Fertility
What to Do if Your Culture or Religion Doesn't Believe in Egg Donation
Religion can be a great source of comfort and solace during the most difficult of times, but it can also impact help seeking behavior, especially when it comes to fertility treatment.
Religion can be a great source of comfort and solace during the most difficult of times. Religion has been implicated in reduced mortality, expedited recovery from illness, and improved mental health. It can encourage healthy lifestyles, provide social support, and provide meaning to life. But it can also impact help seeking behavior, especially when it comes to fertility treatment. Religiosity has been associated with greater concerns about infertility treatment, which, in turn, decreases the likelihood of help seeking (i.e IVF, egg donation etc).
Religion and assisted reproductive technology (ART)
The use of donor gametes to create embryos can ignite some serious debate in many faith circles. Some faiths say fertility treatments go against their beliefs and should not be used, even if it means someone will never become a parent otherwise. Meanwhile, other religions have no issues with it at all, as long as certain “rules” are followed.
A Pew Research study conducted in 2013 asked people living in the United States about the moral acceptability of using in-vitro fertilization to have a family. One-third said it is morally acceptable, 12% said it was morally wrong, and 46% said it was not even a moral issue. The survey found modest differences in opinion among social and demographic groups, including religious groups, about the moral acceptability of IVF.
But for many religious people their religious beliefs strongly inform their understanding of fertility and parenthood. Procreation can be an important tenet of a religion along with prescribed roles for the male and female partner when it comes to parenthood. So what if you want a family and the only way that family can be created is through egg donation? And what if you are someone who holds strongly to their faith - a faith that carried you through troubled times - only to discover that very faith does not give you its blessing to have the family you have prayed for?
What if you are someone who holds strongly to their faith - a faith that carried you through troubled times - only to discover that very faith does not give you its blessing to have the family you have prayed for?
How do I navigate making a decision?
You want to adhere to the teachings of your religion and at the same time you also have a very strong desire to have a child. What should you consider when deciding how you want to proceed so you can feel good about your decision? How can you find a way to remain connected to your beliefs even if your choice is different from what is taught by your religion?
Give yourself permission to imagine different options
Play your life tape forward and really imagine how it feels to go against your beliefs in order to achieve pregnancy. Now imagine how it feels to stay strong in your beliefs and never be a parent. Discuss these options with your partner. Write them down in a journal and come back to them in a few weeks. Does one evoke a bigger emotion? Does one feel better than the other? There is no right or wrong and there is no judgment - you are allowed to imagine and really think through your different options.
Speak to trusted members of your community.
Speak to respected and trusted members of your faith community. Ask questions to fully understand what your religion’s expectations are regarding parenthood and regarding ART and IVF and donor eggs. What are your expectations? Do they match or are they very different?
If they are different, would you ever make a decision to pursue donor egg IVF that isn’t sanctioned by your religious teachings? If yes, how would your community support you? Would you be ostracized? What does it mean to be against these teachings? If you would never go against the teachings, then how can your religion provide guidelines about living child free? Would you be able to find peace regarding infertility from your religious teachings? Studies have shown that infertile women with higher levels of spiritual well-being reported fewer depressive symptoms and less overall distress from their infertility experience because of the support from their religious community.
Summing it up
Faith can be an essential aspect of a person’s life. Sometimes it is possible that not all tenants align. But that does not necessarily mean that you forsake your faith, nor does that necessarily mean you give up your desire for a family. It may mean digging even further and leaning even stronger into your faith. It may mean exploring all your different options by researching, talking, asking questions, and praying. All of these things can open doors and create alternative paths to parenthood that you may not have ever considered.
How to Process the Grief of Not Having A Genetic Child
Being told you can’t have a genetic child can be heartbreaking. At the same time, knowing that there is still a possibility of growing your family with the help of a donor, can bring relief. Still, that grief needs to be honored and given space and time to heal.
Being told you can’t have a genetic child can be heartbreaking. At the same time, knowing that there is still a possibility of being a parent and caring for a child and growing your family with the help of a donor, can bring relief. Still, that grief needs to be honored and given space and time to heal before moving forward.
Stages of grief
Elisabeth Kubler Ross came up with five stages of grief that a person moves through when they suffer a loss. Researchers have found that these stages can be generalized to losses across the board - such as the grief of infertility. The stages aren’t linear and people may find themselves moving in and out of the different phases at different times. Some stages last longer than others and some stages can be skipped over.
Denial
It makes sense that after the initial diagnosis of infertility, a person might not believe it. Especially if they feel healthy, are ‘young’ by conventional standards or have never been sick. They can be quick to assume it is a mistake or can be quick to jump into another cycle of treatments because denial is at play. Denial is a method of self-protection as it can be painful to admit that your life plan may go in a completely different direction than you had ever imagined. One way to move on from this stage is to give yourself permission to feel the pain and sorrow and to dig deep to understand what this diagnosis means to you and what you think it means about you. Many times we have distorted beliefs about what something like this means about us.
Anger
Once you get that second, third, or fourth opinion… or once you can no longer endure the treatments, anger may erupt. Anger can come in many forms; anger at self, anger at partner, doctor, or even random pregnant strangers. Sometimes this anger drives away those who can actually help and provide that very important emotional support.
Bargaining
Anger is typically replaced by bargaining or what is sometimes called “magical thinking.” Meaning, a person in this stage might think that perhaps by dramatically changing their lifestyle, their doctor, their medical protocol, anything - with the hope that the changes will somehow have an impact and change the result of their diagnosis.
Depression
Hiding from the world, lethargy, hopelessness, and intense sorrow describe this stage. It is important to note if this mood lasts most of the day, nearly every day for two or more weeks with a diminished interest in activities along with:
- Significant weight loss, weight gain, or decrease or increase in appetite
- Fatigue or loss of energy
- Feelings of worthlessness or excessive or inappropriate guilt
- Diminished ability to think or concentrate, or indecisiveness,
- Recurrent thoughts of death
Then it is time to speak to your doctor.
Acceptance
There comes a point during this time that your heart beat slows down, that pit in your stomach goes away and you feel as though you can breathe again. Whether you decide to adopt, use a donor or be child free, something inside finally says, “I am okay.” When this acceptance occurs, doors open, and options become available.
Acknowledge and accept your feelings
It is okay to not be okay. It's important to acknowledge and accept your feelings of loss, sadness, anger, or any other emotions you may be experiencing. Allow yourself to feel your emotions and understand that it's okay to grieve.
Seek support
You don't have to go through this alone. Seek support from family, friends, a therapist, or a support group. There are many online communities and support groups for people who are facing similar challenges.
Focus on self-care
Take care of yourself physically, emotionally, and mentally. Give your mind and body its best chance to heal by engaging in activities that bring you joy, practicing mindfulness, exercise, and eating healthy.
