egg donation

If you’re applying for our Split program, where you’ll give a portion of your eggs to a family that cannot conceive otherwise, you may be wondering how much the intended parents (IPs) and any donor-conceived children will know about you—and vice versa. We know this is a big deal and we want to give you as much information as possible to help you make the best decision for you. 

Disclosed vs. undisclosed relationships 

In a disclosed relationship, you exchange contact information and can communicate directly. The scope and degree of communication (both during and post-match) is what both parties make of it. 

In an undisclosed relationship,  you do not exchange contact information and only communicate through Cofertility. With an undisclosed donation, you and the family can choose to allow the donor-conceived child to receive your contact information when they turn a certain age (usually 18). This is called Open ID, an increasingly popular option.

Does undisclosed mean anonymous? 

To put it bluntly, it is impossible to guarantee true anonymity in egg donation. With widely available genetic tests and more state laws giving donor-conceived children access to information about their donors, it’s increasingly likely that identity and shared genetics may be discovered. 

At Freeze by Co, we want to honor the perspectives of all parties involved in the family-building process. This includes Split members, intended parents, and especially any future donor-conceived children. Given research on the benefits of parents being open with their children about being donor-conceived, we encourage intended parents (through our Family by Co platform) to be open to their children about their conception story. 

If the eggs you give lead to a child (and we hope that they do!), that donor-conceived child may eventually want to reach out with their own questions. We want to be upfront that this could happen, even if you opt for an undisclosed match. 

What do these relationships look like in practice? 

Every relationship is unique and depends on the desires of the Split member, intended parents, and what’s best for any future donor-conceived children. They can range from regular communication to a single notification when the donor-conceived child is born. While this list is by no means exhaustive, we wanted to paint a picture of how these relationships may play out: 

Disclosed relationships may include:

• Receiving an annual holiday card from the intended family  
• Communicating with either the parents and/or donor conceived children around milestone events, like first steps up to graduations
• Speaking directly with the donor conceived child once he/she reaches a particular age
• Simply keeping communication lines open if an issue or need arises.

Conversely, an undisclosed relationship may include:

• Receiving a photo of the baby when he/she is born
• Communicating via Cofertility to share a meaningful update like first words

Note that if a donor-conceived child experiences a serious medical condition, you may be asked to provide supplemental medical information to help the family navigate the situation.  Also, if new information comes up about your own medical history, we ask you to let us know so that any relevant information can be shared with the family. This is the case regardless of your relationship status. 

If I have kids now or in the future, do I have to share this with them? 

If you have children in the future, we encourage you to share this information with them. You may decide to wait until your children reach a particular age or you may ask the IPs to let you know when they share their own child’s conception story so that you can do the same. 

As mentioned earlier, with the advent of consumer-facing genetic testing companies like 23andMe, it is also possible that your children could be contacted by donor-conceived children in the future. As such, you may prefer to share this information on your own terms. Whether that is five, ten, or fifteen years from now — we’ll provide you with resources to support that conversation. 

Egg donation is a beautiful way to build a family and not something anyone involved should be ashamed of. Research shows that normalizing egg donation with children at an early age is best. This is true for parents who raise the child, as well as the egg donor who made it possible. 

What are my options with Split?

As part of the Split program application, you’ll be given the opportunity to indicate your preference for a disclosed or undisclosed relationship. You can also indicate openness to both. This information will also be shared on your profile so that you will only be matched with IPs who are aligned on the desired relationship type. 

If you still have questions about the spectrum of relationship options, reach out! We’re here to help you navigate it all, and we find that Split members are often open to a wide range of options after getting to know the family they are helping.

Final thoughts

If you’re applying for our Split program, we know you have a lot to consider. Our goal is to build families, but we aim to do so in a way that honors all parties involved. If you have any questions about our policies or thoughts around disclosure or want to talk through your personal situation, please don’t hesitate to reach out. 

When you’re considering Cofertility’s Split program, it’s natural to wonder where the process ends—what would actually happen to your eggs after you’ve donated? After all, you’re probably looking into this option with the hope that a family may be able to grow their family with your help. So how does that all happen? 

How to donate eggs

First things first: if you decide that you want to help intended parents grow a family, you can expect to go through a pretty rigorous screening process. You’ll answer a lot of questions and go through a medical assessment

Typically you can expect the process to look like this:

1. Application and Interview: You will share more information about yourself, including background on your health and whether you’ve donated your eggs or been pregnant in the past. We will also gather information about your education and family so we can share this with the intended parents down the line. 
2. Medical testing: If your initial screening indicates that you are a good candidate for Split, once you match with intended parents, you will be tested for diseases such as HIV and hepatitis.You may be tested for genetic conditions such as cystic fibrosis. Importantly, you will also undergo a psychological evaluation to ensure that you’re participating in the program willingly and that you’re prepared for the process ahead. 
3. Medications: If you go through with the procedure, you will take injectable medications to stimulate your ovaries to produce more eggs. You’ll make several visits to a fertility clinic over a period of 10 to 14 days so the doctor can perform ultrasounds and monitor your ovaries. 
4. Egg retrieval: The fertility specialist will use anesthesia and retrieve eggs from your  ovaries with a needle and special suction device. This is considered a minor surgical procedure that can be done right at a fertility clinic under light anesthesia. It’s quick too — the whole process can take as little as 30 minutes. 

So what happens to my eggs after I donate them?

So what happens to my eggs after the egg retrieval? The eggs you’re donating will now move on to be fertilized and hopefully help grow a new family. 

Here’s how your eggs will be used to help intended parents: 

• Fertilization via IVF — After eggs are retrieved from your ovaries, an embryologist will use them to start the process of in vitro fertilization — more commonly known as IVF. The fertilization, or insemination process, is performed in a lab and involves adding sperm to the eggs. The fertilized eggs will then develop in the lab and hopefully become embryos, the building block of a developing baby.  

• Embryo testing — Some intended parents may opt for preimplantation genetic testing (PGT) to be done on the embryos. This process checks for chromosomal abnormalities such as extra chromosomes or missing chromosomes. This process can also flag genetic abnormalities controlled by a single gene, like cystic fibrosis or BRCA mutation.

• Embryo transfer — If the fertilization process is successful and the embryo continues to divide after fertilization, it’s now ready to be transferred into the uterus of an intended parent or gestational surrogate. This step of IVF is also done in a fertility clinic, where a reproductive endocrinologist will use a catheter to place the  embryo — or sometimes multiple embryos — into the uterus. 

• Pregnancy — If all goes well, the embryo will implant in the uterus, and your donated eggs will result in a pregnancy for the recipient family! Of course, success will be based on a number of factors here — not just your donor eggs. These factors range from the age of the woman carrying the baby to the quality of the sperm used in the insemination process. CDC data from 2019 (the most recent year for which data is available) found that more than 9,000 babies were born that year with the help of donated eggs. 

• Birth — When a child is born, the intended parents will be listed on the birth certificate and be considered the child’s parents in the eyes of the law. 

Do egg donors meet the parents?

As you’re considering the Split Program, it’s natural to wonder if you’ll meet the intended parents. You may also be debating the type of relationship, if any, that you might want to have with the intended parents and any potential offspring. 

Many egg donor agencies keep donors anonymous — that means they only share details with intended parents about a donor’s genetic history, physical characteristics such as eye color, education, and hobbies. They don’t put the two parties in contact with one another and don’t share the egg donor’s email, phone number, address, or even their real name. In fact, many of them even allow contracts where both parties agree not to reach out to the other. 

At Cofertility, the decision about the relationship between Split Members and Intended Parents rests in the hands of both parties. We provide the education and data as to what relationship we know from research is most healthy for the future child. And you will be able to choose how much (or how little) contact you want, shaping a relationship that you are both comfortable with and one that takes the feelings of the donor-conceived child into consideration. 

Can I donate my eggs again?

Maybe you’ve formed a relationship with the intended parents who used your eggs and they want a sibling, or perhaps you want to help more families. Either way, you may want to donate your eggs again — and you can. The American Society for Reproductive Medicine guidelines allow for women to donate eggs up to six times. Know that this decision is entirely up to you.

Freeze your eggs for free by donating half to a family in need

We created the Split Program to give women the option to keep half of the eggs retrieved during the egg donor process. The costs of oocyte cryopreservation (the official medical term for egg freezing) along with 10 years of storage are entirely covered.

The number of eggs retrieved per cycle will vary based on your age and other factors. One study of 1,241 women found that, for women under 35, the average number of eggs retrieved on the first egg freezing round was 21. Depending on the number that you retrieve, some doctors may recommend completing a second cycle to ensure that you have enough eggs  frozen for your own future use. 

Bottom Line

While the process may end for you at the retrieval, it’s natural to wonder what happens next. Split Program members are giving an incredible gift to a family in need and we want to make sure that you feel honored and respected throughout that process. With Cofertility, you play a role in deciding how much - or how little - you know about what comes after your retrieval.

Worries about egg donation risks can hold you back from joining our Split Program, in which you can freeze your eggs for free in exchange for donating half to people who need help growing their families. But just how risky is egg donation? Are the rewards of helping grow a family enough to outweigh them? 

Here’s what the science says about the risks along with our take on some potential benefits. 

Egg donation risks

Overall, egg donation is considered a low-risk procedure and there are a number of steps along the way designed to ensure your safety. A 2017 Fertility and Sterility research study looked at more than 23,000 egg retrieval procedures performed on women in hospitals and fertility centers. Overall, the study found an overall complication rate of just 0.4%. 

The first stage of the process is a series of screenings to make sure you are prepared for what lies ahead.  You’ll undergo a general interview, blood testing, and a psychological assessment to make sure you are physically and mentally up for everything that egg donation entails. Importantly, these screenings help flag potential issues early, and mitigate any larger risks. 

The greatest risks exist for those who have pre-existing health conditions that put them in a higher risk category, these women are unlikely to pass the initial screening process. 

For those who are deemed healthy and ready for donation, the largest risks then lie in the egg production and egg retrieval phases of donation. 

Ovarian hyperstimulation syndrome

Just like the process for freezing your eggs, you will be prescribed injectable hormone medications to stimulate the ovaries to produce more eggs. This carries some risk of ovarian hyperstimulation syndrome (OHSS). OHSS is a condition in which the ovaries condition in which the ovaries can swell and fluid leaks into the abdomen, causing pain and discomfort. 

Cases of OHSS are rare, occurring in less than 5 percent of women who use these medications.  The symptoms are typically mild, causing bloating, nausea, and general discomfort that will go away one to two weeks after your egg retrieval procedure. OHSS cases that require medical attention occur in about 0.1% to 2% percent of women.  

Anesthesia risk

Once you’ve produced enough eggs, you’ll undergo a retrieval process at the fertility clinic. This process is outpatient, meaning you can go home that day, and typically only takes about half an hour. 

You’ll be under anesthesia for the procedure so it is worth noting that anesthesia does carry risks such as nausea, vomiting, low blood pressure, and allergic reactions. However, risks of major complications from anesthesia are rare, with just 1.1 per million each year across all types of procedures. If you have a history of nausea from anesthesia, talk to your doctor about it beforehand.

Egg retrieval complications

During the egg retrieval process, a fertility specialist will use a thin needle to aspirate eggs from  your ovaries. This does come with  risk of bleeding, infection or injury to something nearby – such as the bladder or bowels. If this were to occur, surgery may be required to correct the problem. But, as previously mentioned, only 0.4% of women encounter complications during this part of the egg donation process and just 0.29% percent require surgery due to those complications. 

More common after egg retrieval is some spotting and discomfort, both of which are temporary. Many women return to work the day after an egg retrieval, although some take a few days to recover.  

