Egg donation is termed as a process where a woman would want to donate her eggs to another woman (recipient or intended mother) who is unable to conceive. This treatment procedure is known as in-vitro fertilization (IVF). Advanced reproductive technology benefits the ease of donating an egg offering one of the most successful ivf treatments in delhi. This procedure involves a comprehensible set of tests and steps that need a thorough discussion with the doctor and potential risks so that you should be able to weigh to make an informed decision for a happy and healthy life ahead. Medi World fertility is a clinic located in two different branches of New Delhi (Safdarjung Enclave and Sukhdev Vihar), providing the best medical care in infertility with an experienced team looking out to hear from you.
Table of Contents
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- What is Egg Donor IVF?
- When is it Needed?
- How to find a Donor?
- Egg Donor IVF Process
- What to expect after it?
- Risks and Complications
- Cost of Egg Donor IVF in Delhi
- Take Away
What is Egg Donor IVF?
The medical process of fertilizing an egg by sperm in a test tube is termed in-vitro fertilization (IVF). It is a complex series of procedures used to assist fertility and child conception. IVF is the most effective form of assisted reproductive technology (ART). It can be performed with self eggs and sperms, donor eggs and self sperm or embryos from anonymous or a known person called a donor.
An egg taken from a fertile donor woman will be fertilized in a laboratory environment until it reaches the embryo stage and implants into the recipient’s uterus. Consent with the donor also helps some facilities to freeze some number of eggs or embryos and implant them in different women later or as and when needed. IVF chances of delivering a healthy baby depend on certain factors such as age and the cause of infertility. Multiple pregnancies can be expected if more than one embryo is implanted
When is it Needed?
IVF is offered as a primary treatment, especially for women aged 40 years and above, and has achieved menopause. Egg donation is recommended if someone is unable to conceive with their own eggs. Also, there might be certain health conditions observed which lead to infertility and needs an egg donor.
There are certain listed criteria when a woman needs an egg donor:
- The decline in fertility with age due to which a woman cannot use her own eggs.
- Symptoms of ovarian failure such as irregular hormone and egg release cycle
- Low ovarian reserve with symptoms of decline in egg quantity and thereby, comparatively less chances of having a mature egg.
- Poor quality eggs in previous IVF cycles.
- Repeated abortions in the past or recurrent early miscarriages due to genetic factors leading to pregnancy loss
- Cancer survivors with premature ovarian insufficiency
- Postmenopausal women who cannot conceive naturally once eggs succumb to the biological clock
- Severe endometriosis with poor egg quality
How to find a donor?
In India, the ideal age of an egg donor is 35 years or younger. Doctors will examine the donor on specific parameters and tests such as reproductive system ultrasound, pelvic examination, complete blood profile, psychological screening, and medical history to decide and accept the woman as an egg donor. The egg donor will be compliant with Indian law guidelines set by the Indian Council of Medical Research (ICMR)
There could be a list of egg donors such as a friend or a related/ extended family member, egg bank or agency, fertility clinic storing eggs from another or previous donor with a detailed record on the donor. The contract agreement is the dependent factor that can confirm whether you will meet the donor or the identity will remain anonymous, and only essential characteristics will be shared with you. You may refer to specific clinics or counselors who will assist you in choosing the egg donor. Some fertility clinics decide to have a database of potential donors as part of some programs. Agencies available can help you connect with potential donors with the required traits and characteristics. An egg bank has recently made its presence felt with a comparatively less expensive option. However, the eggs have been cryopreserved and frozen far in advance to be able to sync with your cycle
Deciding which donor to choose is a psychological and an emotional process, and one should give it an open-mind thought by assessing all the required factors. It has been suggested to proceed with caution at all steps and analyze every aspect if need be. Sometimes, it will be the fundamental difference between genetic nature and behavioral nurture.
Egg Donor IVF Process
Once the intended parents discuss the process with their counselors and select the donor, they will go through specific legal procedures of the contract to ensure safety and maintain compliance with the law. Next, there will be multiple screening tests of egg donors such as ovarian reserve testing to assess the levels of follicle-stimulating hormone (FSH), estradiol (estrogen), and anti-Mullerian during day 1-2 of the menstrual cycle along with ultrasound of the uterus to predict the fertility response, infectious disease such as HIV screening. The uterine examination will also be performed to understand the environment of the uterus, such as the inner lining.
To initiate the egg donor IVF cycle, the menstrual cycles of both the intended mother and donor will be adjusted to attain a synchronization to ensure the intended mother’s uterus will be prepared to accept the embryo implantation at the same time as the donor’s eggs are fertilized. The treatment cycle will start once both of them step into their first day of periods. Fertility drugs will be provided to the donor to stimulate egg production. In contrast, the intended mother will be given medicines to suppress her reproductive system and estrogen supplementation to maintain the uterine lining. Later in the duration, human chorionic gonadotropin (hCG) hormonal injection will be given to the donor when ovaries seem ready to retrieve. To maintain the ongoing sync, the intended mother will be given a shot of progesterone to prepare the uterus for embryo implantation. The egg donor will be observed for a duration to observe any symptoms of ovarian hyperstimulation syndrome (OHSS) or general psychological care.
