egg donation

As a fertility psychologist with training and education in third-party reproduction and 10+ years of experience screening egg donors, I wanted to share a little more about the rigorous psychological evaluation that takes place for potential egg donors.

Whether you are someone who is thinking about donating your eggs or someone pursuing donor egg IVF, this article is for you. Understanding the process and its importance can ensure a smooth and ethical egg donation process. 

What is screening like for a potential egg donor?

Psychological screening of a potential egg donor starts with the initial application. This application digs deep into the donor’s physical, medical, and emotional history. It also digs deep into her first and second degree. The reason we need to look into family history is because certain disorders are heritable and the receiving parties need to know and fully understand a donor's complete medical picture before deciding to move forward with her. 

Once a donor matches with a family, she then undergoes a psychological evaluation with a fertility psychologist. The American Society for Reproductive Medicine has set forth guidelines for Psychologists to follow when assessing potential egg donors. These guidelines are a way to ensure informed consent, to ascertain that she does not have any psychological contraindications to donating, and that she will be able to be committed and fulfill her responsibilities for the cycle.  

The evaluation is an interview which will review many of the things found in the application but will delve deeper. For example, the interview will include, but is not limited to, conversations about family, work, education, medical, and psychological history. Potential emotional and social risks, understanding disclosed vs. undisclosed relationships will also be discussed. The evaluation will also include a standardized, empirically-validated test designed for the assessment and/or screening of mental and behavioral disorders. Typically, these are conducted on the same day and can be done in-persons or through a telehealth consultation.

Why would someone fail a psychological screening?

Unfortunately, not everyone is suitable for egg donation, and a psychological evaluation can make this apparent. When someone does not clear psychological screening, it can lead to disappointment for the family and woman alike. 

But, psychological screening of an egg donor comes down to ethical responsibility. We need to ensure the donor’s psychological stability, informed consent, and emotional readiness which includes her understanding of the short and long term consequences of the donation process. 

Further, as a clinician my job does not only include the potential donor and her well-being. It also includes the recipient family, which also includes the future human(s) that will result from the donation. This donation isn’t just a one and done type of deal. So psychological screening is not just a formality, it is a necessity. 

What if I’ve donated my eggs before? Do I have to go through psychological screening again?

Things change. Life happens. Who you were and what you were doing during a previous donation cycle may no longer be the same. So just because you have successfully donated before does not always mean that you will be eligible to donate again. If you are wanting to donate again, I want to know why you want to do this again? I want to know what has changed since your last donation. You will once again complete a full clinical interview along with the standardized assessment. For donors who undergo additional cycles, ASRM recommends that a new full evaluation be conducted if more than 24 months have elapsed since the previous evaluation. 

Summing it up

The American Society for Reproductive Medicine (ASRM) has clear guidelines for who is and is not eligible to donate. These guidelines are there to protect everyone involved. Remember, you are creating an entire new branch of a family tree using your DNA. So it is important that no stone is left unturned. As a therapist, our job is to ensure informed consent (meaning, prospective donors fully understand the process); that the assessment is fair regardless of race, gender, or socio-economic status; and to protect personal and sensitive information as we will be asking for a lot of personal information. 

A psychologically prepared donor is essential for successful egg donation. So it is important to do your research. Understand the process and ask a lot of questions.

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.

When you're freezing your eggs, it can feel like you're navigating a maze of unfamiliar terms and unfamiliar people. Who are all these people? What do they do? And when should you see them? 

Here, we'll break down the different members of your fertility team and what services they provide, to help you understand who you'll be working with on your egg freezing journey.

Your Primary Care Physician (PCP)

For some, the dialogue about fertility begins with a conversation with their Primary Care Physician (PCP). This medical generalist can provide an overview of the fertility landscape and may guide you towards specialized care if your situation calls for it.

Obstetrician-Gynecologist (OBGYN)

As a specialist in women's reproductive health, an Obstetrician-Gynecologist (OBGYN) can offer nuanced insight into fertility and hormonal health. Although not directly involved in the egg freezing process, their counsel is often a valuable stepping stone to more specialized care.

Reproductive Endocrinologist (REI)

An OBGYN with additional training in reproductive endocrinology, your REI is the main person overseeing your egg freezing journey. Specializing in the hormonal and medical intricacies of fertility, they oversee and perform the egg retrieval process. Many people start their egg freezing/donation journeys with an REI consultation. 

Nurse Coordinator

An RN serving as a lynchpin in patient care, the Nurse Coordinator organizes patient education, scheduling, and medication management. Their role varies by clinic but invariably serves to harmonize the efforts of the entire fertility team.

Embryologist

The Embryologist also works at the fertility clinic and is the scientist who helps fertilize and grow your embryos! They are in charge of making sure your eggs get safely frozen. 

Egg Freezing Agency, such as Cofertility

For those seeking an additional layer of service and support, Cofertility helps streamline your journey. We help you find a clinic, connect with others freezing their eggs at the same time, and fill the gaps not covered by a standard fertility clinic.

Financial Counselor

Navigating the costs of egg freezing can be daunting. A Financial Counselor specializes in demystifying this aspect, helping you explore insurance coverage and financing options.

Fertility Courier

Responsible for the logistical challenge of safely transporting your frozen eggs, the Fertility Courier is a specialized service provider you may never meet but will trust implicitly.

Cryostorage Facility

A cryostorage facility serves as the vault for your frozen tissue. Specializing in the preservation of biological material, these facilities are where your eggs will reside until you decide to use them. We have a partnership with TMRW where we have negotiated discounted rates for our members. 

Genetic counselor

Being a carrier doesn't mean you have the condition, but it can still be concerning when your genetic testing reveals you have a genetic predispositions to certain conditions. Your genetic counselor helps you understand the implications of your carrier status. They can explain the risks, potential impacts on future children, and provide guidance on family planning.

Third-party reproductive (TPR) care coordinator

A clinic employee who works in the field of assisted reproductive technology (ART) and reproductive medicine. Their primary role is to facilitate and coordinate various aspects of third-party reproduction, which involves using donated eggs, sperm, or embryos, as well as gestational surrogacy.

If you participate in our Split program, there are even more people you will work with along the way 

Our Split program offers women a chance to freeze their eggs for free when donating half of the eggs retrieved to a family who cannot otherwise conceive. If you qualify for the program and decide to donate half of your retrieved eggs, every expense associated with the egg freezing procedure —  medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.

Member Advocate 

At Cofertility, the Member Advocate serves as your personalized concierge, easing communication among all the parties above and ensuring a smooth journey  from start to finish. A Member Advocate plays a crucial role in supporting you through the complex and highly regulated process of egg freezing and donation, helping you navigate the medical, emotional, and logistical aspects of preserving your fertility with compassion, evidence-based research and trustworthy guidance.

Fertility Psychologist 

Emotional support is invaluable. We have a Fertility Psychologist on our team to support the psychological and emotional aspects of your journey, offering screening and therapeutic support.

Third-party Reproduction Lawyer

When you match with a family, you will work with a Fertility Lawyer to ensure that all agreements, from donor agreements to future use contracts, are conducted within the bounds of the law. We can help you find a lawyer with expertise in this space, which is entirely free to you. 

It's important to note that not everyone needs the same team or the same services. Your path will be as unique as you are; tailored to meet your specific needs and circumstances. Never hesitate to ask questions or advocate for yourself; after all, this is your journey, and you deserve a team that not only supports but champions your reproductive goals. The most important person on your fertility team is you. 

At Cofertility, we have a preferred network of partners across the country that can help with every aspect of your egg donation journey, from the legal contracts to the embryo storage. While reading this list can feel overwhelming, if you work with us, know that we can handle most every interaction.

Cofertility is a human-first fertility ecosystem rewriting the egg freezing and egg donation experience. Our Split program allows women to freeze their eggs at no cost, when they donate half to a family that could not otherwise conceive. We are obsessed with improving the family-building journey — today or in the future — and are in an endless pursuit to make these experiences more positive.

Today, I have the privilege of sitting down with one of our Split members to delve into her personal journey—why she chose to freeze her eggs through our program, how she navigated the emotional toll, and the future she envisages for herself and her family. By peeling back the layers, we seek to understand not just the practicalities but also the emotional and psychological nuances of this choice.

Why did you decide to freeze your eggs through Cofertility’s Split program? What were the factors that led to this decision?

I had considered donating my eggs a few times before I had heard of Cofertility, but it had never moved beyond it being an idea in my head because it never felt right. Most of the marketing I saw about egg donation focused on the monetary benefits, which I understood because it is an invasive procedure, but they never talked about where your eggs were going. It felt very impersonal and that I would have no control or say in where these eggs would go. 

I had not considered it again until I heard about Cofertility on Instagram. When I first learned about the idea of helping a couple to conceive while also protecting your own fertility I thought it was genius and wondered why this wasn't an option already. My company does not have egg freezing benefits so egg freezing wasn't something I had been planning to do. 

Cofertility's split option gave me an opportunity I hadn't even considered - egg donation that didn't feel as yucky and a chance to preserve my own fertility without a huge price tag. It really felt surreal that I would be able to freeze my eggs and not worry so much about a timeline to decide on kids. 

What was the hardest part of the process?

Overall, I really felt that Cofertility made this process quite easy for me. Having a Member Advocate throughout the entire process was incredible, and not having that person switch or change made it really easy to build up the trust. 

At the clinic I went to I saw various nurses and doctors, but my Cofertility Member Advocate stayed the same and that consistency was extremely impactful to my mental health throughout the process.