Will donating eggs affect future fertility?

One common question that potential Split members ask is whether there’s a risk that donating eggs will affect their future fertility. The answer is a solid no. 

Not only will donating eggs not affect your chances of getting pregnant naturally in the future, it also won’t lower your ovarian reserve (number of eggs in your ovaries). The eggs retrieved in an egg donation cycle are eggs that would have been lost that month naturally.

As part of our Split program, members donate half of the eggs that they produce during a cycle and keep the other half for themselves — freezing them to use at a later date. The cost of storage is also covered for 10 years.

Other common egg donation concerns

As you consider the Split program, you may have some other non-medical concerns. It's important to think through them before deciding to join the Split program. 

Wanting to remain anonymous

How much identifying information you want to share is ultimately up to you, however the advent of DNA testing from companies like 23AndMe and Ancestry.com has made it impossible to guarantee true long-term anonymity. It’s best to make any decisions about donating your eggs with this in mind. 

Wanting to know potential donor-conceived children

On the flip side, you may be curious about potential offspring and want to have a window into their world as they grow up. Split members are given the chance to build a plan with intended parents that is comfortable for both parties and ultimately honor and respect the donor-conceived child. That plan can vary from just a holiday card update to regular communication — it really is unique to the parties involved. 

Egg donation benefits

The CDC estimates a fifth of women encounter infertility every year and egg donation is a true gift to many families. 

If you’re weighing the risks against the benefits, the satisfaction of helping someone else grow their family can be incredibly powerful. As a Split Member, you’ll also have the added benefit of free health screenings and a chance to talk to fertility experts about your own fertility planning. 

Lastly, if you choose to donate eggs through Cofertility, you will also be able to keep half of the eggs produced during your cycle, giving you a jumpstart on your future reproductive planning. 

Bottom line

Although overall risks of egg donation are low, there’s a lot to think about. It’s important to consider it all and to talk open and honestly with the fertility experts at your disposal. 

Making the decision to donate eggs can be a powerful and fulfilling experience. Still, it should only be something you do because you feel comfortable with the process and potential long-term implications. We’d love to be a resource as you consider this process - feel free to reach out with any questions or concerns along the way. 

Becoming an egg donor can be a meaningful and empowering experience, but unfortunately, not everyone who wants to become an egg donor will qualify. That’s because the process is highly regulated to ensure the health and safety of the donor, the success of the donation cycle, and the long-term well-being of any future children. Medical organizations and regulatory agencies set clear guidelines around who can donate based on age, health history, genetic background, and more.

If you’re thinking about egg donation—especially through Cofertility’s Split program, where you can freeze your eggs for free when you donate half to a family who can’t otherwise conceive—it’s helpful to understand what might stand in the way.

Some disqualifications are set in stone, like those enforced by the FDA. Others are recommended by professional groups like the American Society for Reproductive Medicine (ASRM) or based on clinic-specific rules. Here, we’ll walk through the most common reasons someone might be disqualified from egg donation, what they mean, and what your options might be if you don’t meet certain criteria right now.

Age

Unfortunately, most doctors will turn away an egg donor over age 33. The reason for this age limitation is because data shows that, on average, those over 33 tend not to respond to fertility medication as well and therefore may not produce enough eggs to donate. Also, research shows that, unfortunately, egg quality declines with age. 

If you are over 34, you are still eligible to participate in our Keep program, where you can freeze your eggs and keep 100% of them for yourself. Also, if you are over 33 and donating for a family member or friend, a doctor may approve you for egg donation on a case-by-case basis. 

Per ASRM guidelines, we also do not accept Split members who are under 21. If you’re younger than this and you’d like to participate, please reach out and we’ll get back in touch after you turn 21.

General health

As a preliminary step in the process, we will review several health-related factors before you can be approved for egg donation. Any issues that would make the egg freezing and donation process risky for your health is a disqualification. 

A few health-related factors can disqualify someone from egg donation, including certain heart problems, chronic diseases, HIV, hepatitis B or C, and certain transmissible diseases. 

Also, and this sounds random, but if you lived in Europe for over five years, or in England for over three months between 1980-1996, the FDA has determined that your risk of mad cow disease would also disqualify you.

These requirements help protect your health and ensure a safe donation process for all involved.

Reproductive and sexual health

For starters, you’ll need to have two ovaries, and you cannot have taken a Depo Provera shot, which can interfere with hormonal medications, within the past 6 months. 

Due to these hormonal medications you’ll need to take during egg freezing, you also cannot be currently pregnant or breastfeeding. However, if you plan to stop breastfeeding within the next six months, you can still go through with your Split application. You’d just need to hold off on your actual freezing cycle until then.

As part of the process, you will get your hormones tested. If your hormone levels are outside of recommended limits or the doctor has concerns about your ability to produce sufficient eggs, you would not qualify (more on AMH below).

You will also not qualify for egg donation if you’ve had a sexually transmitted disease within the past 12 months (but you can apply after 12 months of treatment). You also will be disqualified if you’ve been refused as a blood donor due to other infectious diseases or medical conditions. Same goes if you’ve ever had a blood transfusion.

Anti-Mullerian hormone (ovarian reserve) levels

As you likely know, women have a set egg quantity present at birth. Your eggs mature in ovarian follicles, and each of these follicles produces the anti-Mullerian hormone (AMH). Over time, this hormone level drops, and eventually, women naturally develop what's known as a diminished ovarian reserve (DOR).

Your AMH level can help predict how well medication may work to stimulate your ovaries to produce eggs. It also tells doctors what dosage of drugs may be needed to do so. The higher the AMH level, the more eggs generally produced. 

At Cofertility, if you appear to have low ovarian reserve at the time of screening, you will be ineligible for our Split program. We only accept Split Members with a higher AMH level as it helps mitigate the possibility of a second cycle to obtain enough eggs that could result in a live birth down the line (for yourself and for intended parents). Nevertheless, it is important to note that, even with high AMH levels, there is always a chance of having to do another cycle to improve the odds of a live birth. In the Split Program, once you are matched with intended parents, you’ll undergo your physical screening, which will include AMH-reading bloodwork. 

If you’d rather get a sense of your AMH ahead of matching, talk to us about helping you set up an initial egg freezing consultation at a local fertility clinic. While it’s not required until this later phase of the screening process, it can help you better understand your fertility outlook. We may offer discounted consult options in your area, and this could give you upfront peace of mind about your choice to pursue Split, Keep, or neither.  

As you likely know, women have a set egg quantity present at birth. Your eggs mature in ovarian follicles, and each of these follicles produces the anti-Mullerian hormone (AMH). Over time, this hormone level drops, and eventually, women naturally develop what's known as a diminished ovarian reserve (DOR).

Your AMH level can help predict how well medication may work to stimulate your ovaries to produce eggs. It also tells doctors what dosage of drugs may be needed to do so. 

At Cofertility, if you appear to have low ovarian reserve at the time of screening, you will be ineligible for our Split program. We only accept Split Members that meet a threshold AMH level as it increases the chance of success for you and the intended parents.

Read more in AMH 101: Everything You Need to Know

BMI

Body mass index, or BMI, is one of the criteria used during egg donor screening—and we understand that this can be a sensitive and sometimes controversial topic. Most clinics require a BMI between 18 and 29 to be eligible for egg donation, and we follow these clinic requirements at Cofertility.

This range is largely based on concerns about procedural risk and egg retrieval outcomes. People with a higher BMI may face increased risks during anesthesia or complications related to egg retrieval. On the flip side, very low BMI can raise the risk of ovarian hyperstimulation syndrome (OHSS) and may affect hormone levels or cycle response.

That said, BMI alone is not a full picture of someone’s health. It doesn’t account for muscle mass, body composition, bone density, or ethnic and genetic differences. For athletes, for example, BMI can be especially misleading. And since BMI calculations were originally based on white, male body types, their use across populations can perpetuate racial inequities—especially among women of color, who are already disproportionately affected by both infertility and barriers to care.

If your BMI is currently outside this range, you’re welcome to reapply in the future. And regardless of your eligibility, we’re here to support you in exploring all your fertility options.

Read more about BMI and egg freezing here.

Medical and family history

Because donor-conceived children share your genetics, your personal and family medical history matters. If you’re adopted and can’t access your biological family’s health history, that’s unfortunately considered a disqualifier.

Though not an exhaustive list of every condition that may disqualify a member, when reviewing your personal and family medical history, doctors look for personal and/or family history of:

• Cancer
• Heart/blood disease
• Neurological diseases 
• Some mental health disorders
• ‍Genetic disease
• Reproductive disease
• Autoimmune disease
• Respiratory disease
• Metabolic disease
• Gastrointestinal disease
• Kidney disease
• Birth defects

Our medical team  reviews your personal and family medical history as a whole. When reviewing, we consider the severity of the disease/conditions, number of relatives with the disease/condition, age of diagnosis, as well as that relative’s relation to you. 

Psychological screening

Mental and emotional wellbeing are also part of the screening process. You’ll complete a psychological evaluation, and while a history of manageable anxiety or depression doesn’t automatically disqualify you, more severe conditions might.

For example, a history of physical, sexual, or substance abuse or having family members with psychiatric disorders that could be passed down, may make it more difficult to be approved than, for example, having had some mild depression or anxiety. Per ASRM guidance, agencies - including our own - will, however, exclude those with a personal or first-degree (parents, siblings, offspring) family history of:

• Bipolar disorder
• Schizophrenia
• Schizoaffective disorder
• Severe depression
• History of alcoholism or drug abuse

Learn more in What Happens During Psychological Screening to be an Egg Donor

Genetic screening

As part of the evaluation process, you will also be required to do genetic testing via blood test or saliva sample. This helps increase the chance that embryos resulting from your eggs lead to a viable pregnancy and that a child won't be born with severe disease. 

But even for serious diseases, not all disease-related genes are deal breakers. For example, if your tests reveal that you have a copy of a gene that can lead to cystic fibrosis, spinal muscular atrophy, or thalassemia, this may disqualify you depending on the clinic. Even if two copies of the gene are needed in order for the condition to occur, clinics each handle this differently.

In line with ASRM guidance, in most cases where carrying one copy of a particular gene won't impact the child themselves, you can still donate.

State-specific qualifications

Some states do maintain their own specific requirements for women who are donating eggs. These requirements will extend to those in our Split program and would be determined by the location of the clinic at which you would be conducting the retrieval. 

Any state-specific egg donation qualifications will be evaluated at the time of your physical examination. 

Additional disqualifying factors

In addition to the above, there are several factors that, unfortunately, would disqualify you from our Split program (and in many cases, per ASRM and/or FDA guidance, egg donation in general). These include if you:

• Have served jail time for more than two days
• Have undergone body piercing and/or tattooing within the past twelve months in which sterile procedures may not have been used
• Do not have a high school diploma 
• Have Indigenous American ancestry and are associated with a tribe—this is due to the Indian Welfare Act 
• Show indicators of possible drug use (needle tracks, for example) or exposure to needles in non-sterile conditions

If one or more of the above applies to you and you’d still like to participate in our Split program, reach out to us. We’d be happy to chat with you about your fertility options, including your ability to re-apply in the future. 

The net net

We know this sounds like a lot, but these disqualifiers are in place to respect the health and wellbeing of our Split members and intended parents. If you have any questions about Split—including the factors outlined here—don’t hesitate to connect with us. 

You have tons to offer, and whether you qualify for the Split program is in no way reflective of your value. The most important thing is that you feel one hundred percent comfortable in any decision you make. This is a big one, and we’re with you every step of the way.

