During the consultations that you have already had about your fertility problem you have expressed an interest in being an egg recipient.
What Does The Treatment Involve?
You will already have been given a separate information sheet describing the IVF process. In your case we will give you drugs to ensure that the lining of your womb is ready for the embryos. This is like taking a mild form of the pill. When the eggs are collected from the donor, your partner will provide sperm that will be used to fertilise the eggs. About 2 days later the fertilised eggs will be put into your womb. A pregnancy test will be done 2 weeks later. More details of these procedures are given below. If you want to have treatment, the process is summarised below;
We will see you to discuss the implications of your treatment for you, your family and the potential child. We will arrange any further blood tests or investigations that may be required. If you decide to proceed with treatment, you will have a further consultation with the doctors to sign the relevant Consent forms.
We will arrange for you to have a course of the drugs to prepare your womb. This will allow us to find the best protocol for you before the eggs are ready. This may take about six weeks.
You will be advised that a donor is available and you will be given a further programme to follow. If eggs are available and fertilisation occurs, you will also have an embryo transfer.Of course there are many other issues you will wish to consider before starting treatment.
Who Are The Donors and How Are They Selected?
These are usually women aged under 35 years who have completed their own family. Donation is purely on a voluntary basis and no payment is made for this other than expenses incurred.Details of the donor’s blood group, height, weight, hair and eye colour are available so that matching can be made with you. However, as you can appreciate this is not always practical as donors are not available in great numbers, but we try to match on some of your characteristics. Egg donors are screened thoroughly to ensure they are physically fit, free from diseases such as HIV, hepatitis and sexually transmitted disease and that they are not carriers of the Cystic Fibrosis gene.
Sometimes couples who are infertile and need IVF themselves, agree to share some of their eggs with couples like yourselves. This would mean that the cost of their treatment is reduced. We would only agree to such an arrangement if we were reasonably confident that the donor will produce good eggs. However, you should be aware that these donors may not have proven fertility. We will tell you if the donor is participating in the egg share scheme.
What Are The Donors Rights?
The donor will have made an agreement with us to donate eggs and has no obligations to you individually. The donor has the right to withdraw from treatment at any stage and for any reason. You may not be told why this decision has been made. If the donor is an egg-sharer, she will have signed an agreement with us regarding how the eggs will be shared between you both. This is an individual arrangement for each patient and you will be informed about the terms of this agreement before treatment starts. You will not be able to influence this agreement. All information about the donors is confidential and, as the law currently stands, you have no rights to information about the donor other than basic details of weight, height, hair colour, eye colour and blood group. The donor does not receive any information about you or the results of treatment. The donor does not have any rights or responsibilities to the child.
Who Are The Legal Parents When Egg Donation Has Been Used?
A consent form is signed by both partners at the clinic visit in order to allow the woman to receive donated eggs and for these to be mixed with her partners sperm. Both partners sign the form and the woman in signing this consent, is regarded in all aspect as the child’s mother.You are the legal parents of any resulting child and your names are entered on the child’s birth certificate.
What Are The Child's Rights?
As the law currently stands your child can approach the HFEA (Human Fertilisation and Embryology Authority) when he or she reaches age 16 if they intend to marry, or 18 years in other circumstances, for further limited information. This includes identifying information if the donor was registered after April 1st 2005.
To Tell Or Not To Tell?
This is something you may want to talk about with the nurse/counsellor within the unit to help you with this decision. There are no rights or wrongs about telling your child of his/her origins and your decision either way does not exclude you from treatment. There are various booklets you can read to help you with this and a support group called “The Donor Conception Network” will be able to supply you with more information.
This is of utmost importance. Apart from our statutory obligation to inform the HFEA, we do not inform anyone about your treatment without asking you first.
How do I become Ready for Treatment?
Before you are offered eggs we will see you to discuss your drug programme. The programme is designed to suit your individual needs and during this time we will see you to monitor your response to treatment. This response is the basis for your treatment when eggs are available for you. We will discuss this with you so that you will have an understanding of what is happening and how you will feel during this time. We will also give you general advice about how to provide for pregnancy.