Find meaning and purpose
Focus on finding meaning and purpose in your life beyond having a genetic child. This can include volunteering, pursuing a career, or cultivating relationships with friends and family.
Explore other options
Although you may not be able to have a genetic child, there are other options available such as donor eggs. Sometimes processing means moving forward with Plan B.
Does it matter if my child is not genetically related to me?
We live in a world where adoption, step and foster families and blended families are the norm.
Research shows that in general, there are no differences in the bonds created between parents and children born naturally, through surrogacy or donation.
Does the pain of infertility ever go away?
It doesn’t ever completely go away but you learn how to manage it and not let it impact your daily life. You learn that grief is part of the human experience. Everyone at some point or another will go through some type of grief. But you will be okay.
My Husband Doesn’t Want to Use Donor Eggs - What Do I Do?
When a woman is diagnosed with infertility and told that donor eggs are required to have a baby, different fears can kick in. One of the fears includes not being supported by family or friends. But what happens when that non-support comes from your partner? And what if despite his not wanting to use donor eggs, you still do? What happens then?
First comes love, then comes marriage, then comes… how does that song go again? Our world has so many cultural rules and norms in place that we forget that in reality everyone’s experiences, needs, and realities are very different. We say we are open and tolerant to difference yet, we let society dictate how we live, love, and feel. So when a woman is diagnosed with infertility and told that donor eggs are required to have a baby, instead of being grateful for the opportunity to be a parent, different fears can kick in. One of the fears includes not being supported by family or friends. But what happens when that non-support comes from your partner? And what if despite his not wanting to use donor eggs, you still do? What happens then?
Understanding your options: the pros and cons of using donor eggs
The positives are obvious: you get to be a parent. And for some, another positive can be that the husband's sperm can be used, thereby keeping some genetic connection. Negatives can include cost and finding the ‘right’ donor may take time. And in this scenario, conflicts with your partner about moving forward with donor eggs.
Read more: I'm Considering Using Donor Eggs. What are the Pros and Cons?
Communicating with your partner: how to have a productive conversation
When this topic first came up, you both most likely had your own private reactions. You both may have needed time to truly digest and process the situation. But sometimes, one partner moves through the process a lot quicker and immediately decides what to do while the other partner needs more time to figure things out.
So if you want to move forward with donor eggs and he doesn’t, what comes next? First, he needs the opportunity to spend time really digesting and processing this on his own terms. He needs to sit and put himself in both situations (using a donor vs. not using a donor) and being honest about how that would look and feel. Has he had time to talk to someone without you? Maybe a friend, the REI, or even a therapist? He needs to talk to someone about his biggest worries, his biggest concerns, and his biggest issues with using a donor and sometimes that person is not you.
You can’t force anyone to get on board just because that is something you really want. You also can’t let your feelings invalidate his feelings either. But what you can do is both get educated on the process, you can both speak with a therapist, you can both read the literature, and/or attend groups with other couples in your exact same situation. These are things that can help you make informed decisions, decisions that you can feel good about, even 20 years from now.
Can I pursue donor eggs without my husband knowing?
Surprisingly, this isn’t a joke. This question has been asked - a few times. If you have this thought, then you need to work with a couples therapist. Starting a family is a huge endeavor, regardless if you use a third party or not. It is a life changing event that triggers a lot of stress and can be very challenging. If you are not on the same page regarding donor eggs you need to find a therapist who specializes in fertility. This is important so you aren’t spending time explaining the details of infertility, they will already understand and be able to flush out the issues with you.
A fertility psychologist can help you explore different parenting options. Options such as adoption, fostering, or maybe even living child free. It gives you the opportunity to create a safe space for you both to voice your feelings but also a safe space to learn more about each other's feelings, needs and wants. It can open space for understanding and a deeper connection.
Coping strategies and how to manage your emotions during this time.
You can’t change the past and you can’t control the future. But you can learn how to be in the here and now by practicing mindfulness. Mindfulness can help regulate emotions, decrease stress, anxiety and depression. Practice self-care by doing things you enjoy and being with people you love. Talk to someone. Find a therapist, a friend or join a group, don’t bottle it up.
Conclusion
At the end of the day, there is no wrong decision. Navigating the complex world of infertility and exploring options like using donor eggs is a journey filled with challenges and emotions, particularly if you and your partner are not on the same page. It is essential to maintain open, honest, and compassionate communication throughout the process, granting each other the space to process feelings and come to a decision at your own pace. This is not a decision to rush, and sometimes the assistance of a fertility specialist or therapist may be needed to guide you both through this journey.
Remember, your feelings are valid and it is okay to feel a multitude of emotions. You are not alone in this journey and there are many resources available to you – from literature on the subject to support groups for couples facing the same situation. Lastly, self-care is vital during this time. Practice mindfulness, enjoy activities that you love and surround yourself with supportive individuals. Most importantly, no matter the outcome, it can lead to a deeper understanding of each other and potentially a stronger connection as you face these decisions. Together as a couple, you need to make a decision that is right for you and your family.
How To Respond To Nosy Questions About Using Donor Eggs
Navigating nosy questions others around you may ask about you and your decision to use donor eggs to start your family.
Even if you have accepted your infertility diagnosis and have accepted the idea of using donor eggs to start your family, others around you may still question you and your decision. Sometimes it comes in the form of nobody talking about it and sometimes the pendulum swings in the other direction and you may hear nosy questions such as:
- "Why couldn't you have your own child?"
- "Doesn't it bother you that your child won't be biologically related to you?"
- "Did you have trouble getting pregnant?"
- "Are you worried your child won't look like you?"
- "Did you have to spend a lot of money on this process?"
- "Isn't it weird to use someone else's eggs?"
- "Did you have to convince your partner to do this?"
- “Are you worried one day the kids will want to meet their donor?”
So, what are some things you can say to those “well meaning” but nosy questions?
Set boundaries
It's important to set boundaries with those who may be asking personal questions. You can politely decline to answer by saying that it is a private matter or that you prefer not to discuss it. Setting boundaries isn’t always easy. But boundaries are important if you want to feel safe and protected. It is okay if the other party feels offended, but healthy boundary setting doesn’t mean you’re being hurtful. The boundaries you set can allow you to build a better, more respectful, relationship because they help establish a precedent for what you both expect from each other.
Educate
Even though it may seem obvious to you, some people really do not understand the process of using donor eggs and may be asking out of curiosity. Consider sharing educational resources or information about the process to help them understand better.
Be honest
If you are comfortable sharing, you can be honest about why you chose to use donor eggs. Whether it was due to fertility issues or personal preference, sharing your story can help to normalize the process and reduce stigma and in turn helps educate others around you.
