Knowledge is at the heart of our work
We’ve created a library of articles covering everything you need to know about the egg donation process, how to support your donor-conceived child, and more.
How Do I Know If I Need Donor Eggs?
Whether you are someone who is struggling with infertility or other reproductive issues, or you’re a single male or gay male couple who hopes to have biological children, you may be considering donor eggs as an option for your family-building goals. While this can be a challenging time, it's important to know that there are options available to help you achieve your dreams of starting a family.
Whether you are someone who is struggling with infertility or other reproductive issues, or you’re a single male or gay male couple who hopes to have biological children, you may be considering donor eggs as an option for your family-building goals. While this can be a challenging time, it's important to know that there are options available to help you achieve your dreams of starting a family.
But first, you may be asking yourself “how do I know if I need donor eggs?” While there are a number of reasons one may turn to egg donation for their family-building, in this article we will discuss some of the most common scenarios.
I’m struggling with infertility
Infertility affects about 1 in 8 couples worldwide, and sometimes it can be due to the quality of the eggs. As we age, our eggs decrease in quantity and quality, making it more challenging to conceive. If you have been trying to conceive for a year or more without success, and your doctor has confirmed that there may be an egg quality or quantity issue, then donor eggs may be an option for you.
I’m a single or gay dad
While heterosexual couples or women often find out later in life that they need to pursue egg donation, gay or single men are typically in a different situation, in that they have always known they would need donor eggs in order to have a biological child.
While not all people will find this to be a priority to them, working with an egg donor and a surrogate allows gay and single men the opportunity to have a genetic link to their child, which is one reason you may consider egg donation over adoption to grow your family.
I'm over 40
If you are over 40 and struggling with infertility, using donor eggs may provide you with a better chance of success. Donor eggs are generally from qualified egg donors who are between the ages of 23-34, which can increase the chances of successful fertilization, pregnancy, and delivery. If you are over 40 and have been trying to conceive without success, you may consider using donor eggs to achieve your dream of parenthood.
I’ve been diagnosed with Premature ovarian failure (POF)
Premature ovarian failure (POF) is a condition in which the ovaries stop functioning before the age of 40. Those with POF have reduced or no ovarian function, making it difficult or impossible to conceive with your own eggs. If you have POF, you may be a candidate for using donor eggs, as your own eggs may not be viable for conception. Donor eggs can provide you with a higher chance of a successful pregnancy and delivery.
I had chemotherapy and/or radiation
Cancer treatments such as chemotherapy and radiation can damage the ovaries and reduce or eliminate the chances of conceiving with your own eggs. If you have had cancer treatment and your fertility has been affected, you may consider using donor eggs to achieve pregnancy. Donor eggs provide a higher chance of success compared to using your own eggs after cancer treatment.
I've had repeated IVF failure with my own eggs
Those who have experienced repeated IVF failure with their own eggs, even if they are still relatively young, may be a candidate for donor egg IVF. This can be due to poor egg quality or other factors. If you've tried multiple rounds of IVF without success, using donor eggs can dramatically increase your chances of bringing your baby home.
I have low ovarian reserve
Depending on your age, those with a low ovarian reserve may not produce enough viable eggs to achieve a successful pregnancy. If you’re in this boat, donor eggs can help make up for your diminishing egg quantity.
I have a genetic disorder
If you or your partner carries a genetic disorder that could be passed on to your child, using donor eggs may be an option to reduce the risk of passing on the disorder. Many genetic disorders are caused by mutations in a person's DNA, and some of these mutations can be passed down to their children. If you have been diagnosed with a genetic disorder that could be passed on to your child, using donor eggs from a donor without the genetic mutation can significantly reduce the risk of your child inheriting the disorder.
I’ve had recurrent pregnancy losses
If you have experienced recurrent pregnancy losses, using donor eggs may be an option to increase your chances of a successful pregnancy and delivery. Recurrent pregnancy loss is typically defined as the loss of two or more pregnancies, and it can be caused by a variety of factors such as genetic abnormalities, hormonal imbalances, or anatomical issues. Using donor eggs may increase the likelihood of successful fertilization and implantation, which may reduce the risk of pregnancy loss.
Cofertility can help
At Cofertility, we are striving to give you the best egg donation experience possible. We believe matching with an egg donor should be a positive experience. It sounds obvious, right? But the largely unregulated egg donation market has led to some sketchy practices. We want to bring ethics and transparency to an industry where most agencies don’t even have an "About Us" page.
If you're looking for an egg donor — for any of the reasons listed above — you may already feel like the odds are stacked against you. The last thing you need is to feel like you’re “shopping” for a human who plays a critical role in your family-building journey. And we’ll never make it feel that way.
We are honored that you are considering us as part of your family-building journey. Create a free account today to begin meeting our donors. And please reach out if we can be of any assistance!
Should I Tell My Religious Family I’m Pursuing Egg Donation?
Religion and egg donation: how to talk to your family about egg donation
For some people considering using donor eggs, it may not be their first choice. But if they want to become parents, it may be the best choice. It is normal to feel afraid, indecisive, confused, or even angry. Acceptance can be difficult. But what can make this journey even more difficult is if you come from a religious family who has conflicting thoughts about egg donation. Concern about the reaction of family may delay or even prevent some from moving forward. So, what do you do? In this article, I will share my thoughts as a fertility psychologist who specializes in this space.
Questions to ask yourself first
Here is an exercise you (and your partner, if you have one) can do. Sit down and go through the following questions:
- What is more important to me: my family’s approval or my desire to be a parent?
- If I move forward with this, what is the worst thing that could happen? And how would I deal with it?
- What is the best thing that could happen?
- Is my family actually educated about egg donation or are they basing their judgements on misinformation?
- What are the long-term consequences for me if I move forward vs if I do not move forward?
From here, hopefully you have more clarity if you want to share the news or not.
Starting the conversations, if you choose to do so
Before starting the conversation it is important for you to be clear about what it is that you want from your family. Are you looking for their approval? Their support? Their blessing? Why is it important for them to know about how you are building your family?
If you don’t have a solid understanding about the religion and its thoughts on egg donation, perhaps you should speak with a respected member of your faith community. Educate yourself on what the faith says about parenthood, assisted reproductive technology (ART), and specifically egg donation. Armed with this knowledge, you can now approach your family with a better understanding of where they are coming from.
Read more in Egg Donation And Religion: What Does Your Faith Say About Using Donor Eggs?
As you prepare to start the conversation, make sure you find time and space for the conversation. Let them know you have something important to discuss and will need their full attention. Make sure to think about what you are going to say in advance and actually practice and visualize how you want the conversation to go. Go into the conversation with positive expectations and be straightforward and honest with what you are doing, why you are doing it and what you need from them.
What to do if your family doesn’t agree with your decision
We all want our family to support our decisions and be our source of encouragement and comfort, and some part of us is always seeking approval that we are doing the right thing. But, sometimes, our family may not give us the approval that we need. Even after being educated on the process or even after speaking with people from their religious community, your family still may not agree with your decision.
And that is okay.
You can still find different sources of support. Perhaps from friends, extended family, your doctors, or groups who are formed especially for people working with donor eggs.
Summing it up
It isn’t easy to make choices that you know your family will not agree with. Deciding to move forward with egg donation, when you know it will not be met with approval, makes that decision even more difficult. Family may not always agree with our decisions and sometimes we need to move forward anyway. Especially if that decision impacts our life in the most meaningful and life changing manner. Remember, at the end of the day, this is not about anyone but you and your future family.
Navigating Comments About Your Donor-Conceived Child's Resemblance: A Guide to Responding
When you have a child (donor conceived or not), it is common for others to comment on their resemblance or lack thereof to you or your family.
When you have a child (donor conceived or not), it is common for others to comment on their resemblance or lack thereof to you or your family. While these remarks may be well-intentioned, they can sometimes be uncomfortable or insensitive for parents of donor-conceived children.
This article will discuss common comments and provide examples of how you could respond, empowering you to handle such situations with grace and confidence.
Why do people always comment on my donor conceived child’s resemblance?
Let’s consider the perspective of the individuals making these remarks. Most often, the commenters may not be aware of your child's donor-conceived status, and their intentions may not necessarily be malicious. Their comments about resemblance may stem from a genuine curiosity or a desire to find common ground. Remember that their lack of awareness is not a reflection of your family's worth or validity.
Remember that their lack of awareness is not a reflection of your family's worth or validity.
For whatever reason, society often emphasizes the importance of physical resemblance within families, perpetuating the notion that resemblance is the primary indicator of kinship. Commenters may unintentionally subscribe to these societal expectations, unaware of the broader definition of family and the significance of emotional connections and shared values. You could use the opportunity to teach them about donor-conceived families, but it is not your job to educate people so only do so if you want to.
While commenters may not have ill intentions, their lack of sensitivity in discussing resemblance can be hurtful. They may not realize the potential impact of their words on your child or the emotional journey you have embarked on as a parent. You can approach these situations with patience and understanding, or simply ignore them. But understanding how they make you feel, and why they make you feel that way, is important.
Why am I sensitive to these comments in the first place?
Navigating comments about your donor-conceived child's resemblance can evoke strong emotional reactions for some people. If this is you, try and understand why you may feel triggered in such situations. By recognizing and acknowledging these triggers, you can respond more effectively and maintain emotional well-being.
Let’s dive into five reasons these questions, even when well-intentioned, may feel uncomfortable:
- Identity and belonging. Comments about your child's resemblance, or lack thereof, to you or other members of your family may trigger feelings of insecurity, cause you to question your child's identity, or raise concerns about their sense of belonging. As a parent, you may find yourself seeking validation or affirmation that your child is accepted and loved by your family and friends. Remember that your child's identity is multifaceted and extends beyond physical resemblance. Embrace the uniqueness of your family's story and focus on fostering a strong bond based on love, shared experiences, and values.
- Protectiveness and defensiveness. When someone comments on your child's resemblance, it is natural to feel protective and defensive. You may fear that these comments could potentially harm your child's self-esteem or create a sense of otherness. These emotions stem from a place of love and concern for your child's well-being. Responding with assertiveness and educating others about donor conception can help create a supportive environment for your child and alleviate your own feelings of defensiveness.
- External validation. Comments about your child's resemblance may trigger a desire for external validation as a parent. You may feel the need to prove that your family is just as loving and connected as any other. Remember that your worth as a parent does not depend on your child's physical resemblance or genetic ties to you. Embrace the love, effort, and dedication you invest in nurturing your child, regardless of genetic similarities.
