Egg sharing
How Does Cofertility Screen Egg Donors?
November 8, 2023
Last updated:
October 31, 2024
Thanks to scientific advances in the fertility industry, egg donation has increased tremendously over the past several decades. The option of working with an egg donor provides hope for those who otherwise would not be able to build a family.
If you decide to work with Cofertility to match with an egg donor, you’ll know the donor went through a rigorous process. Our team screens thousands of donors each year through a multi-step process to ensure each person is qualified and prepared to become an egg donor, going above and beyond FDA and ASRM-recommended screening guidelines.
In this article, I’ll share a little more about this process.
The importance of a thorough egg donor vetting process
To optimize safety and outcomes, donors go through a rigorous vetting process. This comprehensive donor screening occurs to ensure proper informed consent from the donor and to ensure there are no contraindications to donating. Because of potential long-term medical and psychological consequences to donating one’s DNA, the vetting process needs to be very thorough.
How are egg donors screened?
Application & medical screening
Donors apply to our program with an in-depth application that includes questions about their personal and family medical history, lifestyle, gynecological background, education and professional background, and other areas. This application can take over an hour to complete. Donors complete the family medical history with their own medical history in mind, as well as first and second degree relatives (parents, siblings, aunts, uncles and grandparents).
Our clinical operations team reviews each application closely to evaluate eligibility based on personal and family medical history. These eligibility guidelines come from the FDA and ASRM guidelines for egg donation, as well as from our team of medical advisors. Donors who are approved are healthy and do not have a history of heritable diseases. Many donors don’t get through this initial process, whether that be because their personal and/or family history makes them ineligible or because they do not have all of the information that is required.
Interview
Once the prospective egg donor has completed the initial application and has passed all the basic requirements, we meet with them personally. During this meeting, donors get a chance to ask questions and learn more about egg donation and the staff gets a chance to get to know the donor, understand her reasoning to donate and to make certain she fully understands short term and long term consequences related to their donation.
Meeting 1:1 with every donor to get at the core of who she is as a person— her values, her goals, her personality— allows us to provide you with the most thoughtful match possible.
AMH (ovarian reserve) test
An AMH test measures the amount of anti-mullerian hormone (AMH) in your blood. AMH is produced by the cells inside the follicles - tiny fluid-filled sacs in the ovary that contain and release eggs. AMH levels can tell us the number of eggs a woman has. This is also known as the ovarian reserve. It is important to have this number for egg donation because this test may tell us how well a woman might respond to injectable fertility drugs that will be used during the donation.
Physical medical exam
After a match and typically around day 3 of the donor’s menstrual cycle, a physical medical exam will be conducted. During this exam a pelvic ultrasound will assess the pelvic anatomy, including the ovaries. The antral follicle count will look at the number of egg-containing follicles developing in the ovaries. These results can tell even more information about the ovarian reserve.
Psychological screening
When cleared by the medical staff a psychological assessment will take place. This is a two to four-hour assessment that will address the moral, ethical, emotional, and social issues related to egg donation. The assessment also includes a standardized and empirically validated test designed to screen mental and behavioral disorders. This assessment looks to ascertain donor suitability for this elective process. To make certain that there are no psychological contraindications for egg donation and that the potential egg donor will be able to fulfill her responsibilities for the cycle, such as following medical protocols.
Genetic testing
Every donor also undergoes genetic testing. Genetic screening may include a genetic karyotype as well as screening for more common diseases, including Tay-Sachs disease, Canavan disease, sickle cell anemia, α-Thalassemia, β-Thalassemia, and cystic fibrosis. Depending on the donor’s ethnic background and family history, there may be more genetic screening.
Find an amazing egg donor at Cofertility
At Cofertility, our program is unique. After meeting with hundreds of intended parents, egg donors, and donor-conceived people, we decided on an egg donation model that we think best serves everyone involved: egg sharing.
Here’s how it works: our unique model empowers women to take control of their own reproductive health while giving you the gift of a lifetime. Our donors aren’t doing it for cash – they keep half the eggs retrieved for their own future use, and donate half to your family.
We aim to be the best egg-sharing program, providing an experience that honors, respects, and uplifts everyone involved. Here’s what sets us apart:
- Human-centered. We didn’t like the status quo in egg donation. So we’re doing things differently, starting with our human-centered matching platform.
- Donor empowerment. Our model empowers donors to preserve their own fertility, while lifting you up on your own journey. It’s a win-win.
- Diversity: We’re proud of the fact that the donors on our platform are as diverse as the intended parents seeking to match with them. We work with intended parents to understand their own cultural values — including regional nuances — in hopes of finding them the perfect match.
- Baby guarantee. We truly want to help you bring your baby home, and we will re-match you for free until that happens.
- Lifetime support: Historically, other egg donation options have treated egg donor matching as a one-and-done experience. Beyond matching, beyond a pregnancy, beyond a birth…we believe in supporting the donor-conceived family for life. Our resources and education provide intended parents with the guidance they need to raise happy, healthy kids and celebrate their origin stories.
We are obsessed with improving the family-building journey — today or in the future — and are in an endless pursuit to make these experiences more positive. Create a free account to get started today!
Dr. Saira Jhutty
Dr. Saira Jhutty is a licensed clinical and industrial organizational psychologist in private practice specializing in fertility. She is also a Founding Medical Advisor for Cofertility, and has spent the last 11 years focusing on assisting people build their families using third-party reproduction. Dr. Jhutty’s expertise lies in the evaluation of and consulting with potential surrogates and egg donors, and meeting with intended parents to discuss their decision to use alternative methods to build their family. In the past, Dr. Jhutty worked as Director of Surrogacy and Egg Donation at Conceptual Options, previously leading all gestational carrier and egg donor assessments there. Through her work with Cofertility, Dr. Jhutty provides guidance to ensure Cofertility remains at the forefront of ethical standards, including egg donor screening, intended parent counseling, and support for donor conceived children and families. For all members of Cofertility’s Freeze by Co egg freezing programs, she also makes herself available for office hours, through which members may ask questions directly within our private community.
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Dr. Saira Jhutty