Genetics

Epigenetics and Donor Eggs

Halle Tecco
Halle Tecco, MPH, MBA
Last updated: January 16, 2026
A mother holding her baby's hand

Epigenetics is a field of study that has gained increasing attention in recent years for its potential implications in various aspects of health and disease. In the context of third-party reproduction, epigenetics plays an important role in the development and growth of embryos, and can also have implications for offspring conceived through assisted reproductive technologies (ART) such as donor egg IVF. In this article, we will explore the concept of epigenetics and how it relates to the use of donor eggs in fertility treatment.

What is epigenetics?

Epigenetics refers to changes in gene expression that occur without a change in the DNA sequence itself. These changes can be heritable and can impact how genes are expressed throughout an individual’s lifetime. Epigenetic modifications can occur in response to environmental factors such as diet, stress, and toxins, as well as during embryonic development. These modifications can affect the way that genes are expressed, leading to alterations in cellular function and potentially contributing to the development of certain diseases.

Epigenetics and donor eggs

In donor egg IVF, the genetic material from the egg donor is used to create an embryo that is implanted into the uterus of the intended mother or a gestational surrogate. This means that the resulting offspring will have a different genetic makeup than the intended mother, and therefore may have different epigenetic profiles as well.

Research suggests that epigenetic modifications can occur during embryonic development, and may be influenced by factors such as the age of the egg donor, the method of fertilization, and the environment in which the embryo develops. Studies have found differences in DNA methylation patterns, histone modifications, and gene expression profiles between embryos created using donor eggs and those created using the intended mother’s own eggs.

What does this mean for children conceived through donor egg IVF? While it is still unclear what the long-term implications of these differences may be, we know the majority of children conceived through donor egg IVF are healthy and do not experience any adverse health effects related to epigenetic differences.

It begins in the womb

Epigenetics research has revealed that the quality of life inside the womb has a lasting impact on a baby’s health. Scientists have found that the most significant influence on gene function occurs in utero, making a birth mother’s womb the baby’s first and most crucial environment. This underscores the importance of a mother’s (or gestational carrier) lifestyle choices in shaping the overall health and well-being of the individual for the rest of their life.

Stress is a significant environmental factor that can influence your child’s genetic expression. Managing stress and anxiety during pregnancy can significantly impact the way their baby’s genes develop. To cope with stress, there are various relaxation techniques available, including group therapy, meditation, acupuncture, yoga, exercise, journaling, spending time with people you love, and doing things that bring you joy.

Epigenetics and early childhood

The idea that genes are “set in stone” has been disproven. We now know that early life experiences, such as stress, nutrition, and caregiving, can influence gene expression and ultimately affect a child’s development on who they become.

These epigenetic changes can have long-term effects on physical and mental health, as well as cognitive and behavioral outcomes. The positive experiences you create for your child, such as responsive caregiving and supportive relationships, can also have positive epigenetic effects and promote healthy development.

“The positive experiences you create for your child, such as responsive caregiving and supportive relationships, can also have positive epigenetic effects and promote healthy development.”

Will a donor egg baby look like me?

The answer is maybe. There is always a chance – whether genetic, adopted, or born through donor eggs – that a child won’t look like you. There’s also a chance that they will! I know plenty of genetically related children that look nothing like their mother or siblings. But I also know a lot of donor-egg children that look *exactly* like their mothers. In fact, I had no idea one of my closest friends used donor eggs to conceive her children until she confided in me when I began my donor egg journey.

Many families choose to match with a donor with similar physical features, especially for unique features like red hair, blue eyes, or being really tall. But keep in mind – picking a donor that looks like you in no way guarantees the child will look like you or the donor!

Ethical considerations

The use of donor eggs in fertility treatment raises a number of ethical considerations, particularly when it comes to the potential impact of epigenetic differences on offspring. While it is important for individuals and couples considering donor egg IVF to be aware of the potential implications of epigenetics, it is also important to recognize that the majority of children conceived through this method are healthy and lead normal lives.

Summing it up

Epigenetics is a complex and rapidly evolving field of study with important implications for fertility and reproduction. While the use of donor eggs in IVF can lead to epigenetic differences between offspring and their intended parents, the majority of children conceived through this method are healthy and lead normal lives.

Even if you use donor eggs or donor embryos, you play a vital role in the development of your baby. While genetics play a role, it’s the interaction between genetics and epigenetics that shapes your baby into the individual they become. Don’t forget that you contribute more than you may realize to the growth and development of your child.

If you are considering using donor eggs, register for a free account and get instant access to our egg donor database.

Cofertility is a human-first fertility ecosystem rewriting the egg freezing and egg donation experience. Our platform serves as a more transparent, ethical egg donor matching platform. We are obsessed with improving the family-building journey — today or in the future — and are in an endless pursuit to make these experiences more positive. Create a free account today!

