Split
The Ultimate Guide to the Split Program
Our Split program offers women the chance to freeze half their own eggs and donate the other half to a family who cannot conceive otherwise. Let's dive into all the information you need to know.
Our Split program offers women the chance to freeze half their own eggs and donate the other half to a family who cannot conceive otherwise. If you’re eligible for the program, by meeting Cofertility’s requirements, and decide to donate half of your retrieved eggs, your egg freezing procedure, medications, and ten years of storage will be completely free of charge.
Freezing your eggs—and, potentially, donating some eggs—undoubtedly brings up lots of big questions that are important to talk about. Let’s dive into all the information you need to know about our Split program.
Where do my donated eggs go?
Many types of families need donated eggs to grow their family, including couples facing infertility, LGBTQ+ couples, cancer survivors, women with age-related fertility decline, and more. We welcome all intended parents to use our platform to find their match.
Who qualifies for the Split program?
While we’d love to have as many women join our Split program as possible, we do follow guidelines designed to protect the health and wellbeing of the donors and intended parents.
To qualify for the program, among other factors, you must:
- Have both ovaries
- Be between ages 21-33
- Have a BMI less than 29, due to limitations on medication administration and egg retrieval complexities
- Be physically and emotionally healthy with no genetic or reproductive disorders/abnormalities
- Be a non-smoker and abstain from recreational drugs or Depo Provera birth control
If you're currently pregnant or breastfeeding, you may still be eligible, but you'll have to wait until you have stopped breastfeeding and have had at least one menstrual cycle before you can begin your egg retrieval. Lastly, you must also be willing to provide a complete medical history about yourself and your biological family members, as they may have other disqualifying factors.
How does the process work?
We’re so glad you asked. Here’s a quick overview of how the application, matching and retrieval process works.
Take the quiz
To kick off the process, take our quiz and tell us a bit about yourself. This only takes about a minute and gives a sense of what programs you might be qualified for.
Submit your program application
Based on your quiz responses, if you’re eligible to move forward with applying for Split, you can complete the full program application at this time. This application determines if you qualify for the program, and helps create and personalize your profile so intended parents can get a feel for who you are and if you would be a good match for their family.
Call with our team
Once you pass this first phase, you’ll have a call with a Member Advocate to ensure you are ready for the process. You’ll get to ask any outstanding questions before your profile is shared with intended parents.
Once your profile is listed on the platform, intended parents will be able to determine whether you are the right match for their family. The timeline for this varies. But, know that you’ll always be able to switch into Cofertility’s Keep program if you decide you don’t want to wait any longer to freeze your own eggs.
Sign the Split program agreement
After you have your call with our team, we will send you an agreement to signify your intent to proceed with the Split program. Don’t worry, this agreement is non-binding up until the point at which you start your egg retrieval. The agreement is written in easy-to-understand language and we are here to answer any questions you have!
Complete initial testing (AMH)
After your program call and signing the agreement, you will complete a free AMH test, or Anti-Mullerian Hormone, at a local lab near you. Understanding your ovarian reserve through an AMH test is an important step for egg freezing and donation.
Fertility doctors typically consider an AMH level above 2.0 ng/ml as a good indicator for egg donation, and this is the benchmark used at Cofertility. That's because this level suggests that a Split member is likely to respond well to fertility treatments and produce a sufficient number of eggs for both donation and personal use. This allows us to proceed with your egg retrieval process in a manner that is both safe and effective. If your AMH falls under this level, our team is here to help you find the best path forward in your egg freezing journey.
Match with an intended parent
Your profile will be listed on our platform for intended parents to view. Once you’ve been matched with intended parents, you’ll have a dedicated Member Advocate to walk you through next steps - and they’ll be with you throughout the entire journey! You will have the option to meet the intended parents - either in person or via Zoom - before moving forward with your screenings.
You could match with intended parents quickly or it could take a while, but know that you’ll always be able to switch into our Keep program if you decide you don’t want to wait.
Complete further screening
Once you have officially matched with the intended parents, you’ll undergo a physical screening based on FDA, ASRM and industry guidelines. This will also include bloodwork and a (fairly painless) vaginal ultrasound to determine how many eggs you have in your ovarian reserve and if you would be a good fit for Split. Depending on where you and the intended parents’ are located, the testing may take place at a clinic near you or there some travel may be required. Our team will organize the travel and help make this easy for you.
Start your egg freezing cycle
If you get the green light and are accepted into Split, you’ll move onto the stimulation phase. This is the phase where you’ll take injectable medications to stimulate your ovaries to bring as many eggs to maturity as possible and get you ready for retrieval. This can sound scary, but we’ve got lots of helpful tutorials to walk you through it all. You’ll also be monitored by a local fertility clinic throughout the process to check on how things are progressing. This full stimulation period usually takes 10-14 days.
Retrieve your eggs
Once your eggs have reached the point of peak maturity and they’re ready to be retrieved, you’ll head back to the clinic for this procedure. This outpatient procedure takes about 30 minutes, and you’ll be under light anesthesia. The doctor will use a vaginal ultrasound to remove the eggs.
Immediately upon retrieval, half the retrieved eggs will be frozen and stored for you for free for 10 years. You can access those eggs at any time and have them shipped to the fertility clinic of your choosing should you need them. The other half of the retrieved eggs will go to the intended parents and can be fertilized with the intended parents’ sperm of choice.
In the event that an odd number of eggs is retrieved, the “additional” egg will go to the intended parents.
Next steps
Depending on the number of eggs you’re able to retrieve in the first cycle, you can decide if you want to complete a second cycle so that you can donate again or have more eggs to keep for your future use.
For women under 35, studies show that the average number of eggs retrieved is 18-21, a number that is tightly correlated with AMH (anti-mullerian hormone) levels—which are tested as part of the screening process. The same studies show that freezing just nine eggs gave those women a 70% chance at a live birth.
What will I know about potential genetic offspring and what will they know about me?
In the case a donor-conceived child experiences a serious medical condition, you may need to provide medical information to us, the fertility clinic, or the intended parents. Also, if new information comes up about your medical history, we’ll need you to let us know. The intended parents are required to do the same. This is in everyone’s best interest so everyone can be made aware of unknown medical conditions which can occur.
That being said, when you apply, you’ll have the choice to indicate a desire for Disclosed or Undisclosed donation.
- Disclosed: You meet the family (virtually or by phone is fine) before proceeding with the match. The level of relationship after the match is what both parties make of it.
- Undisclosed: You match with a family without meeting them, and only communicate via Cofertility. No contact info is exchanged. Note that if both parties are interested, we can facilitate a phone or video meeting in which you can speak without sharing names.
Note that with today’s widely available genetic tests, it is extremely difficult to guarantee anonymity. There have also been changes in some state laws that give donor-conceived children more access to information about their donors, meaning it’s possible that identity and shared genetics may be discovered or made more broadly available by law even if you chose to be Undisclosed.
Overall, we take a human-based approach. Based on psychological wellbeing research, we encourage families to be open to their children about their conception story and donor-conceived roots. As donor-conceived children grow up, they may be curious about their genetics and want to reach out with their own questions. This is something to consider prior to moving forward with the Split program.
Summing it up
We know, first-hand, that freezing your eggs—especially when donating half—is a big decision that isn’t to be taken lightly. Our hope is that this overview (along with tons more helpful material along the way!) provides a solid foundation about our Split program so you can feel totally confident in navigating whether joining Split is right for you.
How Do I Know If I Can Freeze My Eggs?
Here’s what you need to know to make egg freezing possible in reality and the sort of programs where you can bring this to fruition.
While in theory, the idea of egg freezing would have many raising their hands to give this a try, practically speaking it may be more complicated. There are real-world factors to consider: Do I need to freeze my eggs? Will I actually need them down the line? Am I a good candidate? And if so, would it actually fit into my budget, and are the logistics really feasible?
No need to wonder. Here’s what you need to know to make egg freezing possible in reality and the sort of programs where you can bring this to fruition.
Affordable egg freezing programs
We at Cofertility are dedicated to the idea that egg freezing should be more accessible. To make it possible for more of those who are interested, we have designed two different programs that prioritize different aspects of egg freezing. Take our quiz to see if you qualify for these programs.
Paying for keeps
With our “Keep” program, it’s about maximizing the number of eggs that you freeze, geared to enabling many people to be able to answer the question, “Can I freeze my eggs?” with a big, “Yes.”
As a member in this program, you get access to discounted prices we’ve negotiated with clinics and pharmacies, as well as a community of women also freezing their eggs at the same time. With this Keep program we give more leeway on exactly who can participate. While we are aware that research shows that fertility starts to decrease considerably after age 35, you can still take part in the program as long as you are under age 40.
This is egg freezing with real world families in mind, with steps taken to make fees more affordable. The idea is to lighten the load and to make budgeting for egg freezing that much easier, while bringing a little more joy and positivity to the process
The Split cycle
With our Split program, it’s all about taking budgeting out of the equation altogether, while helping another family.
As a Split program member, if you qualify, you don’t have to set money aside for these burdensome costs at all – they are free as part of the program, including up to ten-years of storage. In return, you give half of your retrieved eggs from a cycle to someone who would be otherwise unable to conceive. The family receiving the donated eggs pays for all the costs to freeze and store your eggs, for their use to build a family now, and your use in the future.
But, because we are splitting the number of eggs here, every single one counts that much more. So, we need to be more stringent in determining who can become a Split member.
Important X factors
One of the factors that we weigh heavily for the Split program is age. In order to participate, you cannot be over age 34. That’s because data shows that, on average, those over 35 may not respond to fertility medication as well and therefore may not produce as many eggs. Also, research shows that, unfortunately, egg quality declines with age.
Given the amount of time it may take to do initial testing and to match you with an intended parent, we have aligned our policy with ASRM (American Society for Reproductive Medicine) guidance on this and limit membership here to those who have not yet turned 34. This way if there’s a hiccup along the way, you won’t have to miss out — there should still be sufficient time to participate in the program.
