STARTING THE PROCEDURE : OOCYTE RETREIVAL
• A detailed history is taken including family history and history of genetic disorders.
• Informed consent is taken.
• A detailed blood screening and physical examination is done.
• Once the screening is completed, the donor will begin the egg donation cycle.
• There are two parts to a successful oocyte recovery procedure :
1. The Egg donor cycle and,
2. The Intended parent / surrogate cycle
• The egg donor cycle and the intended mother cycle is synchronized with birth control pills.
• There are different medical protocol that have injections varying from day 2 or day 21 of cycle so that the donor ovaries become stimulated to produce more eggs.
• It is ensured that donor is administered stimulation injection properly.
• These injections must be administered on a daily basis for one or more weeks.
• The oocyte donor undergoes ovulation induction with fertility enhancing medications. The oocytes are retrieved by ultrasound-guided aspiration under general anesthesia and
then donated to the recipient couple.
• These oocytes are inseminated usingIVF/ ICSI technology with the intended parents husband sperm in order to produce embryos.
• Some of the embryos are transferred to the recipient uterus approximately 2-5days after oocyte retrieval with the intent of producing pregnancy.
Follow Up After Egg Retreival
The doctors at IVF Centre take every step to make sure that both donors are well cared for at every step of the egg donation process. In addition to frequent monitoring and checkups during the synchronization and stimulation procedures, you are also taken care of after the egg collection.
Egg Donor Preparation
Medical and Psychological Evaluation
This is the initial stage when you are thinking of becoming an egg donor. To move further you are required to contact the clinic with whom you have decided to do egg donation. Once your application is acceptable then you will have to undergo medical and psychological evaluation. If medical team get satisfied with the reports then you will need to visit the clinic to understand how further tasks will take place.
• Detailed evaluation of her and her family history with genetic history is taken.
• We ask for any major diseases, any illness, any surgery, her obstetrics history (i.e about her deliveries and mode of it, any complication.
• Her habits like dietary habits, any habit of smoking or alcohol.
• Her personal hygiene etc.
In examination we evaluate her for physical characteristics
• Her appearance
• Skin colour
• Colour of eyes
• Hair colour
• Hair type
• Nutritional status
• Her personal hygiene
• Economical status
• Family background
• Economical Status of her husband etc.
• Her habits
• Educational status
Once she qualifies all these criteria, we involve her husband and if needed her family members too. We explain them the whole procedure. We do her ultrasound examination for pelvic organs. Then we try to improve her nutritional status. We prescribe hematinics and multivitamins to her.
PRE TREATMENT EVALUATION
It will be necessary for the egg donor to undergo a through medical examination. This includes:
• A pelvic exam.
• Blood draw to check hormone levels and to test for infectious diseases, and
• An ultrasound to examine her ovaries, uterus and other pelvic organs.
In addition, she will be referred to a psychologist who will evaluate if the donor is mentally prepared to undertake and complete the process. These evaluations are necessary to ensure that the egg donor is fully prepared and capable of completing an egg donation cycle, safely and successfully. These evaluations will be done at no cost to the donor.
Blood tests and Genetic tests to be performed on donor
Following blood tests are performed on a donor:
• Mantoux test
• VDRL (Venereal Decease Research Laboratory)
• TSH (Thyroid Stimulating Hormone, thyroid function test)
• CBC (complete blood count)
• Blood Group and Rh Typing
• HIV (human immunodeficiency virus)
• RBS (Random Blood Sugar)
• HCV (Hepatitis C Virus)