- Fear of judgment. Comments about your child's resemblance may awaken fears of being judged or scrutinized by others. You may worry about societal expectations or face insensitive remarks that question the legitimacy of your family. It is important to remember that your family's structure and the way you chose to build it is a personal decision. Surround yourself with supportive individuals who understand and respect your choices, and focus on creating a loving environment for your child.
- Unresolved grief. Navigating comments about your donor-conceived child's resemblance may also stir up unresolved feelings of grief or loss associated with infertility or the absence of a genetic connection. Acknowledge and allow yourself to process these emotions. Seeking support from therapists, support groups, or online communities can provide a safe space to share your experiences and connect with others who have gone through similar journeys.
Understanding the emotional triggers associated with comments about your donor-conceived child's resemblance is crucial for maintaining your emotional well-being and responding effectively. By recognizing the underlying emotions, such as concerns about identity and belonging, protectiveness, the need for external validation, fear of judgment, and unresolved grief, you can navigate these conversations with resilience and grace.
Remember, you are not alone, and seeking support from understanding communities can provide comfort and empowerment as you continue to embrace and celebrate your unique family.
What people may say and options for responding
Okay now that we have a better understanding of why these feelings arise when people make certain comments, let’s review some common comments and provide examples of how you could potentially respond.
Here are some examples of things you may hear as a parent (regardless of how your child was conceived!):
- "Your child doesn't look like you at all!"
- “Your child looks just like you!”
- "Who does your child take after?"
- “Who does your child look like, her mommy or daddy?”
- “Where did he get those dimples / green eyes / big feet?”
Here are some approaches on how to address commenters while promoting understanding and respect:
Answer with a non-answer
In the face of rude or insensitive comments about your donor-conceived child's resemblance, one viable response is choosing to ignore them by replying with a non-answer. It is no one’s business if your child is genetically related to you, and you don’t have to share that information if you don’t want to. Sometimes disengaging from these interactions through a quick non-answer can be the best way to preserve your emotional well-being.
Examples of how to brush off these comments:
- “Thanks!”
- "Thanks, we appreciate your observation!"
- “We embrace our child's unique qualities that make them who they are."
- “Genetics are fascinating aren’t they?”
- “Oh you think so?”
- "We believe that family is about love and connection, and we're grateful for the strong bond we share."
- "Genetics can be intriguing, can't they? So many interesting traits!"
- "Oh, you think so? Well, we think our child is pretty amazing just the way they are. Thanks!"
- "Our family celebrates the unique qualities that make each of us who we are. It's what makes us special."
Educate and inform
You could also take the opportunity to educate and share information about the unique ways families are created and the love that binds them together, emphasizing that genetics do not define the strength of a family bond.
- "Thank you for noticing! We believe that family resemblance goes beyond physical appearance. We focus on fostering love, support, and shared values to create a strong bond within our family."
- "It's interesting you bring up genetics. We believe that what truly matters is the deep love and connection we share as a family, regardless of any physical similarities."
- "We appreciate your comment. Our family embraces the beauty of diversity and the joy of creating our own unique story. Genetics may be one piece of the puzzle, but love and a strong bond are what truly define us."
- "We've learned that family resemblance is about more than just genetics. Our family is built on love, shared values, and the unique journey we've taken together."
- "Thank you for your observation! We've come to realize that family is not solely defined by genetics. Our bond is built on love, support, and the shared experiences we cherish together."
- "Every child is a blend of nature and nurture. We cherish our child's individuality and celebrate the unique qualities they bring to our family."
By educating and sharing these perspectives, you can help broaden others' understanding of what truly defines a loving and connected family, beyond genetics.
Share your story of donor conception
Taking this a step further, you could also take the opportunity to share personal insights and experiences, to help enlighten others about the unique journey of donor conception and the depth of love within your family. This may not be appropriate for questions from strangers, but certainly something to consider with friends or others who are a bigger part of your life.
- "Thank you for your comment. In our family, love knows no bounds. We have been blessed with a beautiful journey of donor conception, which has taught us that family is more so built on love, trust, and shared values, rather than physical resemblance."
- "I appreciate your observation. Our family's story is unique, and we celebrate the love and joy that brought us together. Genetics may not connect us biologically, but the bond we share is incredibly strong."
- "You're right, our family doesn't share physical traits, but we have something even more powerful - a bond founded on love and a deep understanding of each other's hearts. It's the essence of what makes our family beautiful."
- "I understand that physical resemblance can be a topic of curiosity. For us, family goes beyond genetics. It's about the love, support, and shared experiences that shape our journey together. That's what truly defines us."
- "Thank you for your comment. Our family embraces the uniqueness of our story. Donor conception allowed us to experience the incredible gift of parenthood and create a strong bond based on love and trust. It's an incredible journey that we cherish every day."
Offer personal insights into your family's experience, highlighting the values, love, and support that shape your unique family dynamic. By sharing your perspective, you can challenge preconceived notions and broaden their understanding of what constitutes a loving and connected family.
Regardless of how you respond, try to maintain a composed demeanor when responding to comments, as it sets a positive tone for the conversation. Responding with anger or defensiveness may escalate the situation and hinder productive dialogue.
If a comment ever crosses boundaries or becomes intrusive, assertively express your boundaries while maintaining respect and dignity. Remember that you have the right to protect your child's privacy and ensure both yours and their emotional well-being.
Cofertility is a human-first fertility ecosystem rewriting the egg freezing and egg donation experience. Our Family by Co 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!
Egg Donation for Single Moms by Choice: An Empowering Option for Parenthood
This article explores the process of egg donation, its benefits, ethical considerations, and the emotional journey of single mothers who choose this path. By shedding light on this topic, we aim to provide a comprehensive understanding of egg donation for single moms and its potential impact on their lives.
The concept of single motherhood has evolved significantly over the years, with increasing numbers of women opting to start families without a partner. According to Single Moms by Choice (SMC), over half of all people pursuing sperm donation are single mothers. Furthermore, 78% of them are between the ages of 36-45.
While this decision can be influenced by various personal circumstances, some single women face infertility challenges, necessitating alternative methods to fulfill their dreams of becoming mothers. Egg donation has emerged as an option, providing hope and possibilities for single moms who wish to experience pregnancy and the joys and rewards of raising a child.
This article explores the process of egg donation, its benefits, ethical considerations, and the emotional journey of single mothers who choose this path. By shedding light on this topic, we aim to provide a comprehensive understanding of egg donation for single moms and its potential impact on their lives.
How egg donation works
Egg donation involves a collaborative process that encompasses donor selection, egg retrieval, fertilization, embryo transfer, and pregnancy. It begins with the careful selection and screening of an egg donor, ensuring compatibility with your preferences and medical requirements. Once the donor has been approved by your fertility doctor, we help facilitate all the rest (legal, financial, insurance, and cycle planning).
The egg donor then undergoes ovarian stimulation to produce multiple mature eggs, which are then retrieved through a minimally invasive procedure. These eggs are then fertilized with donor sperm in a laboratory setting. Finally, one or more viable embryos are transferred to the uterus of the mother (or a gestational carrier), who prepares her body for pregnancy through hormone treatments.
Success rates of donor eggs
The success rates of egg donation for single moms depend on several factors, including the quality and quantity of eggs retrieved, the expertise of the fertility clinic, and the general health of the intended mother. Pre-qualified egg donors typically yield higher success rates due to the higher quality and quantity of their eggs. The experience and proficiency of the fertility clinic in handling the process also significantly influences the outcome. And finally, your health and pregnancy history can impact chances of implantation and live birth.
The good news is that the chances of success with donor eggs has more to do with the age of the donor than the age of the mother (or gestational carrier). As you can see from the chart below, the chances of getting pregnant per cycle is much higher with donor eggs than your own eggs, and the gap only increases with your age.
Read Dr. Meera Shah’s article Donor Egg Success Rates: a Breakdown.
At Cofertility, the average number of mature eggs a family receives and fertilizes is 12. Some intended parents want to do two egg retrievals with the donor which is definitely possible. We also ask each of our donors whether they are open to a second cycle as part of the initial application — many report that they are!
You can see how many eggs are retrieved in the first cycle and go from there. If, for any reason, the eggs retrieved in that round do not lead to a live birth, our baby guarantee will kick in and we’ll re-match you at no additional match deposit or Cofertility coordination fee.
Maternal bricolage
In a Wellesley study exploring the experiences of single mothers by choice who opted for egg donation, an interesting phenomenon emerged: the concept of maternal bricolage. Maternal bricolage refers to the process of choosing and combining the "right materials" (sperm and egg) to create a child who would resemble and connect with the mother and her extended family.
“Like bricoleurs, they do not create the pieces. Instead, their artistry resides in the selection and arrangement of the pieces in a particular order or geometry. Making the claim to being a creator, inventor, originator, or inspiration and to having shaped the genetic makeup of the embryo was for these women essential to crafting a compelling and socially legitimate claim to motherhood.”
The women interviewed in the study faced difficult choices during the early stages of conception, hoping to create a child who would not feel physically out of place and would share similar interests and traits.
For instance, Jamie, a single mother who gave birth to her son at the age of 43, emphasized the importance of her child not feeling like an outsider. Jamie wanted to ensure her child would not feel physically different from her or their extended family. She recognized the influence of interests and talents, questioning the nature versus nurture debate. By selecting a donor who shared similarities with her, Jamie hoped to provide her child with a sense of familiarity and reduce the potential feeling of being an outsider.
This concept of maternal bricolage highlights the thoughtful and intentional decision-making process of single mothers by choice using egg donation. By actively seeking out donors who possess physical characteristics, personality traits, or talents that align with their own or their family's attributes, they aim to create a sense of belonging and connection for their child, shaping their perception of self-identity and reducing potential challenges associated with being donor-conceived.
The Wellesley study sheds light on the depth of consideration and care that single mothers invest in the conception process. It reveals their commitment to not only providing a loving and nurturing environment but also striving to create a strong physical and emotional resemblance between themselves and their children. It emphasizes the profound desire to create a family structure that mirrors their own identities and fosters a deep connection between mother and child.
Benefits of egg donation for single moms
Advanced maternal age, medical conditions affecting fertility, or the absence of a male partner can make it difficult to conceive naturally. Egg donation offers an opportunity to bypass these obstacles and fulfill the desire for motherhood. And for many women, egg donation gives the opportunity to still carry the pregnancy and breastfeed.
Making the decision to pursue egg donation as an intended single mother can be complex. We recommend all intended parents pursuing donor eggs seek emotional support, whether that’s counseling or support groups. You are not alone. Connecting with other single mothers by choice who have experienced similar journeys can help you better navigate the process and foster emotional readiness.