At the clinic I went to I saw various nurses and doctors, but my Cofertility Member Advocate stayed the same and that consistency was extremely impactful to my mental health throughout the process. Out of the entire process, I would say the number of appointments and the amount of time needed during the two-week hormone cycle was probably the hardest. Getting blood drawn multiple times a week, followed by doctors appointments, and all the waiting that comes with both does require time investment. I would try to make my appointments as early in the morning as possible to not interfere with my work, but giving yourself grace and flexibility for those two weeks is necessary. I am fortunate to have the flexibility at my job and work with a group of people that were extremely supportive of what I was going through, but if you are someone who is not used to the process it can feel like a lot of time out of your control.

Was there anything that you were nervous about, but ended up not being as bad as you thought?

I was most nervous about the shots going into it, but they ended up not being as bad as I had expected them to be. For the most part, the needles were much shorter and thinner than I expected and I was able to do all of the shots myself. 

In fact, once I did my first one I felt a sense of pride and accomplishment for being able to do it. Cofertility had given me a goody bag when I started my cycle and the little ice pack was wonderful for any post-shot discomfort. I also tried to pair the shots with a treat for myself as a little reward... give myself a shot and have some chocolate, give myself a shot and watch a show I love, give myself a shot and do a little online shopping. This process was all new and different for my body so I tried to give myself grace and love throughout it!

Read about egg freezing shots in I'm Afraid of Needles; Can I Still Freeze My Eggs?

Did freezing your eggs affect your relationships or dating life in any way? How did you navigate these aspects during the process?

When thinking about the people I know who have gone through the egg freezing journey, they were all in different stages of their dating / relationship journey. Some were casually dating and not looking for anything serious, some had a new partner that they hoped would turn into something serious, and some were with a long-term partner but not ready to build their family further than that yet. I fall into that last category. When I decided to freeze my eggs with Cofertility, my husband and I had been together for 9 years and married for one. While we were very serious about each other, we weren't sure if or when we wanted kids, but we knew we didn't want them now. My husband was very supportive of the idea of freezing my eggs for our own future use, but I was curious how he would feel about me donating eggs to another family. When I brought it up to him he truly had less hesitation than I even had. His perspective from day one has been that it is my body and if I feel comfortable with the choice then he is here to support me. That position did not change throughout the process, and if anything he (similar to myself) felt more confident each day with the decision to "split" once we met the intended parents and got to know them more. 

I feel very lucky to have had a supportive partner to go through this with and someone who trusted my choices 100%. I know this route is something that may take some partners time to digest and understand, but I think in the end the most important thing is that you, as the person freezing and donating your eggs, feel that this is right for you. 

Read more in Want to Donate Your Eggs? Tips on Talking It Over with Your Partner

How did you manage the emotional and psychological aspects of freezing and donating your eggs? 

Looking back, the opportunity to know the parents who I was donating the eggs to played a huge role in managing the donation emotionally and psychologically. When I first learned about Cofertility I wasn't sure if I would want to have a disclosed donation. I was worried about what that would mean and what that relationship would look like. 

After learning more about egg donation, it was clear that there is no such thing as an anonymous donor due to the genetic testing that exists today. If I wanted to donate my eggs, I needed to be okay that the child(ren) that they created would be able to know who I am at some point in their life. This was something that I thought over for a while and researched how DCP (Donor Conceived People) felt about. I wanted to know that I was doing the right thing for the possible children that came from these eggs - my own and the intended parents'.

In the end I felt really good about my decision to have a disclosed donation. Knowing that both the intended parents and myself were on the same page on this built a foundation of care and immense respect for the other party.

In the end I felt really good about my decision to have a disclosed donation. Knowing that both the intended parents and myself were on the same page on this built a foundation of care and immense respect for the other party. I have always shared with them that I want to follow their lead on what feels right throughout the process and the years to come and they have been great communicators of what they want while respecting my choices as well. This relationship, along with the huge support from Cofertility, made the process really supportive of my mental health. I went into it wondering if the combination of doing something totally new, medications / hormones, and other life stress would be hard to handle, but I think the peace of mind that comes with preserving your fertility hugely outweighed any weight from those factors. 

What are your plans for the future regarding your frozen eggs? How do you envision incorporating them into your family-building journey, if applicable?

Right now, my husband and I haven't decided when we will start to build our family. In a perfect and easy world, we would have no trouble conceiving and the eggs I have frozen wouldn't need to be used, but I have seen for so many people I love this is not always the case. Whether we use the eggs to conceive all of our future children, conceive naturally at first then need to use the eggs for later children, or not use the eggs at all, it gives me so much peace of mind to know that they are there and we took this step to preserve my fertility. It is not an insurance plan, but it feels good to know that Cofertility opened a door for me that otherwise I likely would not have opened on my own.

Lastly, what advice would you give to someone who is considering freezing and donating their eggs? Are there any important factors they should keep in mind?

The biggest advice I would have is to really understand if you want your egg freezing journey to be something that happens and you are done with it or if you are open to something that will be a little part of you for your life. 

What I mean by this is that if you freeze your eggs without donating you go through the process, the injections, and the retrieval and then you are done unless you one day need to use those eggs. When you freeze your eggs and donate half you go through that same process, but in the future there may be a DCP that reaches out to you once they are 18 to try to make a connection, or intended parents that reach out when they need additional family medical history, or maybe you have a closer relationship with the intended parents and you get annual cards with updates of the DCP. 

No matter the case, there is a possibility that your involvement with egg donation does not end entirely when the eggs are physically donated. This was something I really thought hard about and found a lot of peace with. The process that Cofertility leads you through with speaking to a fertility counselor both alone and with the intended parents helped with that as well. 

On top of the counseling, having a clear contract and great legal support (Cofertility also helps with recommending representation) gave me peace of mind that I knew and agreed to all boundaries in the donation.

I truly think egg donation is such a meaningful thing to do, helping someone who wants to be a parent so badly conceive is truly life changing and I am so grateful to Cofertility for giving me the opportunity to help out an amazing couple and also preserve my own fertility in the process.

Read more:

• The Ultimate Guide to the Split Program
• 8 Questions to Ask Yourself Before Donating Your Eggs
• Will I Regret Donating My Eggs?

Egg donation is an incredible way for women to help others fulfill their dreams of parenthood — but you might be wondering, what does “egg donation” actually mean? The process involves several steps, and it’s important to have a rock-solid understanding of what’s involved before moving forward with donating your eggs. 

In this article, we’ll explore the intricacies of egg donation, why women choose to donate their eggs, dispel common myths about egg donation, and share more about how the Cofertility Split program is a unique approach to egg donation. 

How egg donation works

Egg donation is a medical process in which a woman provides her eggs to assist another individual or couple in conceiving a child. This process can be a beacon of hope for those struggling with infertility, same-sex couples, or individuals who cannot use their eggs for various medical reasons, like cancer survivors. 

The egg donation process, step-by-step

Screening and matching

As a first step, if you’re interested in donating your eggs, you can apply to Freeze by Co’s programs by answering a few quick questions about yourself. If you qualify, you’ll move on to the full application where you’ll provide some information about your family medical history, genetic background, and motivations for going through the process.  

Once you’ve been accepted into Freeze by Co’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 — you’ll immediately join our member community, where you can connect with others at the exact same point in the process, lean on each other, and learn from one another. 

As you await your intended parent match, you’ll undergo some bloodwork at a local lab to get an idea of your potential ovarian reserve (or egg count) ahead of time. This helps give everyone the confidence that you’ll get enough eggs to share. Once you match with an intended parent, you’ll then undergo in-person medical and psych testing before moving on to legal contracts, your stimulation cycle, and retrieval. 

Donating eggs is a big deal, and not to be taken lightly on either end — so these first screening steps are incredibly important!  

Legal 

Once you’ve entered into a match with intended parents and you’ve passed your initial physical screening, you will enter into a legal agreement with the intended parents. This document will lay out all specifics regarding your and the intended parents’ rights throughout the process. Specifically, it will note that by donating your eggs, you waive all rights to those eggs and are not considered the parent of any resulting embryos or children.

This contract also provides the opportunity to put into writing your preferences around disclosure and communication, and intended parents will do the same. Ultimately, this is a vital step throughout the process — and at Cofertility, we provide members of our Split program legal counsel to ensure they are represented fairly.

Stimulation and retrieval

Once you’ve been given the green light, you’ll begin your egg donation cycle. During your 10-14 day cycle, you’ll take injectable hormone medications daily to stimulate your ovaries to produce multiple egg-containing follicles. Frequent monitoring via quick blood tests and ultrasounds will ensure that your eggs are reaching peak maturity prior to retrieval. As the eggs mature, you may feel some bloating.

When the eggs reach maturity, a minor surgical procedure known as an egg retrieval is performed under sedation. A specialized needle is used to extract the eggs from your ovaries, and it’s a relatively quick procedure, and you’ll go home that day to get some rest. Your doctor will monitor you closely afterwards and check in after the procedure to ensure there are no complications. 

Your half of the eggs will be frozen and safely stored for up to 10 years for free. The other half will go to the family you matched with. 

Read more:

• Egg Freezing: How Long Can My Eggs Be Stored?
• Egg Freezing Thaw Rates

So, why would a woman donate her eggs? 