Redirect the conversation
If you don't want to discuss your own experience (which is totally okay), redirect the conversation to a more general topic. You could say, "I appreciate your interest, but I prefer to keep my personal life private. Can we talk about something else?"
Seek support
Coping with nosy questions about using donor eggs can be emotionally challenging. Consider seeking support from a therapist, support group, or other individuals who have gone through a similar experience.
The bottom line
Some questions may come across as tasteless and hurtful. Yes, most of this stems from a lack of knowledge about egg donation, but some of it also comes from a place of genuine curiosity and wanting to understand. At the end of the day, this is your journey and your path. You get to decide who, when and how much information you share.
Navigating Social Media with Infertility: A Guide to Improving Your Feed
If social media is bringing you daily triggers, I wrote this guide for you. It’s a guide to help tailor your social media environment, and serves not just as a practical tool but as a necessary aspect of self-care and emotional wellbeing. This guide aims to provide clear instructions and support, enabling you to create a more controlled and comforting digital experience.
Social media's incessant flow of perfectly filtered life updates and photos can be a double-edged sword. For those who are dealing with infertility, a simple scroll through a feed can sometimes turn into a painful reminder of what we are struggling with. An ad for diapers, pregnancy announcements, gender reveals, or family vacation photos can all trigger feelings of sadness and loss.
These digital fragments, seemingly innocuous to others, can become acute pain points, echoing the unfulfilled desires and dreams of those grappling with infertility. In a space designed for connection, sharing, and joy, the unintended emotional toll can be heavy.
If social media is bringing you daily triggers, I wrote this guide for you. It’s a guide to help tailor your social media environment, and serves not just as a practical tool but as a necessary aspect of self-care and emotional wellbeing. This guide aims to provide clear instructions and support, enabling you to create a more controlled and comforting digital experience.
How the algorithms works against you
Algorithms are the unseen force shaping what we see and interact with online. Social media platforms leverage sophisticated machine learning and data analysis to create a feed tailored to our interests, behaviors, and interactions. However, for those grappling with infertility, these algorithms can inadvertently contribute to emotional distress.
The algorithms work by tracking your interests and behavior. Platforms like Facebook, Instagram, and Pinterest analyze your clicks, likes, shares, and time spent on specific content to understand your interests. If you've ever looked at baby products or followed pregnancy-related accounts, the algorithm remembers. This informs personalized advertising, where advertisers target you with specific content. Algorithms also suggest posts, accounts, and hashtags to follow. While this usually helps discover content that aligns with your interests, it can backfire if you're trying to avoid specific triggers.
Simultaneously, “cookies” record your visits to other websites, such as online stores looking at baby products or blogs about parenting. These digital crumbs allow advertisers to follow you back to social media, serving ads that align with your browsing history. The integration of algorithms with cookies means that a casual glance at a baby stroller can transform into a series of targeted ads on your social media feed.
Despite the overwhelming influence of these invisible algorithms powering our online experience, the reality is that you have the ability to take control and change the way these algorithms affect you. You can transform your social media experience into one that supports rather than undermines your emotional well-being.
You're not entirely at the mercy of the machines. You have tools at your disposal, and the agency to shape a better online experience. In the sections below, we will explore specific strategies and methods to do just that.
How to reduce triggering posts and ads on social media
Let’s dive into the strategies for changing your social media algorithms.
Unfollow or mute those who tend to post triggering content
You know those friends and influencers who continually post content that might be triggering. Their posts are not ill-intended, but they can still sting. If they aren’t a friend, you can simply unfollow them as a necessary step in self-care. But if they’re someone you can’t simply unfriend without some drama, try muting them.
Muting someone is a feature that allows you to temporarily hide their content without unfollowing or unfriending them.
- Instagram: Allows you to mute posts and stories from specific users without unfollowing them. Just tap the three dots in the top right corner of the post, and select "Mute."
- Facebook: You can "snooze" friends for 30 days, which is akin to a temporary mute. Click the three dots at the top right of a post and select "Snooze for 30 days."
- X (Twitter): You can mute accounts, meaning you will not see their posts in your timeline. Click on the three dots next to the Tweet, then click "Mute @[username]."
- Pinterest: Pinterest does not have a specific mute feature, but you can unfollow users by clicking on their profile and hitting the "Unfollow" button. If you want to give feedback on a particular pin, click on the three dots and choose "Hide Pin."
- TikTok: Allows you to mute users. Just go to the profile of the person you want to mute, tap the three dots in the top right corner of the screen, and select “Mute.”
- Threads: Allows you to mute users. Go to the profile of the user you want to mute. Tap the three-dots-in-a-circle icon in the top right corner and select “Mute.”
Change your advertising settings
It is not just posts from friends that can be triggering; targeted advertising related to pregnancy and babies can be equally distressing. After I lost my twins in the second trimester, I could avoid the baby aisle at Target but I had to manually shut off the pregnancy and newborn ads on social media platforms.
Advertisers know how to utilize sophisticated algorithms and user data to target individuals with specific content. This results in ads for baby products or parenting services being presented to those who have recently engaged with related content. For someone grieving a loss or grappling with infertility, these ads can be more than mere marketing messages; they can become haunting reminders of dreams unfulfilled and hope deferred, reinforcing a cycle of emotional distress that one might be striving to overcome.
- Instagram: Allows you to change ad preferences. Go to “Settings and privacy,” then “Accounts Center,” then tap on “Ad preferences.” There, you can manage ad topics and remove interests related to pregnancy or babies.
- Facebook: If your Instagram and Facebook accounts are tied to the same phone number, you don’t have to do this again as ad settings for Instagram will automatically apply for Facebook as well.
- X: Click on “Privacy and safety,” then “Ads preferences.” Turn off personalized ads, so you get generic ads instead of those tailored to your activity.
- Pinterest: Allows you to turn off personalized ads. Click on “settings,” select "Privacy and data," and uncheck personalized ads.
- Google: With My Ad Center and About this Ad, you can block ads you don’t want to see. On any ad itself, select “More,” and then drop down to select “Block ad.”
- TikTok: Go to “Settings and privacy” and tap “ads” to see how your ads are personalized. You can turn off any interests that TikTok may have added. It can also be helpful to switch genders to confuse the app.
Improve the algorithm by setting content preferences
The algorithms that govern your social media feeds aren't immutable; you can actively tailor them to suit your needs. By hiding certain words, phrases, or even emojis that might be triggering, you can create a more personalized and considerate online environment. Here's how to do that on different platforms:
- Instagram: Go to “Settings and Privacy,” then go to “Hidden Words” and choose the words or phrases you don’t want to see on your feed or in your DMs.