Another factor to consider is what’s known as your anti-Mullerian hormone (AMH) levels. These levels signal how responsive your ovaries are likely to be to medication given to stimulate them to produce multiple eggs. If this number is pretty high, it usually means that your ovaries will respond well to stimulation.
If at the time of initial screening, your ovarian reserve appears low based on your ultrasound and bloodwork, you, unfortunately, will not be eligible for the Split program, although you can still become a Keep member and achieve your goals that way. The ASRM guidance underscores the importance of considering biomarkers that indicate a donor’s potential ovarian reserve as part of the selection process. Scientists have found the AMH serum range of 2.20 to 6.8 ng/ml to be the one that research predicts will show if someone has enough ovarian reserve. This indicates how you will likely respond during an egg freezing cycle.
No matter your ovarian reserve, you can still freeze your eggs. You just may not qualify for our Split program. That’s because we want to ensure that enough eggs are produced in the cycle to make it worthwhile for everyone after the eggs are divided, without your feeling that you’ve come up short and won’t be happy unless you do another cycle.
If you’re among those who qualify though, as many in their fertility prime may be able, this can be a golden opportunity. Feel free to read more about qualifications for joining our Split program.
Logistics
There is, of course, also the question of where you’ll need to go to make all this happen.
If you’re a Split member, your initial physical screening takes place after you are matched with an intended parent. This includes some blood work and a vaginal ultrasound, which helps determine if this program will work for you, and will likely take place somewhere between where you and the intended parent’s locale. If any travel is needed though, our team will help you to make this happen, doing the necessary organizing. But monitoring for the cycle itself can be done at a local clinic right in your own area.
Meanwhile, Keep members have the flexibility to do the testing as well as the cycle locally, where it’s most convenient.
Can you freeze your eggs?
So, is this something that could practically work for you? Both of our programs are designed to make this feasible for a wide-variety of women. We try to keep costs down for Keep members while offering added flexibility to pursue their egg freezing goals. Meanwhile, for Split members the financial barriers are removed altogether.
Hopefully, this helps you to see how, practically speaking, you too can raise your hand up high and answer the question, “Can you freeze your eggs?” with a giant, yes, to make egg freezing in reality.
Why Do Female Physicians Face a Higher Rate of Infertility?
If you’re a female physician in the United States, you may have heard that you’re at a higher risk of infertility. Read on for the research into this fertility concern and what American doctors are doing about it.
If you’re a female physician in the United States, you may have heard that you’re at a higher risk of infertility than your female friends who took a different career path. It certainly sounds like the kind of “fact’ that gets posted on social media one day and suddenly becomes gospel, whether it’s true or not.
Unfortunately, we can’t just write this one off as a social media hoax. Researchers have run the numbers, and it turns out almost 25% of female doctors who are trying to conceive are faced with fertility challenges. This is about double the rate of the general public.
“It turns out almost 25% of female doctors who are trying to conceive are faced with fertility challenges. This is about double the rate of the general public. “
So what’s going on? Should you be freezing your eggs now just in case? Is there anything else you can do? Read on for the research into this fertility concern and what American doctors are doing about it.
Female doctors and fertility
General fertility rates have been trending downward in the US in recent decades with the CDC reporting record low birth rates in 2018 and only minimal increases since. In 2021, the American birth rate was 1,663 births per 1,000 women — not enough to maintain stable population figures in the US.
And while some of that could be due to personal choice, scientists have found increasing rates of reproductive problems are cropping up in women and men. Miscarriage rates are up about one % every year and so are the rates of gestational surrogacy — an option growing in popularity for intended parents seeking the help of an additional party for conception.
But the plight of female doctors stands out among all these figures:
- 1 in 4 — The approximate number of female physicians who were diagnosed with infertility after trying to have a baby, according to a survey published in the Journal of Women’s Health in 2016
- 11 % — The percentage of American women in the general population have had the same diagnosis.
- 42 % —The amount of female surgeons who have experienced a pregnancy loss, according to a survey published in JAMA Surgery in July 2021 which reported that 42 % had experienced a pregnancy loss.
What’s going on?
What makes female doctors so different from the rest of the population? In part, their education.
There’s no real way to put this nicely: Age matters when it comes to fertility. Extensive medical research on fertility shows that getting older has a major effect on our reproduction system and our ability to conceive.
But many female doctors — surgeons included — delay pregnancy until after the completion of their residency. How long that will take depends on the doctor’s specialty, but this can be another three to eight years after medical school. For surgeons, a residency is a minimum of five years.
That puts many female doctors into their 30s before they even begin trying to have their first child. In fact, in the 2016 survey, doctors reported they were 31.6 year old on average at completion of medical school and residency and 30.4 years on average at first pregnancy. By comparison, the average age of an American woman giving birth for the first time in the US is 26 years old, according to data compiled for the New York Times in 2018.
Almost a third — 28% — of the female doctors surveyed in 2016 who experienced fertility challenges said they would have begun trying to conceive earlier if they could have seen what lay ahead. Close to the same number — 29% — said they experienced diminished ovarian reserve, a condition in which their fertility challenge was linked to having fewer eggs in the body. This condition is largely associated with age.
But delaying reproduction is only part of the puzzle.
Even after adjusting for age, female physicians have higher rates of infertility. Perhaps this is due to female doctors facing high rates of stress at work that put a strain on the body and can affect reproduction as a whole. Those who opt to start a family before residency is complete may face irregular work schedules and long, grueling shifts that can put intense strain on anyone’s body, but prove especially hard for someone who is pregnant.
Together, all of these factors can have a significant impact on the fertility of a female doctor.
How can female doctors preserve their fertility?
The numbers may seem a little daunting, especially if you’re in medical school or the midst of your residency. So what can women do about it?
An infertility task force now exists as part of the American Medical Women’s Association to find answers to this problem plaguing women in medicine, and individual doctors around the country have been working to advocate for improved fertility education and fertility insurance coverage for their peers.
One of the chief criticisms of the current system comes from Dr. Areila Marshall, one of the founders of the AMWA task force, who wrote about the issue in the journal Academic Medicine in 2020 calling for better awareness of egg, embryo, and sperm cryopreservation.
Marshall echoed a wish expressed by a number of the physicians who took part in the original 2016 survey: 7% of those doctors said they wished they had known to use cryopreservation to extend their fertility.
For female doctors who don’t know when — or even if — they want to conceive, egg freezing can be a viable option.
Freezing is not a guarantee that you will have a baby down the line. It simply means that eggs will be there, waiting, if you decide at some point in the future that you wish to explore conception.
At Freeze by Co, we are committed to giving women the opportunity to have more control over their reproductive choices. Here women have a variety of paths they can choose from when it comes to egg freezing – whether they’re looking to freeze eggs now or have already frozen some of their eggs.
Members of our Split program even freeze for free when they give half of their eggs to intended parents who cannot otherwise conceive.
Bottom line
Women should not have to choose between a dream of pursuing a career in medicine and making reproductive decisions on their own timeline. Egg freezing gives women the power to make more choices about her own body.
Five Reasons to Freeze and Share Your Eggs With Another Family
Freezing your eggs is a big decision. With our Split program, you can freeze your eggs for free when you give half to a family who can’t conceive. Read on to learn more.
Freezing your eggs is a big decision — one that we know, first-hand, can take time to think through — and freezing and sharing your eggs with another family is an even more weighted one. With our Split program, you can freeze your eggs for free when you give half to a family who can’t conceive. But beyond that, there’s even more that will come out of your Split program journey.
By freezing your eggs with Freeze by Co’s Split program, you’ll get to:
1. Invest in your reproductive future
Having kids may be way off your radar today. But if you might want children one day, freezing your eggs may help keep that possibility on the table. We believe in making that possibility as accessible as possible.
2. Do something life-changing for another family
By giving half of your eggs to another family who can’t conceive — whether it’s a couple with infertility, LGBTQ+ parents, or parents with other medical challenges — you’re making their family-building dreams possible. And that’s something truly incredible.
3. Empower yourself with knowledge about your body
By freezing your eggs, you’ll get an insight into the hormones and ovarian reserve levels that make up your fertility health.
4. Gain access to your own genetic family history
Once you match with a family, all Split members undergo genetic testing. This knowledge about your genetics could be super important down the line if you start to think about having kids.
5. Receive concierge-level support throughout the process
If you’re part of our Split program, we’ll hold your hand every step of the way. With direct access to our founders and our community of other women going through the process at the same time, you’re never alone.
We’re so excited for you. And remember, we’re always here to help.
How to Freeze Your Eggs for Free
Perhaps the idea of egg freezing is something that you’ve thought about before. For many of us, though, cost can be a big barrier. Read on as we breakdown a new option.
Perhaps the idea of egg freezing is something that you’ve thought about before. For many of us, though, cost can be a big barrier. You might be hoping to find an affordable egg freezing program that can allow you to freeze your eggs now and store them without breaking the bank, as you pursue your own agenda.
Is this just a pipe dream? With Freeze by Co, it’s actually…not. Read about how our new option can enable you to give the idea of egg freezing another look, with—wait for it—free egg freezing. And you get to help a family along the way.
An affordable innovation
With some egg freezing programs, fees can run into the thousands initially and grow every year. But at Freeze by Co, it is our goal to make the process as affordable as possible. This led us to develop what we call our Split program.
With the Split program, if you are eligible, the premise is simple: for each cycle you undergo, you keep half of the eggs for yourself at absolutely no charge, plus up to ten years of storage, when you give the other half of the retrieved eggs to another family who can’t otherwise conceive. All of your medical expenses and travel related to egg freezing is covered as well.
What you get as a Split member
In addition to giving a life-changing gift to another family, as a Split member, you are entitled to the following for free with your egg freezing cycle:
- Testing
- Medication
- Egg retrieval
- Egg freezing and storage
- Procedure insurance
- Travel
In addition to lightening your own financial load, the good you’ll be doing will be immeasurable.