There are many reasons why someone might donate her eggs, but the main rationale we tend to hear falls into a few main categories: 

• Empathy and compassion: Many women choose to donate their eggs out of a desire to help others experience the joy of parenthood. They want to make a meaningful difference in someone's life and recognize the emotional struggles of those trying to bring children into the world, especially if they know someone first-hand who has faced family-building challenges.
• Ethical considerations: Many egg donors share a strong belief in reproductive autonomy, allowing individuals and couples to make choices about their family-building journey.
• Opportunity to freeze your eggs for free: Egg donation can also offer financial compensation to donors, though the exact amount varies by location and agency. Our Split program instead offers a unique approach, allowing women to freeze their eggs for free when they donate half the eggs retrieved to another family. 

Facts and myths about egg donation

When it comes to egg donation, there’s a ton of misinformation out there — let’s dive into some of the big myths you may come across and dissect which ones are fact vs. fiction.

Can you still have kids after donating eggs?

Yes. Donating eggs does not affect a woman's ability to have children in the future. A stimulation and retrieval cycle involves such a small fraction of a woman’s total egg supply, which the body replenishes. That said, it's essential to consider your own family-building goals with a healthcare provider before becoming a donor — which is why we offer our Split program. Those participating in the program are able to preserve a bit of their own fertility while doing something amazing for another family.

Read more in Does Donating Eggs Affect Your Fertility?

Are donor eggs your baby?

Nope. Donor eggs are *not* babies. They are half of the genetic material used for the child of the intended parent(s), with the remaining genetic material coming from the sperm provider (the intended parent or a sperm donor). A donor's contribution is solely the eggs, not the full genetic makeup of the child. And, as mentioned above, as part of the process you’ll sign a legal agreement clarifying that you do not have rights to any embryos or children resulting from these eggs. 

Will I experience psychological impact? 

Yes — but in a good way! If screened and educated properly (this is a big “if”), anyone donating eggs should have full informed consent about the donation process and everything involved. All egg donors should undergo thorough psychological assessments and have access to counseling before, during, and after the process to ensure their emotional well being.

At Freeze by Co, our model removes cash compensation from the egg donation process (rather, enabling women in our Split program to freeze half of the eggs for their own future use for free). We’ve designed the program to provide Split members with the opportunity to not only preserve some of their own fertility future, but also help another family. This way, everyone involved can feel good about the journey.

Read more in Will I Regret Donating My Eggs?

Donating eggs through Cofertility's Split program

Cofertility's Split program is a unique approach to egg donation that distinguishes itself from traditional methods rooted in cash compensation and icky practices. Our program helps provide everyone — both the person freezing and donating their eggs and the intended parent(s) — with autonomy to grow their family, whether that’s today, or maybe some time in the future. 

Members of our Split program 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.

Take our quiz to see if you qualify for our Split program today! 

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.

Donating your eggs is an extraordinarily generous act. As an egg donor, you have the potential to help a family struggling with infertility or a same-sex couple realize their dreams of parenthood. But the decision to donate eggs is not one to be taken lightly, and it's natural to want the support and understanding of your family as you embark on this journey.

If your partner is unfamiliar with the egg donation process, they may have numerous questions and concerns. Some of the most common questions revolve around the medical risks involved, potential contact with the intended parents (IPs), and the timeline of the whole process. Here's a guide to help you address these concerns.

Should I tell my partner/boyfriend/spouse I want to donate my eggs? 

While it is absolutely within your right to keep this information private, there are considerations that might sway you toward opening up about it.

First, it may be hard to hide. The egg donation process involves medical appointments, injections, and potentially some down time after the egg retrieval. It could become difficult to keep these aspects concealed, especially if you and your partner share many aspects of daily life. From a practical standpoint, hiding the process may add unnecessary stress or complications.

Second, you might want their support. Sharing the decision with your partner can foster open communication and enable emotional support throughout the process. It provides an opportunity for your partner to understand your motivations and to be part of the experience, even if only as a listener or a helping hand.

Your partner's reaction to this decision might also provide valuable insights into the relationship's dynamics. If the response is dismissive, excessively critical, or unsupportive, it may be a red flag that prompts further reflection on compatibility and shared values. Conversely, a supportive partner's response can strengthen the relationship, building deeper trust and empathy.

While there is no right answer, one thing is for certain, your decision to donate is yours and yours alone, and so is your decision to tell them… or not. This means you are the one who can best make this decision.

Read more in: Should I Tell People I'm Donating My Eggs? 

Common questions partners may have

What is the medical risk?

Egg freezing is considered a safe procedure. In a single egg freezing cycle, the risk of a serious adverse event is under 2.5%. Severe OHSS accounts for the majority of complications, occurring in 0.1-2% of cycles. The risk of other acute complications, including pelvic infection, intraperitoneal hemorrhage, or ovarian torsion, is small (<0.5%). That being said, many women do experience minor side effects – like bloating, constipation, nausea – from the medications and egg retrieval.  Side effects are typically mild and short-lived.

Egg donation requires a series of hormone injections to stimulate the ovaries into producing multiple eggs during a single cycle. You can assure your partner that these medications are prescribed under the careful supervision of a fertility doctor.

The egg retrieval process itself is a minor surgical procedure done under sedation, so you won't feel anything during the procedure. Post-procedure discomfort is typically minimal and can be managed with over-the-counter pain relievers. 

You can remind your partner that all steps of this process are carefully monitored by experienced, board-certified fertility doctors who prioritize your health and safety above all.

Will you be freezing eggs or embryos and why?

If you’re in a relationship with a biologically male partner, they may be wondering if you are going to freeze embryos or eggs. 

While it’s true that thawing success rates can be slightly higher for embryos than eggs (at a 95% survival rate vs 90% for eggs), the downside is that once an egg is fertilized with sperm, there’s no going back, so freezing eggs instead of embryos will give you more options down the line. 

We know, this might be a little bit of an awkward one to bring up with your partner, but it might come up at some point, so the best you can do is be prepared with the facts.

Read more in:

• Should I Freeze Eggs or Embryos?
• We Asked Four Women: Did You Freeze Eggs or Embryos?

Will egg donation impact your ability to have kids in the future? 

Egg donation, which is the same medical procedure as egg freezing, won’t lower your egg reserve and it won’t affect your chances of getting pregnant naturally when you’re ready to do so. 

In fact, participating in our Split program – where you freeze your eggs for free when donating half to another family – can actually increase your chances of having a baby down the line because you are preserving younger eggs. 

Who are the parents that need donor eggs?

Many types of families need egg donors to grow their family, including people facing infertility, LGBTQ+ couples, cancer survivors, women with age-related fertility decline, and more. 

Sharing more about the family you are matched with can help humanize the experience.

What will your relationship be like with the intended parents?

The level of contact with the intended parents is highly dependent on the agreement you reach beforehand. Some arrangements are undisclosed, with no information exchanged between you and the IPs. Other arrangements are disclosed, allowing varying degrees of communication and contact, such as the exchange of letters or even face-to-face meetings.

Your choice about the type of relationship you wish to have with the IPs is up to you, and you should assure your partner that you will make the choice that feels right.

Does this mean our future kids will have siblings out there?

Technically speaking, children born from your donated eggs would share a genetic link with you, as well as with any of your existing biological relatives. However, neither you nor your partner would have any legal or parental ties to these children.

A sentiment eloquently expressed by one of our egg donors to her boyfriend captures this nuance: “I view egg donation as an act of helping others realize their family dreams. The children born from my eggs will belong to their own families, not ours. While the connection may be biological, it isn't familial."

What are the legal implications?

Understanding the legal rights and obligations associated with egg donation is important. You can let your partner know that before the egg donation process begins, you will sign a legal contract that outlines the rights and obligations of all parties involved. This includes an agreement to relinquish all parental rights to any children born from the donated eggs. 

How does Cofertility work?

Cofertility’s Split program offers women a chance to both freeze their own eggs and donate half the eggs to a family who cannot conceive otherwise. Every expense associated with the egg freezing procedure —  medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. 

Cofertility assigns a Member Advocate to each donor to support her throughout the entire journey. They’ll be there every step of the way as appointments get scheduled and plans for the cycle are made. No question is too small for Cofertility’s Member Advocate team. Plus, Split members have support of our entire community of others going through the same process.

How much time will it take?

The timeline can vary depending on several factors, including your menstrual cycle and the matching process with intended parents. The process begins with an application, followed by a screening process, which can take several weeks. 

Once approved and matched with the IPs, you'll start the ovarian stimulation process, which takes about two weeks. This involves daily hormone injections to stimulate the ovaries. The egg retrieval procedure is scheduled once the eggs are mature, typically after 10-14 days of stimulation. Following the retrieval, you will have a brief recovery period, usually a day or two, to allow any minor discomfort or side effects to dissipate. You will know immediately how many eggs were retrieved and frozen for your own future use. 

In total, from match to retrieval, the process can take anywhere from two to four months.

Will you get enough eggs to use in the future?

Being part of Cofertility’s program means you passed rigorous medical screening, including AMH and antral follicle count, and that our medical team and the doctor performing the egg retrieval believe you are a good candidate for egg sharing. This doesn’t guarantee that you will get a lot of eggs, but it is pretty predictable. 

Furthermore, a UK study of egg sharing amongst IVF patients found that participating in an egg sharing program did not compromise the chance of achieving a pregnancy or live birth for the egg sharer or the recipient.

Summing it up

Your partner’s concerns and questions about your decision to become an egg donor are understandable. They want to ensure your safety and wellbeing, and these are valid concerns.

As you discuss the process, remind them of your reasons for making this choice and assure them of your commitment to understanding and minimizing the risks involved. Encourage them to accompany you to a medical consultation if possible, to provide them an opportunity to hear information directly from professionals, and to ask any questions they may have.