- Pinterest: Go to “Settings” and “Tune your home feed” where you can add/remove interests, boards, and pins.
- Facebook: You can see and adjust your Facebook Feed preferences by going to “Settings and privacy” then clicking on “Feed.”
- Twitter: Allows you to mute words, phrases, or hashtags. Go to "Settings and privacy," click on "Privacy and safety," then click "Mute and block” where you can choose muted words that won’t show up in your timeline.
- TikTok: Limit content by going to “Settings and privacy” then “Content preferences.” There you can filter keywords that you don’t want to see.
Refill your feed with content that makes you happy
Okay now that you have removed a lot of accounts, ads, and keywords that could be triggering, it’s time to add back in some content that will make you happy. Find joy in funny animal videos? Love food tutorials? Following accounts that focus on interests rather than personal life events can provide a welcome distraction.
Avoid social media when you're feeling especially down
The online world will always be there, but sometimes a break is necessary. If you’re feeling particularly sad one day, step away from the apps and find solace in the real world.
The bottom line
In a digital era where our lives are intertwined with social media, navigating the online world can be both empowering and perilous. The very platforms that offer connection and inspiration can also become minefields of triggers and distress, especially for those dealing with infertility or pregnancy loss.
Your virtual environment can and should be a sanctuary, reflecting your needs and nurturing your emotional health.
Through the conscious and intentional modification of settings and preferences, you can reshape your social media experience. From muting and unfollowing content that triggers pain to fine-tuning advertising settings, the power to create a safe and supportive online experience rests in your hands.
But this journey is also about mindfulness and introspection. Knowing when to embrace the virtual world and when to seek refuge in the tangible one is a subtle art of balance. Replacing the triggers with content that resonates with joy, humor, and personal interests can breathe fresh air into your digital life.
Ultimately, the algorithms, the advertisers, and the endless stream of posts don't define your online experience—you do. With the tools and insights shared in this guide, you're well-equipped to turn social media into a space of comfort rather than conflict.
In the end, social media is not just a reflection of what algorithms think we want to see; it's a reflection of who we are, what we value, and how we choose to engage with the world around us. The control is yours.
Can a Menopausal Woman Get Pregnant with Donor Eggs?
For many, the journey to parenthood is straightforward, but for others, it's a path marked by challenges and the need for medical intervention. Among these challenges, menopause has traditionally been seen as a definitive end to a woman's fertility. In this article, we answer the question, can a menopausal woman get pregnant with donor eggs?
In the world of reproductive medicine, the boundaries of what's possible are constantly being pushed further by advances in technology and science. For many, the journey to parenthood is straightforward, but for others, it's a path marked by challenges and the need for medical intervention. As a fertility doctor who has worked with countless patients over the years, I understand the desire to build a family, regardless of the obstacles that may stand in the way.
Among these challenges, menopause has traditionally been seen as a definitive end to a woman's fertility. In this article, I’ll answer the question, can a menopausal woman get pregnant with donor eggs?
Understanding menopause and fertility
Menopause is a natural biological process marking the end of a woman's reproductive years, characterized by the cessation of menstrual cycles for twelve consecutive months. This transition typically occurs between the ages of 45 and 55 but can happen earlier or later. Menopause signifies the depletion of ovarian follicles and a significant decline in estrogen and progesterone levels, hormones crucial for ovulation and pregnancy.
The question of fertility during or after menopause is complex. Naturally, menopause signifies the end of a woman's ability to conceive using her own eggs. However, this does not mean the end of her capacity to carry a pregnancy to term. The uterus, if healthy, can still support a pregnancy with the help of hormonal support, regardless of the woman's age or menopausal status.
Can you get pregnant with donor eggs after menopause?
Donor egg IVF is a common path for those who cannot conceive using their own eggs. This process involves using eggs donated by a younger woman (if you work with Cofertility to match with an egg donor, the donor donates half of the eggs retrieved and keeps the other half for her own future use), which are then fertilized with sperm (from a partner or a sperm donor) in a laboratory setting. The resulting embryos are transferred to the recipient's uterus.
For menopausal women, donor egg IVF offers a viable path to pregnancy. The critical factor is then the ability of the uterus to maintain a pregnancy. Before the procedure, the recipient undergoes hormonal treatment to prepare the uterus for implantation, mimicking the hormonal conditions of a natural pregnancy.
All pregnancies carry risks, and pregnancy over 45 is no exception. One small study followed 45 healthy mothers ages 50-63 who used donor eggs, and found that 35% experienced pregnancy-related hypertension (high blood pressure), 20% experienced gestational diabetes, and 78% had a cesarean section. It is important to undergo a consultation with your OBGYN or a high-risk specialist to ensure pregnancy is safe. For those who cannot safely or healthfully carry a pregnancy, surrogacy is also an option.
Read more in: What Matters More: The Age of My Egg Donor, or of Who is Carrying The Pregnancy?
It’s important to remember that your age when you (or your gestational carrier) get pregnant is not as important as the age of the eggs. That means your chances of success getting pregnant, no matter your age now, is better with younger eggs. But how do you get younger eggs? For some lucky women, they can use eggs they froze years ago. But for most of us, getting younger eggs means turning to egg donation.
Is there an age limit for IVF with donor eggs?
Technically, there is no age limit (legal or otherwise) in the United States for pursuing IVF with or without donor eggs. But ASRM discourages IVF for women older than 55, and some clinics set their own age limits for patients they will treat.
For women over 45 years old, ASRM advises:
- “Comprehensive” medical testing for cardiovascular and metabolic fitness to ensure the safety of the mother and baby during pregnancy
- Psychosocial evaluation to determine if support is in place to raise a child to adulthood
- Counseling patients on potential increased medical risks related to pregnancy
For families using donor eggs and a gestational carrier, ASRM would advise that the family undergo psychological evaluation to ensure the parents are equipped to raise the child at an older-than-average age.
Navigating the journey with Cofertility
At Cofertility, we've embraced a unique egg sharing model that empowers donors and helps families find the perfect egg donor match quickly and easily. We understand the multitude of questions and concerns that come with considering donor egg IVF, from the screening process for donors to the potential outcomes of the IVF cycle.
Our approach is rooted in compassion and understanding, acknowledging the emotional and financial investment involved in fertility treatments. That’s why we've designed the most parent-friendly Baby Guarantee in the market, aiming to alleviate some of the financial stress and uncertainty that can accompany this journey. Our goal is to provide you with the care and support we would want for our own families, guiding you through every step of the process.
Addressing concerns and providing support
We know that considering donor eggs, especially during or after menopause, is a significant decision. Concerns about the donor's health and the success rate of the procedure are common. Our rigorous screening process ensures that all donors meet stringent health criteria. Additionally, advancements in reproductive technology have significantly improved the success rates of donor egg IVF, offering encouraging news for those who choose this path.