Is it a fit?
To participate in Split, you must meet certain industry- and government-based criteria, including:
- Being between 21 and 33 years old. Age is a factor that contributes to waning fertility, which, while not true for everyone, tends to decline at age 35. Since the process leading up to egg donation can take time, we cap the program at age 33, as consistent with guidelines set by the American Society for Reproductive Medicine (ASRM).
- Having two ovaries
- Enjoying good physical and emotional health, without any reproductive issues or genetic abnormalities
- Having a body mass index (BMI) between 18 and 29 to enable optimal medication administration and egg retrieval outcomes
- Having avoided smoking and recreational drug use or Depo Provera injection as a mode of birth control
To learn more about all disqualifications for our Split program, click here.
To find out if our Split program is a way that we can help you reach your egg freezing goals, here’s how the process works:
Getting started
First, take our brief quiz to learn more about our Split program and see if you’re a potential fit. It just takes a few minutes.
Applying for membership
Then, if you’ve pre-qualified, you move on to the application process. This is your chance to tell us more about your background and create a profile for intended parents to see and hopefully connect with. It will also help finalize your acceptance into the program.
The interview process
Next, we chat. You get to ask us any questions about the process and get to know us, as we get to know you as well. We’ll walk you through all program logistics and frequently asked questions so you feel completely comfortable with it all.
Find a match
Once you’ve been fully accepted into the program, the matching process begins. When your profile has been selected by intended parents, you’ll have the opportunity to accept the match. If you agree it’s a good fit, then the screening and freezing process can begin.
Screening
During the screening phase, we’ll get a sense of your ovarian reserve and overall physical health to get a sense of whether you’ll have enough eggs available to fairly split for yourself and the intended parents. If your ovarian reserve appears strong enough that splitting the retrieved egg yield has the chance to result in a live birth for both parties involved, and you continue to qualify based on the other physical and psychological screening factors, you’ll be given the final green light.
The cycle
Now it’s all about your cycle. This means you’ll start taking injectable medications needed to enable your ovaries to produce multiple eggs. We have loads of materials that can help you successfully manage this.
After close monitoring, when the time is right, you’ll be scheduled for the egg retrieval. During this 30-minute process, the doctor will remove the eggs with the aid of vaginal ultrasound while you’re under light anesthesia.
Free storage
Then, right away, your half of the eggs will be frozen. As a Split member, this whole process will be entirely free, including up to ten years of storage. In the case of an odd number of eggs, the extra one will be slated for use by the intended parents. However, any non-mature eggs retrieved will be frozen for you, since we don’t know what kind of medical advancements might take place over the next ten years.
As a Split member, if you feel that it would be beneficial for you down the line, you can always consider doing another cycle. This will allow you to add to what you already have in storage and reap the benefits of additional free egg freezing, making the most of the program.
Adding it up
Our Split program puts egg freezing in reach for all members. It removes what’s often the biggest obstacle to taking charge of your fertility timeline — cost — while allowing an opportunity to help another family.
Once you’ve completed the Split program, you can walk away knowing that not only have you figured out a way to make your goal of storing eggs a reality without the need for scrimping in other areas, but you’ve also succeeded in giving another family a golden opportunity they wouldn’t have had otherwise.
How to Fill Out Your Split Application (and Let Yourself Shine)
The sooner you complete your application (and the more robust it is!), the sooner you’ll match and the sooner your own journey can begin. To jump start your process, we wanted to share a few tips on how to fill out your Split application and let your personality shine.
Freeze by Co’s Split program allows you to freeze your eggs for free when you donate half of your eggs retrieved to a family that otherwise can’t conceive. It’s a true win-win. But in order to start your freezing process, you first have to match with a family. The sooner you complete your application (and the more robust it is!), the sooner you’ll match and the sooner your own journey can begin. To jump start your process, we wanted to share a few tips on how to fill out your Split application and let your personality shine.
Tip #1: Be yourself!
We’re frequently asked what kinds of Split members our intended parents (IPs), or Family by Co members, are looking for. The truth is that our IPs are as diverse as our Split members. Each is coming to us looking for a unique match.
While some IPs are hoping to match with a Split member of a particular ethnicity, others are most interested in matching with someone with shared interests. Ultimately, IPs want to match with someone who they feel connected to as a person. That’s why our application tries to get at the heart of who you are from a variety of dimensions.
Tip #2: Share your motivation for joining Split
While your interest in egg freezing and egg donation may seem obvious to you, we want to be able to showcase that to our intended parents. They’re drawn to our unique model and love that all of our Split members are incredible, ambitious women who are motivated to preserve a portion of their reproductive future. And IPs are excited about empowering the next generation to own their family-building timelines.
As such, we encourage you to elaborate as much as possible on why you’re interested in the program. This includes why you want to freeze your eggs (Are you in grad school? Are you gunning for a promotion? Are you just not sure that you want to have kids?) and why you’re interested in donating. No detail is too small. Trust us when we say that it all comes together to paint a picture of why you make an incredible donor.
Tip #3: Play up your achievements
We get that it can feel uncomfortable to brag about yourself. But your Split application is one instance in which we want you to lay it all out. We — and our IPs — are continually in awe of how impressive our Split members are. From active community service volunteers to professional award winners, we want you to underscore your achievements. While you might be wondering why winning an award for your undergraduate thesis is relevant to an IP, remember that there may be a family on the other side of our matching platform searching for a Split member with a knack for writing.
Tip #4: Share photos (or videos!)
The photos you share also help IPs gain a better understanding of you throughout your lifetime. While you’ll want to submit some photos with a clear, head-on view, don’t be afraid to include pictures that showcase your hobbies or passions. Avid hiker? Let’s see you on your favorite trail! Proud dog mom? We want to see your little furball. If you’re waiting on your family to send you childhood photos, note that you can always submit your application without those and add them at a later date. In general, we recommend including at least one baby photo, one childhood photo, one pre-teen photo, and 5 recent photos.
You also have the option of filming a video that will be visible to intended parents. This can showcase your personality, your interest in the program, and your hopes and wishes for the family who you ultimately match with. If you’re interested in submitting a video, let us know.
If you go this route, consider the following dos and don’ts:
Do’s:
- Explain why you’re interested in the Split program - why are you excited about freezing and donating eggs?
- Share a message with intended parents - what do you want them to know?
- Shoot the video horizontally
- Keep your video less than 4 minutes and in mp4 format
- Ensure your video is clear with good lighting. Natural light is best so if you can shoot near a window or in the shade outside, that’s ideal!
- If you have a phone tripod, consider using it for stability. Otherwise, propping your phone up on something else is okay!
Don’ts:
- Use your last name or other identifying information
- Avoid filming in any loud or public places
Questions? Reach out
As you’re working through your application, don’t hesitate to reach out to our team with any questions. Our number one priority is ensuring you feel comfortable with the process. That, and helping you shine!
Disclosed vs. Undisclosed Egg Donation: How Should I Choose?
If you’re applying for our Split program, you may be wondering how much the intended parents (IPs) and any donor-conceived children will know about you—and vice versa. Read on so you can make the best decision for you.
If you’re applying for our Split program, where you’ll give a portion of your eggs to a family that cannot conceive otherwise, you may be wondering how much the intended parents (IPs) and any donor-conceived children will know about you—and vice versa. We know this is a big deal and we want to give you as much information as possible to help you make the best decision for you.
Disclosed vs. undisclosed relationships
In a disclosed relationship, you exchange contact information and can communicate directly. The scope and degree of communication (both during and post-match) is what both parties make of it.
In an undisclosed relationship, you do not exchange contact information and only communicate through Cofertility. With an undisclosed donation, you and the family can choose to allow the donor-conceived child to receive your contact information when they turn a certain age (usually 18). This is called Open ID, an increasingly popular option.
Does undisclosed mean anonymous?
To put it bluntly, it is impossible to guarantee true anonymity in egg donation. With widely available genetic tests and more state laws giving donor-conceived children access to information about their donors, it’s increasingly likely that identity and shared genetics may be discovered.
At Freeze by Co, we want to honor the perspectives of all parties involved in the family-building process. This includes Split members, intended parents, and especially any future donor-conceived children. Given research on the benefits of parents being open with their children about being donor-conceived, we encourage intended parents (through our Family by Co platform) to be open to their children about their conception story.
If the eggs you give lead to a child (and we hope that they do!), that donor-conceived child may eventually want to reach out with their own questions. We want to be upfront that this could happen, even if you opt for an undisclosed match.
What do these relationships look like in practice?
Every relationship is unique and depends on the desires of the Split member, intended parents, and what’s best for any future donor-conceived children. They can range from regular communication to a single notification when the donor-conceived child is born. While this list is by no means exhaustive, we wanted to paint a picture of how these relationships may play out:
Disclosed relationships may include:
- Receiving an annual holiday card from the intended family
- Communicating with either the parents and/or donor conceived children around milestone events, like first steps up to graduations
- Speaking directly with the donor conceived child once he/she reaches a particular age
- Simply keeping communication lines open if an issue or need arises.
Conversely, an undisclosed relationship may include:
- Receiving a photo of the baby when he/she is born
- Communicating via Cofertility to share a meaningful update like first words
Note that if a donor-conceived child experiences a serious medical condition, you may be asked to provide supplemental medical information to help the family navigate the situation. Also, if new information comes up about your own medical history, we ask you to let us know so that any relevant information can be shared with the family. This is the case regardless of your relationship status.
If I have kids now or in the future, do I have to share this with them?
If you have children in the future, we encourage you to share this information with them. You may decide to wait until your children reach a particular age or you may ask the IPs to let you know when they share their own child’s conception story so that you can do the same.
As mentioned earlier, with the advent of consumer-facing genetic testing companies like 23andMe, it is also possible that your children could be contacted by donor-conceived children in the future. As such, you may prefer to share this information on your own terms. Whether that is five, ten, or fifteen years from now — we’ll provide you with resources to support that conversation.
