Oocyte donation is often the last solution for couples with an unfulfilled desire to become pregnant. However, in […]
Oocyte donation is often the last solution for couples with an unfulfilled desire to become pregnant. However, in Germany egg donation is prohibited
What is an egg donation??
Egg donation is a reproductive medicine procedure. For example, if a woman’s ovaries can no longer produce eggs through her illness, she will need egg donation if she wants to have a child. Also malformations or too old age can be a reason for the non-existent oocytes. The ova are taken from the donors and artificially fertilized with the sperm of the man.
As a rule, the donor is treated with hormones before taking the oocytes. Due to the hormonal treatment several follicles mature at the same time and can be taken from the donor. In order to increase the chance of success, several follicles will be fertilized in the laboratory.
Forms of egg donation
Anonymous egg donation: This egg donation can be completely anonymous, which means that the donor and the recipient couple do not know each other and can not receive personal information in the future. The donor remains completely anonymous to the recipient pair and every child that emerges from the donated eggs.
Open egg donation: At the time of egg donation, the donor is anonymous. However, it is agreed that the child born from the age of 18 may learn the identity of the donor in order to find out more about her. Before this information is released, the donors will be informed.
Well-known egg donation: Donations made to a friend or family members are known egg donations.
For all these types of donations, the same tests are performed and the same conditions apply. Also a medical consultation is necessary before each donation of these donor forms.
What happens after artificial insemination
The donated and artificially fertilized egg is inserted into the uterus of the pregnant mother. If it is an egg donation, the child will only be genetically related to the father.
If more fertilized ova have emerged than the expectant mother can be used, the remaining fertilized ova are frozen in liquid. If another trial is needed then these frozen oocytes will be used.
Is an egg donation allowed in Germany?
According to the Embryo Protection Act, only a woman’s own artificially fertilized ova may be used again. It is therefore not allowed to get egg cells from an egg donor. However, treatment would only penalize the doctor and not the patient. Egg donation is also prohibited in Italy, Lithuania, Norway, Turkey and Switzerland.
In which countries are such egg donations allowed?
Egg donation is allowed in France, Great Britain, Sweden, Spain, Belgium, the Netherlands, the Czech Republic, Poland, Slovakia, and the Ukraine.
Since April 2015, the renewal of the Reproductive Act has made egg donation legal in Austria.
Especially in Eastern Europe, many fertility clinics have emerged in recent decades, in which many women from Germany fulfill their unfulfilled desire for a child with egg donation. That is why people often talk about fertility tourism.
Who is the mother for an egg donation?
A child born of an egg donation always has two mothers. The child is genetically related to the donor. The egg recipient carries it out and will raise it. Whether the child will learn how it originated and that it is not related to his social mother blood decide the parents.
However, the child or other outsiders may find that it is not genetically related to the mother, as it will have external differences. So maybe the better way from the beginning is to be honest with the child and tell him how it is
However you choose to be a family, you will always know that one or the other trait or visuality of the child is not in the family.
If an egg donation is paid?
Each country has a different regulation here. The countries Netherlands, Great Britain, France and Sweden do not get the donors money for their donation. In Spain and the Czech Republic, donors receive an allowance of 600-900 € per puncture. Donors in the US receive between $ 5,000 and $ 8,000. Without expense allowance, the motivation to undergo general anesthesia is very low.
Often the money is not the only reason for donations. Donors often indicate that they want to help a childless couple with the donation, because they know about similar cases in the circle of friends or the family.
What is the cost of artificial fertilization through egg donation??
In the Eastern European countries the costs are between approx. 4000 € -8,500 €. In Spain, they should expect € 7,500 -9,000. There are also travel expenses.
Is an egg donation anonymous?
In most countries the donor will remain unknown. Mandatory anonymity is the donation in Spain. In Austria, however, the child is entitled to the name of the donor at the age of 14. The same applies to the Netherlands, Sweden and the United Kingdom.
Very often, however, the donors also come from the circle of friends or family of the future mother. In such cases, contact between the Genetic Mother and the child is planned from the beginning.
How long does such an intervention last??
The preparation for egg donation takes about 14 days. At the beginning of the preparation the cycle of the donor and the recipient is synchronized.
Treatment of the donor
The donor is given a follicle-stimulating hormone once daily at the beginning of the cycle. This treatment takes about 9-12 days. Follicular growth is then checked by ultrasound. Another medication prevents premature ovulation. When the ova have reached a sufficient size, the HCG hormone is injected to induce final maturation and ovulation. About 36 hours later, the oocytes are removed under general anesthesia. The donated egg is then fertilized with the sperm of the man by IVF or ICSI.
Treatment of the recipient
The recipient of the donated egg takes an estrogen preparation to prepare the uterine lining for implantation. By ultrasound, the growth of the endometrium is checked. About three to five days after the artificial insemination of donor cells in the laboratory often two of the resulting embryos were inserted into the recipient’s uterus. Other embryos are frozen with liquid nitrogen and stored for further trials or childless couples. Two weeks after the transfer, the recipient can take a pregnancy test.
How is a donor chosen??
Possible donors are often sought through an agency, as an open egg donation is possible only in a few countries. The couple with the desire to have children can select certain characteristics that are important for the child in their view. The donor also needs the necessary medical conditions, such as blood type, similar cycle, etc. ….
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