarian cysts, and in some rare cases hyper stimulation syndrome of the ovaries. An indication of hyper stimulation syndrome is enlarged painful ovaries and would be detectable on an ultrasound.

Timing is everything when it comes to the administration of these medications. Lupron is typically begun 5-6 days before the start of your period. When your period starts you will need to have a baseline vaginal ultrasound prior to starting the FSH. This will help to detect the presence of any cysts on the ovaries. Ovarian cysts are not uncommon and usually resolve on their own but large or complex cysts may require treatment. If the ultrasound is clear you will begin taking the FSH approximately 2-3 days after the start of your period. Your blood will be drawn at regularly to monitor the level of estradiol, the hormone secreted by developing eggs, in your system. Another vaginal ultrasound will be performed to determine the size and number of eggs in your ovaries when your estradiol level is at the appropriate level. A single injection of Human Chorionic Gonadotropins (hCG) will be administered when the eggs are ready for retrieval. HCG is a naturally occurring hormone that helps with the last stage of development of the eggs. About 36 hours after the hCG injection the eggs are ready for removal.

Since you will be sedated when your eggs are removed you will be asked not to eat or drink anything after midnight the day before the procedure. When you arrive for the procedure you will change into a gown and an IV will be started for the administration of medications and fluids. Then you will be given medication to ensure you are adequately sedated and comfortable during the egg removal. Once you are sedated, a thin needle is inserted through the vagina into the ovaries and the eggs are aspirated into the syringe.

After the procedure you may experience some pelvic discomfort, small amounts of vaginal bleeding or blood in your urine. These side effects usually clear within a day or two. You will be able to return home a few hours after you wake up. You will need to have someone drive you home since you will still be feeling the effects of the medication used to sedate you. You will be given a prescription for pain management as well as an antibiotic to decrease your chances of infection. After the eggs are removed your part is done. The eggs will then be used for the infertility treatment called in vitro fertilization.


About the Author: Eric Daiter has been sponsored by The NJ Center for Fertility and Reproductive Medicine, LLC, a leading provider of infertility treatment, to explain in vitro fertilization in plain language. To review this information, please visit www.infertilitytutorials.com.

Labels: , , , , , , , , , , , , , ,

Monday, March 3, 2008

Egg Donation Part 1 – Qualifications for Donors

Many women are unable to have genetic children because of fertility problems related to egg production. As result of cancer, congenital absence of eggs, or early onset menopause these women no longer produce eggs that can successfully be fertilized. These women are usually candidates for an infertility treatment called in vitro fertilization with a third party egg donor. If you have considered becoming an egg donor but are unsure of the requirements to qualify as one here’s what you need to know.

In order to qualify to be an egg donor you need to be a female between the ages of 21 and 36 and who has given birth before. You need to be healthy and devoid of genetic disorders. Stable mental health is also a qualifier as a history of depression is contraindicated with some of the medications used in the process. Lactation can reduce the effects of the fertility drugs used which might result in lower egg production. If you are considering becoming a donor you will need to stop breastfeeding a few months before egg donation will be possible. If you have met these pre qualifiers here is what you can do next.

Contact an egg donation center and set up an assessment appointment. At this appointment they will obtain your medical history, give you a physical examination, and conduct a psychosocial evaluation. They will be trying to determine the health of the eggs to be donated, as well as the psychological impact on you, the donor, of giving up your eggs. They will also draw blood to test for infections. During your physical exam they will obtain cervical cultures to rule out sexually transmitted diseases. If your blood tests and cultures are negative for any infectious agents or STD’s they will check for normal levels of follicle stimulating hormone (FSH) in your blood. FSH in women stimulates the production of eggs. The normal level for FSH in a menstruating woman is between 5mlU/mL – 20mlU/mL. Having a normal level of FSH in your blood stream is required to be an egg donor. If you’ve met all of these qualifications the egg donation center will invite you to an informative counselling session about the ethical, legal, and financial side of donating your eggs. Some egg donation centers offer financial compensation for the donation of your eggs. At the end of this session, if you are still ready and willing to donate your eggs you will move on to the next phase in the process of egg donation.

Make a list of any questions or concerns you might have and don’t be afraid to ask. If you qualify as a donor then be sure to educate yourself about the procedure of egg removal and what your involvement will be in the process. Donating your eggs can bring about the hopes and dreams of yourself and others.


About the Author: Eric Daiter has been sponsored by The NJ Center for Fertility and Reproductive Medicine, LLC, a leading provider of infertility treatment, to explain in vitro fertilization in plain language. To review this information, please visit www.infertilitytutorials.com.

Labels: , , , , , , , , , , ,