In that Wellesley study referenced above, participants had this to say about their journeys:
“I do believe I had a huge role to help the fetus grow and determine what kind of child it would ultimately be because of epigenetics. There were three of us involved—two donors and me—and I believe my input was still significant.” - Jamie
“Wow this egg donor thing doesn’t matter, it just doesn’t matter. She’s my child, she’s 100 percent my child. I carried her. I’ve breastfed her, birthed her. This is not to say that I don’t think about the egg donor but this child is mine.” - Gail
“What’s so crazy about this process is that my daughter would have never existed without me, being as I am the one to connect these two genetic materials.” - Yasmin
A better model of egg donation: egg sharing
At Cofertility, our donors aren’t doing it for the cash – they keep half the eggs retrieved for their own future use, and donate half to you to build your family. This makes the process more economical for families, while empowering donors to take control of their own reproductive health. If a donor cycle ends up with 18 mature eggs, the family would receive nine of the eggs and could expect, on average, a little over three euploid embryos.
Depending on how many children you want, some families opt to do two donor egg cycles to increase the chances of having multiple children.
Find an amazing egg donor at Cofertility
At Cofertility, our program is unique. After meeting with hundreds of intended parents, egg donors, and donor-conceived people, we decided on an egg donation model that we think best serves everyone involved: egg sharing. We didn’t invent the concept of egg sharing, but we are the first to take it national (and even global!).
Here’s how it works: our unique model empowers women to take control of their own reproductive health while giving you the gift of a lifetime. Our donors aren’t doing it for cash – they keep half the eggs retrieved for their own future use, and donate half to your family.
We aim to be the best egg sharing program, providing an experience that honors, respects, and uplifts everyone involved. Here’s what sets us apart:
- Baby guarantee. We truly want to help you bring your baby home, and we will re-match you for free until that happens.
- Donor empowerment. Our model empowers donors to preserve their own fertility, while lifting you up on your own journey. It’s a win-win.
- Diversity: We’re proud about the fact that the donors on our platform are as diverse as the intended parents seeking to match with them. We work with intended parents to understand their own cultural values — including regional nuances — in hopes of finding them the perfect match.
- Human-centered. We didn’t like the status quo in egg donation. So we’re doing things differently, starting with our human-centered matching platform.
- Lifetime support: Historically, other egg donation options have treated egg donor matching as a one-and-done experience. Beyond matching, beyond a pregnancy, beyond a birth…we believe in supporting the donor-conceived family for life. Our resources and education provide intended parents with the guidance they need to raise happy, healthy kids and celebrate their origin stories.
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 to get started today!
Read more:
IVF after 40: Should I Use My Own Eggs or Donor Eggs?
For women who are in their 40s and considering IVF, a common question arises: should I use my own eggs or donor eggs? In this article, we’ll review valuable insights and information to help you make an informed decision on your IVF journey.
In recent years, advancements in reproductive technologies have given hope to many individuals and couples struggling with infertility. In vitro fertilization (IVF) in particular has enabled more people to become parents and grow their families. Some estimate that there have been over eight million babies born via IVF (including my own!). And 1 in 8 IVF cycles are estimated to involve eggs retrieved from a donor.
For women who are in their 40s and considering IVF, a common question arises: should I use my own eggs or donor eggs? In this article, we’ll review valuable insights and information to help you make an informed decision on your IVF journey.
How successful is IVF with your own eggs at 40?
Unfortunately, as we age our fertility naturally declines, and this decline becomes more significant after the age of 35. By the age of 40, a woman's ovarian reserve (the number and quality of eggs she has) is often diminished. Consequently, the success rates of IVF using a woman's own eggs decrease with age.
According to the Center for Disease Control (CDC) Assisted Reproductive Technology (ART) data, the live birth rate per IVF cycle for women over 40, using their own eggs, is 7.6%. This means that out of every 100 IVF cycles, only 7-8 result in a live birth.
While age plays a huge role in your chances of success, there are other factors that influence IVF outcomes including overall health, previous pregnancies, sperm health, the quality of the clinic, and the quality of the embryos. It is important to have realistic expectations when considering IVF with one's own eggs at the age of 40. A fertility doctor should be able to give you an idea of your chances of success with a proper fertility evaluation.
Should I try IVF with my own eggs or go straight to donor eggs?
Deciding whether to try IVF with your own eggs or proceed directly to donor eggs is a deeply personal and complex choice. Several factors should be taken into consideration, including your age, ovarian reserve, overall health, previous fertility history, and emotional readiness.
For those in their early 40s with a good ovarian reserve and no underlying fertility issues, attempting IVF with your own eggs may be a reasonable option. A fertility doctor can evaluate your specific circumstances and provide guidance based on their expertise.
On the other hand, some people want the fastest and most likely path to a healthy pregnancy and healthy baby. Especially if your journey has already been long, hard, and expensive, the decision to use donor eggs may bring renewed hope.
If your ovarian reserve is significantly diminished, or if previous attempts at IVF have been unsuccessful, using donor eggs may offer a higher chance of success. Donor eggs come from egg donors who have passed rigorous screening including ovarian reserve, reproductive health, general health, and genetics. This can increase the chances of achieving a successful pregnancy and live birth.
What is the success rate of IVF with donor eggs?
Donor egg IVF has the highest success rate of any fertility treatment. This means that donor eggs can drastically increase your chances of success! Around 53 percent of all donor egg cycles will result in at least one live birth. This percentage varies depending on the egg donor, recipient body mass index, stage of embryo at transfer, the number of oocytes retrieved, and the quality of the clinic.
At every age, the chances of birth with donor eggs is better, but those who benefit the most from donor eggs are women over 35 and those with low ovarian reserve. In fact, about one-quarter of women over 40 who succeeded with IVF did so through the use of donor eggs.
The chart was made using the SART Patient Predictor for an average woman (5’4”, 150 lbs) with diminished ovarian reserve. As you can see, the chances of live birth after one donor egg cycle is 54% for recipients under 40, and only goes down slightly after this.
What is the risk of miscarriage with donor eggs?
The short answer is that using donor eggs decreases the risk of miscarriage for most women. Especially for those who experienced previous miscarriages due to chromosomal abnormalities. Because egg donors are young (under 33) and medically cleared, outcomes with donor eggs are better than outcomes with a patient’s own eggs.
Age is a significant factor in miscarriage risk. As women age, the quality of their eggs decreases, and the risk of chromosomal abnormalities increases, which can lead to miscarriage. By using younger, healthier eggs from a donor, the risk of chromosomal abnormalities is significantly reduced.
Furthermore, the donor egg IVF process involves extensive screening of the donor to ensure that she is in good health and has a low risk of genetic disorders. This can further reduce the risk of miscarriage, as genetic disorders can be a significant contributor to pregnancy loss.
Pros and cons of using donor eggs vs. your own eggs
Let’s go over some of the advantages and disadvantages of using donor eggs for IVF.
The pros of using donor eggs include:
- Better egg quality: Eggs from donors tend to have better genetic quality, potentially reducing the risk of chromosomal abnormalities and genetic disorders.
- More embryos: A medically cleared egg donor is likely to lead to more embryos, often giving families more options, including gender selection.
- Increased success rates: Donor eggs come from young (under 33), healthy donors, which can improve the chances of successful fertilization, implantation, and pregnancy – getting a baby in your arms sooner.
The challenges of using donor eggs include:
- Emotional considerations: Using donor eggs may bring up complex emotional issues, such as feelings of loss, grief, or concerns about genetic connections. It is important to seek counseling or support to address these emotions.
- Financial costs: Using donor eggs adds an additional expense to the IVF process.
Find an amazing egg donor at Cofertility
At Cofertility, our program is unique. After meeting with hundreds of intended parents, egg donors, and donor-conceived people, we decided on an egg donation model that we think best serves everyone involved: egg sharing. We didn’t invent the concept of egg sharing, but we are the first to take it national (and even global!).
Here’s how it works: our unique model empowers women to take control of their own reproductive health while giving you the gift of a lifetime. Our donors aren’t doing it for cash – they keep half the eggs retrieved for their own future use, and donate half to your family.
We aim to be the best egg sharing program, providing an experience that honors, respects, and uplifts everyone involved. Here’s what sets us apart:
- Baby guarantee. We truly want to help you bring your baby home, and we will re-match you for free until that happens.
- Donor empowerment. Our model empowers donors to preserve their own fertility, while lifting you up on your own journey. It’s a win-win.
- Diversity: We’re proud about the fact that the donors on our platform are as diverse as the intended parents seeking to match with them. We work with intended parents to understand their own cultural values — including regional nuances — in hopes of finding them the perfect match.
- Human-centered. We didn’t like the status quo in egg donation. So we’re doing things differently, starting with our human-centered matching platform.
- Lifetime support: Historically, other egg donation options have treated egg donor matching as a one-and-done experience. Beyond matching, beyond a pregnancy, beyond a birth…we believe in supporting the donor-conceived family for life. Our resources and education provide intended parents with the guidance they need to raise happy, healthy kids and celebrate their origin stories.
At Cofertility, the average number of mature eggs a family receives and fertilizes is 12. Some intended parents want to do two egg retrievals with the donor which is definitely possible. We also ask each of our donors whether they are open to a second cycle as part of the initial application — many report that they are!
You can see how many eggs are retrieved in the first cycle and go from there. If, for any reason, the eggs retrieved in that round do not lead to a live birth, our baby guarantee will kick in and we’ll re-match you at no additional match deposit or Cofertility coordination fee.
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 to get started today!
How much do donor eggs cost?
The cost of egg sharing can vary depending on the fertility clinic and the specific program. However, in general, a donor egg journey with Cofertility will cost around $26,700.
This includes:
- Match deposit: $500
- Cofertility’s Coordination Fee: $6,500
- Administrative fees: ~$5,700
- Medical expenses associated with the donor’s screening and retrieval: can vary by clinic but are typically around $14,000
For a more detailed breakdown, view our pricing page.
While cycle administrative fees are non-refundable, our one-time Cofertility Coordination Fee comes with a baby guarantee. This means that if anything happens that prevents you from a live birth, we’ll re-match you at no additional Cofertility fee until you bring your baby home.
Summing it up
While IVF with one's own eggs can still offer a chance of success after 40, the use of donor eggs can significantly increase the chances of achieving a successful pregnancy and live birth.
Deciding between using your own eggs or donor eggs for IVF is a deeply personal choice that may be weighing on you. If you are hesitating to use donor eggs, we highly recommend connecting with a parent or support group of others who have walked down this path. We have never met a parent through egg donation who has regretted their decision. A fertility psychologist who has experience in this area can also provide guidance.