Click here to learn more about Cofertility's programs and see if you qualify.

Egg donation is something that can help build families and change lives. It is also a complex process with emotional, ethical, and long-term implications. Whether you are considering becoming a donor, receiving donated eggs, or simply wanting to better understand the process, it is essential to think about and understand the ethical landscape surrounding egg donation.

As a fertility psychologist with years of experience working closely with both egg donors and recipient families, I’ve had countless conversations about the emotions, questions, and concerns that come up throughout this journey. In this article, I’ll walk you through some of the key ethical considerations that I discuss in my practice—from informed consent and compensation to identity issues and emotional wellbeing—so that you can make thoughtful, empowered decisions.

Understanding informed consent in egg donation

Informed consent in egg donation means that a donor fully understands the entire donation process including the potential medical, emotional, and legal outcomes. To have full informed consent, a donor must have enough time, support, and accurate information to make a decision regarding donating. 

During my psychological consultations, the majority of our time is spent on the emotional, ethical, and identity-related considerations. The donor is given time to process and come back to me at any time for further questions before committing to donating her eggs. I also want her to feel empowered to advocate for herself and to say no at any time during the process. 

The same goes for recipients, during our consultations we discuss many things such as disclosure, and the potential implications for their future children and give them resources and ample time to feel confident in their decisions as they move forward. 

The ethics of compensating egg donors

Traditional agencies/clinics use a payment model for their donors. From an ethical perspective, when payment is high, particularly in areas where egg donors are in high demand, it can blur the line between a choice freely made and one influenced by finances. Ethical frameworks such as those set by ASRM, urge that compensation reflects time, effort, and discomfort, but not so much that it overshadows careful consideration. Agencies and clinics have a responsibility to assess whether a donor is truly comfortable and free from coercion because of the emotional, ethical, and long-term implications of egg donation. This is why psychological evaluations and counseling are so critical, not as gatekeeping, but as protection.

Another model has emerged for donors called egg sharing, where an egg donor undergoes an egg retrieval and the resulting eggs are divided between the donor and a family that could not otherwise conceive. This model offers a unique opportunity to help another family grow while giving the donor the chance to invest in their own reproductive future at the same time. Learn more about Cofertility’s unique egg sharing model.

Moving toward openness in egg donation

For decades, egg donation was typically anonymous. Today, that is changing fast. Increasingly, countries are banning anonymous donation or encouraging donors to be "open-identity" meaning that donor-conceived individuals can access identifying information when they reach adulthood. DNA testing and online databases have made guaranteed anonymity virtually impossible anyway. 

From an ethical standpoint, children have a right to understand their biological origins, and secrecy can create confusion, mistrust, or even identity issues later in life. However, not all donors are comfortable with future contact, and that should be respected too. It is a delicate balance, and one that all parties should consider carefully before proceeding.

Emotional and identity-related complexities

Egg donation brings up powerful questions about psychological ownership, not just in terms of biology, but emotional connection. Some donors later wonder about the children born from their donation: Are they okay? Do they look like me? Should I feel something deeper? For some, it is a passing thought. For others, it becomes a lasting emotional thread. 

Similarly, donor-conceived individuals may wrestle with questions of identity, especially in adolescence. Recipients, too, may grapple with complicated feelings, joy, gratitude, and sometimes grief over the loss of a genetic link. All of this is valid, and it underscores the need for emotional preparation and post-donation support.

Planning for disclosure and future conversations

Donors often ask: How do I explain this to a current or future partner? To my own children? Even if a donor chooses not to disclose initially, future DNA technologies may make that decision moot. So it is important to really think about this. For recipients, thinking ahead about how and when to talk to their children about their origins is part of ethical parenting. Honesty, age-appropriate openness, and early disclosure are associated with better long-term outcomes for donor-conceived children.

The importance of feeling supported

Studies generally show that most egg donors do not regret their decision. Many describe it as rewarding, meaningful, and empowering, especially when they feel respected, well-informed, and supported throughout the process.

However, some do report mixed or negative emotions, particularly when:

• They weren’t fully informed
• They felt pressured or rushed
• They were promised anonymity that was later broken
• They experienced complications or felt emotionally unprepared

These outcomes highlight how important it is to treat egg donation as more than just a transaction. It is a human experience that deserves deep care, attention, and ethical rigor.

Egg donation is a remarkable act, but it is not one to rush into. Whether you are donating, receiving, or simply reflecting, take the time to ask hard questions, seek psychological support, and explore all angles of the decision.

Egg donation with Cofertility

At Cofertility, we are striving to be the best place to be an egg donor (or what we call, a Split Member). We offer a supportive and transparent process that empowers donors to make informed decisions about their egg donation journey.

With our innovative approach, donors get to keep half of the eggs retrieved, plus:

• Free storage of their own eggs in cryopreservation for up to 10 years
• Coverage of all medical costs for the egg donation process
• Connection to the Cofertility community for support all along the way and after too
• The ability to work with the intended parents to decide together what your relationship will look like

If giving your eggs to intended parents sounds like something you would like to do, you may be able to qualify for the free egg freezing process and have your donation process covered too.

Find out more about Cofertility, and take our quiz to see if you qualify for Split!

We believe that every donor deserves to have a positive and empowering experience, and we are committed to making that a reality. That’s why Cofertility was named one of the Best Egg Donor Programs by Egg Donor Connect.

Resources

ASRM (American Society for Reproductive Medicine)
Website: www.asrm.org

Mental Health Professionals Group (ASRM affiliate)
Website: https://connect.asrm.org/mhpg/home

We Are Egg Donors
Website: www.weareeggdonors.com

Donor Sibling Registry (DSR)
Website: www.donorsiblingregistry.com

The Center for Bioethics and Culture (CBC)
Website: www.cbc-network.org

As a licensed clinical psychologist specializing in fertility, one of the most common questions I hear from potential egg donors is whether they can donate if they have anxiety. The short answer is: it depends. While anxiety doesn't automatically disqualify someone from egg donation, its severity, management, and impact on daily life all factor into eligibility.

The egg donation process involves medical procedures, hormone treatments, and emotional considerations that can be challenging even for those without anxiety. Understanding how anxiety might affect your experience - and whether your specific symptoms could impact the donation process - is key to making an informed decision.

This article breaks down what you need to know about anxiety and egg donation, from medical screening requirements to practical considerations, based on my experience working with hundreds of donors. We'll explore how different types of anxiety might affect eligibility, what to expect during screening, and factors to consider when making your decision.

Basic requirements for egg donors

In order to become an egg donor, clinics have certain requirements that are driven by industry guidelines. Basic eligibility typically includes the following:

• A donor should be between the ages of 21 and 34 years old
• Have regular menstrual cycles 
• No history of smoking, drug use, or excessive alcohol consumption
• No chronic medical conditions 
• No personal or family history of significant genetic diseases
• Must test negative for HIV, Hepatitis B/C, syphilis, and other infections
• No recent use of certain medications 
• Be willing to undergo medical procedures and hormone injections for several weeks.

Egg donors also go through a medical assessment to ensure the donor is in optimal health and can safely undergo the process. For example, blood tests will be done to check AMH (Anti-Müllerian hormone) and FSH (follicle-stimulating hormone) to determine egg quantity. Estrogen, progesterone, luteinizing hormone, and thyroid function will also be checked. 

Mental health evaluation during screening

Egg donation programs also require a psychological evaluation as part of the screening process  to ensure emotional stability or the ability to handle the medical, emotional, and ethical aspects of donation. This screening helps protect both the donor and the intended parents by ensuring that donors are mentally stable, emotionally prepared, and capable of making informed decisions. 

Mental health conditions such as severe anxiety and depression, bipolar disorder, schizophrenia, or personality disorders are also assessed as the American Society for Reproductive Medicine (ASRM) guidelines recommend excluding individuals with severe psychiatric conditions.

How anxiety affects egg donation eligibility

While having a mental health condition is not automatically disqualifying, certain personality disorders and severe mental health conditions are typically considered contraindications due to the potential risks involved. For example, mild or well-controlled anxiety - especially if managed with therapy or certain medications - may not be an issue. However, more severe anxiety, especially if it affects daily functioning, requires strong medication, has led to panic attacks, or hospitalization, could be a concern.

Medication considerations and hormone effects

Some clinics may disqualify donors who take certain psychiatric medications due to potential effects of the egg freezing medication as the hormones may intensify anxiety symptoms, mood swings, and emotional distress. 

If anxiety is well-managed with medication, stopping the medication could cause a relapse of symptoms like panic attacks, insomnia, or emotional distress. Stopping some medications (like SSRIs) can cause withdrawal effects such as dizziness, nausea, irritability, and worsening anxiety. Even tapering off can make someone feel more emotionally vulnerable, which may impact decision-making and well-being during the process. Even if one tapers off safely, anxiety may return, especially under stress from egg retrieval and hormonal stimulation. Some clinics automatically disqualify donors on psychiatric medications, while others consider cases individually. 

Research indicates that injectable fertility treatments, such as those used in in vitro fertilization (IVF) and egg freezing, can intensify anxiety symptoms in some individuals. A review highlighted that individuals undergoing IVF often experience elevated anxiety levels, particularly during specific stages of the treatment process. This is not just because of the hormones but the process itself can be  physically demanding, requiring multiple medical appointments, and for some donors the pressure to meet clinic or recipient expectations can trigger feelings of inadequacy or anxiety.

Support strategies for donors with anxiety

So what if you are an anxious person but have never been diagnosed and have never used medication, can you still donate? Possibly, especially if you can learn to manage some of the anxiety that may naturally occur during the process. If your clinic offers specialized fertility counseling services, utilize them to help prepare for the emotional challenges. Connecting with other women who have gone through the egg donation process is a great way to set realistic expectations of the process. This support can also help you feel less isolated and provide practical advice for managing anxiety. Practices that focus on relaxation - such as yoga or deep breathing exercises - can help calm the nervous system and reduce feelings of anxiety. Maintaining a healthy diet and ensuring sufficient sleep can play a crucial role in overall emotional well-being, helping manage anxiety better. Some people find relief from anxiety by engaging in creative activities such as journaling, drawing, or crafting.

Making your decision: Next steps to consider

Should you donate if you have anxiety? Well, it all depends on how well your anxiety is managed, how you handle stress, and whether you’re prepared for the process. If you’re considering it, speaking with a fertility specialist and a mental health professional can help you make an informed decision. It is essential to always be honest about medical history when applying. Lying or withholding information could lead to medical risks or legal issues. Finally, be clear with yourself about what kind of support you need during moments of anxiety, whether it’s someone to listen, help with logistics, or simply provide reassurance during difficult moments. The goal is to ensure that the donor feels emotionally and physically safe and supported throughout the entire experience.

We’ve helped thousands of women freeze their eggs over the years in our Keep and Split programs. For those considering Split, where you freeze your eggs for free when donating half to a family that couldn’t otherwise conceive, there are even more questions about the donation piece. It's a big decision, and it's natural to want to know everything before moving forward. This article aims to address the most common questions we receive, providing clear and honest answers to help you make an informed choice.

Will egg donation affect my future fertility?

This is one of the most frequent concerns we hear. The short answer is no, egg donation does not harm your future fertility. Here's why:

• During a typical menstrual cycle, your ovaries prepare several eggs, but usually, only one matures and is released during ovulation. The rest of the eggs that month naturally break down and are reabsorbed by your body.
• The hormone medications used in egg freezing/donation allow all the eggs in that menstrual cycle to mature instead of just one. The key is that you're not losing more eggs than you would have otherwise—you're just maximizing the potential of your current cycle.  
• You get a new group of eggs each menstrual cycle, so donating doesn't deplete your overall egg reserve.
• Research has not shown any long-term negative impacts on fertility from egg donation.