Egg donation is a beautiful way to build a family and not something anyone involved should be ashamed of. Research shows that normalizing egg donation with children at an early age is best. This is true for parents who raise the child, as well as the egg donor who made it possible.
What are my options with Split?
As part of the Split program application, you’ll be given the opportunity to indicate your preference for a disclosed or undisclosed relationship. You can also indicate openness to both. This information will also be shared on your profile so that you will only be matched with IPs who are aligned on the desired relationship type.
If you still have questions about the spectrum of relationship options, reach out! We’re here to help you navigate it all, and we find that Split members are often open to a wide range of options after getting to know the family they are helping.
Final thoughts
If you’re applying for our Split program, we know you have a lot to consider. Our goal is to build families, but we aim to do so in a way that honors all parties involved. If you have any questions about our policies or thoughts around disclosure or want to talk through your personal situation, please don’t hesitate to reach out.
Disqualifications for Our Split Program
Through this program, you can freeze your eggs for free if you donate half to a family who can’t otherwise conceive. But, importantly, several factors may limit your eligibility. Read on to get the full picture.
Our goal at Cofertility is to match intended parents with Split members who can help them achieve their goal of parenthood. Because of that, we want to make sure we’re upfront about what might disqualify someone from our Split program.
Through this program, you can freeze your eggs for free if you donate half to a family who can’t otherwise conceive. But, importantly, several factors may limit your eligibility. Some of these are official disqualifiers based on regulations by the Food and Drug Administration (FDA). Others are discretionary disqualifications based on recommendations by governing bodies like the American Society for Reproductive Medicine (ASRM).
While it’s not possible to create an exhaustive list of every reason someone may not qualify for our Split program, this guide outlines some of the most common reasons for disqualification.
Age
To apply to be a part of the Split Program, you must be between the ages of 21-33. This is because you’ll need to complete your retrieval before you turn 35, so because the process can take some time, we don’t accept applicants who are 34 or older.
The reason for this age limitation is because data shows that, on average, those over 35 tend not to respond to fertility medication as well and therefore may not produce as many eggs. Also, research shows that, unfortunately, egg quality declines with age. Various factors may affect your cycle timing (application paperwork, time to match with a family, and more) and you will need to cycle before you turn 35. We’d hate for someone to apply, get accepted, and then when the time comes for the cycle itself, potentially age out.
If you are 34-39, you are still eligible to participate in our Keep program. With this program, you can freeze your eggs and keep 100% of them for yourself.
If you are under 21 and you’d like to participate, please reach out and we’ll get back in touch after you turn 21.
Health-related factors
As a preliminary step in the process, we’ll review several health-related factors.
For starters, you’ll need to have two ovaries and you cannot have taken a Depo Provera shot, which can interfere with hormonal medications, within the past 6 months.
Due to these hormonal medications you’ll need to take during egg freezing, you also cannot be currently pregnant or breastfeeding. However, if you plan to stop breastfeeding within the next six months, you can still go through with your Split application. You’d just need to hold off on your actual freezing cycle until then, and this situation would be communicated to potential match families.
Additionally, you’ll need to have a BMI of 18-29. Those outside of this range are at increased risk of complications, negative outcomes, and negative side effects from hormonal medications or an egg retrieval.
You will not qualify if you’ve had a sexually transmitted disease within the past 12 months (but can apply after 12 months of treatment). You also will be disqualified if you’ve been refused as a blood donor due to other infectious disease or medical conditions. Same goes if you’ve ever had a blood transfusion.
Medical and family history
We will also review your and your family’s medical history. Unfortunately, this means that if you are adopted and cannot confirm your biological family’s medical history, you will not qualify.
Though not an exhaustive list of every condition that may disqualify a member, when reviewing your personal and family medical history, we look for personal and/or family history of:
- Cancer
- Heart/blood disease
- Neurological diseases
- Mental health disorders
- Thyroid disorders
- Genetic disease
- Fertility issues
- Reproductive disease
- Autoimmune disease
- Respiratory disease
- Metabolic disease
- Gastrointestinal disease
- Kidney disease
- Birth defects
We review your personal and family medical history as a whole with our medical advisors. When reviewing, we consider the severity of the disease/conditions, number of relatives with the disease/condition, age of diagnosis, as well as that relative’s relation to you.
Psychological screening
There are also some psychological questions you’ll have to answer. We don’t expect you to be perfect. But note that certain psychological factors may be more likely to disqualify you than others.
For example, a history of physical, sexual or substance abuse or having family members with psychiatric disorders that could be passed down may make it more difficult to be approved than, for example, having had some mild depression or anxiety. Per ASRM guidance, we will exclude those with a personal or first-degree (parents, siblings, offspring) family history of:
- Bipolar disorder
- Schizophrenia
- Schizoaffective disorder
- Severe depression
- History of alcoholism or drug abuse
Genetic screening
As part of the process, you’ll also be required to do genetic testing via blood test or saliva sample. This helps ensure that embryos resulting from your eggs will lead to a viable pregnancy and that a child won't be born with severe disease.
But even for serious diseases, not all disease-related genes are deal breakers. For example, if we find that you have a copy of a gene that can lead to cystic fibrosis, spinal muscular atrophy, or thalassemia, this may or may not disqualify you; it can depend on the clinic and genes of the intended parents.
In line with ASRM guidance, in most conditions where carrying one copy of a particular gene won't impact the child themselves, you can still qualify for the Split program.
Physical screening
In addition to genetic screening, you will have to undergo a physical screening to ensure you are physically healthy and producing a good number of eggs.
Some disqualifications here are set in stone by the Food and Drug Administration (FDA). If evidence of any of these conditions arises, you will be considered ineligible for the program. These are considered to be non-negotiable.
- HIV
- Hepatitis B
- Hepatitis C
- Human transmissible spongiform encephalopathy
- Treponema pallidum
The following could also be deal breakers:
- Issues with your ovaries, such as having only one ovary
- Hormone levels outside of recommended limits with concerns about your ability to produce sufficient eggs
- Any issues that would make the egg freezing and donation process risky for your health
- Evidence that you are at high risk of getting a sexually transmitted disease or could already have one. Doctors will look for discharge or ulcerative lesions for this purpose
- Indicators of possible drug use (needle tracks, for example) or exposure to needles in non-sterile conditions—including recent piercings or tattoos within the past 12 months
Anti-Mullerian hormone (ovarian reserve) levels
As you likely know, women have a set egg quantity present at birth. Your eggs mature in ovarian follicles, and each of these follicles produces the anti-Mullerian hormone (AMH). Over time, this hormone level drops; eventually, it drops so low that women naturally develop what's known as a diminished ovarian reserve (DOR).
Your AMH level can help predict how well medication may work to stimulate your ovaries to produce eggs. It also tells doctors what dosage of drugs may be needed to do so. The higher the AMH level, the more eggs generally produced.
At Cofertility, if your AMH < 2, you are ineligible for our Split program. We only accept Split Members with these higher AMH levels as it helps mitigate the possibility of a second cycle to obtain enough eggs that could result in a live birth down the line (for yourself and for intended parents). Nevertheless, it’s important to note that, even with a high AMH level, there is always a chance that you need to do another cycle to improve the odds of a live birth. In the Split Program, you will receive AMH-reading bloodwork prior to being activated on our platform.
If it turns out that your AMH levels are below the required minimum threshold, you would unfortunately be ineligible to move forward with egg donation. However, we can still help you freeze your eggs for your own future use through our Keep program.
State-specific qualifications
Some states do maintain their own requirements for women who are donating eggs. These requirements will extend to those in our Split program and would be determined by the location of the clinic at which you would be conducting the retrieval.
Any state-specific egg donation qualifications will be evaluated at the time of your physical examination.
Additional disqualifying factors
Lastly, there are a few additional factors that, unfortunately, would disqualify you from our Split program. These include if you:
- Have served jail time for more than two days within the previous 12 months
- Have undergone body piercing and/or tattooing within the past twelve months in which sterile procedures may not have been used
- Have the highest education level of GED
- Have Indigenous American ancestry and are associated with a tribe — this is due to the Indian Welfare Act
- Currently use any nicotine products regularly, since the ASRM has confirmed an association between smoking and decreased fertility — if you engage in vaping, you will need to quit for 2-3 months before re-applying for Split, but if you only vape occasionally/socially, you will need to quit for one month prior to your retrieval date
If one or more of the above applies to you and you’d still like to participate in our Split program, reach out to us. We’d be happy to chat with you about your fertility options, including your ability to re-apply in the future.
The net net
We know this sounds like a lot, but these disqualifiers are in place to respect the health and wellbeing of our Split members and intended parents. If you have any questions about Split—including the factors outlined here—don’t hesitate to connect with us.
You have tons to offer, and whether you qualify for the Split program is in no way reflective of your value. The most important thing is that you feel one hundred percent comfortable in any decision you make. This is a big one, and we’re with you every step of the way.
Everything You Need to Know About Egg Freezing
You’ve likely heard about the process called egg freezing. But what exactly does that process look like?
You’ve likely heard about the process called egg freezing (sometimes called “fertility preservation”), where they stimulate the follicles in the ovaries and retrieve unfertilized eggs to preserve them for future use.
But what exactly does that process look like? And why would someone want to go through it? Read on—we’ll explain everything you need to know about egg freezing.
The process for freezing eggs
While it may sound like a very intense process—and for some women, the side effects of the medications used to stimulate the eggs can certainly feel that way—freezing your eggs is actually a safe and minimally invasive procedure.
- Take our quiz to find affordable egg freezing options near you, including our Split program (where you can freeze your eggs for free if you give half to another family who can’t conceive) and our Keep program (where you can freeze your eggs more affordably and keep them all for your own future use). If you’d like to participate in Split, you can move forward with that application right away. If you’d like to join our Keep program, we’ll email you your options once you take the quiz.
- With Keep, the egg freezing process begins with a consult with your fertility doctor. They will do some initial testing to determine the current health of the eggs your ovaries are producing, both in number and in quality. You’ll undergo bloodwork and an ultrasound to get a sense of this.