The decision to pursue pregnancy through donor eggs is deeply personal and involves careful consideration of many factors, including physical, emotional, and financial aspects. At Cofertility, we are here to provide information, support, and guidance, helping you navigate these considerations and make informed decisions about your fertility journey.
Summing it up
The question of whether a menopausal woman can get pregnant with donor eggs is met with a hopeful yes, thanks to the remarkable advancements in reproductive medicine. At Cofertility, we stand at the forefront of these innovations, committed to serving all families with a vision of inclusivity and support. Our unique egg sharing model and comprehensive care approach aim to set a new standard for excellence in the field, offering a beacon of hope for those dreaming of building their family. As we continue to push the boundaries of what's possible in fertility treatment, we promise to provide the support, care, and innovation needed to turn those dreams into reality.
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Can I Do IVF While On a GLP-1 Medication Like Ozempic®?
Let’s review the potential benefits, concerns, and important factors you should discuss with your doctors before making any decisions about GLP-1 medication use in conjunction with IVF.
If you're considering In Vitro Fertilization (IVF) while using or contemplating a GLP-1 medication, like Ozempic®, you’ll want to understand how these treatments might interact.
GLP-1 medications are widely considered safe and have been approved by regulatory bodies like the FDA. But, they aren’t safe for everyone. And they may interact with other medications.
Let’s review the potential benefits, concerns, and important factors you should discuss with your doctors before making any decisions about GLP-1 medication use in conjunction with IVF.
What are GLP-1 medications?
GLP-1s are a class of medications designed to aid in weight loss and blood sugar management, which can indirectly have positive effects on fertility.
Glucagon-like peptide-1 (GLP-1) is a naturally occurring hormone in the body that plays important roles in digestion, blood sugar regulation, and appetite control. GLP-1 receptor agonists are a class of medications that mimic the effects of GLP-1, leading to several benefits including weight loss, improved blood sugar control, and potential cardiovascular benefits. Common examples of GLP-1 medications include semaglutide (Wegovy®, Ozempic®), liraglutide (Victoza®, Saxenda®), dulaglutide (Trulicity®), tirzepatide (Mounjaro®), and others.
While it feels like these medications have shown overnight success for help with weight loss, they’ve actually been around for a long time. Initially prescribed for the treatment of type 2 diabetes, their weight-loss potential became a notable side effect. This led to further research, higher-dosage formulations specifically for weight management, and the widespread popularity we see today.
GLP-1 medications, obesity, and fertility
Obesity is a known factor that can negatively impact fertility treatment outcomes in both men and women. It's associated with conditions like Polycystic Ovarian Syndrome (PCOS), hormonal imbalances, and changes to the uterine lining that can reduce the chances of successful embryo implantation.
Since GLP-1 medications aid in weight loss and blood sugar control, they have the potential to improve some of the underlying factors that contribute to infertility. However, more research is needed to really understand how GLP-1 medications can impact IVF outcomes.
Can you do IVF if you are on GLP-1 medications?
It's best to discuss the use of GLP-1 medications directly with both the doctor who prescribes them as well as your fertility doctor. Many doctors recommend pausing GLP-1 medications for a few weeks before procedures involving sedation or anesthesia, including the egg retrieval portion of IVF, to reduce potential risks.
The reason being, there have been reports that the delay in stomach emptying due to the GLP-1 medication could be associated with an increased risk of regurgitation and aspiration of food into the airways and lungs. And, because you are unconscious, you can’t clear your lungs or eliminate the obstruction on your own. There is currently a lack of scientific data on how GLP-1 medications affect patients having procedures like IVF, so most doctors like to play it safe.
Can you take GLP-1 medications while pregnant?
Even if you're planning to pause GLP-1 medications like Ozempic® for your egg retrieval during IVF, your doctor may not recommend you get back on them after the retrieval if you plan on getting pregnant. That is because these medications are not currently recommended during pregnancy or lactation. The full safety profile of GLP-1 medications is still under investigation.
This means that most OBGYNs will advise you to discontinue GLP-1 medications before attempting to conceive, whether unassisted or through IVF. They will work with you to create a safe and optimal plan for your fertility and pregnancy journey.
Summing it up
While GLP-1 medications offer benefits for weight loss and blood sugar control that may indirectly help with fertility, their direct impact on IVF outcomes and safety during pregnancy needs further research. You’ll want to have open discussions with your fertility doctor, your prescribing doctor, and potentially your future OBGYN about the best medication strategy for your individual circumstances.
Here are some key points to remember:
- Temporary pause: You might be advised to take a break from GLP-1 medications prior to your egg retrieval procedure.
- Discontinuation before pregnancy: There is not enough human data yet to support GLP-1 medications during pregnancy and lactation, so currently it is not recommended.
- Collaboration is key: Work closely with all your doctors to make the safest and most informed decisions regarding your medication use, fertility treatment, and any pregnancy plans.
Research into the relationship between GLP-1 medications and fertility is ongoing. As we gather more data, clearer guidelines may emerge regarding safe and effective use of these medications alongside IVF treatment. It's always encouraged to consult with your doctors for the latest information and recommendations specific to your situation. We wish you all the best!
IVF Success Rates by Age
IVF success is highly correlated with the age of the mother. Understanding this age-related impact can help set realistic expectations and make informed decisions about fertility treatment, and this article will help spell it all out for you.
More and more families are turning to In Vitro Fertilization (IVF) to build their families. In fact, 2% of all babies in the U.S. are now born thanks to IVF. For a treatment that’s only been around for 40 years, that’s a lot of babies!
But, many more people undergo IVF than successfully have babies via IVF. About 21.3% percent of IVF cycles using fresh embryos have a live birth. Some people have to go through multiple cycles in order to have their miracle babies. Others end up needing donor eggs. And yet others pursue other life options.
IVF success is highly correlated with the age of the mother. Understanding this age-related impact can help set realistic expectations and make informed decisions about fertility treatment, and this article will help spell it all out for you.
The biological basis: egg quantity and quality
As females age, our ovarian reserve–the number of remaining eggs–naturally diminishes. The quality of those existing eggs also declines over time. Older eggs are more prone to chromosomal abnormalities, which can hinder successful fertilization and healthy embryo development. This natural, age-related decline is the primary factor driving lower IVF success rates in older people.
IVF and Age
The influence of age on IVF outcomes is an unfortunate, but undeniable part of biology and life. As we've discussed, this is primarily due to the natural decline in both the quantity and quality of eggs as someone gets older. This age-related impact can be disheartening for those who want to start a family “later” in life, but it’s always better to be equipped with this knowledge. Here's why understanding this relationship is important:
- Realistic expectations: Being aware of how age affects potential success rates helps you set realistic expectations from the outset of your IVF journey. This knowledge allows you to be mentally and emotionally prepared for the possibilities.