Ultimately, the goal is to make an informed choice that aligns with your desires, values, and the best chances of achieving a healthy pregnancy and fulfilling parenthood. Wherever you land, we wish you all the best.
Read more:
What You Should Know About Getting Pregnant with Donor Eggs in Your 40s and 50s
Everything you need to know about getting pregnant with donor eggs in your 40s and 50s, information on the process, success rates, and addressing questions related to age and pregnancy with donor eggs.
For women in their 40s and 50s who want to build or grow their family, the dream of becoming a mother may still be within reach through the use of donor eggs. With advancements in reproductive technology, donor egg in vitro fertilization (IVF) has become a viable option for more people. In this article, we’ll cover everything you need to know about getting pregnant with donor eggs in your 40s and 50s.
How does donor egg IVF work?
Donor egg IVF involves the use of eggs donated by another woman, typically a healthy individual under the age of 34. These eggs are retrieved from the donor and fertilized with sperm in a laboratory setting. The resulting embryos are then transferred to the recipient's uterus, where they have the potential to implant and develop into a pregnancy.
IVF can be broken down into three phases:
- The retrieval phase, where the eggs are matured and extracted
- The embryo phase, where eggs are fertilized and monitored in the lab
- And the transfer phase, where an embryo is transferred to the uterus of the intended mother or gestational carrier
With donor eggs, the egg donor undergoes the retrieval (phase 1) and then her job is done. The eggs are then fertilized with the sperm of the intended father (or a sperm donor) and grown under the careful eye of a trained embryologist. At this point, some families opt to do genetic testing. Once the embryo is ready, the intended mother, or a gestational carrier, takes over to carry the pregnancy to term.
Unless your doctor has determined that it is impossible or dangerous for you to safely carry a pregnancy, you can absolutely undergo IVF and get pregnant with donor eggs.
Donor eggs increase your chances of a healthy pregnancy
Here’s some good news: donor eggs can drastically increase your chances of success. Around 53 percent of all donor egg cycles will result in at least one live birth. This percentage varies depending on the egg donor, recipient body mass index, stage of embryo at transfer, the number of oocytes retrieved, and the quality of the clinic.
At every age, the chances of birth with donor eggs is better, but those who benefit the most from donor eggs are women over 35 and those with low ovarian reserve. In fact, about one-quarter of women over 40 who succeeded with IVF did so through the use of donor eggs.
The chart was made using the SART Patient Predictor for an average woman (5’4”, 150 lbs) with diminished ovarian reserve. As you can see, the chances of live birth after one donor egg cycle is 54% for recipients under 40, and only goes down slightly after this.
Can a 40-something year old get pregnant with donor eggs?
Yes, women in their 40s may be able to get pregnant with donor eggs. Donor egg IVF offers a viable solution for women in this age group who have experienced a decline in their own egg quality and quantity. As you can see from the chart above, the chances of getting pregnant in your 40s with donor eggs is much higher than with your own eggs.
Studies show that your chances of success using donor eggs does not diminish in your 40s. You read that right! A 30-year-old vs. a 40-year-old carrying a pregnancy with donor eggs will have about the same chances of success. Using donor eggs can greatly increase your chances of a healthy baby well into your 40s and even 50s.
Even though many women in their 40s and 50s can carry a pregnancy when using donor eggs, some need to use a gestational carrier for a variety of reasons. It’s important to note that carrying a pregnancy in your 40s and 50s does carry increased risks of pregnancy complications like hypertensive disorders and gestational diabetes.
What is the success rate of IVF with donor eggs over 40?
The success rate of IVF with donor eggs is generally higher for women over 40 compared to using their own eggs. According to various studies, the success rates for this procedure can range from 50% to 70% or even higher, depending on the individual circumstances and the quality of the embryos transferred. It is important to remember that success rates can vary. A fertility doctor can give you a personalized assessment.
Can a 50 year old woman get pregnant with donor eggs?
Yes, it may be possible for a 50 year old woman to get pregnant with donor eggs. While fertility declines with age, donor eggs can still offer a chance for women in their 50s to experience pregnancy and motherhood.
In a study of women who became pregnant from egg donation, researchers at Columbia University found that women over age 50 do not appear to face any greater risk than those under 43. That doesn’t mean there’s no risk in pregnancy over 50, and anyone in this age group should undergo thorough medical screening before attempting pregnancy to ensure the best possible outcome.
Can a menopausal woman get pregnant with donor eggs?
While menopause marks the end of a woman's reproductive years, donor eggs can still provide an opportunity for menopausal women to experience pregnancy. The absence of menstruation and ovulation in menopausal women means they are unable to produce viable eggs. However, by using donor eggs, a menopausal woman can still carry a pregnancy and experience the joy of motherhood.
How many tries does it take to get pregnant with donor eggs?
For many people beginning the journey to use donor eggs, you may have already tried unsuccessfully with your own eggs and are eager to get pregnant as quickly as possible. Well here’s the good news: it is estimated that the probability of success reaches roughly 90% after three embryo transfers. This of course varies patient to patient, and your doctor should be able to give you a better idea of your chances based on your medical history.
Is there an age limit for IVF with donor eggs?
Technically, there is no age limit (legal or otherwise) in the United States for pursuing IVF with or without donor eggs. But ASRM discourages IVF for females older than 55, and some clinics set their own age limits for patients they will treat.
For females over 45 years old, ASRM advises:
- “Comprehensive” medical testing for cardiovascular and metabolic fitness to ensure the safety of the mother and baby during pregnancy
- Psychosocial evaluation to determine if support is in place to raise a child to adulthood
- Counseling patients on potential increased medical risks related to pregnancy
There is no official recommendation when it comes to the age of a male intended parent.
Supporting mothers of all ages
There is no age limit for men having children and there is no maximum age for US domestic adoption – so why would we put an age restriction on mothers via egg donation? Generally, these restrictions are for her own health during pregnancy.
All pregnancies have risks, and pregnancy after 50 is no exception. One small study followed 45 healthy mothers ages 50-63 who used donor eggs, and found that 35% experienced pregnancy-related hypertension (high blood pressure), 20% experienced gestational diabetes, and 78% had a cesarean section. These numbers are higher than the general population.
But what if a gestational carrier (surrogate) carries the donor egg pregnancy? Then the argument turns to the ability to parent.
ASRM lays out some compelling arguments in favor of donor egg IVF for women over 45:
- Older people (grandparents) raise children all the time in our society, and successfully at that. So there’s no reason to think older parents wouldn’t have the physical and psychological stamina for raising children.
- Older men often have children, and there is no set age limit for males in IVF. So why create limits for women?
- Our society respects the rights of individuals to make reproductive choices regardless of age or life expectancy. For example, we don’t ban someone with a terminal illness from becoming a parent. So why stop someone else because of their age?
Benefits of having children later
Becoming a parent at an older age certainly has pros and cons, and is different for everyone. But here are some benefits to having children in your 40s and 50s:
- Financial security: older parents tend to have more financial freedom and savings, making the financial commitment of parenting less daunting.
- Emotional maturity: Older parents feel more ready and mature. In a study of older parents, 72% of mothers and 57% of fathers expressed that the emotional maturity associated with age provided a clear advantage to having children later in life.
- Smoother parenting: One study found that older maternal age was associated with fewer behavioral, social and emotional difficulties
- More life experiences: People who start families later in life have had more opportunity to check things off their bucket list – travel, work accomplishments, hobbies – and may not feel like parenting is as much of a compromise in their lives. Plus, they have more to teach their littles!
Celebrities who got pregnant after 45
An unassisted pregnancy after age 45 is rare, and even with IVF, the chances of getting pregnant with your own eggs at 45 is just 5% (it’s 1% at age 50). Getting pregnant after 45 generally means someone used frozen eggs (either from their younger self, or from an egg donor). Here are some celebrities to remind you that you are not alone!
- Susan Sarandon, 45
- Chloë Sevigny, 45
- Savannah Guthrie, 45
- Jane Kaczmarek, 46
- Halle Berry, 47
- Cameron Diaz, 47
- Holly Hunter, 47
- Kelly Preston, 47
- Tamron Hall, 48
- Rachel Weisz, 48
- Geena Davis, 48
- Hilary Swank, 48
- Beverly D'Angelo, 49
- Laura Linney, 49
- Janet Jackson, 50
- Naomi Campbell, 50
- Hoda Kotb, 52
- Nichole Kidman, 53
- Salma Hayek, 54
- Naomi Watts, 54
Tens of thousands of families have babies each year through egg donation, and celebrities are no different. While some celebrities choose to speak openly about their decision to use donor egg IVF, others choose not to. Looking at the data, we can speculate that many people over 45 (celebrity and otherwise) use frozen eggs to conceive. But if those frozen eggs were from their own egg freezing cycle years ago, or from a donor egg freezing cycle, is their story to tell.
Find an egg donor through Cofertility
We aim to be the best egg sharing program, providing an experience that honors, respects, and uplifts everyone involved. Here’s what sets us apart:
- Baby guarantee. We truly want to help you bring your baby home, and we will re-match you for free until that happens.
- Donor empowerment. Our donors aren’t doing it for cash – they keep half the eggs retrieved for their own future use, and donate half to your family. It’s a win-win.
- Diversity: We’re proud about the fact that the donors on our platform are as diverse as the intended parents seeking to match with them. We work with intended parents to understand their own cultural values — including regional nuances — in hopes of finding them the perfect match.
- Human-centered. We didn’t like the status quo in egg donation. So we’re doing things differently, starting with our human-centered matching platform.
- Lifetime support: Historically, other egg donation options have treated egg donor matching as a one-and-done experience. Beyond matching, beyond a pregnancy, beyond a birth…we believe in supporting the donor-conceived family for life. Our resources and education provide intended parents with the guidance they need to raise happy, healthy kids and celebrate their origin stories.
At Cofertility, the average number of mature eggs a family receives and fertilizes is 12. Some intended parents want to do two egg retrievals with the donor which is definitely possible. We also ask each of our donors whether they are open to a second cycle as part of the initial application — many report that they are!
You can see how many eggs are retrieved in the first cycle and go from there. If, for any reason, the eggs retrieved in that round do not lead to a live birth, our baby guarantee will kick in and we’ll re-match you at no additional match deposit or Cofertility coordination fee.
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 to get started today!
Summing it up
Getting pregnant with donor eggs in your 40s or 50s may be possible, although ASRM discourages it for women over 55, and fertility clinics may set their own age limit. Anyone over 45 is recommended to undergo comprehensive medical testing, counseling, and a psychosocial evaluation. There are pros and cons to becoming a parent at any age, and these should be carefully considered when making the decision. We wish you all the best!