What happens if I Do Not Receive The Eggs?
Obviously we cannot make any guarantees that you will receive eggs. This is dependant on a lot of variables, some of which are:- The donor is allowed to withdraw from treatment at any time for any reason. The donor may not respond to stimulation to grow eggs and we may have to stop treatment.The donor may grow too many eggs and there may be a risk to their physical health and we have to stop for this reason. We may not collect the number of eggs anticipated at egg collection. If, in an egg sharing arrangement, there may not be enough eggs available to share.
How are the eggs shared?
Sometimes you may have to withdraw from treatment for unexpected reasons at short notice. Therefore we must make sure that there will always be someone ready to receive eggs when the donor is ready. To ensure this, we usually have more than one couple programmed to receive eggs from each donor. We hope to be able to give you at least 6 eggs and the available eggs will therefore be divided between you to achieve this. It may be that only one recipient will receive eggs. We will let you know whether you are ‘first in line’ or ‘stand-by’. If the donor is an egg sharer, she will have signed a written agreement with us about how the eggs will be shared between you both. This will include the possibility that she may withdraw at any time, either to continue the treatment for herself alone or to stop treatment. If eggs are to be shared, either between more than one recipient or with an egg sharer, they will be allocated randomly between you regardless of quality.
How many times can I have treatment?
Usually twice, but this depends on availability of funding and donors. This will be discussed with you by the Doctor at your initial clinic visit and reviewed each time you have a cycle of treatment.
What happens when I am ready for treatment?
You will be given instructions about your drugs and monitoring during this time. You will be given a time to attend the unit to produce your semen (sperm) sample when the eggs are available. You will be told how many eggs you have. You will be asked to contact the unit to find out if the eggs and sperm have fertilised and formed embryos and you will be given a time to attend for embryo transfer.
When do we come for the embryo transfer?
The transfer usually takes place 2 or 3 days after the egg collection.
What do I do before I Come In?
Have your breakfast as usual then come to the Centre at the time arranged. Please do not wear perfume, strong deodorants and partners should not wear aftershave.
What Happens When The Embryos Are Transferred?
When you go through to the treatment room we will be able to show you your embryos on the monitor screen if you wish. We will confirm with you again the number of embryos you wish to have transferred. The transfer is a simple procedure, similar to a cervical smear test. It lasts about 5 minutes and usually you feel no discomfort at all. You can go straight home afterwards.
Why Do I Need More Medication After The Transfer?
Medication is needed to help support the lining of the womb after the embryos have been transferred. This drug will be a progesterone pessary. Details of the drug will be discussed with you when you see your named nurse. You will still continue your Oestrogen tablets.
What Do I Do Afterwards?
We advise you to lead as normal a life as possible after the transfer without doing anything too strenuous. There is nothing more you can do at this stage to help the embryos to implant. Please don’t hesitate to telephone the Centre if you have any problems. Remember, your nurse is there to help to support you both throughout treatment and even if she is not available, any of the nurses at the Centre will be happy to talk to you.
When Do We Know If The Treatment has Worked?
We will tell you when to return for a pregnancy test, which will be about 14 days after the embryo transfer. Most women do not have a period before the pregnancy test but even if you do you should still attend for a test. Remember that, even if the pregnancy test is positive, we will need to wait another 3 weeks before we do a scan to confirm that a baby is growing.
What Do We Do If The Treatment Fails?
Unfortunately, most couples will not be successful in achieving a pregnancy and we are aware of the great disappointment you may feel. People cope with this in different ways. If you wish to talk to us, please phone at any time and we would be happy to see you. A counselling service is available here even if you feel you are coping. It is good to talk to someone who understands what you are feeling. You will be sent an appointment to come back to the clinic to see a nurse or Doctor to review your past treatment, usually about 1 month later.