Our Medical Advisor, Dr. Mare Mbaye, wrote more about this topic: Does Donating Eggs Affect Your Fertility?

Why might I need to take birth control pills during the donation process?

Birth control pills are sometimes used in egg donation cycles for two main reasons:

1. Timing: They help synchronize your cycle with the recipient's treatment schedule.

2. Follicle synchronization: They help ensure your follicles are all uniform and small before the stimulation phase. When follicles are similar in size, they respond more evenly to the stimulation medications, allowing a greater number of eggs to mature at the same pace. 

3. Ovarian cyst prevention: The hormones in birth control pills can help suppress the growth of ovarian cysts during the stimulation phase. 

Not all cycles require birth control pills. Your medical team will determine if they're necessary for your specific situation.

Read more: Egg Freezing and Birth Control: An Overview

What's the difference between mature and immature eggs?

During the egg retrieval process, doctors aim to collect mature eggs, also known as metaphase II (MII) oocytes. MII eggs are the ones that are fully mature and ready for fertilization. Metaphase I (MI) stage eggs have started maturing but aren't fully developed yet. MI eggs can sometimes mature into the more developed MII stage with the right conditions, but this doesn’t always happen. Germinal vesicle (GV) stage eggs are the most immature and can be recognized by having a visible nucleus. Here's a brief explanation:

• Mature eggs: These are ready for fertilization and have the best chance of developing into healthy embryos. The hormone medications used in egg donation help maximize the number of mature eggs retrieved.
• Immature eggs: These eggs haven't completed their developmental process and are less likely to result in successful pregnancies today. However, members of our Split program get to keep all the immature eggs if their clinic policy allows in hopes of being able to use them in the future.

Our Medical Advisor Dr. Meera Shah wrote more about this: Egg Freezing: Mature vs. Immature Eggs

How does the disclosure process work?

At Cofertility, Egg donation range on a spectrum from undisclosed to disclosed. Many donors have questions about what this looks like:

• In a disclosed relationship, you exchange contact information and can communicate directly. The scope and degree of communication (both during and post-match) is what both parties make of it. 
• In an undisclosed relationship,  you do not exchange contact information and only communicate through Cofertility. With an undisclosed donation, you and the family can choose to allow the donor-conceived child to receive your contact information when they turn a certain age (usually 18). This is called Open ID, an increasingly popular option.

It's a common misconception that disclosed donation means frequent or ongoing contact. In reality, the level of communication can vary greatly:

• It might be limited to medical updates or questions.
• Some families choose to have more open relationships, while others prefer minimal contact.
• You and the recipient family can discuss and agree on communication preferences.

Read more: Disclosed vs Undisclosed Egg Donation: How Do I Choose?

Will egg donation be painful?

The egg retrieval process is typically not painful, but you may experience some discomfort:

• The procedure is done under sedation, so you won't feel pain during the retrieval.
• After the procedure, you might have some cramping or bloating for a few days.
• Most people describe the discomfort as similar to menstrual cramps.

Read more: Is It Painful to Freeze or Donate My Eggs?

What are the costs associated with egg donation?

As a Split member, you don't incur any costs. All of your office visits, screenings, medication, procedures, and travel expenses, plus 10 years of storage with our preferred biorepository partner, are completely covered. 

The only expenses you would encounter is in the future, when you ship the eggs to a clinic to fertilize.  

Can I donate if I have a particular medical condition?

Eligibility for egg donation depends on various factors. Some medical conditions may disqualify you, while others may not affect your ability to donate. The best way to find out is to reach out to us, or apply. 

Read more in Can I Freeze My Eggs If...

How many times can I donate eggs?

The American Society for Reproductive Medicine (ASRM) is an organization that provides guidance and recommendations to fertility clinics and professionals. One of the guidelines that the ASRM has established is regarding the maximum number of egg donation cycles that an egg donor can undergo in their lifetime. According to their recommendations, egg donors should undergo no more than six cycles of egg donation throughout their lifetime. However, most of our Split members donate only one or two times. 

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While this article covers many common questions, please reach out if you have any other questions or want to talk through the process with one of our Member Advocates. At Cofertility, we're committed to providing transparent information and support throughout the egg donation process.

Egg donation plays a crucial role in helping many individuals and couples achieve their dreams of parenthood. At Cofertility, we recognize the significance of this decision for our donors and are committed to ensuring that every aspect of the donation process is conducted with the utmost care, transparency, and respect for our donors' autonomy.

This article provides a comprehensive overview of how informed consent works at Cofertility, where women can freeze their eggs for free when donating half to a family that could not otherwise conceive. 

We'll explore the various aspects of informed consent, including its definition, its specific application to egg donation, and the medical, psychological, genetic, and legal considerations involved. By the end of this article, you'll have a clearer understanding of our commitment to ethical practices and donor well-being throughout the egg donation journey.

What is informed consent?

Informed consent is a fundamental ethical and legal principle in healthcare and medical research. It refers to the process by which a fully informed patient or participant can participate in choices about their healthcare or involvement in research. For consent to be considered "informed," several key elements must be present:

1. Disclosure: The healthcare provider or researcher must provide all relevant information about the proposed treatment, procedure, or study. This includes potential risks, benefits, alternatives, and the option to refuse or withdraw.
2. Understanding: The patient or participant must comprehend the information provided. This may involve explaining complex medical terms in plain language or using visual aids to ensure clarity.
3. Voluntariness: The decision to consent must be made freely, without coercion, undue influence, or pressure from healthcare providers, researchers, family members, or others.
4. Competence: The individual must have the mental capacity to make the decision. This means they must be of legal age and sound mind to understand the implications of their choice.
5. Consent: The patient or participant must explicitly agree to the treatment, procedure, or participation in the study, usually by signing a consent form.

Informed consent in egg donation

At Cofertility, we take donor consent very seriously. In the context of egg donation, informed consent ensures that donors fully understand all aspects of the donation process, including medical procedures, potential risks, psychological implications, and legal considerations. It empowers donors to make autonomous decisions about their bodies and genetic material, protecting their rights and well-being throughout the donation process.

To ensure that an egg donor is making a knowledgeable and autonomous decision about becoming an egg donor through our Split program, the potential donor is required to be fully educated about all aspects of the donation process. This includes:

• Medical implications: Understanding the procedures involved and potential health risks.
• Psychological considerations: Exploring the emotional aspects of egg donation.
• Genetic implications: Comprehending the long-term genetic connections created through donation.
• Legal aspects: Understanding the rights and responsibilities of egg donors.
• Egg sharing vs. financial implications: Grasping the differences between our Split program and traditional financial compensation models.

It is crucial that the donor demonstrates she understands all the information provided and has ample opportunity to ask questions before deciding to move forward. Another important aspect of informed consent is that it must be given voluntarily, without coercion or undue influence. The egg donor must understand that she has the right to withdraw from the process at any time before the egg retrieval.

This process of informed consent is just one aspect of how we work to educate each member through various aspects of the process— on top of providing support and guidance— all in the name of supporting our donors in making the best decision for themselves.

Medical risks and side effects

Just like any other medical procedure, egg donation has medical risks and side effects. Understanding the medical side effects of egg donation is vital for ensuring that donors can give informed consent, prepare for and manage potential risks, and safeguard their physical well-being. It also empowers donors to make confident, informed decisions about their participation in the donation process.

Typically, during the menstrual cycle only one egg is released. So when donating eggs,  medications are given to help produce multiple eggs at one time. Sometimes ovaries over respond to these medications and cause side effects. Ovarian Hyperstimulation Syndrome (OHSS) is one possible side effect. The ovaries swell because they are producing more than what is typical and can become painful. Symptoms can range from mild bloating and nausea to severe symptoms such as shortness of breath, blood clots, and even kidney failure. According to the Cleveland Clinic, OHSS occurs in less than 5% of women undergoing retrieval. And severe cases are less than 1%.

Because a needle is involved to remove eggs from the ovaries, an infection is possible. However, according to the American Society for Reproductive Medicine (ASRM), pelvic infections after egg retrieval are pretty rare. Severe infections may require hospitalization and/or treatment with intravenous antibiotics. Rarely, surgery may be required to remove one or both of the ovaries, tubes, and/or uterus. Light vaginal bleeding or spotting for 1–2 days after an egg retrieval procedure is also very normal. Since the retrieval involves puncturing and aspirating ovarian follicles, it can lead to varying degrees of bleeding.

These and other potential side effects will be fully discussed and covered in detail before any procedure begins. The donor will have ample opportunity to learn about all the possible side effects and opportunity to ask questions until she feels fully informed and comfortable with moving forward. We believe that being aware of the medical side effects empowers donors to take an active role in their healthcare. This knowledge allows them to advocate for themselves, ask the right questions, and make decisions that are in their best interest.

Psychological and emotional considerations

The decision to donate eggs involves a lot of personal considerations as well, not just medical. And donors must be counseled on the potential emotional and psychological impacts of donation, including the potential for regret. Donors may experience stress related to the medical procedures, the hormones used, and the overall commitment required. But the emotional and psychological impacts can impact a donor well past the donation phase and into the future. The knowledge that their genetic material may result in the birth of a child can create a sense of connection or identity-related concerns. Donors may wonder about their genetic offspring and may feel a sense of loss or confusion regarding their role in the child's life. Donors may find that their decision affects their relationships with partners, family members, or friends, particularly if those around them have differing views on egg donation. 

This and other psychologically complex reasons are why donors undergo an extensive psychological screening to assess their emotional readiness and understanding of the potential psychological impacts of egg donation. Understanding the potential mental health implications ensures that they are prepared for the emotional journey ahead. By being aware of these potential effects, donors can make more informed decisions, seek appropriate support, and manage their mental health throughout and after the donation process. We provide access to professional mental health support that can help donors process their emotions and manage any psychological challenges that arise.

Over time, a donor's feelings about their decision might evolve. What seemed like a straightforward decision at one point in life might be reconsidered as the donor’s circumstances or perspective changes, potentially leading to feelings of regret or doubt.  So before proceeding with the donation, we discuss this with our donors to reduce the likelihood of misunderstandings or regrets later in life. This is where we spend time discussing the genetic implications of egg donation. 

Genetic implications of egg donation

The egg provided by the donor contains half of the genetic material that will combine with sperm to form an embryo. This means that the donors and recipients' family tree will be tied forever. We want our donors to understand the significance of this implication. Being informed about potential future impacts allows donors to develop coping strategies and seek support networks, whether through professional counseling, support groups, or trusted individuals in their lives.

At Cofertility, we offer potential egg donors the choice of how, if at all, they want to be connected to the family they help. Two broad options for the the relationship include: 

• Disclosed, you exchange contact information and can communicate directly. The scope and degree of communication (both during and post-match) is what both parties make of it. 
• Undisclosed, you do not exchange contact information and only communicate through Cofertility. With an undisclosed donation, you and the family can choose to allow the donor-conceived child to receive your contact information when they turn a certain age (usually 18). This is called Open ID, an increasingly popular option.

Some egg donation agencies promise the opportunity to be anonymous. However, with the rise of direct-to-consumer genetic testing services, we know that anonymity is simply not possible. It has become easier for children conceived through egg donation to discover their genetic origins and potentially locate the egg donor and other biological relatives. It’s important for donors to carefully consider this implication and discuss them with medical, psychological, and legal professionals before proceeding with the donation. 