If you are pursuing donor eggs, we’d love to help. Our Family by Co platform serves as a more transparent, ethical egg donor matching platform. We are obsessed with improving the family-building journey and are in an endless pursuit to make these experiences more positive.
Sign up for a free account today.
FAQ
What is donor egg IVF?
Donor egg IVF is an IVF cycle that uses a medically-cleared woman's eggs, which are then fertilized and implanted into the uterus of the intended mother or gestational carrier.
What is “advanced maternal age” (over 35) and “advanced reproductive age” (over 45)?
Advanced maternal age is a not-so-great term used by the medical community to describe a potential pregnancy for women over 35. Advanced reproductive age refers to women over 45. Interestingly, there is no similar term for males trying to conceive at any age.
Am I too old to become a parent?
This is a question only you can answer. How is your health? Do you have a support system that could help raise the child if anything were to happen to you? Are you financially ready? These are questions any parent, at any age, should ask before building a family.
Does your age matter with donor eggs?
While age can impact a woman's own fertility, the option of using donor eggs opens doors to motherhood, even for those in their 40s and 50s. At every age, the chances of birth with donor eggs is better, but those who benefit the most from donor eggs are women over 35 and those with low ovarian reserve.
How can I find an egg donor?
Our Family by Co platform serves as a more transparent, ethical egg donor matching platform. Create a free account today to get started!
Gay Men Having Babies: Four Genetic Options with Donor Eggs
For gay dads who wish to have a genetically connected child, choosing whose sperm to use is an important decision. It involves considerations of genetics, personal preferences, legal, and ethical aspects. In this article, we will delve into various ways gay dads can navigate this decision and explore four options we’ve seen for family building through egg donation.
For gay dads who wish to have a genetically connected child, choosing whose sperm to use is an important decision. It involves considerations of genetics, personal preferences, legal, and ethical aspects. In this article, we will delve into various ways gay dads can navigate this decision and explore four options we’ve seen for family building through egg donation.
Option 1: One egg donor, half the eggs are fertilized by each partner
In this option, a single egg donor is selected, and the eggs retrieved from the donor are split between both partners for fertilization. Each partner's sperm is used to fertilize an equal number of eggs.
At that point, you could simply pick the highest quality embryo to transfer, regardless of who is the genetic father (or not find out the genetic linkage at all). Or, if you want to have more than one child, you could pick one embryo from each dad. In this option, if you have more than one child, those siblings would be genetically related to each other.
Option 2: Different egg donor for each partner
In this option, two egg donors are chosen—one who resembles each partner physically or in certain desired traits. Then, the other partner’s sperm fertilizes the eggs. Each partner's chosen egg donor provides the eggs for fertilization, allowing for a potential resemblance between the child and both partners.
We often see this strategy in bi-racial relationships. For example, if one partner is Black and the other is Korean, they could find two egg donors, one Black and one Korean. The Black dad would fertilize the eggs of the Korean egg donor, and vice versa. In this method, the children have the same ethnicity (in this example, that would be half Black and half Korean).
This option offers the potential for the child to share physical or desired traits with both partners, and each partner has a direct genetic link to a child through their respective egg donor. However, any siblings would not be genetically related to each other.
Option 3: Family member serves as egg donor
This option involves using a family member, such as the sister or cousin of one partner, as the egg donor. The eggs retrieved from the family member are fertilized with the sperm from the other partner, creating a familial genetic connection between the child and both partners.
This option maintains a strong genetic link to each partner's family, potentially providing a sense of connection and belonging. However, introducing family members into the reproductive process could add emotional and familial complexities that need to be carefully considered.
Option 4: “Trade-sies” with a same-sex female couple for egg and sperm sharing
In this option, which one parent told us they called “trade-sies”, a same-sex male couple can collaborate with a same-sex female couple who are also interested in starting a family through IVF.
One of the female partners from the lesbian couple can donate eggs, while one of the male partners from the gay couple can donate sperm. The two families would divide the resulting embryos. For the gay dads, the embryos would be transferred to a gestational carrier.
This option allows both the gay dads and the lesbian couple to share in the journey of starting a family, creating a unique and supportive bond. This arrangement can foster long-lasting connections between the families involved, creating a broader support network for the child(ren).
Partnering with another couple involves intricate legal arrangements, such as co-parenting agreements, to establish parental rights and responsibilities. As with any co-parenting arrangement, there is a possibility of differences or conflicts arising in the future, which may require ongoing communication and cooperation to navigate successfully.
Find an egg donor through Cofertility
Our Family by Co platform honors families and egg donors with a thoughtful, human-centered egg donor matching experience. Our unique egg sharing model empowers egg donors to take control of their own reproductive health while giving families the gift of a lifetime. Instead of cash compensation, our donors get to keep half of the eggs retrieved.
Why Cofertility:
- Egg donors you won’t find anywhere else: Our unique model removes cash compensation from the equation — and as a result, the incredible women on our platform are all ambitious, educated, kind, and eager to help other families while investing in their own reproductive future.
- Diversity: We’re proud about the fact that the donors on our platform are as diverse as the intended parents seeking to match with them. We work with intended parents to understand their own cultural values — including regional nuances — in hopes of finding them the perfect match.
- Community: Our Family by Co Community (coming soon!) will be a safe space for intended parents of all kinds to connect, support each other, and gain access to exclusive member resources, experts, and events.
- Lifetime support: Historically, other egg donation options have treated egg donor matching as a one-and-done experience. Beyond matching, beyond a pregnancy, beyond a birth…we believe in supporting the donor-conceived family for life. Our resources and education provide intended parents with the guidance they need to raise happy, healthy kids and celebrate their origin stories.
We started this company with the vision of serving all families, regardless of what brought them here. And we promise to provide you with the care we would want for our families. With our commitment to transparency, inclusivity, and innovation, we are striving to be the best in the industry.
Our Split model empowers donors and enables families to find the egg donor perfect match quickly and easily, setting a new standard for excellence in our field. Whether you are just getting educated on egg donation or ready to move forward, we want to help you achieve your goals and build the family of your dreams.
Learn more:
Six Reasons Why Egg Sharing is an Ideal Egg Donation Model for Intended Parents
In traditional egg donation, the donor's eggs are given to the intended parents in exchange for cash compensation. However, in the increasingly popular egg sharing model, the donor has the opportunity to keep half of the eggs retrieved for her own future family planning. At Cofertility, we exclusively work under the egg sharing model, which we call Split, because we think it’s ideal for everyone involved – the intended parents, the egg donor, and ultimately the donor-conceived child.
In traditional egg donation, the donor's eggs are given to the intended parents in exchange for cash compensation. However, in the increasingly popular egg sharing model, the donor has the opportunity to keep half of the eggs retrieved for her own future family planning.
At Cofertility, we exclusively work under the egg sharing model, which we call Split, because we think it’s beneficial for everyone involved – the intended parents, the egg donor, and ultimately the donor-conceived child. In this article, we will explore six reasons why we think egg sharing is a compelling model for egg donation, focusing on benefits such as increased donor commitment, the absence of financial implications, and a more diverse pool of potential donors.
1. Donors have a personal stake in the outcomes, increasing donor commitment
One significant benefit of the egg sharing model is that donors have a personal stake in the outcomes. When donors contribute a portion of their eggs in exchange for their own IVF treatment down the line, they are invested not only in helping intended parents but also in achieving their own fertility goals. This shared interest leads to a greater sense of commitment and dedication from the donors, potentially resulting in higher-quality eggs and improved success rates.
2. Cash compensation models can lead some egg donors to conceal relevant medical information
The American Society for Reproductive Medicine (ASRM) published specific guidance regarding egg donor compensation in 2021. In this guidance, they acknowledge that excessive monetary compensation could create the possibility of undue inducement and exploitation of egg donors.
The guidance points out, “Women may agree to provide oocytes based on their financial need. High levels of compensation also could lead some prospective donors to conceal medical information relevant to their own health or that of their genetic offspring in order to be more likely to be selected for oocyte donation.”
However, in the egg sharing model, where the focus is on shared outcomes rather than financial gain, donors may be more likely to disclose any pertinent medical information, ensuring the best possible match and reducing the risk of undisclosed medical issues that may impact the intended parents or the resulting child's well-being.
3. Most donor-conceived people feel the exchange of money for donor eggs is wrong
In the context of egg sharing, compensation is not based on financial transactions. Instead, it focuses on the shared goal of success for both parties. This approach eliminates the potential discomfort and ickiness often associated with cash compensation, and avoids the perception of treating eggs as commodities.
A 2021 Harvard study found that 62% of donor-conceived adults felt the exchange of money for donor gametes was wrong, and 41% were troubled by the fact that money was exchanged around their conception. This is why we created our Split program. This unique model empowers women to take control of their own reproductive health while giving you the gift of a lifetime. Our donors aren’t doing it for cash – they keep half the eggs retrieved for their own future use, and donate half to your family.
By removing financial incentives, the process feels meaningful and preserves the dignity of all parties involved.
4. We’re able to recruit a more diverse pool of donors
Our model not only empowers our donors by giving them control over their own fertility, but it also enables us to recruit a truly exceptional group of donors. Our donors are motivated by the opportunity to help others start their families while also taking charge of their own reproductive futures. By offering this unique Split model, we have been able to attract a diverse and talented group of women who are passionate about helping others and committed to making a difference in the world.
5. Donors get to proactively invest in their own reproductive future
Egg sharing allows donors to actively invest in their own reproductive future while helping intended parents fulfill their dreams of having a child. By keeping half of the eggs retrieved, egg donors are proactively taking steps to preserve their fertility options and increase their chances of successful pregnancies in the future. This dual benefit of participating in the egg sharing model enables donors to make a meaningful investment in their own reproductive health, while simultaneously providing hope and support to intended parents who are seeking to build their families. It empowers donors to take control of their reproductive journey and make decisions that align with their long-term family planning goals.
6. Donors are happy with their decision
One compelling reason to consider egg sharing is the high level of donor satisfaction and positive experiences reported by individuals who have participated in this model. According to one study, the vast majority of egg share donors are happy with their decision. In fact, a significant majority of egg share donors, 83.3%, said they would even donate again.
This statistic reflects the positive impact and personal fulfillment donors experience through their participation in the egg sharing process. Only 2.1% regret their decision, underscoring the fact that the decision to participate in egg sharing is often met with a sense of satisfaction, knowing that their contribution has made a meaningful difference in someone else's life. The positive feedback from donors highlights the mutually beneficial nature of the egg sharing model, reinforcing the notion that it can be a rewarding and fulfilling experience for all parties involved.