- Next, you’ll likely undergo some general health screenings to make sure you’re not carrying any viruses that could complicate the process (like HIV or certain forms of hepatitis).
- Once your health check is through, you’ll likely begin a series of medications, including ones that will stimulate your ovaries and/or prevent early ovulation. You’ll give yourself shots daily. If you freeze with Cofertility, we’ll provide you with step by step videos to ease the transition.
- Around this time, you can also join the Cofertility Member Portal, where you can connect with (and lean on) other women freezing their eggs at the exact same time!
- Your doctor will monitor you during this time to confirm that the medications are working and that your estrogen levels are increasing while keeping your progesterone levels low. You may also undergo a vaginal ultrasound to monitor the condition of the follicles where your eggs will eventually mature.
- After 10 to 14 days you’ll start a medication to help speed up egg maturity ahead of your egg retrieval.
- The retrieval process happens under light sedation and involves using a vaginal ultrasound and a needle with a suction device to retrieve the eggs—this sounds more intense than it is.his procedure is normally done right in the clinic and takes about 10 minutes.
- Once the eggs are retrieved, they’re flash frozen and stored in subzero temperatures, normally with a substance like liquid nitrogen to prevent the development of ice crystals.
- You can go home after the procedure and rest up!
How your body responds to the process
Everyone’s body will react differently to each step of the egg freezing process. While some women will experience bloating or hormonal responses from the medications that stimulate egg maturation, others may feel much less. You might experience some mild cramping or bloating following the retrieval process as your ovaries continue to remain enlarged from the medications used.
Additionally, you’ll have an increased risk of pregnancy in the week following your retrieval. Because of this, many doctors suggest avoiding unprotected sex during this time period.
The goals for women who freeze their eggs can differ
Not everyone has the same intentions when they start the process of freezing their eggs. Some women may hope to prolong their reproductive years until they’re ready to have children, while others may be hoping to use their frozen eggs as donor eggs to help someone else who is trying to start a family.
One thing all of these women have in common is that they’re hoping to improve their chances of those eggs eventually resulting in a healthy baby. To some extent, the more eggs there are, the better the chances of those resulting in a life birth. But we also know that egg quality is important. The number one factor impacting egg quantity and quality? Age.
A study in the Journal of Assisted Reproduction and Genetics confirmed that the probability of at least one live birth varies with the number of mature eggs available and the age of the woman trying to conceive. For example, a woman under 35 who is trying to conceive will need 9 mature eggs to achieve a 70% chance of having at least one live birth. If you’re trying to conceive in your mid to late 30s, you may need double as many eggs to achieve that same 70% success rate.
Because women in their 30s tend to produce less eggs, women who are freezing their eggs at this age may end up having to either settle for fewer eggs or undergo multiple rounds to collect enough eggs to have on hand for later implantation. As you can imagine, those costs can creep higher and higher the more rounds you endure, driving up the price tag and the risk of failure.
Some things to consider about freezing your eggs
There are obviously many factors that go into the freezing process; but, there are a few points to consider outside of the physical. You’ll also need to account for the cost—you not only need to pay for all of the testing and procedure plus monthly storage fees until you’re ready to fertilize your eggs. To this end, you will likely need to budget an extra $550-$1,000 a year to pay a company to store and monitor your eggs after they’ve been retrieved and frozen.
These procedures can quickly add up to a few thousand dollars—likely anywhere between $8,000 to $20,000. That price can be too high for some, which is why we’ve developed our Split program. With Split, you can freeze your eggs for free, if you qualify and donate half of your retrieved eggs to an intended parent who matches with your profile.
Getting a jump start on your fertility is a wise choice
Deciding to freeze your eggs is a proactive choice and a good idea if you’re not sure exactly when you’ll be ready to start a family (if you even want to). It’s also perfect for anyone who wants to retrieve healthy eggs before undergoing chemotherapy or a surgical procedure that could alter your fertility chances.
The average age women have become parents has increased over time—with many spending their earlier adult years focused on getting an advanced degree, furthering their careers, or even finding the right partner—however, our biological clocks have remained the same.
Take a look at your options
At Cofertility, we offer a variety of options for freezing your eggs, including our Split program where we’ll help you through the process of stimulating and retrieving your eggs at no cost as long as you donate half the eggs retrieved from each cycle (if you qualify). If donation is not for you, we also have a Keep Program in which you freeze and keep 100% of the eggs for yourself. Contact us today to learn more - no commitment required, but we’d love to talk through can help you take charge of your future reproductive health.
Disqualifications for Egg Donation: an Overview
Egg donor agencies are all about matching families with qualified egg donor candidates. And at Cofertility, we want to make sure we’re upfront about what might disqualify someone from egg donation.
Egg donor agencies are all about matching families with qualified egg donor candidates. And at Cofertility, we want to make sure we’re upfront about what might disqualify someone from egg donation.
Through our Split program, if you qualify, you can freeze your eggs for free if you donate half of the eggs to a family who can’t otherwise conceive. But some factors may limit eligibility (for Split and egg donation in general). Some of these are official disqualifiers based on regulations by the FDA. Others are discretionary disqualifications based on recommendations by governing bodies like the American Society for Reproductive Medicine (ASRM). Read on to get the full picture.
Age
Unfortunately, most doctors and agencies will turn a donor away if she’s over age 33. At Cofertility, we take a similar approach for our Split program.
The reason for this age limitation is because data shows that, on average, those over 33 tend not to respond to fertility medication as well and therefore may not produce as many eggs. Also, research shows that, unfortunately, egg quality declines with age.
If you are 34-39, you are still eligible to participate in our Keep program, where you can freeze your eggs and keep 100% of them for yourself. Also, if you are over 33 and donating for a family member or friend, a doctor may approve you for egg donation on a case-by-case basis.
Please note, per ASRM guidelines, we also do not accept Split members who are under 21. If you’re younger than this and you’d like to participate, please reach out and we’ll get back in touch after you turn 21.
Health-related factors
As a preliminary step in the process, we will review several health-related factors before you can be approved for egg donation.
For starters, you’ll need to have two ovaries and you cannot have taken a Depo Provera shot, which can interfere with hormonal medications, within the past 6 months.
Due to these hormonal medications you’ll need to take during egg freezing, you also cannot be currently pregnant or breastfeeding. However, if you plan to stop breastfeeding within the next six months, you can still go through with your Split application. You’d just need to hold off on your actual freezing cycle until then, and this situation would be communicated to potential match families.
Additionally, you’ll need to have a BMI of 18-29. Those outside of this range are at increased risk of complications, negative outcomes, and negative side effects from hormonal medications or an egg retrieval.
You will not qualify if you’ve had a sexually transmitted disease within the past 12 months (but can apply after 12 months of treatment). You also will be disqualified if you’ve been refused as a blood donor due to other infectious disease or medical conditions. Same goes if you’ve ever had a blood transfusion.
Medical and family history
Agencies will also review your and your family’s medical history. Unfortunately, this means that if you are adopted and cannot confirm your biological family’s medical history, you will not qualify.
Though not an exhaustive list of every condition that may disqualify a member, when reviewing your personal and family medical history, agencies look for personal and/or family history of:
- Cancer
- Heart/blood disease
- Neurological diseases
- Mental health disorders
- Genetic disease
- Fertility issues
- Reproductive disease
- Autoimmune disease
- Respiratory disease
- Metabolic disease
- Gastrointestinal disease
- Kidney disease
- Birth defects
We review your personal and family medical history as a whole with our medical advisors. When reviewing, we consider the severity of the disease/conditions, number of relatives with the disease/condition, age of diagnosis, as well as that relative’s relation to you.
Psychological screening
Following this, there will be some psychological questions you’ll have to answer. We don’t expect you to be perfect. But some psychological factors may be more likely to disqualify you than others.
For example, a history of physical, sexual or substance abuse or having family members with psychiatric disorders that could be passed down, may make it more difficult to be approved than, for example, having had some mild depression or anxiety. Per ASRM guidance, agencies - including our own - will, however, exclude those with a personal or first-degree (parents, siblings, offspring) family history of:
- Bipolar disorder
- Schizophrenia
- Schizoaffective disorder
- Severe depression
- History of alcoholism or drug abuse
Physical screening
In addition to genetic screening, you will have to undergo a physical screening to ensure you are physically healthy and producing a good number of eggs.
Some disqualifications are set in stone by the Food and Drug Administration (FDA). They, understandably, want to ensure that egg donor tissue doesn't spread contagious diseases. If evidence of any of these conditions arises, you will be considered ineligible for the Split program. These are considered to be non-negotiable:
- HIV
- Hepatitis B
- Hepatitis C
- Human transmissible spongiform encephalopathy
- Treponema pallidum
The following could also be deal breakers:
- Issues with your ovaries, such as only having one ovary
- Hormone levels outside of recommended limits with concerns about your ability to produce sufficient eggs
- Any issues that would make the egg freezing and donation process risky for your health
- Evidence that you are at high risk of getting a sexually transmitted disease or could already have one. Doctors will look for discharge or ulcerative lesions for this purpose
- Indicators of possible drug use (needle tracks, for example) or exposure to needles in non-sterile conditions—including recent piercings or tattoos within the past 12 months
Anti-Mullerian hormone (ovarian reserve) levels
As you likely know, women have a set egg quantity present at birth. Your eggs mature in ovarian follicles, and each of these follicles produces the anti-Mullerian hormone (AMH). Over time, this hormone level drops, and eventually, women naturally develop what's known as a diminished ovarian reserve (DOR).
Your AMH level can help predict how well medication may work to stimulate your ovaries to produce eggs. It also tells doctors what dosage of drugs may be needed to do so. The higher the AMH level, the more eggs generally produced.