Your act of egg donation could bring immense joy to a family longing for a child. It's a beautiful decision, and having your partner’s understanding and support will undoubtedly make the journey even sweeter.

Read more:

• I'm a Psychologist: Here's How to Talk to Your Partner About Donating Your Eggs
• How To Talk To Your Family About Donating Your Eggs
• How to Support Your Partner Through the Cofertility Split Program
• Does Donating Eggs Affect Your Fertility?

At Cofertility, we pride ourselves on guiding our members through the journey of egg donation, ensuring a supportive, transparent, and ethical process for all parties involved. One aspect of this process involves helping our members understand the various terms used within the realm of egg donation, and pros and cons of each type of disclosure status. 

Each relationship is unique and depends on both the desires of you and family, as well as what’s best for any future donor conceived children. 

This guide is meant to aid you in making informed decisions that align with your personal beliefs, comfort level, and the best interest of any potential donor conceived children.

Let’s dive into the terms:

• Anonymous egg donor: an outdated term used to describe someone whose identity is not shared with the family. In today’s age of social media and genetic testing, we think “anonymous” is a misnomer. 
• Non-anonymous egg donor: an outdated term used to describe when an egg donor and intended parents have each other’s contact information.
• Known egg donor: usually used to describe an egg donor who knows the intended parents, like a family member or friend.
• Unknown egg donor: an egg donor that does not know the intended parents, and vice versa.
• Disclosed donation: the intended parents and egg donor exchange contact information and communicate directly. This does not mean they have an ongoing relationship, just that they have the names of one another. 
• Undisclosed donation: the intended parents and egg donor do not exchange contact information.
• Open ID: the intended parents and egg donor do not exchange contact information, but the egg donor agrees to have her identity disclosed to the child born from her donation once the child reaches a certain age, typically at 18 years.
• Identity-release: another term for open ID.

The fallacy of the "anonymous" egg donor

Back in the day, egg donations were often declared "anonymous," meaning the identities of the egg donor and the intended parents were kept secret from each other. However, the concept of total anonymity seems antiquated in an era of advanced genetic testing and omnipresent social media. So, if someone promises you complete anonymity, treat that claim with skepticism.

Read more about why we don’t believe in anonymous egg donation.

Disclosed and undisclosed egg donation

Disclosed and undisclosed are the terms we prefer to use at Cofertility to describe the two types of disclosure agreements possible. 

In a disclosed donation with Cofertility, you and the family will exchange contact information and can communicate directly. We highly encourage this model as it promotes transparency and aligns with feedback from donor-conceived community.

In an undisclosed donation, you do not exchange contact information and only communicate via Cofertility. Although we recommend disclosed donations, we respect the individual's choice for undisclosed donation after understanding the potential implications for donor-conceived child.

Regardless of your donation disclosure status being disclosed or undisclosed, you may choose to meet the family during the matching period without exchanging contact information. 

The scope and degree of communication in a disclosed donation (both during and post-match) is what both parties make of it and can be outlined in your legal agreement. Communication can range from sharing an annual holiday card to direct, regular communication between you and the family. 

Your disclosure status does not necessarily dictate the relationship with the family or child. For instance, you may opt for a disclosed donation, where you share contact information, but decide against maintaining regular communication.

Undisclosed egg donation with Open ID

For those who choose an undisclosed donation, open ID (sometimes called identity release) is an option. This model allows any child resulting from the donation to receive your contact information once they reach a certain age, typically 18 years. 

This option safeguards the child’s right to learn about their genetic history, should they wish to. The open ID agreement is often structured based on the comfort and consent of all parties involved and takes into consideration the best interest of the donor conceived child.

Disclosed egg donation arrangement has varying degrees of interaction 

Here are a couple of questions you might consider asking yourself in defining your preferences for a disclosed donation:

• How do I feel about the possibility of the intended parent’s future child reaching out to me when they turn 18 or another age? 
• Do I envision myself forming a lasting connection with the intended parents and their child, or am I more comfortable with a limited interaction?
• Am I open to receiving or sharing updates, and if so, what frequency feels right to me?
• What boundaries or personal limits do I want to establish regarding communication and relationship with the intended parents vs. their child?
• Can I envision scenarios where my level of involvement might change over time?

You don’t have to have all of the answers. It is only natural that your needs and preferences will evolve with time. To help you gauge your current preferences, consider the following scenarios illustrating a disclosed donation at various degrees of engagement.

Lower engagement scenarios:

• Medical updates only: You are comfortable with exchanging contact information but agree with the intended parents not to send or receive any social updates. The intended parents can reach out directly with any medical/health questions, and you agree to inform the family of any new medical information that arises.
• Occasional updates: You and the intended parents agree to exchange occasional updates through email, letters, or text. An example of this is receiving an annual holiday card. This approach maintains a sense of connection without imposing an ongoing commitment.

Moderate engagement scenarios:

• Virtual check-ins: You and the intended parents opt for occasional video calls, perhaps once or twice a year. This allows for more personal interaction and a chance to see the child's growth, fostering a stronger bond while keeping the relationship primarily digital.
• Scheduled visits: You and the intended parents might agree to an in-person visit, perhaps once every few years, providing an opportunity for face-to-face interaction. 

Higher engagement scenarios are rare, and generally occur between donors and families with a pre-existing relationship. That being said, in some cases, if you (and the parents) want more involvement, it is possible. 

The power of choice: respecting cultural preferences & unique circumstances

While we advocate for disclosed or undisclosed open ID donations, we respect the cultural needs and unique circumstances of those who prefer undisclosed donations. At Cofertility, we strive to connect egg donors with research and experts, aiding in informed decision-making, and respecting cultural considerations.

Understanding these terms and the principles behind them can make your journey through egg donation smoother and more transparent. We are here to support and guide you, ensuring a process that honors all parties involved.

Learn more about becoming an egg donor:

• Does Donating Eggs Affect Fertility?
• Will I Regret Donating My Eggs?
• Want to Donate Your Eggs? Tips on Talking It Over with Your Partner

If you are part of Cofertility’s Split Program, or even donating your eggs elsewhere, this is a helpful guide to share with your partner.

At Cofertility, we are on a mission to support individuals and families across different phases of the fertility journey. Our work transcends the boundaries of traditional fertility care, forging connections that breathe life into the dreams of thousands of families, both today and the future. 

Through our unique Split Program, we've had the privilege of working with many egg freezers and donors, and know the experience varies widely. We've witnessed joy, apprehension, hope, and triumph, and we've come to recognize that the process of egg sharing is multifaceted and profound. Our journey with these remarkable individuals has not only exposed us to the wide spectrum of emotions and decisions, but has also underscored the indispensable role of a robust support system throughout the journey. 

Becoming an egg donor presents a multitude of emotional, physical, and ethical considerations. How, then, can friends, family, or significant others support a Split member during this journey? 

In the following guide, we hope to share the insights we've gathered, offering a pathway for those seeking to support a loved one through this journey.

Understand the process

It’s helpful for you to understand the logistical and medical process your partner or loved one is going through. Here are a few guides to get up to speed:

• What's the Egg Retrieval Process Like?
• Everything You Need To Know About Egg Freezing Medication
• The Ultimate Guide to the Split Program
• Disclosed vs. Undisclosed Egg Donation: How Should I Choose?
• What are the Side Effects and Risks of Egg Freezing?

Offer assistance

The Split members' journey with egg freezing will require numerous medical appointments for ultrasounds and bloodwork. Your presence at these appointments can provide a reassuring sense of companionship. 

But the most important task is being their reliable ride home from the egg retrieval procedure (in fact, it’s required that they do not drive after this procedure). This might be a clinic near home or you may be asked to travel with your partner to a clinic near the intended parents (if this is the case, travel expenses for both of you will be covered).

Once they get home, ensuring they have the things they need to be comfortable—whether it's a favorite blanket, soothing tea, or just your comforting presence—can make a significant difference in their experience. These thoughtful actions underscore the human connection at the heart of this medical process, turning what could be a solitary journey into a shared experience of empathy and care.

Egg freezing is considered a safe procedure, and complications are rare. But you should know the red flags. If you notice any of the symptoms below, report them to the healthcare provider asap:

• Temperature above 101 F
• Severe abdominal pain or swelling
• Severe nausea or vomiting that doesn’t go away
• Heavy vaginal bleeding (soaking through a pad in an hour; some light bleeding is normal)
• Difficulty urinating, or painful urination
• Fainting or dizziness

Help with the shots

The first step in the egg freezing process is to stimulate the ovaries to produce multiple eggs to be retrieved. This is done with the use of fertility medication, administered in the form of injectable hormones over 10-12 days. 

Helping your loved one with these required injections is huge. This is not a task for everyone, and it's completely understandable if it falls outside your comfort zone. If you do have the capacity and willingness to assist with administering the shots, your help would undoubtedly be appreciated. 

However, even if you prefer not to take a hands-on role, your presence while they give themselves the shot can still make a meaningful difference. 

Simply keeping them company, offering words of encouragement, or offering a little treat (chocolate?) or surprise after each shot can transform an intimidating necessity into a shared moment of support and connection. 

Respect the decision

Friends, family, and partners should respect the donor's autonomy in this deeply personal decision. Recognize that this choice belongs solely to the person making it, and it may reflect a multitude of considerations, both practical and emotional.

Respecting this decision requires acknowledging your partner's autonomy and avoiding any attempts to influence or question her choice. Supporting her means listening without judgment, asking thoughtful questions to understand her perspective, and reassuring her of your support.

