egg donation

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?

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.

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?

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.

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.

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

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

How does the Split program work? 

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

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

What is “egg sharing,” anyway?

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

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

Types of families you help when donating eggs with Cofertility

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

LGBTQ+ families

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

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

People struggling with infertility

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

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

Cancer survivors

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

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

Single dads by choice

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

How to get started

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

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

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

Types of egg freezing shots and medications

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

These medications fall into a few categories:

Follicle-Stimulating Hormone (FSH)

FSH medications stimulate the ovaries to produce multiple eggs.

Luteinizing Hormone (LH)

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

Gonadotropin-Releasing Hormone Agonists/Antagonists

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

Human Chorionic Gonadotropin (hCG)

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

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

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

Do egg-freezing shots hurt?

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

Tips for making injections painless

Utilize the right technique

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

Ice the injection site

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

Let medications reach room temperature

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

Take deep breaths

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

Troubleshooting egg-freezing shots

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

Missed or incorrect dosages

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

Injection site reactions

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

Ovarian Hyperstimulation Syndrome (OHSS) risks

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

If you’re afraid of needles

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

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

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

Summing it up

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

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

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

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

Who is a good candidate for egg freezing?

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

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

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

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

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

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

Who is not a good candidate for egg freezing?

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

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

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

Why would someone need to freeze their eggs?

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

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

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

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

At what age should you freeze your eggs?

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

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

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

Is it worth freezing your eggs after 35?

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

To freeze or not to freeze, that is the question

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

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

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

Freeze your eggs with Cofertility

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

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

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

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

Summing it up

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

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

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

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

Do antidepressants or anti-anxiety medications impact cycle outcomes? 

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

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

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

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

Risks of inheritability — and what they mean for your cycle

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

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

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

What criteria is required for egg donation? 

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

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

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

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

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

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

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

Preparedness for egg donation

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

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

Reducing inheritable risks to offspring

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

The net-net

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

Egg donation with Cofertility

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

With our innovative approach, you’ll also get:

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

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

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

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

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

Donor anonymity

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

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

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

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

Disclosed and undisclosed donation

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

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

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

Benefits of non-anonymous donation

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

Considerations for potential egg donors

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

Summing it up

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

Read more:

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

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

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

Understanding the egg donation process

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

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

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

The growing acceptance of egg donation

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

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

Making an informed choice

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

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

Considering your motivations

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

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

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

Evaluating emotional readiness

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

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

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

How will I feel after donating my eggs?

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

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

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

Assessing the impact on future relationships

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

Seeking professional guidance

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

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

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

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

Egg sharing

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

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

Making an informed decision

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

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

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

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

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

The short answer

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

Understanding your ovaries and egg supply (aka ovarian reserve)

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

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

What happens during egg freezing and donation?

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

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

Why the misconception exists

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

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

What egg freezing and donation actually do to your body

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

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

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

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

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

Factors that actually influence menopause timing

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

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

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

Taking care of your fertility

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

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

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

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

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

Final thoughts

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

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

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

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

Read more:

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

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

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

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

What is informed consent?

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

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

Informed consent in egg donation

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

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

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

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

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

Medical risks and side effects

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

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

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

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

Psychological and emotional considerations

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

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

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

Genetic implications of egg donation

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

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

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

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

Legal rights and responsibilities

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

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

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

Egg sharing vs. financial compensation

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

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

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

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

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

The bottom line

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

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

Will egg donation affect my future fertility?

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

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

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

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

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

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

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

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

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

Read more: Egg Freezing and Birth Control: An Overview

What's the difference between mature and immature eggs?

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

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

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

How does the disclosure process work?

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

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

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

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

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

Will egg donation be painful?

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

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

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

What are the costs associated with egg donation?

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

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

Can I donate if I have a particular medical condition?

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

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

How many times can I donate eggs?

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

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