At Cofertility, if you appear to have low ovarian reserve at the time of screening, you will be ineligible for our Split program. We only accept Split Members with a higher AMH level as it helps mitigate the possibility of a second cycle to obtain enough eggs that could result in a live birth down the line (for yourself and for intended parents). Nevertheless, it is important to note that, even with high AMH levels, there is always a chance of having to do another cycle to improve the odds of a live birth. In the Split Program, once you are matched with intended parents, you’ll undergo your physical screening, which will include AMH-reading bloodwork.
If you’d rather get a sense of your AMH ahead of matching, talk to us about helping you set up an initial egg freezing consultation at a local fertility clinic. While it’s not required until this later phase of the screening process, it can help you better understand your fertility outlook. We may offer discounted consult options in your area, and this could give you upfront peace of mind about your choice to pursue Split, Keep, or neither.
Genetic screening
As part of the evaluation process, you will also be required to do genetic testing via blood test or saliva sample. This helps ensure that embryos resulting from your eggs will lead to a viable pregnancy and that a child won't be born with severe disease.
But even for serious diseases, not all disease-related genes are deal breakers. For example, if your tests reveal that you have a copy of a gene that can lead to cystic fibrosis, spinal muscular atrophy, or thalassemia, this may disqualify you depending on the clinic. Even if two copies of the gene are needed in order for the condition to occur, clinics and agencies handle this differently.
In line with ASRM guidance, in most cases where carrying one copy of a particular gene won't impact the child themselves, you can still donate.
Agencies often screen for Fragile X syndrome. However, since this is an X-linked condition, just one copy of the gene can cause health issues. While most agencies will disqualify you if the X-linked health issues are severe, they may allow you to participate if you carry genes for milder conditions, such as red-green color blindness. Note that agencies will still inform potential parents that you carry this gene.
State-specific qualifications
Some states do maintain their own specific requirements for women who are donating eggs. These requirements will extend to those in our Split program and would be determined by the location of the clinic at which you would be conducting the retrieval.
Any state-specific egg donation qualifications will be evaluated at the time of your physical examination.
Additional disqualifying factors
In addition to the above, there are several factors that, unfortunately, would disqualify you from our Split program (and in many cases, per ASRM and/or FDA guidance, egg donation in general). These include if you:
- Are not a U.S. citizen
- Have served jail time for more than two days
- Have undergone body piercing and/or tattooing within the past twelve months in which sterile procedures may not have been used
- Have the highest education level of GED
- Have Indigenous American ancestry and are associated with a tribe—this is due to the Indian Welfare Act
If one or more of the above applies to you and you’d still like to participate in our Split program, reach out to us. We’d be happy to chat with you about your fertility options, including your ability to re-apply in the future.
The net net
We know this sounds like a lot, but these disqualifiers are in place to respect the health and wellbeing of our Split members and intended parents. If you have any questions about Split—including the factors outlined here—don’t hesitate to connect with us.
You have tons to offer, and whether you qualify for the Split program is in no way reflective of your value. The most important thing is that you feel one hundred percent comfortable in any decision you make. This is a big one, and we’re with you every step of the way.
Are There Any Risks Associated with Egg Donation?
Worries about egg donation risks can hold you back from joining our Split Program. Here’s what the science says about the risks along with our take on some potential benefits.
Worries about egg donation risks can hold you back from joining our Split Program, in which you can freeze your eggs for free in exchange for donating half to people who need help growing their families. But just how risky is egg donation? Are the rewards of helping grow a family enough to outweigh them?
Here’s what the science says about the risks along with our take on some potential benefits.
Egg donation risks
Overall, egg donation is considered a low-risk procedure and there are a number of steps along the way designed to ensure your safety. A 2017 Fertility and Sterility research study looked at more than 23,000 egg retrieval procedures performed on women in hospitals and fertility centers. Overall, the study found an overall complication rate of just 0.4%.
The first stage of the process is a series of screenings to make sure you are prepared for what lies ahead. You’ll undergo a general interview, blood testing, and a psychological assessment to make sure you are physically and mentally up for everything that egg donation entails. Importantly, these screenings help flag potential issues early, and mitigate any larger risks.
The greatest risks exist for those who have pre-existing health conditions that put them in a higher risk category, these women are unlikely to pass the initial screening process.
For those who are deemed healthy and ready for donation, the largest risks then lie in the egg production and egg retrieval phases of donation.
Ovarian hyperstimulation syndrome
Just like the process for freezing your eggs, you will be prescribed injectable hormone medications to stimulate the ovaries to produce more eggs. This carries some risk of ovarian hyperstimulation syndrome (OHSS). OHSS is a condition in which the ovaries condition in which the ovaries can swell and fluid leaks into the abdomen, causing pain and discomfort.
Cases of OHSS are rare, occurring in less than 5 percent of women who use these medications. The symptoms are typically mild, causing bloating, nausea, and general discomfort that will go away one to two weeks after your egg retrieval procedure. OHSS cases that require medical attention occur in about 0.1% to 2% percent of women.
Anesthesia risk
Once you’ve produced enough eggs, you’ll undergo a retrieval process at the fertility clinic. This process is outpatient, meaning you can go home that day, and typically only takes about half an hour.
You’ll be under anesthesia for the procedure so it is worth noting that anesthesia does carry risks such as nausea, vomiting, low blood pressure, and allergic reactions. However, risks of major complications from anesthesia are rare, with just 1.1 per million each year across all types of procedures. If you have a history of nausea from anesthesia, talk to your doctor about it beforehand.
Egg retrieval complications
During the egg retrieval process, a fertility specialist will use a thin needle to aspirate eggs from your ovaries. This does come with risk of bleeding, infection or injury to something nearby – such as the bladder or bowels. If this were to occur, surgery may be required to correct the problem. But, as previously mentioned, only 0.4% of women encounter complications during this part of the egg donation process and just 0.29% percent require surgery due to those complications.
More common after egg retrieval is some spotting and discomfort, both of which are temporary. Many women return to work the day after an egg retrieval, although some take a few days to recover.
Will donating eggs affect future fertility?
One common question that potential Split members ask is whether there’s a risk that donating eggs will affect their future fertility. The answer is a solid no.
Not only will donating eggs not affect your chances of getting pregnant naturally in the future, it also won’t lower your ovarian reserve (number of eggs in your ovaries). The eggs retrieved in an egg donation cycle are eggs that would have been lost that month naturally.
As part of our Split program, members donate half of the eggs that they produce during a cycle and keep the other half for themselves — freezing them to use at a later date. The cost of storage is also covered for 10 years.
Other common egg donation concerns
As you consider the Split program, you may have some other non-medical concerns. It's important to think through them before deciding to join the Split program.
Wanting to remain anonymous
How much identifying information you want to share is ultimately up to you, however the advent of DNA testing from companies like 23AndMe and Ancestry.com has made it impossible to guarantee true long-term anonymity. It’s best to make any decisions about donating your eggs with this in mind.
Wanting to know potential donor-conceived children
On the flip side, you may be curious about potential offspring and want to have a window into their world as they grow up. Split members are given the chance to build a plan with intended parents that is comfortable for both parties and ultimately honor and respect the donor-conceived child. That plan can vary from just a holiday card update to regular communication — it really is unique to the parties involved.
Egg donation benefits
The CDC estimates a fifth of women encounter infertility every year and egg donation is a true gift to many families.
If you’re weighing the risks against the benefits, the satisfaction of helping someone else grow their family can be incredibly powerful. As a Split Member, you’ll also have the added benefit of free health screenings and a chance to talk to fertility experts about your own fertility planning.
Lastly, if you choose to donate eggs through Cofertility, you will also be able to keep half of the eggs produced during your cycle, giving you a jumpstart on your future reproductive planning.
Bottom line
Although overall risks of egg donation are low, there’s a lot to think about. It’s important to consider it all and to talk open and honestly with the fertility experts at your disposal.
Making the decision to donate eggs can be a powerful and fulfilling experience. Still, it should only be something you do because you feel comfortable with the process and potential long-term implications. We’d love to be a resource as you consider this process - feel free to reach out with any questions or concerns along the way.
A Breakdown of Egg Freezing Success Rates by Age
You may have heard that freezing your eggs in your 20s can help increase your chances of pregnancy down the line, but is there actually any truth to the claim? Read on to learn what you need to know about egg freezing success rates by age.
You may have heard that freezing your eggs in your 20s can help increase your chances of pregnancy down the line, but is there actually any truth to the claim? According to the American College of Obstetrics and Gynecologists (ACOG), there really is, given a woman’s peak fertility years span from the end of her teens to the end of her 20s.
Read on to learn what you need to know about egg freezing success rates by age.
The best time to think about egg freezing is probably…now
During these prime fertility years, we’re often focused on other things. In our 20s, we’re finishing school, launching our careers, traveling, having fun…starting a family may not even be a blip on your radar. Unfortunately, that also means that by the time you’re ready to get proactive about your fertility (or starting a family), your prime reproductive years may have already passed.
This is why we believe that proactively thinking about your fertility is always a good idea for anyone looking to stay in control of their reproductive options. And one major barrier, until now, has been the accessibility and affordability of egg freezing. At Cofertility, we aim to change that, by partnering with local fertility clinics to create opportunities to freeze your eggs more affordably.
Take our quiz to see what egg freezing options you may qualify for, including our Split program, where you can even freeze your eggs for free(!) if you give half to a family that can’t otherwise conceive and you qualify.
What are the egg freezing success rates by age?
We measure the “success” of an egg retrieval and later vitrification (the process of freezing and storing your eggs) in a couple of ways. Some of the major important milestones in a successful retrieval are:
- The ability to collect high quality and healthy eggs
- The ability to collect a large, but safe, number of eggs during a single cycle (between 10-20 is ideal)
- Whether collection takes place at an age where the eggs have a very good chance of surviving both the freezing and the warming process down the line
Success rates for women in their 20s
Your 20s are by and large the best time to freeze your eggs, with 25 to 27 being the optimal age, according to a 2010 report from the CDC. The report found that eggs frozen during a woman’s 20s will have a 50 percent chance of resulting in a live birth per cycle, regardless of the age of the person carrying the pregnancy once the eggs are used. Women in this age range have fully finished developing (as opposed to someone in their late teens or early 20s who may still be growing and maturing) and are likely to have the healthiest and most robust eggs.