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Halle Tecco
Halle Tecco, MPH, MBA
Halle Tecco is the Chair and Co-Founder of Cofertility, as well as a healthcare founder, investor, and women’s health advocate. She previously founded Rock Health and Natalist (acquired by Everly Health) and is an Adjunct Professor at Columbia Business School. Halle holds an MBA from Harvard Business School and an MPH from Johns Hopkins University.
Read more from Halle Tecco, MPH, MBA

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Epigenetics and Donor Eggs

About

Epigenetics is a field of study that has gained increasing attention in recent years for its potential implications in various aspects of health and disease. In the context of third-party reproduction, epigenetics plays an important role in the development and growth of embryos, and can also have implications for offspring conceived through assisted reproductive technologies (ART) such as donor egg IVF. In this article, we will explore the concept of epigenetics and how it relates to the use of donor eggs in fertility treatment.

What is epigenetics?

Epigenetics refers to changes in gene expression that occur without a change in the DNA sequence itself. These changes can be heritable and can impact how genes are expressed throughout an individual’s lifetime. Epigenetic modifications can occur in response to environmental factors such as diet, stress, and toxins, as well as during embryonic development. These modifications can affect the way that genes are expressed, leading to alterations in cellular function and potentially contributing to the development of certain diseases.

Epigenetics and donor eggs

In donor egg IVF, the genetic material from the egg donor is used to create an embryo that is implanted into the uterus of the intended mother or a gestational surrogate. This means that the resulting offspring will have a different genetic makeup than the intended mother, and therefore may have different epigenetic profiles as well.

Research suggests that epigenetic modifications can occur during embryonic development, and may be influenced by factors such as the age of the egg donor, the method of fertilization, and the environment in which the embryo develops. Studies have found differences in DNA methylation patterns, histone modifications, and gene expression profiles between embryos created using donor eggs and those created using the intended mother’s own eggs.

What does this mean for children conceived through donor egg IVF? While it is still unclear what the long-term implications of these differences may be, we know the majority of children conceived through donor egg IVF are healthy and do not experience any adverse health effects related to epigenetic differences.

It begins in the womb

Epigenetics research has revealed that the quality of life inside the womb has a lasting impact on a baby’s health. Scientists have found that the most significant influence on gene function occurs in utero, making a birth mother’s womb the baby’s first and most crucial environment. This underscores the importance of a mother’s (or gestational carrier) lifestyle choices in shaping the overall health and well-being of the individual for the rest of their life.

Stress is a significant environmental factor that can influence your child’s genetic expression. Managing stress and anxiety during pregnancy can significantly impact the way their baby’s genes develop. To cope with stress, there are various relaxation techniques available, including group therapy, meditation, acupuncture, yoga, exercise, journaling, spending time with people you love, and doing things that bring you joy.

Epigenetics and early childhood

The idea that genes are “set in stone” has been disproven. We now know that early life experiences, such as stress, nutrition, and caregiving, can influence gene expression and ultimately affect a child’s development on who they become.

These epigenetic changes can have long-term effects on physical and mental health, as well as cognitive and behavioral outcomes. The positive experiences you create for your child, such as responsive caregiving and supportive relationships, can also have positive epigenetic effects and promote healthy development.

“The positive experiences you create for your child, such as responsive caregiving and supportive relationships, can also have positive epigenetic effects and promote healthy development.”

Will a donor egg baby look like me?

The answer is maybe. There is always a chance – whether genetic, adopted, or born through donor eggs – that a child won’t look like you. There’s also a chance that they will! I know plenty of genetically related children that look nothing like their mother or siblings. But I also know a lot of donor-egg children that look *exactly* like their mothers. In fact, I had no idea one of my closest friends used donor eggs to conceive her children until she confided in me when I began my donor egg journey.

Many families choose to match with a donor with similar physical features, especially for unique features like red hair, blue eyes, or being really tall. But keep in mind – picking a donor that looks like you in no way guarantees the child will look like you or the donor!

Ethical considerations

The use of donor eggs in fertility treatment raises a number of ethical considerations, particularly when it comes to the potential impact of epigenetic differences on offspring. While it is important for individuals and couples considering donor egg IVF to be aware of the potential implications of epigenetics, it is also important to recognize that the majority of children conceived through this method are healthy and lead normal lives.

Summing it up

Epigenetics is a complex and rapidly evolving field of study with important implications for fertility and reproduction. While the use of donor eggs in IVF can lead to epigenetic differences between offspring and their intended parents, the majority of children conceived through this method are healthy and lead normal lives.

Even if you use donor eggs or donor embryos, you play a vital role in the development of your baby. While genetics play a role, it’s the interaction between genetics and epigenetics that shapes your baby into the individual they become. Don’t forget that you contribute more than you may realize to the growth and development of your child.

If you are considering using donor eggs, register for a free account and get instant access to our egg donor database.

Cofertility is a human-first fertility ecosystem rewriting the egg freezing and egg donation experience. Our platform serves as a more transparent, ethical egg donor matching platform. We are obsessed with improving the family-building journey — today or in the future — and are in an endless pursuit to make these experiences more positive. Create a free account today!