Cofertility - striving to be the best egg sharing program
We aim to be the best egg sharing program, providing an experience that honors, respects, and uplifts everyone involved. Here’s what sets us apart:
- Baby guarantee. We truly want to help you bring your baby home, and we will re-match you for free until that happens.
- Donor empowerment. Our model empowers donors to preserve their own fertility, while lifting you up on your own journey. It’s a win-win.
- Diversity: We’re proud about the fact that the donors on our platform are as diverse as the intended parents seeking to match with them. We work with intended parents to understand their own cultural values — including regional nuances — in hopes of finding them the perfect match.
- Human-centered. We didn’t like the status quo in egg donation. So we’re doing things differently, starting with our human-centered matching platform.
- Lifetime support: Historically, other egg donation options have treated egg donor matching as a one-and-done experience. Beyond matching, beyond a pregnancy, beyond a birth…we believe in supporting the donor-conceived family for life. Our resources and education provide intended parents with the guidance they need to raise happy, healthy kids and celebrate their origin stories.
At Cofertility, the average number of mature eggs a family receives and fertilizes is 12. Some intended parents want to do two egg retrievals with the donor which is definitely possible. We also ask each of our donors whether they are open to a second cycle as part of the initial application — many report that they are!
You can see how many eggs are retrieved in the first cycle and go from there. If, for any reason, the eggs retrieved in that round do not lead to a live birth, our baby guarantee will kick in and we’ll re-match you at no additional match deposit or Cofertility coordination fee.
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 to get started today!
10 Things to Look For in An Egg Donor
Choosing the right person to be your egg donor is an enormous and exciting step in your donor egg IVF journey. Finding the right person involves understanding your goals and priorities, and then carefully reviewing donor profiles to find your best match. But what exactly should you look for as you sift through dozens of profiles? In this article, we will explore the key aspects to consider when selecting an egg donor. Let’s go!
Choosing the right person to be your egg donor is an enormous and exciting step in your donor egg IVF journey. Finding the right person involves understanding your goals and priorities, and then carefully reviewing donor profiles to find your best match. But what exactly should you look for as you sift through dozens of profiles? In this article, we will explore the key aspects to consider when selecting an egg donor. Let’s go!
What to look for in an egg donor
When considering what to look for in an egg donor, there are two main factors to keep in mind.
First, look for clues that the egg donor will have a successful egg retrieval. The good news is that the quantity and quality of eggs retrieved is fairly predictable with just a few data points: age, anti-müllerian hormone (AMH), and antral-follicle count (more on that below).
Finding a pre-qualified donor who has passed initial screening can significantly impact your chances of achieving a successful pregnancy. At Cofertility, our clinical team reviews and meets with every egg donor candidate, looking at medical history, AMH, and more. Once you match with a donor, she’ll go through further screening, both genetic and psychological. Your fertility doctor will then review the egg donor’s information and clear her (or not) for a donor egg retrieval.
Second, look for a donor who is a good fit for your family. At Cofertility, our program is unique. After meeting with hundreds of intended parents, egg donors, and donor-conceived people, we decided on an egg donation model that we think best serves everyone involved: egg sharing.
Here’s how it works: our unique model empowers women to take control of their own reproductive health while giving you the gift of a lifetime. Our donors aren’t doing it for cash – they keep half the eggs retrieved for their own future use, and donate half to your family.
We aim to be the best egg-sharing program, providing an experience that honors, respects, and uplifts everyone involved. Here’s what sets us apart:
- Human-centered. We didn’t like the status quo in egg donation. So we’re doing things differently, starting with our human-centered matching platform.
- Donor empowerment. Our model empowers donors to preserve their own fertility, while lifting you up on your own journey. It’s a win-win.
- Diversity: We’re proud of the fact that the donors on our platform are as diverse as the intended parents seeking to match with them. We work with intended parents to understand their own cultural values — including regional nuances — in hopes of finding them the perfect match.
- Baby guarantee. We truly want to help you bring your baby home, and we will re-match you for free until that happens.
- Lifetime support: Historically, other egg donation options have treated egg donor matching as a one-and-done experience. Beyond matching, beyond a pregnancy, beyond a birth…we believe in supporting the donor-conceived family for life. Our resources and education provide intended parents with the guidance they need to raise happy, healthy kids and celebrate their origin stories.
Okay so now that we know the two most important factors to keep in mind— that a donor is likely to have a successful egg retrieval and that she is a fit for your family — let’s dive into 10 things to look for in an egg donor.
1. AMH
What AMH levels are ideal for an egg donor?
AMH is a hormone that is a biomarker for ovarian reserve, which is highly correlated to egg retrieval success (specifically, the number of eggs retrieved). While there is no specific threshold for AMH levels in an egg donor, the higher the AMH, the more eggs you are likely to retrieve. At Cofertility, we require egg donors to have an AMH over 2 to qualify.
Even though AMH is important, it should not be the sole criterion for selecting an egg donor. Other factors, such as age, medical history, and overall health, also contribute to success rates.
2. Age
What age is best for an egg donor?
The age of the egg donor is a crucial factor in the success of a donor egg IVF cycle. As females age, egg quality and quantity both decrease, which can lead to lower rates of successful fertilization, implantation, and live births. In general, “younger” donors have a higher chance of producing high-quality eggs that are more likely to result in a successful pregnancy.
So what age do we mean when we say “younger” egg donor? While ASRM recommends egg donors be between the ages of 21 and 34, we think the best age is 25-34. Not only because donors tend to be more mature at this age, but also because research suggests better outcomes.
One study found the chances of live birth among cycles using egg donors <25 years was 13% lower for those using donors age 25 to 29. And another older but large study of 3,889 fresh donor egg cycles found that the cycles utilizing donors 30 to 34 years had a higher incidence of live birth compared to cycles with donors under 30 years, as well as donors over 34.
3. Disclosed or undisclosed
What sort of relationship should I look for with an egg donor?
At Cofertility, we have two types of disclosure options for intended parents and donors: disclosed or undisclosed. In a disclosed donation, you and the donor will exchange contact information and can communicate directly. In an undisclosed donation, you will not exchange contact information and only communicate via Cofertility. With an undisclosed donation, you could arrange to have the information available to your child down the road (this is sometimes called Open ID).
It’s important to separate your disclosure status from any potential relationship that you have with the donor. For example, you may have a disclosed donation, in which you share contact information but decide not to maintain any regular communication.
Decide what type of disclosure and relationship status is right for your family, and look for a donor who is on the same page.
Read more in Disclosed vs. Undisclosed Donation: What's the Difference?
4. Repeat vs. first-time egg donor
Is it better to find a first-time or repeat egg donor?
While most donors are first-time donors, you will find that some donors have come back to donate again (the max is six times). There are pros and cons to first time or repeat egg donors, but this usually is not a driving factor for intended parents.
With repeat donors, you have the advantage of knowing their outcomes in previous cycles. This gives you another data point for predicting if they will be successful. But keep in mind that every cycle is different, and also depends on the medication and clinic. The downside of working with a repeat donor is that there could already be children born using her donor eggs, giving your children more half-genetic siblings.
On the other hand, the success of first-time donors is still highly predictable. You can also ask them if they intend to donate to multiple families. Consider your priorities, consult with your fertility doctor, and review the available options to make an informed decision.
One thing to keep in mind if you choose to work with Cofertility: because our donors get to keep half the eggs retrieved for their own future use, they tend to take the entire cycle very seriously.
5. Medical history
What should I be looking at in a donor’s medical history?
Thoroughly evaluating the medical history of an egg donor is crucial to ensure the health and well-being of the potential child. Look for comprehensive medical screenings that cover both the donor's personal medical history and that of their immediate family. This information helps identify potential genetic risks or hereditary conditions that could impact the offspring.
Think about what health risks you’re willing to take. No family is void of all health problems. While we screen out major genetic health conditions, many donors have health histories including things like needing glasses, being on birth control, having had knee surgery, or suffering from allergies.
At Cofertility, we follow stringent guidelines to ensure the health and safety of both donors and recipients.
6. Physical traits
What physical traits are important for an egg donor?
For many families, physical traits are the most significant consideration when selecting an egg donor. Searching our egg donor platform by physical characteristics, such as height, hair color, eye color, complexion, freckles, and even dimples, can help you find a donor with resemblance.
Read more in Should I Pick an Egg Donor Who Looks Like Me?
Keep in mind that just because a donor has a trait does not guarantee the child will too. Even genetic relatives can look wildly different, just think of how many families you know (maybe even your own!) where genetic relatives look nothing alike.
That being said, if it’s important to you, you can increase the chances your child looks like you by looking at photos of the egg donor and assessing the self-reported traits.
7. Shared interests and traits
Should I pick an egg donor who shares my interests?
Many intended parents seek an egg donor who shares similar hobbies, interests, or values. Some value things like athleticism or musical abilities, while for others sharing a religion is most important. Whatever it is you’re looking for, you will learn so much about each donor in their profile.
These similarities can help create a connection, providing a sense of shared experiences and background. We find that parents who find an egg donor with overlapping interests and traits get even more excited to move forward on their journey.
8. Religion
Does it matter if my egg donor and I have the same religion?
The decision to prioritize or consider religious compatibility is a deeply personal one. For some individuals or couples, religious beliefs and practices hold significant importance in their lives, and they may wish to find an egg donor who aligns with their religious values. For others, religion may not play a central role, and they may be more open to donors of various religious backgrounds.
Regardless of whether you choose a donor who shares your religious background, open and honest communication with your child about their genetic origins and any religious or cultural differences is essential. It's important to create an environment where questions and discussions about faith, identity, and beliefs are welcomed and respected.
9. Education and achievements
Does the egg donor’s education level matter?
Educational background, intelligence, and achievements are factors that some intended parents weigh strongly when choosing an egg donor.
The level of education or specific achievements can be important to some individuals or couples who wish to find a donor with similar intellectual or professional pursuits. At Cofertility, you can sort donor profiles by education level and learn more about what a donor studied and the type of school they attended.
10. Race and ethnicity
Do I need to choose a donor of the same race and ethnicity?
Perhaps you are really drawn to a donor who is like you in so many ways… except her race or ethnicity. Should you still match with them? This route is absolutely possible but should be taken with thoughtful consideration. In the adoption world, conspicuous families are very common. But it does increase the chances of comments and questions from nosy people.
Selecting an egg donor of a different race or ethnicity also means that child may grow up with questions about (or disconnection with) their genetic roots that are different from yours. You’ll need to talk about race from day one, show your child the importance of diversity in society, and ensure that you socialize with people of different races and ethnicities (including theirs). Surround yourself with other multiracial families and find ways to expose your child to their genetic culture.