Legal rights and responsibilities

Before the donation process begins, the donor must sign legal contracts that outline their rights, responsibilities, and the terms of the donation. The legal rights and responsibilities of an egg donor are carefully defined in a legal contract to protect both the donor and the recipients. These rights and responsibilities involve issues of parental rights, disclosure, and confidentiality and are legally binding. 

In the contract it will be explicitly directed that the egg donor relinquish all parental rights to any children born as a result of their donation. This means they have no legal responsibilities or rights regarding the child. So the donor has no legal claim to the child, no right to contact or visitation, and no responsibility for the child's upbringing. Although research and guidelines encourage transparency, suggesting that children should be informed about their genetic origins, it is up to the recipient parents to decide if and when they will disclose the egg donation to their child. 

At Cofertility donors are required to have independent legal counsel to review these contracts and ensure they fully understand their rights and obligations. There is no cost to the donor. 

Egg sharing vs. financial compensation

Egg sharing is a program in which a woman shares some of her eggs with another individual or couple who need donor eggs. In the case of Cofertility, the donor gives half of her retrieved eggs to a family who cannot conceive otherwise and keeps the rest for herself. Every expense associated - medications, supplement, travel, insurance, freezing, legal etc - are completely free of charge.

Egg sharing and financial compensation are two very different models used in the context of egg donation. Both involve women donating their eggs, but the motivations, benefits, and processes differ. 

Egg sharing is a program in which a woman shares some of her eggs with another individual or couple who need donor eggs. In the case of Cofertility, the donor gives half of her retrieved eggs to a family who cannot conceive otherwise and keeps the rest for herself. Every expense associated— medications, supplement, travel, insurance, freezing, legal, and 10 years of storage— are completely free of charge. What’s beautiful about egg sharing is that both the donor / egg sharer and the recipient benefit from the process. The donor gains access to free egg freezing, while the recipient receives donor eggs that increase their chances of conception. 

In a financial based model of egg donation, a woman donates her eggs in exchange for a direct financial payment. This compensation is for her time, effort, and the physical and emotional demands of the donation process. Donors receive a pre-agreed sum of money as compensation for the donation. This payment is not for the eggs themselves but for the donor’s participation in the process, covering time, discomfort, and any associated risks. 

With cash compensation, ethical issues can arise regarding the commodification of human eggs, the motivations of donors (financial need versus altruism), and the potential for exploitation, especially in economically disadvantaged populations. Plus, a 2021 Harvard study found that 62% of donor-conceived adults felt the exchange of money for donor gametes was wrong, and 41% were troubled by the fact that money was exchanged around their conception. 

The bottom line

Egg donation is a complex process, and it is important for potential donors to receive comprehensive information before giving their consent. This includes information regarding medical, psychological, genetic, legal, and egg sharing vs financial implications, before voluntarily agreeing to participate. They have the right to ask questions and receive clear, unbiased answers to ensure that they are making fully informed decisions at every stage of the donation process. This right is crucial for safeguarding their health, legal rights, emotional well-being, and autonomy. It also upholds ethical standards by ensuring transparency, trust, and the protection of donors from exploitation or coercion.

If you're considering egg freezing or donation and are just curious about its long-term effects, you may have heard a rumor: "Does egg donation cause early menopause?" It's a valid question, and in this article I will break it down for you with the latest scientific information and my professional insights as a board-certified OB/GYN.

I have guided countless patients considering egg freezing and donation processes, and I understand the importance of addressing these concerns head-on. After all, your reproductive health is a big deal, and you deserve clear, accurate information to help you make informed decisions.

In this article, I’ll explain the science behind egg freezing and donation, explore common misconceptions, and look at what the research really says about its impact on your future fertility. I'll also share some insights on what actually influences the timing of menopause and offer tips on how to take care of your reproductive health. Alright, let’s go!

The short answer

Let's start with the good news: No, neither egg freezing nor egg donation causes early menopause, also known as premature ovarian insufficiency (POI). But I know you're looking for more than just a simple "no." You want to understand why, how we know this, and what these processes actually do to your body. So let’s go even deeper.

Understanding your ovaries and egg supply (aka ovarian reserve)

Before we get into the specifics of egg freezing and donation, let's refresh our understanding of how ovaries work. You were born with all the eggs you'll ever have – about 1-2 million of them! By the time you hit puberty, that number has already decreased to about 300,000-500,000. Throughout your reproductive years, you'll typically release one egg per month during ovulation.

Your body is constantly losing eggs, whether you're trying to get pregnant, on birth control, or not thinking about fertility at all. It's a natural process called atresia. Each month, several eggs begin to mature, but usually only one reaches full maturity and is released during ovulation. The rest are reabsorbed by the body.

What happens during egg freezing and donation?

When you freeze your eggs or donate them, you're given hormones to stimulate your ovaries to mature multiple eggs in a single cycle – typically anywhere from 10 to 20 eggs. These are eggs that would have otherwise been lost to the natural process of atresia. We're not dipping into some secret egg reserve or using up eggs that your body was "saving" for later.

The main difference between egg freezing and donation is what happens to the eggs after they're retrieved. With egg freezing, they're stored for your future use. With donation, they're provided to someone else who needs them to build their family. And with an egg sharing program like we offer at Cofertility, you keep and store half of your eggs retrieved for up to 10 years for free when you donate the other half to a family who can’t conceive otherwise.

Why the misconception exists

So, if the science is clear, why does this myth persist? There are a few reasons:

• Misunderstanding of ovarian stimulation: The process of stimulating multiple eggs to mature at once can sound unnatural, leading some to worry it's "using up" eggs too quickly.
• Confusion with natural fertility decline: As we age, our fertility naturally declines. Both the quantity and quality of our eggs decreases. Some people might attribute this normal process to their past egg freezing or donation.
• Individual variations: Someone who froze or donated eggs might experience fertility issues later, but this isn't necessarily caused by the procedure. Remember, 1 in 6 people are affected by infertility, whether they froze their eggs or not.
• Lack of long-term studies: While we have good medium-term data, very long-term studies (30+ years) are still ongoing. This can lead to uncertainty for some people.

What egg freezing and donation actually do to your body

Okay, so if these procedures don't cause early menopause, what do they actually do to your body? Let's break it down. During the stimulation cycle, you'll experience short-term hormonal changes, with higher levels of some hormones circulating in your system. This can lead to symptoms like bloating, mood swings, and breast tenderness – similar to what you might experience during your menstrual cycle, just more pronounced. These effects are temporary and typically subside after the egg retrieval process.

I break down all of the side effects and risks of egg freezing here. 

The medications used in egg freezing and donation will temporarily override your natural menstrual cycle. This is a necessary part of the process to stimulate multiple eggs to develop. After the egg retrieval, it usually takes about 1-2 months for your cycle to return to its normal rhythm. During this time, you might experience some irregularity in your periods, but this is generally nothing to be concerned about.

There is a minor risk of complications, primarily ovarian hyperstimulation syndrome (OHSS), where the ovaries become swollen and painful. However, serious cases of OHSS are rare, especially with modern protocols and careful monitoring throughout the process. Your medical team will be vigilant in watching for any signs of OHSS and can adjust your treatment if necessary.

Perhaps most importantly, current evidence shows no significant long-term impact on your fertility or the timing of menopause from egg freezing or donation procedures. Your body continues its natural reproductive processes after these procedures, and your remaining eggs are unaffected. This means that your future fertility and the onset of menopause should follow their natural course, just as they would have without the egg freezing or donation process.

Factors that actually influence menopause timing

Now that we've cleared up the egg freezing and donation myth, let's talk about what really can influence when you'll hit menopause:

1. Genetics: The age your mother went through menopause is a good indicator of when you might do so.
2. Your period: The age when you had your first period can influence the timing of menopause, especially if you got your first period before age 11. So can an irregular menstrual cycle.
3. Number of pregnancies: Compared to those who had never been pregnant or who had been pregnant for less than six months, women who had one full-term pregnancy had an 8% lower risk of early menopause. Those who had two pregnancies had a 16% lower risk, and those who had three pregnancies had a 22% lower risk.
4. Lifestyle factors: The use of tobacco and alcohol, as well as your level of physical activity, can influence when menopause occurs.
5. Medical history: Procedures that remove your ovaries or uterus can affect menopause timing. So too can autoimmune diseases.
6. Diet: Your diet, particularly the consumption of polyunsaturated fats, may have an effect.

Notice that egg freezing and donation aren't on this list!

Taking care of your fertility

Whether you're considering egg freezing, donation, or neither, there are several important steps you can take to support your reproductive health. First and foremost, regular check-ups are key. Keeping up with your gynecological exams allows you to stay on top of your reproductive health and provides opportunities to discuss any concerns with your doctor. These regular visits can help catch potential issues early and ensure you're taking the best possible care of your reproductive system.

Adopting a healthy lifestyle is another key aspect of maintaining your fertility. This includes eating a balanced diet rich in nutrients that support reproductive health, exercising regularly to maintain a healthy weight and promote overall well-being, and avoiding harmful habits like smoking. These lifestyle choices not only benefit your reproductive health but also contribute to your overall health and longevity.

If you're concerned about your future fertility, considering options like egg freezing can be a proactive step. At Cofertility, we understand the importance of having options when it comes to your reproductive future. 

• Through our Split program, qualified freezers can freeze their eggs for free when donating half of the eggs retrieved to a family who can’t otherwise conceive.
• Through our Keep program — where you keep 100% of eggs retrieved for your own future use — we offer exclusive discounts on expenses, such as frozen egg storage. Keep members also still gain free access to our Freeze by Co Community, a safe space for those engaging in the egg freezing process (or gearing up for it) to connect and lean on each other.

By making egg freezing easier and more accessible, our programs further strengthen the American Society of Reproductive Medicine (ASRM)’s Committee Opinion that egg freezing can help promote social justice and strengthen gender equality.

Final thoughts

So, there you have it – the long and short of egg freezing, egg donation, and menopause. The bottom line is that current scientific evidence does not support the idea that these procedures cause early menopause. Your body is incredibly resilient, and these processes work within your natural reproductive system, not against it.

That being said, egg freezing and donation are still significant medical procedures. It's important to work with reputable clinics (like our partner clinics!) that prioritize your health and provide comprehensive information.

Understanding your body and your options is key to making informed decisions about your reproductive health. Whether you're considering egg freezing, thinking about donation, or just curious about how it all works, I hope this information has been helpful.

If you have more questions about egg freezing, donation, or reproductive health in general, don't hesitate to reach out. At Cofertility, we're here to support you every step of the way on your fertility journey.

Read more:

• What are the Side Effects and Risks of Egg Freezing?
• Does Donating Eggs Affect Your Fertility?
• What’s the Best Age to Freeze My Eggs?

Have you ever considered donating your eggs? It's a decision that can profoundly impact not only your life but also the lives of another family that could not otherwise conceive. However, it's not a choice to be made lightly. As you consider this possibility, you may find yourself grappling with myriad questions and emotions. Is egg donation right for you? How will it affect your life, both now and in the future? What are the physical and emotional implications?

In this article, we'll explore the key factors to consider when deciding if egg donation is the right choice for you. From understanding the medical process to examining your motivations and considering the long-term impacts, we'll provide you with a comprehensive guide to help you navigate this complex decision. Whether you're seriously considering donation or just starting to explore the idea, this information will help you make an informed choice that aligns with your values and life goals. Let's dive in and discover if egg donation might be your path to making a difference in someone else's life.

Understanding the egg donation process

To decide if egg donation is right for you, you should first understand what it entails. Egg donation is a process in which a woman donates her eggs to another person or couple (known as the recipients, or intended parents) with the aim of helping them conceive a child. During the initial egg donor process, the potential donor undergoes rigorous medical, psychological, and genetic screening to ensure they qualify according to industry guidelines. 