Research shows that egg donors are generally happy with their decision and the vast majority do not regret it (in one study of an egg sharing program, only 2.1% regretted their decision to participate). And anecdotally speaking, donors we work with at Cofertility are grateful for the opportunity to donate their eggs and keep half of the eggs retrieved for their own future use, for free. 

Concerns and curiosity are natural, but they must be handled with delicacy and empathy. Being there for her doesn't mean agreeing with her on every point but rather offering a safe space where she can express her feelings and thoughts freely.

Empirical studies on autonomy and healthcare decisions reinforce the importance of respecting individual choices, particularly those concerning one's body and reproductive rights. In the context of egg donation, this principle becomes paramount, reflecting the ethical, emotional, and personal dimensions of the choice at hand.

Celebrate the achievement

Egg freezing and donation can be an expression of personal values, a decision that encapsulates a woman's beliefs, or simply an achievement that deserves acknowledgment and celebration.

Celebrating this achievement can take many forms, from simple words of congratulations and admiration to more elaborate expressions of support. It might mean throwing a small celebration, writing a heartfelt letter, or finding another personal way to convey pride and gratitude.

Celebration does not necessarily mean a public declaration but rather an authentic and personal acknowledgment of the strength, courage, and compassion embodied in the decision itself. The act of recognizing and honoring this choice can create a shared moment of joy and connection, strengthening the bonds between the donor and those closest to her.

In summary

Through our work with hundreds of donors, we've learned that the path is never solitary, nor should it be. The role of friends, family, partners, and significant others in this process cannot be overstated.

From understanding the technical aspects of the process to being a comforting presence during medical appointments, offering assistance with injections, respecting personal choices, and celebrating the decision, the support system surrounding a donor becomes an integral part of the experience. These connections not only ease the logistical and emotional challenges but transform the process into a shared journey that's imbued with empathy, respect, and love.

Our commitment to supporting individuals and families remains unwavering. By fostering a robust network of support and sharing our insights, we hope to make the journey not only more approachable but also more meaningful. The dreams of creating and nurturing life are collective ones, and we at Cofertility are honored to be part of these intimate and extraordinary stories.

Wanting to donate your eggs to help others grow their family is an incredible act to do for another person or couple. And something that should be fully researched, understood and not be taken lightly. Aside from the physical and medical side effects, you should also be aware of any potential emotional and psychological and legal ramifications of donating your eggs. 

How egg donation works

Each egg donation requires psychological and medical screening to determine if certain requirements are met in order to become an egg donor. The actual process does not begin until you are matched and legal paperwork has been completed.  Once that happens, you will attend approximately six to eight visits to the medical clinic over a two-week period. You will typically be getting ultrasounds to check how many eggs are being produced and how you are reacting to the hormones. These hormones will be self-injected several times a day for seven to 10 days. These hormone injections are given using a small needle under the skin of your abdomen. The hormone injections stimulate your ovaries to enlarge and produce eggs, more than are typically produced during your natural cycle which is typically one egg per cycle. 

On the day of your retrieval, you will be put under sedation. Using an ultrasound guided needle your doctor will vaginally insert the needle into each mature follicle to retrieve each egg. Day of and day after retrieval you may need to take time off from school or work to recover. But because the process is minimally invasive, you should be back to normal within a few days. 

Read more in How Does Egg Donation Work?

Biological vs. legal parenthood

Because you are donating a piece of your genetic material, it is important for you to understand that you are biologically related to any child that is born from your eggs. And it is important for you to understand that your future children will be half siblings with the children born from the eggs that you donate. 

However, being a biological parent is different from legal parenthood. You will not have any legal responsibilities for the child born from your donated eggs because you will sign a legal document surrendering any and all parental rights.  

Legal parents have a family relationship to the child by law. This relationship does not need to be formed by blood or DNA, for example in the case of an adopted child. Even though the resulting child is very much the child of the recipients,  it’s important to understand that you are genetically related to that child. If down the road you did a DNA test and the child did a DNA test, the relationship would read “biological mother.” 

Type of relationships

Depending on the type of relationship you have with the recipients of your eggs, you can have a relationship with the child born from your donated eggs, if you and the recipients agree to that type of relationship.  The different types of relationships include, disclosed, undisclosed and open ID. In a disclosed donation, you will exchange contact information with the recipients and communicate directly. This does not mean you will have an ongoing relationship into the future. It just means that both parties will have each other's names and contact information.  

In an undisclosed donation you will not exchange contact information with the recipients and will not communicate directly. Finally, with an open ID you again do not exchange contact information, but you legally agree to have your identity disclosed to the child born from your donation once the child reaches a certain age, typically at 18 years. So, once the child reaches the agreed upon age, they can contact the clinic, bank or attorney and will be able to contact you. 

Conclusion

Women are born with all of their eggs. And as time goes on, the quality and quantity dramatically declines, specifically after the age of 35.  It can be devastating when a woman is ready to start a family, only to find out that it’s too late.  So the only way a family will ever be formed is by  having access to donor eggs. Same is true for gay couples or single men. So deciding to donate your eggs can completely change the trajectory of someone’s life; from dreaming of being a parent to actually being a parent. As a donor, it is your job to be fully informed of all the potential legal, medical, emotional and psychological side effects of donating your eggs. Ask all the questions until you feel fully ready to donate. 

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.

Embarking on the path of family planning is an exciting journey filled with hope and, often, uncertainty. One area that typically gives rise to a multitude of questions revolves around oocyte cryopreservation, commonly known as egg freezing. While this medical breakthrough has provided countless women with greater reproductive autonomy, it's still not a definitive guarantee of biological motherhood.

In this guide, we’ll try and answer one of the most common questions around egg freezing: the chances of live birth. 

From frozen eggs to baby

At every stage of the in vitro fertilization (IVF) process (which is technically what egg freezing is, plus embryo fertilization in a lab), there's a certain level of attrition. Some collected eggs may be immature, making them unsuitable for freezing. Others may not withstand the thawing process. When you’re ready to fertilize those eggs into embryos, they will not necessarily all fertilize, and some fertilized embryos may fail to mature into viable embryos suitable for transfer. Even embryos that reach the transfer stage might not be genetically normal. And those that are genetically normal may not result in a viable pregnancy or live birth.

As a result, egg freezing is better viewed as a way to increase your chances of pregnancy down the line, rather than an insurance policy or a surefire plan. It’s a path filled with potential, and definitely gives you greater optionality when you’re ready to  have kids, but — and we are always very transparent about this — there is unfortunately no absolute promise of a live birth at the end of the egg freezing process.

How many eggs should I freeze?

Given these complexities, a pressing question for many women is, “how many eggs should I freeze to increase my chances of having a baby?” The answer is nuanced and largely depends on two variables: the age at which the eggs are frozen, and how many children you want.

Unfortunately, the quality of eggs can't be assessed before fertilization is attempted, adding another layer of uncertainty to this equation. Still, we can provide an approximate guide based on averages, which can inform individualized counseling, treatment planning, and expectation management.

One study out of Harvard Medical School of 520 cycles found the chances of live birth varies based on age and number of eggs frozen (see chart below). This guidance is not precise, but offers an approximate benchmark to guide you through your fertility journey. 

How many eggs will I get?

Another common inquiry from patients is how many eggs are likely to be retrieved and preserved in a single egg freezing cycle. The good news is that this is fairly easy for fertility doctors to predict using two crucial measures: anti-Müllerian hormone (AMH) and antral follicle count (AFC).

AMH and AFC, both estimators of ovarian reserve, can provide an approximation of the number of eggs that can be retrieved from a stimulated cycle. For instance, an AMH level of 15 pmol/L (2.1 ng/mL) could predict a yield of approximately 12 to 18 eggs. Similarly, AFC's numerical value directly correlates with the number of eggs potentially collected in one cycle, with a rough ratio of 1:1. So if your fertility doctor counts 15 antral follicles during the transvaginal ultrasound, you could potentially retrieve 15 eggs in a single cycle (note this number could be lower or higher based on other factors).

Will I have enough eggs to share?

Cofertility’s Split program offers women a chance to freeze their eggs *for free* when donating half of the eggs retrieved to a family who cannot otherwise conceive. If you qualify for the program and decide to donate half of your retrieved eggs, every expense associated with the egg freezing procedure —  medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge.

Since the number of eggs is predictable with AMH and AFC, we’re only able to accept people into the program if we are confident they would have enough eggs to “split”. 

Setting expectations 

You can look at the probabilities and hormonal indicators, but everyone’s egg freezing journey is unique. Age, health, lifestyle, and genetic factors can all play a role in your path to motherhood. Remember, egg freezing is a science, but it's not an exact one. The uncertainties are part of the process. And while the prospect of attrition can seem daunting, it's important to remember that every step forward is a step closer to the potential for success.

Navigating these complexities can feel overwhelming, which is why support and guidance are crucial. At Cofertility, our mission is to guide you through this journey, providing you with the necessary information, support, and encouragement to make the best decisions for your fertility future.

Although egg freezing can't offer guaranteed outcomes, it has undoubtedly provided hundreds of thousands of women worldwide with expanded options and increased flexibility in their reproductive timelines. By understanding the process's intricacies and setting realistic expectations, we can navigate this journey together, with optimism, resilience, and hope.