After the egg retrieval from the donor, it will be fertilized by the semen sample provided by the intended father or unknown donor (if any individual case). Fertilization of eggs and sperm extracted from semen will be operated in a laboratory. After 3-5 days, a minimum number of healthy embryos will be implanted in the intended mother’s uterus. The rest of the embryos will be cryopreserved for future cycles if required. Progesterone supplementation will be continued for the mother.
What to expect after it?
Implantation is a life-changing event, and thus, the intended mother should not be stressed. Indulge in self-care and hope for the positive that implantation will be successful. It is suggested to take a break from the emotional rollercoaster and stay involved in activities that soothe your mind. Continue taking medicines prescribed by your doctor, such as progesterone, during the early weeks of transfer for increasing the success rate. Healthy eating habits should be inculcated in the diet with varied fruits and vegetables to provide maximum nutritional value.
Routine activities can be performed after the procedure. It is recommended not to exert any pressure on the ovaries by avoiding any vigorous activities. Some common side effects will be bloating, cramping, constipation, passing a small amount of clear fluid due to the cervix swab during the embryo transfer procedure. You will also feel the tenderness in your breast due to high levels of estrogen. Contact your doctor immediately if you start feeling unbearable pain on the scale of moderate to severe.
Do not perform the pregnancy test within the next few days and let the implantation cycle complete. Chances of negatives are high during this period as the implantation process might still be partial, which can increase your stress levels. It will be highly beneficial to remain patient for approximately 1-2 weeks to take a pregnancy test. If it’s positive, you will be directed to an obstetrician for prenatal care and regular examinations. If the test is unfortunately negative, progesterone shots will be terminated, which will initiate the menstrual cycle in a week. The doctor will perform some related tests and counsel if your body should be able to carry out another IVF cycle and explore all scenarios.
Chances of giving birth to a healthy baby after IVF depends on various factors such as reproductive history (higher success rate in women who have earlier given birth whereas using IVF multiple times with negative result lowers the speed), embryo status with more developed increases the rate of implantation, cause of infertility such as endometriosis which reduces the rate, lifestyle factors, and maternal age. Younger intended mothers are more likely to have successful implantation of the embryo. It has been observed that smoking can reduce the IVF success rate by approximately 50%. Complete education regarding the applicable factors needs to be considered and conversed with your doctor.
Risks and Complications
It is imperative to know about the potential risks of IVF. It could be medication side effects such as overstimulation of ovaries termed ovarian hyperstimulation syndrome (OHSS), headaches, upset stomach and discomfort, pain or soreness at the injection site, and mood swings. Another risk of multiple births is comparatively increased in IVF, i.e., pregnancy with numerous fetus which can lead to early labor with a low birth weight of babies or premature delivery underlining it as a high-risk pregnancy and require regular consultation with your doctor for effective management.
Chances of miscarriage, ectopic pregnancy (fertilized eggs implanted outside uterus), and birth defects; however, persistent monitoring and screening will be able to regulate. Apart from physical, IVF can be emotionally and financially draining leading to stress. Regular support from your family, friends, and counselors will be able to help you to move ahead with a smile on your face and experience every moment of the pregnancy.
Cost of Egg Donor IVF in Delhi
The success of any IVF clinic depends on various factors such as treatment population and respective approaches for a successful implant. On average, the cost of donor egg procedure ranges between 30,000-45,000 INR, excluding IVF. The entire process of IVF has a range of 1,00,000- 3,50,000 INR depending on the inclusion or exclusion of genetic screening, medicines, and other services available at the clinic.
Every single cycle of IVF includes medicines, testing such as ultrasound and blood tests, embryo storage, injections, etc. The cost also varies with the person as all the dynamics of one person cannot be the same as the other along with the medical history or current condition.
IVF procedure is a series of events that assist in child conception and help with fertility issues. Medi world fertility is one of the premier clinics located in Safdarjung Enclave, New Delhi, and another branch at Sukhdev Vihar, New Delhi. With world-class centers and the latest high-tech technologies, Medi World provides a dedicated team of fertility, nutrition, and lifestyle experts. It offers multi-disciplinary care and many more tests performed clinically. The brand-new reproductive center offers the latest fertility technology with comfort and can help people with infertility and reproductive difficulties. Visit the mediworldfertility for more information on facilities and services. Feel free to contact or book an appointment to experience the remarkable gift of parenthood.