Once deemed fit, the egg donor is matched with intended parents. After legal documents are completed, they begin the egg retrieval process, which includes hormonal treatments to stimulate your ovaries to produce multiple eggs in one cycle. Typically, after about a week of hormone treatments, the eggs are retrieved through a 30-minute outpatient surgery.

The retrieved eggs are fertilized with sperm (either from the intended father or sperm donor) to create embryos. The resulting embryos are then transferred to the recipient’s uterus (intended mother or gestational carrier), or they may be frozen for future use.

The growing acceptance of egg donation

Data from fertility clinics and SART registries indicate a steady increase in the number of egg donation cycles performed over the last decade. As women are becoming more educated about their biology paired with growing support for diverse families, and advances in technology, egg donation is gaining greater acceptance as a viable option to have a child. Changes in legal and ethical guidelines have also helped regulate egg donation, making it safer and more transparent for all parties involved.

Even though the need for egg donation is increasing and social and regulatory factors are changing the landscape, potential donors need to be fully educated about the medical procedures and potential side effects including psychological implications.  Donating eggs can have emotional consequences, such as feelings of attachment or concerns about the future children born from the donation. Access to psychological counseling can help donors process their emotions and make informed choices. Informed decision-making empowers potential egg donors to make choices that are right for them, ensuring they are fully aware of and comfortable with the implications of their decision.

Making an informed choice

A fertility psychologist can play a crucial role in helping the donor with the decision-making process by helping ensure that potential donor makes well-informed, emotionally sound decisions. 

The psychological evaluation is the first step in ensuring that the egg donor is psychologically stable and capable of handling the emotional aspects of egg donation. At the same time, the evaluation can help identify any pre-existing mental health conditions that could be exacerbated by the donation process. The psychologist can also provide follow-up counseling to help the donor process their experience and any feelings that may surface afterward.

Considering your motivations

Women consider egg donation for various reasons. You may be influenced by altruistic motives, such as wanting to help someone struggling with infertility. The compensation – either financial or the opportunity to freeze your eggs for free - might be appealing. For some, the personal fulfillment of knowing they've made a meaningful contribution to someone else's life offers a sense of purpose.

Also, certain personality traits may play a role in donating. One study found agreeable, extraverted, and open/intellectual participants reported more civic engagement, especially volunteerism and charitable giving.

Reflecting on your motivations is essential to ensure you're making a well-informed, emotionally sound decision that aligns with your personal values and beliefs. This reflection can help you set realistic expectations about the outcomes and the process, reducing the risk of disappointment.

Evaluating emotional readiness

It's normal to have mixed feelings about egg donation. Some women are certain from the outset that they want to donate, while others may be intrigued by the idea but have concerns. If you're on the fence, it's important to spend time researching and gathering information to understand how donation could impact your life.

It’s important to recognize that having mixed feelings or being uncertain about egg donation is a common experience. Many women go through a period of contemplation before making their final decision. There is no right or wrong way to feel - each woman’s journey is unique, and it is okay to take the time needed to make an informed decision. And that is the key… ensuring informed decision making. 

Consider the potential for feelings of grief, loss, or attachment to offspring, even if you intellectually understand your role as a donor, not a parent. Remember, there's a significant difference between being a donor and being a parent. As a donor, you provide genetic material but don't play a role in the child's upbringing.

How will I feel after donating my eggs?

There is always the potential for feelings of grief, loss, or regret after donating one’s eggs. Some egg donors have concerns about the genetic connection to offspring and worry about developing emotional attachments to the children born, even if they are not involved in their upbringing. Some have concerns about whether the offspring might seek them out – especially if they aim to be anonymous. There can be grief for the loss of relationship with the child conceived from their eggs, even if the donor intellectually understands the nature of the donation. Donors might regret their decision if they feel they were not fully informed about the process or its implications, or if they felt pressured into donating. 

However, research shows that egg donors are generally happy with their decision and usually do not regret it – especially if they have had comprehensive counseling, informed decision-making, and strong support systems in place.

A very important point to remember is that there is a big difference between being a donor and being a parent. As a donor, a woman provides the genetic material (egg) that contributes to the creation of a child. However, she does not play a role in the child's upbringing. Parents are the ones who are responsible for the social, emotional, and physical upbringing of the child. This includes providing care, nurturing, education, and support throughout the child's life.

Assessing the impact on future relationships

Egg donation can have a significant impact on future relationships and family dynamics. Understanding and addressing these potential impacts is crucial. It’s important to discuss egg donation with future partners, as it’s a significant part of one’s personal history and can impact the relationship. Partners may have varying reactions, from supportive to concerned. Discussing potential implications and addressing any worries can help manage these reactions.

Seeking professional guidance

Speaking with a fertility psychologist can be extremely beneficial. They can help you:

• Process your emotions and expectations regarding the donation process
• Practice conversations with family members
• Address potential questions and reactions
• Teach communication techniques to ensure discussions are clear yet sensitive to family dynamics

Counseling offers a safe environment and allows donors to express their fears, anxieties, and expectations regarding the donation process. A psychologist can also help donors feel confident and clear about the decision.

If you work with Cofertility, we cover the cost of speaking with a fertility psychologist, like myself. 

Egg sharing

For many women considering egg donation, egg sharing programs like the one offered by Cofertility present an attractive alternative to traditional donation. In this model, you freeze half of your retrieved eggs for your own future use while donating the other half to intended parents. 

This approach can feel like a win-win situation for many potential donors. It allows you to contribute to someone else's family-building journey while also preserving your own fertility options. Many women find this option aligns better with their personal goals and values, as it combines altruism with potential personal benefit. If you're unsure about traditional egg donation, exploring an egg sharing program might help you find a path that feels right for you.

Making an informed decision

Deciding to donate your eggs is a complex decision that requires careful consideration of personal motivations, medical and psychological impacts, and potential effects on future relationships. Thoroughly researching and reflecting on these key points, along with seeking support and counseling, can help ensure that your decision is well-informed and aligns with your values and long-term well-being.

Remember, there's no right or wrong way to feel about egg donation. Each woman's journey is unique, and it's okay to take the time you need to make an informed decision. By carefully considering these factors, you'll be better equipped to determine if egg donation is right for you.

Egg donation is a medical procedure where a woman donates her eggs to individuals or couples who are unable to have children using their own eggs. The egg donor undergoes a series of medical and psychological screenings and hormonal treatments to stimulate egg production. Once the eggs are mature, they are retrieved through a short surgical procedure done on an out-patient basis. The eggs are then fertilized with sperm (either from the intended father or sperm donor) and the resulting embryos are either transferred to the recipient's uterus (intended mother or gestational carrier) or frozen for later use. 

Many times donors have seen first hand their own friends or family struggling with infertility. Witnessing this creates a desire to help and motivates them to donate their eggs. This act of giving can be deeply fulfilling on a personal level knowing that they are creating family trees or relationships (parents, grandparents, aunts, uncles, etc.) that might otherwise have never existed. 

Anonymity is often a primary question for potential donors as they may believe that anonymity to be a way to protect themselves from the emotional complexity that is egg donation. They may believe that by remaining anonymous they can avoid forming any type of relationship with the child or recipients thereby also potentially avoiding feelings of guilt, responsibility, or attachment. Or they may not want it to interfere with future relationships or their own family dynamics. While anonymity is no longer realistic, disclosed and undisclosed egg donation offers benefits and the chance for meaningful future connections.

Donor anonymity

The traditional concept of anonymous donation prioritizes privacy and confidentiality for donors, the intended parents, and any resulting children. In traditional anonymous donation, there is no exchange of identifying information between the egg donor and the intended parents. If there is contact, it is very limited and is facilitated by the fertility clinic or agency.

But in recent years, DNA testing services, like 23andMe, have had a profound impact on egg donor anonymity. The ability to uncover genetic connections through these tests undermines the anonymity promised in traditional egg donation arrangements. Even if donors and recipients agreed to anonymity, individuals who were conceived using donor eggs may take one of these tests and uncover genetic connections to relatives, including their egg donor.

In the past, when anonymity was promised in egg donation arrangements, it was often based on the understanding that the identities of both the donor and the recipient would remain confidential and undisclosed to each other. However, as mentioned above, with the increasing popularity of direct-to-consumer genetic testing services, maintaining complete anonymity in egg donation is basically impossible. If an egg donation agency or egg bank promises anonymity, be very weary. They are not able to guarantee it due to DNA testing.

There is an increasing trend towards greater openness in egg donation arrangements in many countries, with increasing recognition of the importance of providing donors and offspring with the option for contact. For example, the United Kingdom has a regulated system for egg donation overseen by the Human Fertilisation and Embryology Authority (HFEA). Donors are required to provide non-identifying information that may be shared with offspring at the age of 18.

Disclosed and undisclosed donation

At Cofertility, we offer donors and the families they match with two general types of relationships.

In a disclosed relationship, the egg donor and recipient exchange contact information and can communicate directly. So, both the donor and the recipients are aware of each other's identities. The scope and degree of communication (both during and post-match) is what both parties make of it. This can range from occasional updates to ongoing relationships and involvement in each other's lives.

In an undisclosed relationship, identifying information is not exchanged and communication is facilitated through Cofertility. With an undisclosed donation, the donor and the family can choose to allow the donor-conceived child to receive the donor’s contact information when they turn a certain age (usually 18). This is called Open ID, an increasingly popular option.

Benefits of non-anonymous donation

Non-anonymous donation offers a more personalized approach. It provides donors and intended parents the opportunity to establish meaningful relationships and make informed choices based on mutual understanding and respect. This openness can offer opportunities for building positive relationships and can enable donors and intended parents to provide emotional support to one another throughout the donation process. This support network can be valuable in navigating the emotional complexities and challenges associated with egg donation. 

Considerations for potential egg donors

The level of desired openness in egg donation is a personal choice and can vary significantly from individual to individual.  Some individuals may prioritize transparency and openness in all aspects of their lives, including reproductive choices, while others may prefer privacy and discretion. Some may feel comfortable with potential future contact whereas others do not. Both are completely acceptable.  

Summing it up

The concept of egg donor anonymity has evolved over time, with increasing recognition about the benefits of disclosure in egg donation. Initially, anonymity was commonly practiced to protect the privacy of all involved. However, as attitudes towards third party reproduction in general have shifted and advancements in technology have made maintaining anonymity difficult, there has been a growing trend towards disclosure and openness in egg donation. Every donor needs to prioritize their own comfort and values while understanding the positive possibilities of connection. It's essential for individuals considering egg donation to be aware of the potential risks and limitations regarding anonymity and to carefully consider the implications before proceeding with the donation process.

Read more:

• Disclosed vs Undisclosed Egg Donation: How Do I Choose?
• Decoding the Lexicon of Egg Donation: A Guide for Donors on the Continuum of Disclosure
• The Ultimate Guide to Egg Donation

At Cofertility, we’re big believers in destigmatizing mental health conditions — whether it’s depression, anxiety, ADHD, substance abuse, or anything else. If you’re treating or working through a mental health condition, we support you and your strength, and we know that recognizing a mental health condition can actually be pretty empowering.  But if you are thinking about donating your eggs, there are a few considerations you should take into account before starting the process. Read on for everything you need to know about egg donation if you have a mental health condition.  

Do antidepressants or anti-anxiety medications impact cycle outcomes? 