- Informed decision-making: Understanding the role of age empowers you to make informed decisions about your fertility treatment. If you are of older maternal age, you might consider a shorter time frame between IVF cycles, explore options like donor eggs earlier in the process, or consider alternative paths to family building.
- Proactive planning: For younger people considering IVF in the future, awareness of this age-related aspect might motivate proactive measures like egg freezing to preserve fertility potential.
There are of course a host of other factors that go into fertility beyond just someone’s age. And, remember that IVF success isn't solely about the female partner. Any underlying male factor infertility will also play a role in IVF outcomes.
Let’s look at the data: IVF success rates by age
Reliable sources like the Society for Assisted Reproductive Technology (SART), which is part of the Centers for Disease Control and Prevention (CDC), provide valuable insights into IVF outcomes by age.
According to SART data from 2021, live birth rates per egg retrieval using someone's own eggs for IVF are significantly impacted by age, showing a clear downward trend as we get older.
- Under 35: 44.5%
- 35-37: 32.4%
- 38-40: 20.2%
- 41-42: 9.6%
- Over 42: 2.9%
While age is a major predictor, it's not the only factor influencing IVF success. The underlying cause of infertility, overall embryo quality, lifestyle choices (like smoking or unhealthy weight), sperm health, and the specific clinic's success rates all play a role in the outcome. You’ll want to consider these additional variables when assessing your individual chances of success.
Donor eggs increase your chances of a healthy pregnancy at all ages
Here’s some good news: donor eggs can drastically increase your chances of success. Around 53 percent of all donor egg cycles will result in at least one live birth. This percentage varies depending on the egg donor, recipient body mass index, stage of embryo at transfer, the number of oocytes retrieved, and the quality of the clinic.
At every age, the chances of birth with donor eggs is better, but those who benefit the most from donor eggs are those over 35 and those with low ovarian reserve. In fact, about one-quarter of people over 40 who succeeded with IVF did so through the use of donor eggs.
The chart was made using the SART Patient Predictor for an average woman (5’4”, 150 lbs) with diminished ovarian reserve. As you can see, the chances of live birth after one donor egg cycle is 54% for recipients under 40, and only goes down slightly after this.
Summing it up
IVF can be a big commitment– physically, emotionally, and financially. It's natural to feel a mix of hope and anxiety throughout the process. Knowledge is empowering; by understanding how age impacts IVF outcomes, you can make decisions that align with your values and goals.
Remember, statistics represent trends, not individual destinies. While they give us a general picture, each person's fertility journey is unique. If you are of older maternal age, it doesn't automatically mean IVF won't work for you. Exploring options like using donor eggs or pursuing alternative paths to parenthood should all be part of your informed decision-making process.
The IVF experience can sometimes feel isolating. Don't be afraid to seek support from your loved ones, mental health professionals, or online communities dedicated to infertility and IVF. Connecting with others who understand the challenges and triumphs of this journey can be a source of strength and encouragement.
Find an egg donor through Cofertility
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:
- Baby guarantee. We truly want to help you bring your baby home, and we will re-match you for free until that happens.
- Donor empowerment. 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. It’s a win-win.
- Diversity: We’re proud about 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.
- 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.
- 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.
For those who match with a donor in our fresh egg donation program, the average number of mature eggs a family receives and fertilizes is 12. The number of eggs retrieved varies by patient and cycle, but can be predicted by a donor’s age, AMH, and antral follicle count, all of which will be known to you after the donor’s initial screening. Qualified candidates have an ample ovarian reserve for both their own needs and sharing. Egg share donors also often work closely with a fertility doctor to determine, based on their own medical history, the optimal number of eggs needed for their own future family-building goals. Should it make sense for the donor, they may choose to pursue a second egg-sharing cycle to maximize the chances of success for everyone.
Matching with a donor in our frozen program can provide the opportunity to move forward with your family-building plans faster, as frozen eggs can be fertilized or shipped to your clinic immediately or as soon as the cycle is complete. Donors undergoing frozen cycles complete equally rigorous ovarian reserve testing. While the total number of frozen eggs available will vary based on the donor’s retrieval outcomes, every frozen match is guaranteed to have a minimum of at least 6 frozen eggs.
To learn more about these programs and the differences between them, click here.
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!
Read more:
- What You Should Know About Getting Pregnant with Donor Eggs in Your 40s and 50s
- What Parents via Egg Donation Want You To Know
- Six Reasons Why Egg Sharing is a Better Egg Donation Model for Intended Parents
- I'm a Fertility Psychologist. Here's What I Want You to Know About Growing Your Family Through Egg Donation
How Do You Know if an IVF Clinic's Lab is Good? Here Are 14 Questions to Ask
Choosing a fertility clinic is a significant decision. While the expertise and bedside manner of the Reproductive Endocrinologist (REI) is what most patients focus on, there's another important aspect that often remains hidden in plain sight: the IVF laboratory. Here are 14 key questions you can ask to ensure your chosen clinic has a lab that can maximize your chances of your success.
Choosing a fertility clinic is a significant decision. While the expertise and bedside manner of the Reproductive Endocrinologist (REI) is what most patients focus on, there's another important aspect that often remains hidden in plain sight: the IVF laboratory.
The lab is where your embryos will be created, nurtured, and stored – so it's essential to ensure they have the expertise, technology, and track record to optimize your chances of success.
In this article, I’ll share key questions you can ask to ensure your chosen clinic has a lab that can maximize your chances of success.
First off, why is a good IVF lab important?
Within the controlled environment of the lab, highly skilled embryologists meticulously handle your eggs, sperm, and embryos, employing cutting-edge technologies and adhering to rigorous protocols. This is where fertilization takes place, where embryos develop, and where critical decisions are made that can significantly impact your chances of achieving a healthy pregnancy.
A high-performing IVF lab will impact the chances your fertility treatment is successful. Even the most experienced and compassionate REI cannot compensate for a lab that lacks state-of-the-art equipment, meticulous protocols, or a team of highly trained embryologists.
You may never see the lab, but it still plays an enormous role. It's where your eggs and sperm are carefully prepared for fertilization, where delicate procedures like intracytoplasmic sperm injection (ICSI) are performed, and where your embryos are nurtured and monitored during their crucial early stages of development. The lab's environment, technology, and expertise directly influence the quality and viability of your embryos, ultimately affecting your chances of a successful pregnancy and a healthy baby.