To make this decision, reflect on your own cultural values, consider the potential impact on your family dynamics, and engage in discussions with your partner (and even a therapist!) to ensure you make a decision that aligns with your values and aspirations.
Take-aways
Choosing the right egg donor is a significant decision that can greatly impact the success of your donor egg IVF journey. By considering the key factors we shared in this article, you can make an informed choice and find an egg donor who aligns with your goals and values.
Remember to prioritize the likelihood of a successful egg retrieval by assessing factors such as age, AMH levels, and medical history. Additionally, finding a donor who is a good fit for your family, both in terms of physical traits and shared interests, can create a stronger connection and enhance the overall experience.
Selecting an egg donor is a deeply personal process, and there is no one-size-fits-all approach. Each individual or couple may have different priorities and considerations when making this decision. Whether it's evaluating the donor's education, considering religious compatibility, or contemplating the impact of race and ethnicity, take the time to reflect on your values and aspirations as a family.
Throughout the journey, open and honest communication with your fertility doctor, partner, and even a therapist can provide valuable guidance and support. Remember that every child is unique, regardless of genetic factors, and creating a nurturing environment where questions about identity, faith, and diversity are welcomed is crucial.
At Cofertility, we understand the importance of finding the right egg donor, and we're here to support you every step of the way.
Cofertility is a human-first fertility ecosystem rewriting the egg freezing and egg donation experience. Our Family by Co 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!
Everything You Should Know About Premature Ovarian Failure
Premature ovarian failure (POF) is a condition in which your ovaries stop functioning properly before the age of 40. POF affects about 1% of females, and is also known as premature ovarian insufficiency (POI) or premature menopause. In this article, we'll discuss the causes, symptoms, diagnosis, treatment options for POF, and how it can affect your mental and emotional well-being.
Premature ovarian failure (POF) is a condition in which your ovaries stop functioning properly before the age of 40. POF affects about 1% of females, and is also known as premature ovarian insufficiency (POI) or premature menopause. In this article, we'll discuss the causes, symptoms, diagnosis, treatment options for POF, and how it can affect your mental and emotional well-being.
What causes premature ovarian failure?
POF is a complex and multifactorial condition, with the exact cause remaining unknown in the vast majority (90%) of cases. However, research suggests that the problem is often related to issues with the follicles (the small sacs in the ovaries where the eggs mature). Some people with POF may run out of functional follicles earlier than expected, while others may have follicles that are not functioning properly.
While the cause is often unknown, there are several factors that have been linked to POF. These include genetic disorders such as Fragile X syndrome and Turner syndrome, autoimmune diseases such as thyroiditis and Addison disease, exposure to toxins like cigarette smoke, chemicals, and pesticides, as well as certain metabolic disorders. Additionally, treatments such as chemotherapy or radiation therapy can also increase the risk of developing POF.
Symptoms of premature ovarian failure
The symptoms of POF are similar to those of menopause, and include irregular periods, hot flashes, vaginal dryness, and mood changes. Those with POF may also experience infertility or difficulty getting pregnant. In addition, POF can increase the risk of osteoporosis and heart disease. POF can also lead to a decrease in libido and sexual function, as well as depression and anxiety.
How do I know if I have premature ovarian failure?
POF is diagnosed based on symptoms, medical history, and blood tests that measure levels of certain hormones. Females with POF typically have low levels of estrogen and high levels of follicle-stimulating hormone (FSH), which stimulates the ovaries to produce eggs. A pelvic exam and ultrasound may also be performed to evaluate the ovaries and determine if there are any structural abnormalities.
Premature ovarian failure and estrogen levels
POF can lead to low estrogen levels, which can cause a range of symptoms. Estrogen plays a vital role in the reproductive system and overall health. It helps regulate the menstrual cycle, maintains bone density, and supports vaginal and urinary health. When estrogen levels drop, you may experience symptoms like hot flashes, night sweats, vaginal dryness, mood changes, and difficulty sleeping. All of these are generally a result of lower estrogen levels.
Premature ovarian failure and FSH levels
Follicle-stimulating hormone (FSH) is a hormone that stimulates the growth of ovarian follicles and the production of estrogen. In those with premature ovarian failure, FSH levels are typically high due to the lack of viable follicles in the ovaries. High levels of FSH can be a useful tool in diagnosing POF.
Premature ovarian failure and AMH levels
Anti-Mullerian hormone (AMH) is a hormone that is produced by the ovarian follicles. Low levels of AMH can be a sign of a low ovarian reserve, which is a common characteristic of premature ovarian failure. While AMH levels can be useful in diagnosing POF, they are not always a reliable indicator of fertility potential.
Do you still have eggs with premature ovarian failure?
Premature ovarian failure is usually characterized by a decline in the number of eggs you have. However, some individuals with premature ovarian failure may still have a small number of eggs in their ovaries, especially early in the diagnosis.
This can be determined through an ovarian reserve test, which measures the number of follicles (fluid-filled sacs that contain immature eggs) present in the ovaries.
However, for most individuals with premature ovarian failure, the number of eggs left may be too low for successful fertility treatment using their own eggs. In these cases, donor eggs may be a viable option for achieving a healthy pregnancy.
Can premature ovarian failure be cured?
There is no cure for POF, but there are several treatment options available. Hormone replacement therapy (HRT) can help alleviate symptoms of menopause and reduce the risk of osteoporosis and heart disease. Those with POF who wish to conceive can also explore fertility treatments like in vitro fertilization (IVF) with donor eggs. This can be a successful option for those with POF since the donor eggs come from women who are more likely to produce healthy embryos.
Can someone with premature ovarian failure get pregnant?
While premature ovarian failure can make it difficult to conceive unassisted, it is still possible for some people to get pregnant with the help of assisted reproductive technologies, like donor egg IVF. In some cases, patients with POF may even be able to use their own eggs if they have enough viable follicles remaining. However, the success rates of these treatments are generally lower than for people without POF.
The good news, though, is that people with POF are generally able to carry a healthy pregnancy!
Can you do IVF with premature ovarian failure?
Yes! IVF may be an option for those with premature ovarian failure who still have a small number of eggs in their ovaries. In some cases, these eggs can be retrieved and used for IVF. But it may take higher doses of medications, and more cycles to achieve success.
However, if you have very few or no eggs remaining, IVF with donor eggs may be recommended instead.
Mental and emotional well-being, and coping strategies
POF can have a significant impact on your mental and emotional well-being. The diagnosis of POF can be devastating, and you may experience a range of emotions, including grief, anger, and depression. It is so important to seek support from a mental health professional and to connect with others who have experienced POF.
There are several coping strategies to manage your symptoms and improve your quality of life. Focus on maintaining a healthy lifestyle by eating a balanced diet, getting regular exercise, and reducing stress. Those with POF can also explore alternative therapies such as yoga, meditation, or massage to help manage symptoms and gain a sense of inner peace. Those with POF should also be proactive about their healthcare by staying up to date on their medical appointments and advocating for themselves.
Bottom line
Premature ovarian failure can be a challenging condition to manage, but there are options available to help alleviate symptoms and increase the chances of starting a family. If you suspect you may have POF, it's important to speak with your doctor to start an evaluation.
Cofertility is a human-first fertility ecosystem rewriting the egg freezing and egg donation experience. Our Family by Co 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!
How Many Babies Have Been Born Via Donor Eggs?
The use of donor eggs has become increasingly popular in recent years as more and more couples struggle with infertility or genetic disorders that prevent them from conceiving naturally. We know that using donor eggs can greatly increase the chances of success for an infertile couple. But how many babies have actually been born via donor eggs? Let’s dive in.
The use of donor eggs has become increasingly popular in recent years as more and more couples struggle with infertility or genetic disorders that prevent them from conceiving naturally.
We know that using donor eggs can greatly increase the chances of success for an infertile couple. But how many babies have actually been born via donor eggs? Let’s dive in.
How donor eggs work
Donor egg IVF involves fertilizing a donated egg with sperm from the intended father or a donor. The resulting embryo is then transferred to the uterus of the intended mother or a gestational carrier. Donor egg treatment may be necessary for a variety of reasons, including advanced maternal age, premature ovarian failure, a genetic disorder that may be passed down to the child, or for gay dads who also need a gestational carrier.
Before beginning treatment, the intended mother or gestational carrier will undergo a series of medical tests to ensure that their uterus is healthy and ready for pregnancy. The intended father or donor will also undergo testing to evaluate the quality and quantity of their sperm. Once the donor egg has been fertilized, the resulting embryo is monitored for a few days to ensure that it develops normally. At this point, some families opt to do preimplantation genetic screening (PGT). The embryo is then transferred to the uterus, where it will hopefully implant and begin to grow into a healthy baby.
The first donor egg baby
The first successful human egg donation took place in 1983 when an Australian woman with premature ovarian failure was able to conceive using a donated egg. The next year, the first American child was born via egg donation in Southern California. Since then, the practice has become increasingly popular, and the use of donor eggs has become an essential part of modern fertility treatments.
Donor egg births in the United States in 2021
While it's hard to know the exact number of egg donation cycles each year, we can get a good estimate through the Society for Reproductive Technology (SART), which tracks data for nearly 400 US clinics annually.
In 2021 there were over 20,000 IVF transfers using donor eggs at SART-reporting clinics. That is up 19% from the previous year. Of those transfers:
- Fresh donor eggs: 1,383
- Frozen donor eggs: 3,088
- Thawed embryos: 16,279
These transfers led to nearly 10,000 births. Which means 1 in 373 births in the United States in 2021 were thanks to donor eggs.
Donor egg births around the world
Donor egg usage is not limited to the United States. While there’s no way to get the exact number of donor egg cycles globally, we can get a sense of the magnitude by looking at data from the International Committee for Monitoring Assisted Reproductive Technologies (ICMART). ICMART collects data from 2,971 clinics in 79 countries, and found that there were 161,139 egg donation transfers in 2018.
The use of donor eggs is more common in countries and regions with better access to IVF, and where legal, cultural, or religious beliefs make the use of donor eggs more acceptable. Plus, the use of donor eggs in IVF may be underreported in some countries, as not all countries require procedures to be reported to regulatory agencies.
An estimate of the number of babies born via egg donation
There have been hundreds of thousands, if not more, children born through egg donation around the world since 1983. And while we wish someone was keeping a perfect tally, unfortunately all we can do is gather data from disparate sources. Here’s what we know:
- More than 70,000 donor conceived children have been born in the UK since 1991. The total number of babies born via egg donation in 2019 was 1,327, up 88% from 2009.