If you’re currently on medication for depression or anxiety, the short answer is — most likely — no. Most commonly used SSRI antidepressants and anti-anxiety medications (benzodiazepines) have not been shown to have clear long-term effects upon egg freezing cycles. That includes both egg quantity and quality, as well as hormone levels and the ability to ovulate. There is concern that the use of SSRIs and other antidepressants during fertility treatments could interfere with the effectiveness of hormonal medications used in treatments, potentially by altering the body's response to these hormones or affecting hormone levels directly. This interaction could theoretically exacerbate symptoms of depression due to the added stress of fertility treatments and the hormonal fluctuations they cause

If you’re planning on freezing your eggs — regardless of whether you’re also donating any — you’ll need to provide your doctor’s office with your current medications. As for official guidance, the CDC and the American Society for Reproductive Medicine (ASRM) consider antidepressant usage safe during fertility treatments. That said, you can never be too proactive, so we definitely recommend bringing this question up with your doctor and discussing your medication, specifically.

When it comes to egg donation, however, things get a little bit more complicated. The ASRM (yes, the same organization that stated antidepressants are safe to take during fertility treatments) considers the current use of SSRIs or other antidepressants a “relative exclusion criteria”' for egg donation. So, not an automatic disqualification, but something that should be reviewed by the doctor on a case-by-case basis. All clinics may view this guidance differently, and different intended parents may feel differently about the issue. Again, we recommend discussing your usage of these medications with your fertility clinic and your psychiatrist. Two people may take the same medication for very different reasons, and context is important here.

Cofertility’s eligibility decisions are rooted in adherence to ASRM guidelines, which fertility clinics follow within comprehensive screenings. Many clinics may have their own eligibility policies on top of the guidelines dictated by ASRM – we ultimately defer to the discretion of the clinic and overseeing physician.

Risks of inheritability — and what they mean for your cycle

Even though the usage of SSRIs or antidepressants may not impact your egg freezing cycle outcome or automatically disqualify you from egg donation, it’s still important to understand the inheritability risk of your mental health condition to potential future offspring. When you are undergoing medical screening for egg donation in a specific match, it involves more than just meeting the general requirements for egg donation. This process also includes eligibility to donate for a particular family. Since sperm contributes the other half of the genetic material in an embryo, it is essential to evaluate the genetic carrier status of both you, the egg donor, and the sperm provider collectively.

Depending on your condition, your reproductive endocrinologist (REI, otherwise known as your fertility doctor) may ask your psychiatrist if you are able to safely go off of your medication if needed. And during your psychological evaluation, the psychiatrist will want to verify that you aren’t under excessive stress or experiencing any instability when providing consent. 

If, based on your condition and psychiatric history, you are still cleared for egg donation, it’s likely that you will be matched with intended parents who don’t maintain a shared history of your condition or related ones. This will be discussed with a genetic counselor as part of the process to mitigate risk of inheritability to future offspring as a result of your egg donation. 

What criteria is required for egg donation? 

In order to mitigate the risk of inheritability of mental health issues to offspring, the ASRM has the following criteria in place that would deem someone ineligible to donate:

• Presence of significant psychopathology 
• Positive family history of psychiatric disorders 
• Current use of psychoactive medication 
• Substance use disorders 
• Two or more first-degree relatives with substance use disorders 
• History of emotional, sexual, or physical abuse without professional treatment 
• Excessive stress 
• Relationship instability 
• Inadequate cognitive functioning to support informed consent 
• High-risk sexual practices 
• Risks/concerns for the donor for future contact with donor-conceived offspring

Each of these factors would be evaluated as part of your initial egg donation application and/or your psychological screening later in the process. 

What’s the rationale for psychological screening for egg donation? 

As part of the egg donation application process, mental health screening checkpoints exist at two key points: 

• The initial (written) application, including a detailed medical history screening, as some conditions are more heritable than others
• The psychological evaluation that takes place once you’ve already passed bloodwork and physical evaluation portions of the process

These screenings take place for several reasons, but the two primary ones are egg donation preparedness and reducing inheritable risks of the mental health conditions to any resulting offspring. 

Preparedness for egg donation

Egg donation isn’t *not* a big deal. You’re helping grow another family who otherwise can’t conceive — and, if you’re donating your eggs through Cofertility’s Split program, you’re also freezing half of the eggs retrieved for your own fertility future. This process is definitely manageable (and actually, empowering?), but someone should only go through with it if they are truly one-hundred-and-fifty-percent ready. 

There are many emotional implications involved with egg donation, both for you and the intended parents. Implications like, what degree of communication with intended parents or any future offspring are you comfortable with, if any? We review every single Split program application to ensure that every member feels not only prepared, but excited, about the prospect of matching with another family and donating half of their retrieved eggs. 

Reducing inheritable risks to offspring

The second, more clinical reason for psychological screening is ultimately to reduce the risk of any potential future offspring inheriting any serious mental health issues. We (and maybe you, if you’re reading this) know first-hand the struggles mental health conditions can bring, not only to the affected individual but also their loved ones. Depending on the severity of the conditions, it’s important to get ahead of any potential risks to families that may be created as a result of egg donation. 

The net-net

Ultimately, if you have a mental health condition, your likelihood of getting approved for egg donation is totally case-by-case. It depends on the specific condition, the severity, medication (if applicable), possible input from your psychologist/psychiatrist, and the evaluation of your readiness for donation. Checks and balances and standardizations within the process exist to ensure you (a) feel great about consenting to the procedure, and (b) that there is not a high risk of passing along a severe condition to potential offspring. 

Egg donation with Cofertility

If you’re curious to learn more about egg donation through Cofertility, take our quiz here to see if you may qualify for our Split program. Through Split, donors are supported throughout the process and get to keep half of the eggs retrieved for their own future use. 

With our innovative approach, you’ll also get:

• Free storage of your own eggs in cryopreservation for up to 10 years
• Coverage of all medical costs throughout the egg freezing and donation processes
• Connection to the Cofertility community for support all along the way (and after, too!)
• The ability to work with intended parents to decide together what your relationship will look like

We hope to support you on your egg freezing and donation journey! 

Thinking about delaying having kids for a while? Maybe you’re focused on your career, haven't found the right partner, or just aren't ready yet. Egg freezing (oocyte cryopreservation) is a way to take some pressure off that biological clock and increase your fertility options. But is it right for you?

Let’s dive into some of the factors doctors use to help people determine if they are a good candidate for egg freezing.

Who is a good candidate for egg freezing?

There's no one-size-fits-all answer to who should consider egg freezing (planned fertility preservation). It depends on several factors, including your age, your ovarian reserve (how many eggs you have left), your family-building goals, and when you realistically see yourself wanting children.  Anyone thinking about egg freezing should be aware of the chances of getting pregnant using those eggs later, and understand that there's no guarantee of a baby.

One of the most important factors is your age.  The younger you are at the time of freezing, the better the quality of your eggs, and the higher your chances of a successful pregnancy later.  Those under 35 generally have the highest success rates with egg freezing.

Read more in At What Age Should I Freeze My Eggs?

In addition to age, your doctor will look at your ovarian reserve.  Tests like AMH (Anti-Müllerian hormone), FSH (follicle-stimulating hormone), E2 (estradiol), and an ultrasound to see your antral follicle count will give them a picture of how many eggs you have left.  This information helps them provide guidance on how many eggs you could expect to retrieve during the freezing process and your overall chances of success.

Egg freezing might also be the right choice for those with certain medical conditions, or those with a family history of early menopause.

Because the answer is different for everyone, you’ll want to have an egg-freezing consultation with a fertility doctor. They'll help you assess the pros, cons, costs, and your individual success rates.

Who is not a good candidate for egg freezing?

Ultimately, the decision will be up to you and your fertility doctor. But there are a few factors that could lead your doctor to dissuade you from freezing your eggs. This includes:

• Over 45: The success rates of egg freezing drop significantly beyond age 45 due to decreased ovarian reserve and lower egg quality. While some clinics might offer the procedure, it's important to have realistic expectations about the low chances of pregnancy.
• Severely diminished ovarian reserve: Hormone tests and an antral follicle count provide an estimate of how many eggs are remaining. If these numbers indicate very low ovarian reserve, egg freezing is unlikely to yield enough eggs to make it worthwhile.
• Planning to conceive soon: If you plan to try for a baby within a year or two, egg freezing usually isn't necessary. The odds of conceiving naturally within that time frame are often good, especially if you are younger. Unless there are underlying medical reasons for concern, it makes more sense to try conceiving naturally first.
• No ovaries: Since egg freezing (oocyte cryopreservation) involves retrieving eggs from the ovaries, this procedure is not an option for those without ovaries.

Even if you fall into one of these categories, it's worth a consultation with a fertility specialist.  They can provide personalized guidance based on your specific situation and help you explore all your options.

Why would someone need to freeze their eggs?

There are many reasons why someone might consider freezing their eggs.  One major factor is age-related fertility decline. As people age, both the quality and quantity of their eggs naturally decrease. Freezing eggs at a younger age allows for the preservation of higher-quality eggs, potentially increasing the chances of a successful pregnancy later in life.

Medical reasons also play a significant role. Conditions like cancer, endometriosis, or surgeries with the potential to affect the ovaries can lead to premature infertility. Egg freezing allows individuals to preserve their fertility before undergoing treatments that might compromise it. Egg freezing is also an option for transgender men considering gender-affirming surgery or hormone therapy. It allows them to retain the possibility of having biological children in the future.

Those with a family history of early menopause might also consider egg freezing. If you have female relatives who experienced early menopause, you could be at higher risk. Egg freezing gives you greater control over your fertility timeline.

Sometimes, egg freezing simply centers around flexibility in life planning. Some people choose to delay childbearing to pursue education, establish their careers, or find the right partner.  Egg freezing can provide peace of mind and increased options when it comes to building a family.

At what age should you freeze your eggs?

According to the American Society for Reproductive Medicine (ASRM), an optimal time to freeze your eggs is in your 20s and early 30s, while you have a higher ovarian reserve and eggs are healthier. So whether you’re 25 or 35, you can absolutely freeze your eggs!

A large 2020 study at a fertility clinic that specializes in this area looked at egg-freezing cycles for over 1,200 people. It compared the average number of eggs people of different ages were able to freeze versus the “optimal” or goal number of eggs they should freeze. This goal number was based on how many eggs would give them a 70% live birth rate after doing 1 or 2 egg freezing cycles (this rate is calculated using some other numbers and it typically goes up as we age to make up for the lower number of healthy eggs). 

The study found that younger people, unsurprisingly, have an easier time freezing the goal number of eggs in one cycle. As people aged, they needed multiple egg freezing cycles to reach that goal number. These findings bring up a common question– is it worth freezing eggs after age 35? 

Is it worth freezing your eggs after 35?

Well, it depends. The ASRM does not recommend egg freezing for people older than 38, but this isn’t a strict cutoff. Everyone’s fertility goes down at a different rate. Having your fertility hormones checked can sometimes help you and your doctor get a general idea of what your ovarian reserve is. This can better help you decide if egg freezing is right for you.

To freeze or not to freeze, that is the question

When trying to decide if you should freeze your eggs, it’s important to know that egg freezing is not an “insurance policy” for your fertility. While egg freezing can take some of the stress of having a baby right now off your shoulders, it is not a guarantee that you’ll have a baby in the future.

Why not? Well, not all the eggs that get frozen will actually be viable. It’s expected that some eggs will not survive the warming process. In addition, the chances of the eggs that do survive being successfully fertilized depends partially on how old you were when you froze them (more on this later).

This is not to sway your decision one way or another. Ultimately, only you and your doctor can decide if egg freezing is the right decision for you. But it's important to go in knowing that it’s not meant to be a done deal.