By asking the right questions and understanding the key factors that contribute to a lab's success, you can ensure that your embryos are in the best possible hands, increasing your chances of achieving your dream of parenthood. So let’s take a look at some of the questions you can ask:
Embryologist qualifications and staffing:
- Education: What are the educational backgrounds of the embryologists? Ideally, they should have master's degrees or higher in reproductive science or a related field. Some states, such as New York, New Jersey, Florida, and California, have specific requirements for the laboratory director.
- Experience: How many years of experience do the embryologists have? Inquire about their specific experience with procedures relevant to your case (e.g., ICSI, PGT-A).
The lab supervisor should have documented completion of training in and performance of a minimum of 60 ART procedures under supervision with attestation from the training laboratory.
- Staffing levels: How many embryologists are on the team? The American Society for Reproductive Medicine (ASRM) recommends 2-3 embryologists at minimum for clinics with under 150 annual cycles. That number goes up to 4-5 for clinics with 301–600 annual cycles. It’s also good to ask whether the lab director is on site or not.
- Communication: How often will I receive updates on my embryos' development? Will you hear from the lab or your fertility doctor? Clear and frequent communication is helpful to feeling informed and involved in your IVF journey.
Lab technology and procedures:
- Disaster preparedness: How are the embryos stored? Every ART laboratory needs to maintain an up-to-date disaster preparedness or emergency plan which includes robust protocols for power outages or disasters, such as backup generators and alarm systems.
- Incubators: What type of incubators do you use? The most advanced labs use "desktop" incubators with 5% oxygen levels, which mimic the conditions of the fallopian tube and promote embryo development. Avoid labs that use "big box" incubators with 20% oxygen.
- Cleanliness: How often are the incubators and other equipment cleaned and maintained? Rigorous hygiene practices are essential to prevent contamination and ensure embryo health.
- Air quality: What measures are in place to control air quality within the lab? IVF labs should have specialized air filtration systems to remove particles and pollutants.
Note: Questions 6-8 are not necessary to ask if your clinic has good success rates, as you can assume they are doing the little things right. However, they could be helpful if the clinic is new or does not have known success rates.
Lab performance and outcomes
- Certification and accreditation: Is the lab certified? The Society for Assisted Reproductive Technology (SART) requires its members to have an embryology laboratory that is accredited by either the College of American Pathologists (CAP) or The Joint Commission (TJC).
- Fertilization rates: What percentage of the eggs fertilize? A good lab should have a fertilization rate between 65-70%.
- Blastocyst development rate: What percentage of embryos reach the blastocyst stage (day 5 or 6) in your lab? A good lab should have a 50% blastocyst rate.
- ICSI or insemination: Does the lab do 100% ICSI or do they use conventional insemination? Every clinic has their own protocol, and most are 100% ICSI.
- Success rates: Can you provide data on the clinic's IVF success rates, specifically for patients with similar characteristics to me? Ask about live birth rates, pregnancy rates, and implantation rates. You can also refer to SART.org for this data.
- Research involvement: Does the lab participate in any ongoing research or clinical trials? Participation in research can indicate a commitment to staying at the forefront of IVF technology and techniques.
The IVF lab isn't just a sterile environment filled with microscopes and petri dishes; it's the birthplace of your dreams, the silent partner working tirelessly to bring your hopes for a family to fruition. By taking the time to investigate and understand the inner workings of the lab, you empower yourself to make informed decisions about your fertility treatment.
Remember, your journey to parenthood and the choice of an IVF clinic should reflect your individual needs and priorities. Don't hesitate to ask the hard questions and seek out detailed information. A good clinic will be proud of their lab and willing to share answers to all your questions! I’m wishing you the best of luck on your journey!
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I'm a Carrier for a Genetic Condition, Do I Need Donor Eggs?
If you've recently discovered that you're a carrier for a genetic condition, you might be wondering about your options for building a healthy family. One question is whether using donor eggs is necessary. In this article, we take a look at the most common genetic conditions that often lead families to donor egg in vitro fertilization (IVF). We aim to provide clarity on this topic, helping you understand your choices and the factors to consider.
When building a family, intended parents wish to give their children the best possible start in life. However, for some individuals or couples, certain genetic conditions may increase the risk of passing on inherited disorders to their offspring.
If you've recently discovered that you're a carrier for a genetic condition, you might be wondering about your options for building a healthy family. One question that I often get is whether using donor eggs is necessary. In this article, we will take a look at the most common genetic conditions that often lead families to donor egg in vitro fertilization (IVF). We aim to provide clarity on this topic, helping you understand your choices and the factors to consider.
Understanding the impact of genetic conditions
Genetic conditions are inherited through the passing of genes from parents to their children. Each person has two copies of every gene, one inherited from the mother and one from the father. The way in which a genetic condition is inherited depends on the specific pattern of inheritance for that condition.
- Autosomal dominant disorders, such as Huntington's disease, only require one copy of the mutated gene to cause the condition, meaning if one parent has the mutation, there is a 50% chance of passing it on to the child.
- Autosomal recessive disorders, like cystic fibrosis and sickle cell anemia, require both copies of the gene to be mutated for the condition to manifest. If both parents are carriers of the recessive gene mutation, there is a 25% chance their child will have the condition.
- X-linked recessive disorders, such as Duchenne muscular dystrophy, are caused by mutations in genes located on the X chromosome. Females have two X chromosomes, while males have one X and one Y chromosome. As a result, X-linked recessive conditions primarily affect males. Female carriers have a 50% chance of passing the mutation on to their children, with sons having a 50% chance of being affected and daughters having a 50% chance of being carriers.
- X-linked dominant disorders, such as Rett syndrome, can affect both males and females. However, they often result in more severe symptoms in males. If a mother carries the gene, she has a 50% chance of passing it to each child. If a father carries the gene, all his daughters will inherit it, but none of his sons will.
- Mitochondrial disorders are unique because they are inherited only from the mother. An estimated 1 in 5,000 people has a genetic mitochondrial disease. Mitochondria, the energy-producing structures in our cells, contain their own DNA. All mitochondria in a fertilized egg come from the mother's egg cell, not the father's sperm. Therefore, mitochondrial genetic disorders are passed from mother to all her children, but only daughters will pass it on to the next generation.
While having a genetic mutation increases the risk of developing a condition, it does not always guarantee that the condition will manifest, as other genetic and environmental factors can also play a role. This means you or your partner could be a silent carrier of a condition that may show up in your child’s genes. Because of this, the American College of Obstetricians and Gynecologists (ACOG) recommends that people considering pregnancy get carrier screenings before conception.