Freeze your eggs with Cofertility

Cofertility is a human-first, tech-enabled fertility ecosystem that provides people agency over if, how, and when they have babies — today or someday. We have two programs for egg freezers:

Our Split program offers women a chance to freeze their eggs for free when donating half of the eggs retrieved to a family who cannot otherwise conceive. If you qualify for the program and decide to donate half of your retrieved eggs, every expense associated with the egg freezing procedure —  medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.

Our self-pay Keep program allows women to freeze their eggs and keep them all for their future use. Through Keep, we offer our members partnerships and discounts to lighten the financial load of egg freezing, as well as access to our member community.

The benefits for of working with Cofertility include:

• Power of choice: Freeze your eggs more affordably or, if you qualify, freeze for free when you give half to a family who can’t otherwise conceive.
• Community: Our inclusive online spaces allow you to connect with others going through the process in our private online community.
• Compassion: We’ll always treat you with care, and our Split program gives you the opportunity to make someone’s family building dreams a reality.
• Data-driven: We provide you with trustworthy guidance and evidence-based research so you can make informed decisions about your fertility.
• Free egg freezing: Freeze and store your eggs for 10 years, entirely for free if you qualify for our Split program.

Ready to learn about more affordable (even free!) egg freezing with Cofertility? Fill out this quick quiz to learn about our accessible egg freezing options and see if you qualify for our programs — it only takes one minute.

Read more:

• Should I Freeze Eggs or Embryos?
• Which Matters More for Fertility: AMH or Age?
• Do’s and Don’ts During Egg Freezing: Alcohol, Baths, Exercise, and More

Egg freezing, also known as oocyte cryopreservation, has grown in popularity, with a 46% increase in egg freezing cycles from 2020 to 2021 alone! This transformative medical procedure has garnered significant attention and interest. 

Amidst all the buzz and excitement, it's important to navigate your egg freezing journey with the facts. To ensure a successful and fulfilling experience, we've curated a guide to help you avoid seven common mistakes people make when freezing their eggs. 

Working with the wrong doctor

The importance of selecting the right doctor for your egg freezing journey cannot be overstated. Entrusting your reproductive health to a skilled and compassionate fertility specialist is paramount. Choosing a doctor who understands your unique needs, communicates effectively, and provides personalized care is essential for a successful egg freezing experience. 

Take the time to research and seek recommendations, ensuring you find a doctor who aligns with your values, instills confidence, and supports you every step of the way. Remember, the right doctor can make all the difference in your pursuit of fertility preservation.

Read more in What To Look For in An Egg Freezing Clinic

Not freezing their eggs sooner

We are born with all the eggs we will ever have, and lose them each month until we hit menopause and no eggs remain. Not only that, but our quality of eggs decline along with quantity. This is because eggs are more likely to contain chromosomal abnormalities (mistakes in their DNA) as we get older. 

One of the biggest mistakes individuals make is underestimating the impact of age on egg freezing. Fertility specialists often emphasize the significance of freezing eggs at a younger age, ideally before 40. Time is a precious resource when it comes to preserving fertility, and being proactive ensures a higher chance of success.

One survey study of 98 patients found that the vast majority of egg freezers showed no regret, stating that it was a good decision. But some stated that their only regret was not doing it sooner.

Overlooking lifestyle factors

Creating an optimal environment for egg freezing involves mindful attention to various lifestyle factors. Mistakes are made when individuals underestimate the significance of a balanced diet, regular exercise, and healthy habits. Embrace a nutrient-rich diet, prioritize stress management techniques, and maintain a consistent sleep routine. By incorporating these lifestyle choices, you not only enhance your overall well-being but also create an environment conducive to successful egg freezing.

Skipping the pre-freezing fertility assessment

Embarking on the egg freezing journey without a comprehensive fertility assessment is akin to navigating uncharted waters without a map. To avoid this mistake, consult a knowledgeable fertility specialist who can evaluate your ovarian reserve, hormonal levels, and overall reproductive health. This pre-freezing evaluation allows for a tailored approach and provides valuable insights into your ovarian reserve, which can help predict how well your body would respond to egg freezing medications. Knowledge is power, and a thorough assessment is the first step towards a graceful and informed decision.

Ignoring emotional support

The egg freezing journey can be emotionally charged, as it involves contemplation of one's fertility and future family-building aspirations. Neglecting emotional support during this transformative process is a common yet avoidable mistake. Seek a support system composed of loved ones, therapists, or support groups who can provide guidance, empathy, and understanding. Emotional well-being is the cornerstone of this journey, and by tending to it, you pave the way for a more harmonious experience.

If you freeze your eggs with Cofertility, our inclusive online spaces allow you to connect with others going through the process at the same time.

Thinking it’s an insurance policy

One misunderstanding people make when freezing their eggs is viewing it as an insurance policy against future infertility. While egg freezing does offer a chance to preserve fertility potential, it's important to understand its limitations and set realistic expectations.

Egg freezing is not a guarantee of future pregnancy. It is a proactive step to preserve eggs at a younger age when they are more viable, increasing the chances of successful conception later on. However, there are various factors that can influence the outcome, such as the quality of the eggs, overall health, age at the time of egg freezing, quality of the egg freezing clinic, sperm health, and the chosen fertility treatment in the future.

It's essential to have a clear understanding of the success rates associated with egg freezing and the potential limitations. The chances of achieving a successful pregnancy with frozen eggs can vary depending on individual factors and the quality of the eggs at the time of freezing. Consulting with a fertility doctor can provide valuable insights into your specific situation.

Failing to plan for the future

Freezing eggs is a remarkable step towards reproductive empowerment, but it should not be seen as a standalone solution. A mistake often made is neglecting to plan for the future beyond egg freezing. Engage in discussions with your fertility doctor about next steps, including potential pathways to parenthood, such as in vitro fertilization (IVF). By mapping out your future plans, you embrace a sense of preparedness and ensure a seamless transition when the time comes to utilize your frozen eggs.

Paying too much

One of the common mistakes people make when freezing their eggs is not fully understanding the costs involved and potentially paying more than necessary. The pricing structure for egg freezing can be complex and opaque, leading to confusion and unexpected financial burdens. Average egg freezing cycle costs range from $10,000 - $20,000 for consultations, testing, ultrasounds, medications, and the egg retrieval, plus the ongoing cost of annual storage.

If you work with Cofertility, you can rest assured that you’re getting the best price when working with one of our partner clinics. Through our Keep program, we offer our members partnerships and discounts to lighten the financial load of egg freezing, as well as access to our member community.

Or, in our Split program, which offers women a chance to freeze your eggs *for free* when donating half the eggs to a family who cannot otherwise conceive. If you qualify for the program, every expense associated with the egg freezing procedure —  medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.

Let us help you freeze those eggs!

If you are interested in freezing your eggs, we can connect you with a fertility specialist for a consultation to discuss your specific situation. Our Freeze by Co platform is making egg freezing more empowering, positive, and accessible — even free — when you give half of the eggs retrieved to a family who can’t otherwise conceive.

As a potential egg donor, you may be wondering about the qualifications, including if there’s a minimum AMH (Anti-Mullerian Hormone) levels. Understanding this hormone and its significance is critical in the egg freezing and donation process, especially if you're considering donating your eggs through an egg share program like the one offered by Cofertility. Let's delve into these important topics.

What is AMH anyway?

The Anti-Mullerian Hormone, or AMH, is a hormone secreted by the cells of developing egg sacs (follicles) within the ovaries. AMH levels are often used as an indicator of ovarian reserve, which means the quantity of eggs that are available for fertilization. The hormone plays an important role in fertility care as it provides insights into ovarian function and the potential to produce viable eggs during egg freezing.

AMH testing is a common part of the fertility workup as it helps doctors understand more about your ovarian reserve and ability to retrieve eggs that can be successfully fertilized. It is important to note that AMH level is not a measure of egg quality, but of quantity, and its level remains fairly constant throughout the menstrual cycle, which makes it a good measure for predicting ovarian reserve at any time. 

What AMH do I need to donate my eggs?

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.

In the context of donating through our Split program, having an appropriate level of AMH is important. Fertility doctors typically consider an AMH level above 2.0 ng/ml as a good indicator for egg donation, and this is the benchmark used at Cofertility. Note that some clinics have a higher requirement.

This level suggests that you are likely to respond well to fertility treatments and produce a sufficient number of eggs for both donation and personal use. This allows us to proceed with the egg retrieval process in a manner that is both safe and effective.

However, if your AMH level is lower than this, it does not necessarily mean you cannot freeze your eggs. You can still qualify for 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.

Everyone is unique, and AMH is just one factor of many that we consider during the evaluation process. You can learn more about qualifications for our Split program here. 

What is egg sharing?

Our unique model allows you to donate your eggs while also preserving half for your own future use. This can be an advantageous option for those who want to help others by donating their eggs, but are uncomfortable with other egg donation programs.

We believe egg sharing balances the interests of the donor and the recipient. It opens up opportunities for families seeking to conceive via donated eggs while respecting the donor's potential future family planning needs.

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.

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.

Summing it up

Understanding your AMH level is a crucial part of the egg donation process as it provides an indication of your ovarian reserve, thereby shaping your egg freezing journey.

While an AMH level above 2 ng/ml is ideal for egg donation, it's important to remember that it's not the sole determinant of your eligibility. The process is multifaceted, taking into account various factors, and everyone’s situation is unique.

At Cofertility, we’re here to guide you every step of the way. From understanding your AMH levels to navigating through the egg sharing process, our team of fertility experts is ready to assist you in making informed decisions about your reproductive health and fertility journey. Your contribution as an egg donor can change lives, including your own.