Freeze your eggs with Cofertility

We’d love the opportunity to support you on your egg-freezing journey.

Through our Split program, qualified freezers can freeze their eggs for free when donating half of the eggs retrieved to a family who can’t otherwise conceive.

Through our Keep program — where you keep 100% of eggs retrieved for your own future use — we offer exclusive discounts on expenses, such as frozen egg storage. Keep members also still gain free access to our Freeze by Co Community, a safe space for those engaging in the egg-freezing process (or gearing up for it) to connect and lean on each other.

By making egg freezing easier and more accessible, our programs further strengthen the American Society of Reproductive Medicine (ASRM)’s Committee Opinion that egg freezing can help promote social justice and strengthen gender equality.

Summing it up

Here are the factors to consider if you are debating if egg freezing is right for you:

• Age matters a lot. The younger you are at the time of freezing, the better the quality of your eggs, and the higher your chances of a successful pregnancy later.  Those under the age of 35 generally have the highest success rates with egg freezing. Egg freezing isn't recommended for people older than 45 due to low chances of success.
• Think about your timeline. How long do you plan to wait to have children? Egg freezing is great for a longer delay, but likely not worthwhile if you’re only thinking a year or two ahead.
• Check your eggs. Tests like AMH, FSH, and ultrasounds with follicle count can give you a picture of your ovarian reserve (aka, how many eggs you have left).
• It's not a guarantee. Even with frozen eggs, there's no promise of having a baby in the future.
• The $ factor. Egg freezing is expensive! Most insurance plans don't cover it, so be prepared for an out-of-pocket cost. Or consider our Split program where you can freeze your eggs for free when donating half to a family that can’t otherwise conceive. 

Freezing your eggs is a big decision, and it's different for everyone. The best thing to do? Talk to a fertility specialist!  They'll help you understand the pros, cons, chances of success, and whether it makes sense for your particular situation.

Egg freezing is, undoubtedly, one of the most empowering journeys anyone with a uterus can embark on. One of the biggest reasons you’ll feel like you can conquer the world after an egg freezing cycle is also one of the least fun parts about it: the injections.

If you’ve already begun to explore freezing your eggs, you know that the process requires administering injectable medication shots. So a thorough understanding of how they work — and how to get through them all (mentally, emotionally, and physically) — is essential. This article aims to provide clinically-sourced tips to guide you through this crucial aspect of egg freezing.

Types of egg freezing shots and medications

At its core, egg freezing involves the use of injectable medications to stimulate the ovaries, promote egg development through maturity, and enhance the chances of a successful egg retrieval. What doctors — and you — are looking for is strong egg volume and quality, and certain medications are used to help you on the road to get there.

These medications fall into a few categories:

Follicle-Stimulating Hormone (FSH)

FSH medications stimulate the ovaries to produce multiple eggs.

Luteinizing Hormone (LH)

LH medications support the final maturation of eggs within the ovaries.

Gonadotropin-Releasing Hormone Agonists/Antagonists

These medications prevent premature ovulation, ensuring that eggs are retrieved at the optimal time.

Human Chorionic Gonadotropin (hCG)

hCG triggers the final maturation of the eggs, preparing them for retrieval. Otherwise known as a “trigger shot,” this shot is timed right before your retrieval so they are at peak maturity (without ovulating, of course!).

The number of shots required varies among individuals, but it typically ranges from 10 to 20 injections over a period of 8 to 14 days. While the idea of injections may seem daunting, many individuals find the process totally manageable with proper guidance.

At Cofertility, all Freeze by Co members gain access to our free member community portal, where we share tons of egg freezing tutorial videos that walk you through the whole thing, step-by-step. You can also ask a partner, friend, or family member to help!

Do egg-freezing shots hurt?

The pain associated with egg freezing shots is subjective and varies among individuals. Most commonly, individuals report feeling a mild discomfort or a slight pinch during the injection. Here are some tips on managing egg freezing injections and making the process more comfortable, but you can dive into more here.

Tips for making injections painless

Utilize the right technique

Proper injection technique is crucial for minimizing pain. The angle and speed at which the needle is inserted, as well as the depth of injection, can impact the level of discomfort. Our videos in our community member portal provide a good, close look at the right technique and method of injection. If you have extra syringes, you can also practice injecting water on a peach or another fruit!

Ice the injection site

Applying an ice pack to the injection site for a few minutes before the injection can numb the area, making the process more comfortable.

Let medications reach room temperature

Allowing the medications to reach room temperature before injection can reduce the sensation of cold, making the process more comfortable. (Of course, you’ll want to read the packaging or talk to your doctor to make sure this is okay for your specific medication).

Take deep breaths

Practicing deep breathing exercises before and during the injection can help relax the muscles, making the process less painful.

Troubleshooting egg-freezing shots

Despite careful planning and execution, you may encounter some issues with egg freezing injections. It’s essential to be aware of potential challenges and know when to call your clinic.

Missed or incorrect dosages

Missing or administering an incorrect dosage can impact the efficacy of the egg freezing process. In case of a missed or potentially incorrect or missed dosage, it is crucial to contact your doctor immediately for guidance on the appropriate course of action. Most fertility clinics have on-call support that you can contact after hours if needed.

Injection site reactions

Some individuals may experience redness, swelling, or bruising at the injection site. These reactions are generally mild and temporary. However, persistent or severe reactions should be reported to your doctor for evaluation.

Ovarian Hyperstimulation Syndrome (OHSS) risks

OHSS is a potential (though low) risk of egg freezing, during which your ovaries can become overstimulated as a reaction to the fertility medication. If you experience symptoms such as severe abdominal pain, nausea, or shortness of breath, it is crucial to seek immediate medical attention.

If you’re afraid of needles

We get it. Sometimes, even with the most support and the best resources, you just might not be able to get yourself there when it comes to needles — even if you really want to freeze your eggs. If this is the case, talk to your doctor about a protocol known as “mini IVF”.

Mini IVF is a newer, needle-free alternative to fertility injections, where fertility medication is given via capsule form instead. Often, mini IVF candidates include those who are at higher risk of developing OHSS or those who actually have lower ovarian reserves that may not be able to be helped much with injectable medications anyway.

If this is you, chat with your doctor to see if you’re a candidate for mini IVF and what kinds of results to expect.

Summing it up

Mastering the art of egg freezing involves meticulous attention to ordering, organizing, and administering injectable medication shots. We’ve got your back with tons more educational content and egg-freezing tips.

If this article’s got you feeling like you can conquer the world (10-14 days of egg-freezing injections? No sweat!), check out our Split program, where you can freeze your eggs for *free* when you donate half to another family who can’t conceive. By donating half of their frozen eggs to LGBTQ+ parents, those with infertility, or cancer survivors, participants in our Split program can make a meaningful impact for themselves and others. Apply for our Split program today.

So, you’re considering freezing and donating your eggs with Cofertility. This is exciting! Donating a portion of your eggs to another family who needs them in order to have children is an incredible decision. But it’s certainly not one to be taken lightly, so you’re doing the right thing by researching the process and considering all factors (and perspectives) involved. 

One of the most important aspects of egg donation is having a clear understanding of what happens to your eggs once donated, and what kinds of families you’ll help. Here, we outline several types of families that you may help when you choose to participate in our Split program. 

How does the Split program work? 

Cofertility was founded on the principles of making egg freezing more accessible and empowering, while also helping grow families via egg donation. With our Split program, those who qualify are able to freeze their eggs completely for free (including up to 10 years of frozen egg storage!) when they donate half of the eggs retrieved to another family who can’t conceive. We consider our unique model a win for everyone involved, and a more human approach to egg donation.

Through the Cofertility Split program, once you’ve qualified, signed your program agreement, and undergone initial fertility testing, your profile will become available to match with intended parents on our Family by Co platform. These intended parents will be able to view your profile and hopefully connect with you, your values, and your motivations for donating a portion of your eggs — in which case, they’ll move forward with a match! 

What is “egg sharing,” anyway?

Once you have matched with intended parents and undergone some additional screening for clearance purposes and industry guideline compliance, you’ll kick off your egg freezing cycle. Within this cycle, you’ll take 10-14 days of injectable medication that will stimulate your ovaries to mature as many eggs as possible. When the eggs have reached peak maturity, you will undergo a retrieval procedure under light anesthesia where the doctor will use a vaginal ultrasound to remove the eggs. 

As part of our egg sharing model, once their eggs are retrieved, our Split members will have half of those eggs immediately frozen and stored for free for up to 10 years (they can be removed from storage any time). The other half of the retrieved eggs will go to the intended parents and can be fertilized with their sperm of choice. If an odd number of mature eggs is retrieved, the additional mature egg will go to the intended parents. 

Types of families you help when donating eggs with Cofertility

There are many types of intended parents who require egg donation in order to conceive and grow their families. 

LGBTQ+ families

As the world has become more tolerant of diverse sexual identity and orientation, so too has it become more tolerant of the evolution of what a “family” looks like. For LGBTQ+ families, this acceptance has been incredibly meaningful in being able to live and grow their families freely. According to 2021 U.S. Census Bureau data, there are 1.2 million same-sex couple households in the US, and about 15% of these couples have children. 

For gay dads in particular, egg donation plays a vital role in providing the ability for them to have biological children. Eggs shared via donation can be fertilized with sperm from one of the intended fathers, with a subsequent pregnancy carried via gestational carrier. Remember, children of gay dads don’t happen by accident; they are the result of lots of effort, motivation, and desire to become fathers. We’re proud to support this growing population of parents. 

People struggling with infertility

Did you know that, according to the World Health Organization, 1 in 6 people worldwide face some sort of fertility challenge? With 1 in 4 pregnancies ending in a loss and 12% of women experiencing difficulties becoming pregnant or carrying a child to term, the prevalence of infertility has increased over time. 

This not only indicates why the best time to freeze your eggs is now (like, right now), it also provides some context as to how (and why) some people may eventually decide to pursue egg donation. It may provide their only option for conception, or perhaps their timeline doesn’t allow trial-and-error of other fertility treatments and they’d like to save themselves the heartache and financial strain of pursuing other options. These intended parents are always incredibly grateful for help from egg donors in growing their families, because it often comes at the end of a long, winding road that involves lots of disappointment and false starts. Growing their family via egg donation is often filled with lots of hope. 

Cancer survivors

Sadly, when a woman undergoes medical treatment as part of a cancer-fighting protocol, this can impact her fertility and family-building options down the line. And unfortunately, only in recent years have fertility preservation options become part of the standard conversation that cancer patients in their fertile years have with their doctors. Even today, this is something many cancer patients with ovaries may need to proactively bring up to protect their options for the future. 

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As a result, many female cancer patients have undergone treatment that, while lifesaving, has caused various forms of infertility. This may be due to resulting hormonal changes, or damage to eggs, ovaries, or uterus. In cases where these hopeful moms cannot use their own eggs to conceive, they need the help of an egg donor to create embryos that they themselves or a gestational carrier may carry.

Single dads by choice

At Cofertility, we support all types of families — and we pride ourselves on the fact that more than 10% of our intended parents are single men, regardless of sexuality. These intended parents have decided to pursue fatherhood on their own, but will need the help of an egg donor as well as gestational carrier in order to make that happen. To us, any person pursuing the option of taking on sole responsibility for a child is someone who really wants (and deserves) to be a parent. And they’re forever grateful to everyone who can help make that dream come true. 

How to get started

If you’d like to move forward with participating in Cofertility’s Split program, where you can freeze your eggs for free when you donate half of the eggs retrieved to another family who can’t conceive, fill out this quick quiz to learn more about your options and see if you qualify. It only takes one minute!