Not only does it make it easier for eggs collected at this age to go on to become successful pregnancies, but it also makes it the most cost effective period, because you’re likely to get more eggs with fewer rounds of freezing than if your eggs were collected at a later age.
Success rates for women in their 30s
Success rates in your 30s will depend on if you’re closer to 30 or 40, as well as your AMH levels. One study of 1,241 women found that the average number of eggs retrieved on the first egg freezing round was:
- 21 eggs for women under 35
- 17 eggs for women 35-37
- 14 eggs for women 38-40
Because women in their 30s tend to produce less eggs, at this age you may end up having to either settle for fewer eggs for freezing or undergo multiple rounds to collect enough eggs to have on hand for later implantation. As you can imagine, those costs can creep higher and higher the more rounds you endure.
Now, you might be thinking: isn’t 14 eggs a lot? It’s true that eggs retrieved from women under the age of 36 will have a 95 percent survival rate after being thawed.
But more importantly, not all thawed eggs will become viable embryos and lead to a live birth. As this chart underscores, the probability of a live birth varies with the age of the woman trying to conceive and the number of mature eggs available. In short, the older the woman, the more eggs required to achieve a high probability of a live birth.
A study in the Journal of Assisted Reproduction and Genetics further supports this point. For example, a woman under 35 will need 9 eggs to achieve a 70% chance of having at least one live birth. If you’re trying to conceive in your mid to late 30s, you may need double as many eggs to achieve that same 70% success rate.
Success rates for women in their 40s
Because success rates drop significantly as you near the end of your 30s, it’s actually not recommended that women have their eggs frozen past the age of 38, according to the American Society for Reproductive Medicine (ASRM).
But don’t let that news worry you. If you haven’t had your own eggs retrieved by this point, and are struggling to conceive, you still have some other options (including the use of donated eggs).
Ask us anything
If you’d like help figuring out when to freeze your eggs, you can contact Cofertility for more information. While every woman’s fertility path differs, we can connect you with reputable clinics who can offer basic guidance about when the time is right for you to freeze your eggs during a consultation or dig into specifics by going through a preliminary exam in a provider’s office.
We understand that the timing may not be right for you to start a family right now, but that doesn’t mean it’s too early to start thinking about what choices will be available to you when that time comes. As you can see, a lot goes into preparing to freeze your eggs. The earlier you consider your fertility, the more options you’ll have.
Whether you decide to freeze or not, we’re here for you to answer any questions or talk through any concerns.
What Happens to My Eggs After I Donate Them?
When you’re considering Cofertility’s Split program, it’s natural to wonder where the process ends—what would actually happen to your eggs after you’ve donated? Read on to learn more.
When you’re considering Cofertility’s Split program, it’s natural to wonder where the process ends—what would actually happen to your eggs after you’ve donated? After all, you’re probably looking into this option with the hope that a family may be able to grow their family with your help. So how does that all happen?
How to donate eggs
First things first: if you decide that you want to help intended parents grow a family, you can expect to go through a pretty rigorous screening process. You’ll answer a lot of questions and go through a medical assessment
Typically you can expect the process to look like this:
- Application and Interview: You will share more information about yourself, including background on your health and whether you’ve donated your eggs or been pregnant in the past. We will also gather information about your education and family so we can share this with the intended parents down the line.
- Medical testing: If your initial screening indicates that you are a good candidate for Split, once you match with intended parents, you will be tested for diseases such as HIV and hepatitis.You may be tested for genetic conditions such as cystic fibrosis. Importantly, you will also undergo a psychological evaluation to ensure that you’re participating in the program willingly and that you’re prepared for the process ahead.
- Medications: If you go through with the procedure, you will take injectable medications to stimulate your ovaries to produce more eggs. You’ll make several visits to a fertility clinic over a period of 10 to 14 days so the doctor can perform ultrasounds and monitor your ovaries.
- Egg retrieval: The fertility specialist will use anesthesia and retrieve eggs from your ovaries with a needle and special suction device. This is considered a minor surgical procedure that can be done right at a fertility clinic under light anesthesia. It’s quick too — the whole process can take as little as 30 minutes.
So what happens to my eggs after I donate them?
So what happens to my eggs after the egg retrieval? The eggs you’re donating will now move on to be fertilized and hopefully help grow a new family.
Here’s how your eggs will be used to help intended parents:
- Fertilization via IVF — After eggs are retrieved from your ovaries, an embryologist will use them to start the process of in vitro fertilization — more commonly known as IVF. The fertilization, or insemination process, is performed in a lab and involves adding sperm to the eggs. The fertilized eggs will then develop in the lab and hopefully become embryos, the building block of a developing baby.
- Embryo testing — Some intended parents may opt for preimplantation genetic testing (PGT) to be done on the embryos. This process checks for chromosomal abnormalities such as extra chromosomes or missing chromosomes. This process can also flag genetic abnormalities controlled by a single gene, like cystic fibrosis or BRCA mutation.
- Embryo transfer — If the fertilization process is successful and the embryo continues to divide after fertilization, it’s now ready to be transferred into the uterus of an intended parent or gestational surrogate. This step of IVF is also done in a fertility clinic, where a reproductive endocrinologist will use a catheter to place the embryo — or sometimes multiple embryos — into the uterus.
- Pregnancy — If all goes well, the embryo will implant in the uterus, and your donated eggs will result in a pregnancy for the recipient family! Of course, success will be based on a number of factors here — not just your donor eggs. These factors range from the age of the woman carrying the baby to the quality of the sperm used in the insemination process. CDC data from 2019 (the most recent year for which data is available) found that more than 9,000 babies were born that year with the help of donated eggs.
- Birth — When a child is born, the intended parents will be listed on the birth certificate and be considered the child’s parents in the eyes of the law.
Do egg donors meet the parents?
As you’re considering the Split Program, it’s natural to wonder if you’ll meet the intended parents. You may also be debating the type of relationship, if any, that you might want to have with the intended parents and any potential offspring.
Many egg donor agencies keep donors anonymous — that means they only share details with intended parents about a donor’s genetic history, physical characteristics such as eye color, education, and hobbies. They don’t put the two parties in contact with one another and don’t share the egg donor’s email, phone number, address, or even their real name. In fact, many of them even allow contracts where both parties agree not to reach out to the other.
At Cofertility, the decision about the relationship between Split Members and Intended Parents rests in the hands of both parties. We provide the education and data as to what relationship we know from research is most healthy for the future child. And you will be able to choose how much (or how little) contact you want, shaping a relationship that you are both comfortable with and one that takes the feelings of the donor-conceived child into consideration.
Can I donate my eggs again?
Maybe you’ve formed a relationship with the intended parents who used your eggs and they want a sibling, or perhaps you want to help more families. Either way, you may want to donate your eggs again — and you can. The American Society for Reproductive Medicine guidelines allow for women to donate eggs up to six times. Know that this decision is entirely up to you.
Freeze your eggs for free by donating half to a family in need
We created the Split Program to give women the option to keep half of the eggs retrieved during the egg donor process. The costs of oocyte cryopreservation (the official medical term for egg freezing) along with 10 years of storage are entirely covered.
The number of eggs retrieved per cycle will vary based on your age and other factors. One study of 1,241 women found that, for women under 35, the average number of eggs retrieved on the first egg freezing round was 21. Depending on the number that you retrieve, some doctors may recommend completing a second cycle to ensure that you have enough eggs frozen for your own future use.
Bottom Line
While the process may end for you at the retrieval, it’s natural to wonder what happens next. Split Program members are giving an incredible gift to a family in need and we want to make sure that you feel honored and respected throughout that process. With Cofertility, you play a role in deciding how much - or how little - you know about what comes after your retrieval.
A Step-by-Step Guide to Freezing Your Eggs
Egg freezing allows you to preserve your healthy eggs at any point in time, without committing to starting a family. Let's talk about what you need to know about freezing your eggs.
According to the American College of Obstetrics and Gynecologists (ACOG), a woman’s peak fertility years are from their late teens to their late 20s. While these may be the easiest biological years for starting a family, between travel, work, school, life…at that point in your life, family planning might not be your top priority.
Fortunately, thanks to modern medicine, you have some options. Egg freezing allows you to preserve your healthy eggs at any point in time, without committing to starting a family. Let's talk about what you need to know about freezing your eggs.
Here’s what you need to know about the process
While there are some big hurdles to clear—like the expenses of going through the process and how (and where) you’ll store your eggs—freezing your eggs is a way to take more control of your future fertility health.
That being said, it’s important that you think of freezing your eggs not as a guarantee, but rather, a proactive step you can take towards fulfilling potential long-term family planning goals. It is not an insurance policy, but it can help give you more options in the future.
Research has found that freezing nine eggs while under age 35 leads to a 70% chance of a live birth (studies found that the average number of eggs retrieved for the same women is 18-21). And the more eggs you freeze, the better those odds get. There are always chances that your retrieval could fail, or that implantation down the line may not take. Still, egg freezing in your 20s does offer higher chances of success than having them retrieved at a later age.
Getting ready for retrieval
Before you can freeze your eggs, you’ll want to ensure your body is producing as many eggs as possible. This means taking hormones that can help stimulate the follicles on your ovaries to produce a larger than normal quantity of eggs.
According to the Mayo Clinic, this may include taking multiple medications or injectables like:
- Ollitropin alfa or beta (Follistim AQ, Gonal-f)
- Menotropins (Menopur)
- Leuprolide acetate (Lupron Depot)
- Cetrorelix (Cetrotide)
- hCG
Your doctor will monitor your progress with blood tests across the 10-14 day period. He or she will tweak any ovarian-stimulating medications you’re given to make sure your estrogen and progesterone levels are where they need to be for a successful retrieval.