- In Australia and New Zealand, there were 3,316 IVF cycles performed using donor eggs (or embryos) in 2017 with 727 live births reported.
- In China, from 2013 to 2016, there were 1,642 donor egg cycles at 327 reporting fertility clinics, according to The Chinese Society of Reproductive Medicine (CSRM).
- In 2017, there were a total of 28,377 donor egg cycles reported in Europe, according to the European Society of Human Reproduction and Embryology (ESHRE).
Innovations in donor egg IVF
In addition to traditional donor egg treatments, there are now several newer technologies available that may help improve the success rates of donor egg treatment. For example, PGT can be used to screen embryos for genetic disorders before they are transferred to the uterus. This can help ensure that only healthy embryos are transferred, increasing the chances of a successful pregnancy.
There are also new methods of egg freezing that may help increase the availability of donor eggs. In the past, egg freezing was only recommended for women who were undergoing chemotherapy or other medical treatments that could damage their eggs. Today, however, more and more women are choosing to freeze their eggs for social reasons, such as delaying pregnancy until later in life. This has led to an increase in the availability of donor eggs, as more women are choosing to donate their frozen eggs to help others conceive.
At Cofertility, our program is unique. After meeting with hundreds of intended parents, egg donors, and donor-conceived people, we decided on an egg donation model that we think best serves everyone involved: egg sharing.
Here’s how it works: our unique model empowers women to take control of their own reproductive health while giving you the gift of a lifetime. Our donors aren’t doing it for cash – they keep half the eggs retrieved for their own future use, and donate half to your family.
We aim to be the best egg-sharing program, providing an experience that honors, respects, and uplifts everyone involved. Here’s what sets us apart:
- Human-centered. We didn’t like the status quo in egg donation. So we’re doing things differently, starting with our human-centered matching platform.
- Donor empowerment. Our model empowers donors to preserve their own fertility, while lifting you up on your own journey. It’s a win-win.
- Diversity: We’re proud of the fact that the donors on our platform are as diverse as the intended parents seeking to match with them. We work with intended parents to understand their own cultural values — including regional nuances — in hopes of finding them the perfect match.
- Baby guarantee. We truly want to help you bring your baby home, and we will re-match you for free until that happens.
- Lifetime support: Historically, other egg donation options have treated egg donor matching as a one-and-done experience. Beyond matching, beyond a pregnancy, beyond a birth…we believe in supporting the donor-conceived family for life. Our resources and education provide intended parents with the guidance they need to raise happy, healthy kids and celebrate their origin stories.
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!
What are the chances of pregnancy with donor eggs?
Using donor eggs can increase your chances of success. Around 53 percent of all donor egg cycles will result in at least one live birth. This percentage varies depending on the egg donor, recipient body mass index, stage of embryo at transfer, the number of oocytes retrieved, and the quality of the clinic. To get a better idea of your chances with donor eggs, talk to your fertility doctor who should be able to give you a better idea of your chances given your specific case.
At every age, the chances of birth with donor eggs is better, but those who benefit the most from donor eggs are women over 35 and those with low ovarian reserve. In fact, about one-quarter of women over 40 who succeeded with IVF did so through the use of donor eggs.
Becoming a parent via donor eggs
If you are looking to use donor eggs to build your family, we’d love to help. Cofertility is a human-first fertility ecosystem rewriting the egg donation experience. Our Family by Co 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!
Is Egg Donation IVF Tax-Deductible?
The cost of fertility treatments can add up quickly, leaving many families wondering if there are any tax deductions available to help offset the expenses. Donor egg IVF, in particular, can be a costly process, and hopeful parents may wonder if they can claim any tax benefits to help alleviate the financial burden. In this article, we'll explore whether or not donor egg IVF is tax-deductible and what you need to know to take advantage of any available tax breaks.
The cost of fertility treatments can add up quickly, leaving many families wondering if there are any tax deductions available to help offset the expenses. Donor egg IVF, in particular, can be a costly process, and hopeful parents may wonder if they can claim any tax benefits to help alleviate the financial burden.
In this article, we'll explore whether or not donor egg IVF is tax-deductible and what you need to know to take advantage of any available tax breaks. I will caveat that I am not a tax expert – just an intended parent who has been through this multiple times!
Tax deduction vs tax credit
Let’s start with the basics. Tax deductions and tax credits are often confused, but they have different implications when it comes to your taxes.
A tax deduction reduces your taxable income, meaning you only pay taxes on the remaining amount. For example, if you have a taxable income of $50,000 and a $5,000 tax deduction, you would only pay taxes on $45,000. You may deduct only the amount of your total medical expenses that exceed 7.5% of your adjusted gross income.
On the other hand, a tax credit directly reduces the amount of taxes you owe. If you owe $10,000 in taxes and have a $2,000 tax credit, you would only need to pay $8,000 in taxes.
When it comes to donor egg IVF, the Internal Revenue Service (IRS) considers it a medical expense, which means it may be tax-deductible under certain circumstances. However, it's important to consult with a tax professional to determine if you qualify for a deduction and how much you can deduct. Some states offer tax credits for fertility treatments, so be sure to check if your state offers this benefit.
Federal vs state taxes
Federal and state taxes are two separate entities, and the rules for tax deductions or credits are totally different. While the IRS allows for a deduction or credit for certain medical expenses, state tax laws may or may not follow the same guidelines. You’ll need to check with your state's tax department to see if they offer any deductions or credits for fertility treatments, including donor egg IVF. Some states may even have different rules for deductions or credits based on the source of the donor eggs (e.g. fresh vs frozen). It's important to do your research and consult with a tax professional to fully understand the tax implications of using donor eggs for IVF.
Are donor eggs tax-deductible?
For some people - yes. According to the IRS Publication 502, the costs of IVF, including temporary storage of eggs or sperm, and surgery performed to overcome infertility are considered medical care. Since the original wording is vague about donor eggs, the IRS clarified this position in a letter stating that the following are deductible:
- Donor egg agency fee
- Legal fees for the contract between you and the donor
- Medical expenses related to the donor egg retrieval
- Blood tests
- Donor’s expenses including travel fees
- Psychological testing of the egg donor
According to the IRS, deductions are only available for medical care costs associated with a medical inability to have children are tax-deductible. Courts have narrowly defined infertility as a medical inability to conceive, rejecting arguments based on a person's sexuality or relationship status. For example, in an IRS ruling to a male taxpayer in a same-sex union, the IRS determined that he was not able to deduct IVF costs because the taxpayer did not have a medical condition.
I am also a board member at the non-profit Resolve, where we are currently promoting the Equal Access to Reproductive Care Act which would rectify the unequal treatment of LGBTQ+ individuals seeking to start a family, by modernizing the federal tax code to allow equal treatment to those using assisted reproductive treatments and surrogacy arrangements regardless of sexual orientation and gender identity.
Is surrogacy tax-deductible?
Surrogacy expenses are generally not tax-deductible. However, intended parents may seek a Private Letter Ruling (PLR) from the IRS to obtain permission to deduct specific expenses related to surrogacy that are not explicitly stated in tax laws. If successful in obtaining a PLR, the entire surrogacy process, including agency fees, could be tax-deductible for the parents.
To request a PLR, you would need to work with a CPA to draft a letter to the IRS outlining the expenses involved in your surrogacy journey. The letter should explain why you are medically unable to conceive and why your situation should qualify as medical care under section 213. The IRS will then respond with a decision, and if granted, you receive a letter to attach to your tax return. The IRS generally completes ruling requests within 60-90 days.
Itemized deduction vs. standard deduction:
When it comes to tax deductions for medical expenses, you can either take the standard deduction or choose to itemize your deductions. The standard deduction is a predetermined amount set by the IRS that reduces the amount of income subject to tax. Itemized deductions, on the other hand, are specific expenses that can be deducted from taxable income, such as medical expenses, charitable contributions, and state and local taxes.
For those considering a tax deduction for donor egg IVF, it is important to note that medical expenses, including fertility treatments, can only be deducted if they exceed a certain percentage of your adjusted gross income (AGI). For the tax year 2021, the threshold for medical expenses is 7.5% of AGI for all taxpayers, regardless of age.
If your total medical expenses for the year exceed this threshold, you can choose to itemize your deductions to claim the excess as a deduction on your tax return. However, if your total itemized deductions do not exceed the standard deduction amount, it may be more beneficial to take the standard deduction instead.
Don’t forget: state tax laws differ from federal tax laws and may have different deduction thresholds or rules for medical expenses. Check your state's tax laws and consult a tax professional for more information.
Tips
Here are some tips for navigating the tax deduction process for donor egg IVF expenses.
- Keep accurate records. Keep track of all expenses related to your fertility treatments, including the costs of donor eggs, medication, and any other medical expenses. Make sure to save all receipts and invoices as proof of these expenses.
- Consult with a tax professional. It's always a good idea to consult with a tax professional to determine the best course of action for your specific situation. They can help you navigate the complex tax laws and ensure that you're taking advantage of all available deductions and credits.
- Stay organized. Create a system for organizing your tax documents and keep everything in one place. This will make it easier to find the information you need when it's time to file your taxes.
- File on time. Make sure to file your taxes on time to avoid any penalties or fees. If you're unable to file by the deadline, be sure to file for an extension.
- Take advantage of online resources. The IRS website offers a variety of resources to help you understand the tax code and file your taxes accurately. There are also many online tax preparation tools that can help you file your taxes quickly and easily.
- Don't forget state taxes. In addition to federal taxes, you may also be eligible for state tax deductions or credits. Make sure to research the tax laws in your state and take advantage of any available benefits.
- Stay up to date. Tax laws can change from year to year, so make sure to stay up to date on any changes that may affect your tax situation. This will help ensure that you're taking advantage of all available deductions and credits.
Summing it up
In order for donor egg IVF to be tax-deductible in the United States, it must be deemed medically necessary. This means that the procedure must be recommended by a healthcare provider and must be performed to treat a medical condition. For example, if a woman is unable to conceive naturally due to premature ovarian failure, then donor egg IVF may be deemed medically necessary. But if two men in a same-sex relationship need an egg donor to build their family, the IRS does not view this as tax deductible.
Additionally, the expenses associated with donor egg IVF must be significant enough to meet the threshold for medical expense deductions. In the United States, this threshold is currently set at 7.5% of a person's adjusted gross income (AGI). This means that if your AGI is $50,000, you can only deduct medical expenses that exceed $3,750.
It's also worth noting that not all expenses associated with donor egg IVF are tax-deductible. It’s best to speak with a tax professional or financial advisor to determine your eligibility for tax-deductible donor egg IVF and to ensure that you are following all necessary procedures for claiming the deduction.