Read more:

• What Medications and Supplements Affect AMH Levels?
• The Ultimate Guide to Egg Donation
• I Want to Freeze My Eggs: What's the Egg Retrieval Process Really Like?
• Is It Painful to Freeze or Donate My Eggs?

As the demand for donated eggs continues to rise, more and more women are considering becoming egg donors to help others start a family. Some egg donation agencies downplay the magnitude of the impact you are making as an egg donor. Bringing a new human into this world is a HUGE deal! 

We think you should consider the opportunity fully, and really understand what you’re getting into, before making a decision. Here are 8 things to consider before donating your eggs.

1. Do I understand the emotional impact?

The emotional effects of egg donation can vary from person to person and can depend on your expectations and understanding of the experience. Many donors find the experience rewarding and fulfilling, knowing that they have helped someone else start or expand their family. However, some donors may experience more complicated feelings about it. This is why our donors undergo psychological screening – to ensure they are mentally prepared. 

It is important to have a strong support system in place during the egg freezing and donation process. This can include friends, family, and healthcare providers who can provide emotional support and guidance. If you freeze your eggs through Cofertility, you’ll be connected with a cohort of others freezing their eggs at the same time. We offer an online community, and our entire team of experts will be behind you the entire time. 

2. Am I okay with the physical risks?

Egg freezing is considered a safe procedure. In a single egg freezing cycle, the risk of a serious adverse event is under 2.5%. Severe OHSS accounts for the majority of complications, occuring in 0.1-2% of cycles. The risk of other acute complications, including pelvic infection, intraperitoneal hemorrhage, or ovarian torsion, is small (<0.5%).

That being said, many women do experience minor side effects – like bloating, constipation, nausea – from the medications and egg retrieval. 

3. How do I feel about compensation?

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.

As one person conceived with a donated egg and donated sperm put it in a survey, “Don’t donate for the money. Understand that you are having children, playing a part in creating people with their own complicated emotions and thoughts.” 

At Cofertility, our model is different. Instead of cash compensation, our donors keep half the eggs retrieved (for free). That’s right, if you qualify for the program and decide to give half of your retrieved eggs, every expense associated with the egg freezing procedure —  medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses. 

4. Will I get a say in who my eggs go to?

If you work with Cofertility, the answer is yes. We believe donors should have a say in where their eggs go. This is why you get to opt-in to any match. You’ll get to learn a little about the family, even meet them virtually, and decide if you want to move forward. You also get to specify your communication preferences up front, giving you real options in the process.

5. Do I have the time to donate?

The process of egg donation is not a quick one. It involves medical screening, legal contracting, psychological screening, genetic testing, multiple doctor visits, monitoring, and hormone tests which usually happens over a period of two to four months from the time you match with intended parents. Additionally, the actual egg retrieval procedure requires a day or two of recovery time. It’s important to consider whether you are able to commit the time required for egg donation before making a decision.

6. What will my relationship be like with the intended parents? What about with any children born from my eggs?

If you donate through Cofertility, you get to determine the type of relationship you would like with the family. If the eggs you donate lead to a child (and we hope they do!), your relationship with the parents and/or children can take on two forms:

• Disclosed: You exchange contact information and can communicate directly.
• Undisclosed: You do not exchange contact information and only communicate via Cofertility.

The scope and degree of communication (both during and post-match) is what both parties make of it and can be outlined in your legal agreement. Communication can range from sharing an annual holiday card to direct, regular communication between you and the donor-conceived child. We share more about what these relationships look like in practice in our article on disclosure status.  

Regardless of the relationship that you have with the family post-birth, we can facilitate a phone or video meeting in which you speak to the intended parents. This can be done with or without sharing names. With an undisclosed donation, you and the family can also 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.

Either way, it’s important to remember that many donor-conceived children grow up curious about their genetics and may want to reach out down the line. We want to ensure that you are aware of and open to that possibility before joining the Split program.‍

7. How will this impact my relationships?

Donating your eggs may have an impact on your relationships with family and partner, if and when you decide to tell them. It’s important to consider how they will react and whether you are comfortable sharing your decision with them. It’s also important to understand the potential impact on your future relationships and any children you may have in the future.

Read more in Should I Tell People I'm Donating My Eggs?

8. What is the potential to help others? 

Donating your eggs can be a fulfilling experience that allows you to help others start a family. It’s important to consider the impact you can have on the lives of others and whether you are comfortable with that responsibility.

Many types of families need egg donors to grow their family, including couples facing infertility, LGBTQ+ couples, cancer survivors, women with age-related fertility decline, and more. 

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.

Egg donation is a medical procedure by which a qualified egg donor donates their eggs to a family that can’t otherwise conceive. There are various reasons a family may need donor eggs, from infertility to cancer treatments to being LGBTQ+. Egg donors give these families the opportunity to become parents. 

If you are already an egg donor and considering donating again, or if you’re considering donating for the first time, you may be wondering how many times you can donate your eggs. 

While there’s no limit on how many times you can freeze your eggs, there are industry guidelines that United States clinics follow on how many times you can donate. In this article, we’ll dive into everything you need to know. 

How long is the egg donation process?

If you freeze your eggs with Cofertility's Split Program, where you get to keep half of the eggs retrieved for free when donating the other half, you can think about the process as two parts: before and after you match with a family.

The time to match with a family can vary; some donors match within a few days while some it can take several months. You can increase your chances of matching by ensuring your application is comprehensive and shows off your personality, accomplishments, and motivations for joining Cofertility’s Split program. Additionally the more photos, the better!

After you are matched, you can expect the entire process to take about two to four months. This includes screening, a legal agreement, and the two-week cycle. The timeline can vary based on your schedule, the intended parents schedule, and clinic availability.

Why some people donate eggs multiple times

There are various reasons why some individuals choose to donate their eggs multiple times. For some, egg donation provides an opportunity to help others achieve their dream of starting a family, and the desire to make a significant impact on someone else's life may be a motivating factor. 

Some people are drawn to the idea of preserving their own fertility at the same time. At Cofertility, our Split members keep half of the eggs retrieved. By undergoing several cycles, our egg donors can get more control over their own reproductive future. 

One study found that people who participate in egg share programs like ours are happy with their decision. In fact, 83.3% would donate again and only 2.1% regret their decision to participate.

How many times can you 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. 

This recommendation is in place to ensure the safety and well-being of the egg donor, as undergoing multiple cycles of egg donation can increase the chances of potential complications. By setting a limit on the number of cycles, ASRM aims to protect the health of egg donors.

Why can't you donate eggs more than six times?

The reason ASRM recommends six donations maximum is partly to reduce risks for the egg donor, and partly to protect the potential offspring. While ASRM states that “existing data cannot permit conclusive recommendations”, they nonetheless suggest sticking with the number six due to limited data on the long term safety risks of undergoing over six ovarian stimulation cycles.

Egg donor health

Egg freezing is considered a safe procedure. In a single egg freezing cycle, the risk of a serious adverse event is under 2.5%. Severe OHSS accounts for the majority of complications, occuring in 0.1-2% of cycles. The risk of other acute complications, including pelvic infection, intraperitoneal hemorrhage, or ovarian torsion, is small (<0.5%). However, after six cycles, the risk compounds to 8%-13%. Therefore, out of abundance of caution, ASRM recommends capping the procedure to six cycles. 

Inadvertent consanguinity

Another reason there are recommended limits on egg (and sperm) donation is because of inadvertent consanguinity. This refers to the accidental conception of a child by closely related individuals. This can occur when undisclosed biological connections exist. The resulting offspring are at risk for genetic disorders and other health complications if they inherit two copies of a recessive gene from the closely related parents. 

There are donor registries to help prevent this, but if a parent does not disclose to their child that they are donor-conceived it may still occur. The chances are small in today’s world of genetic testing, but it’s still a consideration. 

What disqualifies you from multiple egg donations?

Donating once doesn’t necessarily guarantee you will be able to donate your eggs again. Certain factors can disqualify you from additional egg donations. For instance, if anything major in your medical history has changed like a serious diagnosis or surgery. 

Additionally, if your first egg retrieval was unsuccessful (due to low number of eggs or a complication), it’s unlikely you’ll be able to donate again.

Ultimately, the decision to undergo additional egg donation cycles should be made in consultation with a fertility doctor, taking into account the potential risks and benefits for you and the intended parents.

How much time do I have to wait between egg donation cycles?

You may be wondering how long you’ll need to wait between egg freezing and donation cycles, or if you can do them back to back. It is generally recommended to wait at least one menstrual cycle before starting another cycle. Some people like to give their body a break and wait three to six months between cycles, while others prefer to get it over with and complete back to back egg freezing cycles. We suggest talking to your fertility doctor for guidance.

Instead of donating for money, keep half the eggs retrieved

Cofertility’s Split program offers qualified candidates the chance to freeze their eggs for free when donating half to a family who cannot otherwise conceive. If you’re eligible for the program, by meeting Cofertility’s requirements, and decide to donate half of your retrieved eggs, your egg freezing procedure, medications, and ten years of storage will be completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses. 

Depending on the number of eggs that you are able to retrieve in the first cycle, you may want to complete a second Split cycle so that you’re donating and keeping a sufficient number of eggs.

Anti-Mullerian hormone (AMH) is a hormone produced by ovarian follicles. It is commonly used as a marker of ovarian reserve and can be measured in the blood. A high AMH level is often associated with polycystic ovary syndrome (PCOS), but it can also have other causes. In this article, we will explore what a high AMH result means and answer some common questions about AMH testing.