Cystic Fibrosis (CF)
Cystic Fibrosis (CF) is an inherited disorder that affects the lungs, digestive system, and other organs. It causes thick, sticky mucus to build up in the lungs, leading to persistent lung infections and difficulty breathing. CF also disrupts the function of the pancreas, preventing proper digestion. The severity of CF varies, but it is a progressive condition that often leads to shortened life expectancy. In the United States, approximately 1 in every 3,000 to 4,000 newborns is diagnosed with CF, and about 1 in 25 people are carriers of the CF gene mutation.
If both partners are carriers of the CF gene mutation, there is a 25% chance their child will have CF, and 50% chance the child will be a carrier but will not have CF.
Huntington's Disease (HD)
Huntington's Disease (HD) is a progressive brain disorder that causes uncontrolled movements, emotional problems, and loss of thinking ability. Symptoms usually begin between the ages of 30 and 50 and worsen over time, leading to complete dependence on others for care. HD is rare, affecting about 1 in every 10,000 to 20,000 people. There is currently no cure for HD, and it is ultimately fatal.
HD is an autosomal dominant disorder, meaning if one parent has the HD gene mutation, there is a 50% chance of passing it on to the child.
Fragile X Syndrome (FXS)
Fragile X Syndrome (FXS) is an inherited condition that causes intellectual disability, behavioral and learning challenges, and various physical characteristics. It is caused by a mutation in the FMR1 gene on the X chromosome. Males with Fragile X Syndrome are usually more severely affected than females. Fragile X Syndrome is the most common inherited cause of intellectual disability, affecting approximately 1 in 4,000 males and 1 in 8,000 females.
If the mother is a carrier of the Fragile X premutation or full mutation, she has up to a 50% chance of passing it on to her children. Fragile X is also associated with premature ovarian failure.
Sickle Cell Anemia
Sickle Cell Anemia is a group of inherited red blood cell disorders. In this condition, red blood cells become crescent or "sickle" shaped, which can cause them to get stuck in small blood vessels, blocking blood flow and oxygen to various parts of the body. This leads to pain, organ damage, and an increased risk of infections. In the United States, sickle cell anemia affects approximately 1 in every 365 Black or African-American births and 1 in every 16,300 Hispanic-American births.
If both partners are carriers of the sickle cell trait, there is a 25% chance their child will have sickle cell anemia because it is an autosomal recessive disorder.
Tay-Sachs Disease
Tay-Sachs Disease is a rare inherited disorder that progressively destroys nerve cells in the brain and spinal cord. Babies with Tay-Sachs disease appear normal at birth but start showing symptoms around 3 to 6 months of age, including weakness, loss of motor skills, and seizures. The condition progressively worsens, leading to blindness, paralysis, and death, usually by the age of 4 or 5. Tay-Sachs disease is rare, occurring in about 1 in every 320,000 live births, but it is more common among certain populations, such as Ashkenazi Jews.
If both partners are carriers of the Tay-Sachs gene mutation, there is a 25% chance their child will have Tay-Sachs disease.
Duchenne Muscular Dystrophy (DMD)
Duchenne Muscular Dystrophy (DMD) is an X-linked recessive disorder characterized by progressive muscle weakness and degeneration. DMD primarily affects boys, with symptoms usually beginning between the ages of 2 and 4. The condition progressively worsens, leading to difficulty walking, breathing, and performing daily activities. DMD affects approximately 1 in every 3,500 to 5,000 male births worldwide, and there is currently no therapy or cure.
As DMD is caused by a mutation in a gene on the X chromosome, female carriers have a 50% chance of passing it on to their children. Sons of female carriers have a 50% chance of inheriting DMD, while daughters have a 50% chance of being carriers.
Family-building options for carriers of genetic conditions
- Unassisted conception with prenatal testing
Some families choose to conceive unassisted and use prenatal testing to check for some conditions during pregnancy. These tests can provide information about whether the fetus has inherited the genetic condition. However, some diagnostic tests may have some risks for your baby so you’ll want to talk to your OBGYN about these risks.
- IVF with PGT-M
IVF with preimplantation genetic diagnosis (PGT-M, formerly known as PGD) allows embryos to be screened for specific genetic defects involving a single gene, like cystic fibrosis, before implantation. This can significantly reduce the risk of passing on the condition. However, PGT doesn't test for all possible genetic issues.
Although it would require undergoing IVF, if you fall into any of the below categories, conducting PGT-M testing could help you get closer to having a baby that is not a carrier of that particular genetic condition or chromosomal abnormality you’re trying to screen for.
If any of these apply to you and your partner, it might be worth chatting with your doctor about PGT-M testing:
- You are a carrier of an X-linked condition
- You and your partner both carry the same autosomal recessive condition (like Cystic Fibrosis)
- You or your partner have an autosomal dominant condition
- You or your partner have a mutation associated with a hereditary cancer
- You already had a pregnancy (or child) with a single gene disorder
3. IVF with donor eggs
Opting for donor eggs can eliminate the risk of passing on your genetic condition. This choice ensures that the genetic material from the egg doesn't carry your specific mutation.
- Adoption
Some carriers choose to build their families through adoption, avoiding genetic concerns altogether while providing a loving home to a child in need.
When to consider egg donation
The need for donor eggs isn't automatic just because you're a genetic carrier. Several factors come into play:
- Your partner's genetic status: If your partner isn't a carrier for the same condition, your risk of having an affected child may be low depending on the genetic condition.
- The specific genetic condition: Some conditions have a higher risk of transmission or more severe health implications than others.
- Your personal risk tolerance: Some families are comfortable with a small risk, while others prefer to eliminate risk entirely.
- Family planning goals: The number of children you hope to have may also influence your decision.
For individuals or couples facing the challenges of genetic conditions, using an egg donor can provide a means to build your family while reducing the risk of passing on inherited disorders. Egg donors undergo thorough medical and genetic screening to ensure they are healthy and do not carry known genetic mutations.
Anyone considering egg donation should consult with a genetic counselor to discuss their specific genetic risks and potential options. These professionals can help you navigate the complexities of genetic testing, donor matching, and the medical aspects of the egg donation process. If you work with Cofertility, we can help recommend an experienced genetic counselor.
Using an egg donor can significantly reduce the risk of passing on certain genetic conditions, but it is not a guarantee of a healthy child. All pregnancies carry some inherent risks, and factors such as the health of the gestational carrier and environmental influences can also impact the child.
Cofertility - striving to be the best for all families
We started this company with the vision of serving all families, regardless of what brought them here. And we promise to provide you with the care we would want for our families. With our commitment to transparency, inclusivity, and innovation, we are striving to be the best in the industry.
Our unique egg sharing model empowers donors and enables families to find the perfect egg donor match quickly and easily, setting a new standard for excellence in our field. Whether you are just getting educated on egg donation or ready to move forward, we want to help you achieve your goals and build the family of your dreams.
Create a free account to get started today!
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