During these visits, you’ll likely also have vaginal ultrasounds. The doctor will use this to check on the development of the follicles where your eggs mature. It might sound overwhelming, but vaginal ultrasounds are usually painless.
Then, when the time is right—typically 10 to 14 days after you’ve started your medications—you’ll check back in with your doctor and receive a final injection of something called a human chorionic gonadotropin. This is the final kick to help your eggs mature and prepare them for retrieval.
Retrieving your eggs
Retrieval is typically done while you’re under a light sedation at a fertility clinic. Your doctor will retrieve your eggs via vaginal ultrasound with suction to remove eggs from follicles. You’ll likely wake up feeling well rested while your medical team has done all of the heavy lifting for you!
While you won’t feel any pain during the procedure, a little soreness afterwards isn’t uncommon.
Freezing and monitoring
After your procedure your eggs undergo a process called vitrification (AKA: freezing). This process relies on subzero temperatures to cool the eggs for storage. They’re normally stored along with a substance (like liquid nitrogen) that keeps ice crystals from forming within the frozen eggs. They’re then placed in cold storage for 24/7 temperature monitoring.
Storage timelines
You may be surprised to learn that your frozen eggs have no expiration date. In fact, in 2021 a child was born from an embryo frozen 25 years prior! Once your eggs have been successfully frozen they cease all biological activity, including aging and deterioration.
While some countries may have limits on the length of time your eggs can remain frozen, this has not taken hold in the United States. This comes as good news for women who are hoping to freeze their eggs earlier in life and may need more years of frozen storage.
Our Split program includes 10 years of free storage at a reputable long-term facility, where you'll have access to them whenever you choose to use them. Our Keep program also allows you to store your eggs for 10+ years, though note that the payment will be out of pocket each year.
How much does it cost?
A lot of women worry about the price tag for freezing their eggs. One piece of good news is that as technology (and availability) of these solutions advances, costs are starting to come down.
Still, you can be looking at a bill for a few thousand dollars for the procedure alone—anywhere between $6,000 to $11,000—plus an annual bill between $300-$1,200 for storage, and up to $5,000 for medications.
With Cofertility, however, we’ve worked with clinic partners to get you discounts on freezing (think: 75% off initial consults at certain clinics), storage (up to 80% off compared to reputable clinic freezing), and medications (about a 20% savings).
For those who qualify, our Split program also offers the opportunity to freeze your eggs for free if you donate half of them to a family who can’t otherwise conceive. Yep, zero dollars.
Split allows you to take control of your reproductive future (while offsetting the costs), and enables you to give someone else the greatest gift of all: a shot at parenthood. But at the end of the day, our mission is to empower women with reproductive choice. If you decide that freezing isn’t for you, we respect that. And most of all, we applaud you for taking this step towards exploring your options and learning more about your own fertility.
The Egg Freezing Process: a First-Timer’s Overview
The egg freezing process can feel like a black box. How do you find a clinic to freeze your eggs? How long will the whole process take? And what is this all going to cost?
The egg freezing process can feel like a black box. How do you find a clinic to freeze your eggs? How long will the whole process take? And what is this all going to cost?
With thousands of women freezing their eggs every year, there are plenty of options out there for you. Here’s a look at how to make sense of the egg freezing process and how to make sure this is the right path for you.
Breaking down the egg freezing process
Choosing a clinic
The first step in the egg freezing process is choosing a clinic. If you decide to move forward with egg freezing, you will need to visit the clinic for monitoring every few days, so it’s best to choose a facility that’s within driving distance. With Cofertility’s Keep program — where you can freeze your eggs more affordably and keep them all for future use — we’ll help you find a clinic based on your location, their pricing structure, and their success rates.
Our Split program, on the other hand, allows you to freeze your eggs for free if you give half to a family who can’t otherwise conceive and you qualify.
Consultation
Once you’ve settled on a clinic, it’s time to meet with a reproductive endocrinologist (REI, or fertility specialist) to talk about the egg freezing process. You’ll get a chance to find out more about how egg freezing works at your chosen facility, discuss any risks of the procedure, and talk through any family-building goals. If kids are still a TBD, no problem!
Note that some clinics will only work with women under 40 when it comes to egg freezing. Research indicates egg quality begins to decrease in a woman’s early 30s and declines more rapidly past age 35. Because of this, you must be under 40 to participate in our Keep program.
Age is only one factor, however. During your egg freezing consultation, the REI will ask questions about your menstruation history, any past pregnancies, and your overall health.
Evaluation and bloodwork
After (or during) your consultation with an REI, the next part of the egg freezing process is bloodwork and other testing to determine if you are a good candidate for egg freezing.
This testing may include:
- Ovarian reserve testing: Your doctor will order bloodwork to evaluate your egg supply. These blood tests may screen for anti-mullerian hormones (AMH), follicle-stimulating hormones (FSH) and estradiol. Importantly, these labs can predict how your body will respond to the injectable fertility medications used in an egg freezing cycle. You’ll also do a (painless) transvaginal ultrasound, which will show how many egg-containing follicles your ovaries contain as a baseline.
- Disease testing: Bloodwork will help your doctor assess whether you have any infectious diseases such as HIV, syphilis, hepatitis, gonorrhea or chlamydia.
Connecting with your community
If you’re freezing your eggs through Cofertility’s programs, you’ll be able to utilize our Member portal to connect with other women freezing their eggs at the exact same time. Support one another, ask each other questions, and gain confidence as you begin your fertility journey.
Medications
Most women’s bodies release just one egg a month during the menstrual cycle. In order to freeze more than one egg, injectable medications will be taken over a period of a couple weeks. These meds will stimulate your ovaries to produce more eggs in a single cycle.
Most women can give themselves the injections, which are needed 1-2 times per day for about two weeks. The medications do carry some side effects, including bloating, headaches and moodiness. About 0.5 - 5% of women develop a condition called ovarian hyperstimulation syndrome (OHSS), in which fluid accumulates around the ovaries and causes discomfort and bloating. While the condition can occasionally be severe, it is typically temporary with symptoms subsiding about a week after your egg retrieval.
Medications commonly prescribed in the egg freezing process include:
- Follitropin alfa or beta (Follistim, Gonal-f)— Used to stimulate the ovaries
- Menotropins (Menopur) — Used to stimulate the ovaries
- Ganirelix or Cetrorelix (Cetrotide) — Used to prevent premature ovulation
- Leuprolide acetate (Lupron) — Used to prevent premature ovulation or as a trigger shot to help eggs mature
- Human chorionic gonadotropin (Pregnyl, Ovidrel) — Used as a trigger shot to help the eggs mature
If you choose to freeze your eggs through Cofertility’s Keep program, you’ll be able to take advantage of partnerships and discounts on medication costs to help lighten the load.
More blood tests and monitoring
Once you’ve started hormone injections, your REI will keep a close eye on you to make sure things are moving along smoothly. You’ll visit the clinic every few days to undergo bloodwork and ultrasound so the doctors can determine how your ovaries are responding to the medication and if it’s time to retrieve your eggs.
This process usually lasts around two weeks until the fertility specialist determines egg development has reached a point where it’s time for all your eggs to be retrieved.
During this time, it’s recommended that you abstain from sex or use barrier methods of contraception as the medications can make your body more fertile, increasing your chances of getting pregnant. You’ll also want to decrease exercise during the stimulation phase to prevent ovarian torsion, or twisting.
Egg retrieval
Also called aspiration, the egg retrieval process is done right at your fertility clinic where your REI will use a mild sedative or anesthesia. With the help of a guiding ultrasound, your doctor will use a special needle that’s inserted into the ovarian follicles to remove multiple eggs.
Although you may feel some cramping and general discomfort after the procedure, the egg retrieval is not usually painful. You should plan to have someone with you that day to drive you home from the doctor’s office, but many women are able to return to work within a day or two after the procedure.
Because your ovaries are enlarged, you may continue to feel cramping and a feeling of fullness for a couple weeks. You will also be advised to avoid unprotected sex in the weeks directly after the egg freezing process as your chances of getting pregnant may be higher during this time.
Cryopreservation
Once the eggs are removed from the ovary, you’ve reached the final step of the egg freezing process. The eggs undergo a process called vitrification.
Eggs are then frozen to subzero temperatures and can be stored for years to come, ready to be thawed if you decide you want to use them for in vitro fertilization (IVF). With Cofertility’s Keep program, we offer our Members discounts and promotions on various parts of the egg freezing process to help make it more affordable.
A second egg freezing process
Depending on how many eggs were able to be retrieved, your doctor may recommend a second round of medication and another retrieval.
The number of eggs you should freeze will depend largely on your age — researchers at Brigham & Women’s Hospital in Massachusetts have created a calculator that estimates the likelihood of live birth for elective egg freezing in women. Although it’s not exact, it does supply some probabilities to help you make a decision on whether you should do a second cycle of egg freezing.
For example, they estimate if a 30-year-old woman has frozen 15 eggs, she has an 83% chance of giving birth to one child from those eggs. She has a 50% chance of giving birth twice and a 22% chance of having a third child with the use of her frozen eggs.
Costs of the egg freezing process
Another factor to consider when deciding if you want to proceed with the egg freezing process — or undergo a second cycle — is cost. Around the country, the process of freezing your eggs can cost anywhere from $10,000 to $20,000 or even more, and there are yearly costs for storage of eggs after the retrieval process.
At Cofertility, we’ve made it our mission to make egg freezing more accessible. With discounts, partnerships and promotions, we’re hoping to remove lack of affordability as a barrier to fertility preservation. To get a sense of pricing (and savings!) for our Keep program with clinics in your area, take our quiz to tell us more about yourself.
Unfortunately, most insurance companies do not pay for many egg freezing costs unless it has been deemed medically necessary for a woman. Cofertility’s offerings, similarly, are self-pay.
Bottom Line
There’s a lot going on during the egg freezing process and a whole lot to consider. The homework you’re doing now will make all the difference as you move along through the process and can ask all the right questions!