First off, what is AMH?

AMH is a hormone that is produced by the granulosa cells in the ovarian follicles. It plays a role in the growth and maturation of ovarian follicles in females. AMH levels are relatively stable throughout the menstrual cycle and can be measured in the blood.

AMH is commonly used as a marker of ovarian reserve, which is a rough number of eggs that a female has remaining in her ovaries. Since females are born with a fixed number of eggs, this number naturally declines over time. 

What are normal AMH numbers?

What is considered a “normal” AMH level depends on your age, as well as the lab where you take the test. Since there is no international standard, it’s best to use the reference ranges included on the test results (your doctor can share those with you if you did a test through a clinic). 

In general, however, an AMH between 1.0 and 3.5 ng/mL suggests a “normal” range that is likely to have a good response to egg freezing.

If you are looking to donate your eggs, however, minimum AMH requirements may be slightly higher. For example, with Cofertility’s Split program, we require a minimum AMH of 2.0, though clinics may have their own unique requirements. This is to increase the chances of retrieving enough eggs to actually split, to ensure positive outcomes for both parties involved.

What AMH level is considered high?

In healthy females of reproductive age, higher levels of AMH mean that the ovaries have a larger supply of eggs. This means one would be expected to have better than average outcomes for egg freezing. 

Remember, there is no universal standard for AMH, so it can vary depending on the lab where the test is run. Your test results will include if your range is “normal”, “low”, or “high” and the cut-off can differ. For example, Atlanta Fertility considers over 4.5 ng/mL high. Advanced Fertility considers anything over 4.0 ng/ml high. While RMA would consider an AMH over  3.0 ng/ml as “very high”.

With high levels of AMH, you may be at higher risk for ovarian hyperstimulation syndrome (OHSS). This means your doctor may choose a specific protocol and/or do extra monitoring to decrease the risk of complications during egg freezing.

What AMH level is considered too high?

Again, this question depends on the lab. Your test results will come with a reference range, and will indicate if your number is high for your age. If your doctor considers your levels abnormally high and has concerns, they will discuss the results with you. 

Common reasons for high AMH

The most common reason for high AMH is that you are very fertile and likely to retrieve more eggs in an egg freezing cycle.  

But a high AMH level may also indicate PCOS, which is a hormonal disorder that affects 8–13% of females of reproductive age. Those with PCOS typically have high levels of androgens (male hormones) and may have irregular periods, acne, and excess hair growth. Patients with an average AMH level ≥ 4.45 ng/ml have a 9.35 times higher likelihood of developing PCOS, but not all patients with a high AMH have PCOS.

In rare cases, abnormally high AMH could be a sign of an ovarian tumor. Certain types of ovarian tumors, such as granulosa cell tumors, can produce high levels of AMH. 

Does high AMH always mean PCOS?

While an increase in AMH levels has been reported to be associated with PCOS, high AMH alone is not enough to diagnose PCOS. 

Not all patients with PCOS have high AMH levels, and not all patients with high AMH levels have PCOS. Diagnosis of PCOS requires a combination of symptoms, hormone levels, and imaging studies, such as ultrasound.

Does high AMH mean good egg quality?

Not necessarily. While a high AMH level is often associated with a larger number of ovarian follicles and eggs, it does not necessarily mean that the eggs are of good quality. Egg quality is determined by factors such as your age, genetics, and environmental factors, and cannot be measured directly by AMH levels.

Am I ovulating if my AMH is high?

AMH levels do not indicate if you’re ovulating or not. Ovulation is the release of a mature egg from the ovary and can be confirmed by monitoring the menstrual cycle and/or performing ultrasound studies.

Will I get a lot of eggs if I have a high AMH?

The success of egg freezing outcomes largely depends on the number and quality of eggs retrieved. Studies have shown that AMH levels can be used as a predictor of egg quantity, and can thus help to predict the potential success of egg freezing. Those with higher AMH levels tend to have better outcomes with egg freezing, as they are likely to have more eggs retrieved and a higher chance of success in future fertility treatments. 

But by no means does a high AMH level guarantee a lot of eggs during an egg retrieval procedure for fertility treatments. The number of eggs retrieved during an egg freezing cycle depends on several factors, including your age, ovarian response to stimulation medications, any other underlying medication conditions, and the skill of the doctor performing the procedure.

What is a good AMH level for egg freezing?

Research has found that AMH is a good predictor of the response to ovarian stimulation and the number of eggs retrieved. Because of this, fertility doctors typically use your AMH levels (along with other biomarkers) to determine the drugs and dosages you will need to maximize your response to ovarian stimulation. 

Now, what about a correlation between AMH and actual babies born (live birth rate)? Well, while AMH does seem to have some association with live birth rates after IVF, its ability to actually predict a live birth is not that great. This is especially true for younger people. A 2021 study found that AMH is a good predictor of live birth in older (>39 years old), but not younger, people. They found that younger participants (≤38 years old) could get pregnant even with low AMH levels as long as they had frequent egg retrievals. 

Freeze your eggs with Cofertility

One option to make egg freezing better is working with Cofertility. 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. It also enables access to exclusive guidance, free expertise, and community events. 

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

A high AMH level is generally a good sign for your ability to successfully freeze your eggs. But for some, it can also be one indicator of PCOS. While a high AMH level is often associated with a larger number of ovarian follicles and eggs, it does not necessarily mean that the eggs are of good quality (egg quality is more dependent on age). 

AMH levels are commonly used as a marker of ovarian reserve and can be helpful, in conjunction with other measures, in predicting the number of eggs that can be retrieved during an egg freezing cycle. However, it is important to keep in mind that egg quality is determined by several factors and cannot be measured directly by AMH levels. If you have concerns about your fertility or AMH levels, it is important to speak with a fertility doctor for personalized advice and treatment options.

‍

Read more:

• Which Matters More for Fertility: AMH or Age?
• What AMH Level Do I Need to Freeze My Eggs?
• Do’s and Don’ts During Egg Freezing: Alcohol, Baths, Exercise, and More

Considering egg donation is an extremely rewarding experience, and one that you may want  to share with your family, friends and significant other. And because of the nature of the entire process — the lengthy application that asks about your family medical history, a psychological and medical evaluation, hormone injections and medical retrieval ( where you will need someone to accompany you after) —   it is definitely not something you should do alone. And donating your eggs doesn't just impact you, it can very well impact your partner, your family and future children.  So, if you’re thinking to yourself, “I am ready to donate my eggs to help out another family. Now how do I tell people I’m donating my eggs?” — we’re here for you.

One of the most important people to start this conversation with is your partner. Having an open and honest conversation is a great way to ensure that both of you are on the same page and have a clear understanding of what donating your eggs means. Here are some tips on how to approach the conversation.

Educate yourself first

Since you have already decided that egg donation is for you, you have most likely already done a lot of research. But, explaining it to someone else can be another story.  Especially if they start asking about how it may impact them in the future. our partner might have questions about the egg retrieval procedure and the potential risks, they may also ask about what happens to your eggs after you donate them, and what happens when that egg becomes a human and wants to meet you.  So make sure you spend some time doing the research for yourself. You can do that by talking to Cofertility, an IVF doctor or fertility psychologist. Ask a lot of  questions. Do your homework.  You want to become an expert so that you’re ready to field those important questions that will be asked.

Start with your partner

Once armed with all your egg donation knowledge, start the conversation with your partner. Having an open and honest conversation is a great way to ensure that both of you are on the same page and have a clear understanding of what donating your eggs means. Here are some tips on how to approach the conversation.

Talk about what this means for your future

Donating your eggs is a huge decision that can have an impact on your life far beyond your retrieval, so it’s important to have an open and honest discussion with your partner about what that might look like. For example, if you’re participating in Cofertility’s Split program (where you donate half of your retrieved eggs and keep half for yourself for for free for your own future use) and you and your partner think you may want to have children of your own in the future, it will be important for those children to know about your egg donation. After all, they’ll likely have at least one biological half-sibling out there that they may be curious about someday. Additionally, when you match with intended parents, both parties will agree on a desired disclosure status and outline what the relationship between you (the donor), the intended parents, and the donor-conceived child will look like. So it will be important for your partner to be in-the-know about the details 

Prepare for their questions

If you think through the possible questions they could ask, you’ll feel more prepared and confident in answering them. This could include:

• Why are you donating your eggs?
• What are the potential risks and side effects of egg donation?
• What is the egg donation procedure like?
• Will donating your eggs impact our ability to have children of our own someday (hint: it won’t)
• What do you imagine our relationship with the recipient family will look like?
• Are there any potential emotional or psychological effects of egg donation?
• Do you think you’ll donate more than once?

Obviously you can’t predict every question that may be thrown your way. And if they ask a question that throws you off, you can just say “Great question, let me think about how to best answer that and get back to you”. 

Revisit the conversation often

A decision as meaningful as donating your eggs should never be a one-and-done conversation, so keep this conversation an ongoing one. It’s likely that your perspectives will evolve over time, so it’s important to keep the conversation fresh so you can address any concerns as they come up. If at any time you or your partner have questions, our team at Cofertility is always here to help.

Summing it up

By donating your eggs, you’re truly making a life-changing impact on another family’s life, by giving them the opportunity to grow the family of their dreams. You should feel 100% confident in this decision before going into it, and having a supportive partner will make the egg donation process infinitely easier. Open and honest communication is key to any healthy relationship, and by involving your partner in this conversation early on, you’ll be setting yourself up for a successful donation experience that you can feel good about.