egg donation
Is Egg Freezing Tax Deductible?
Providing some much-needed clarity on whether egg freezing is tax deductible.
Today, more than ever, women are choosing to delay parenthood for various reasons, including focusing on career advancement, establishing financial stability, and finding the right partner. To help with this, many are turning to egg freezing, also known as oocyte cryopreservation. Egg freezing has grown in popularity, with a 46% increase in egg freezing cycles from 2020 to 2021 alone!
If you’re considering egg freezing, you may be wondering: Is egg freezing tax deductible? Let's delve into this topic to provide some much-needed clarity.
The basics of egg freezing
Egg freezing, also known as oocyte cryopreservation, is a procedure where your eggs are extracted, frozen, and stored for later use. Because younger eggs are, on average, healthier, the egg freezing can increase your chances of conceiving a biological child in the future, even as your fertility naturally declines over time.
Despite the positive possibilities it offers, egg freezing is not an inexpensive procedure. The overall cost depends on the clinic you’re going to, where you are located, the medications you are prescribed (it differs based on your age and body), and where/how long you store the eggs. In the US in 2023, on average, the process can cost anywhere from $10,000 to $20,000 per cycle, not including annual storage fees. Thus, it's only natural for individuals to explore avenues for financial relief, such as tax deductions.
Understanding medical expense deductions
According to the Internal Revenue Service (IRS) in the United States, certain medical expenses are eligible for tax deductions. The IRS's guidelines state that one can deduct medical expenses that exceed 7.5% of one's adjusted gross income for the year. So, if you have a significant amount of qualifying medical expenses in a year, you could potentially benefit from this tax deduction.
Egg freezing and tax deductions
Is egg freezing considered a deductible medical expense? The answer is complex and largely depends on your individual circumstances. As a baseline, the IRS has traditionally considered fertility preservation treatments, like egg freezing, to be tax-deductible only when they are deemed medically necessary. This typically refers to situations where a medical condition or treatment (such as chemotherapy for cancer) could cause infertility.
When it comes to egg freezing for elective, non-medically necessary reasons (such as delaying childbearing for personal reasons), the situation becomes more nuanced. And unfortunately, as of writing this article, the IRS has not issued definitive guidance on whether egg freezing for non-medical reasons qualifies as a tax-deductible medical expense.
Given this ambiguity, if you're considering egg freezing for elective reasons, it's highly recommended to consult with a tax professional. They can provide advice tailored to your specific situation and keep you informed of any changes or updates in tax law.
Employer benefits and HSAs
Another important aspect to consider is employer-provided benefits. Some progressive employers are starting to cover egg freezing as a part of their employee benefits package, in which case the question of tax deduction might be moot.
If you have a Health Savings Account (HSA) or a Flexible Spending Account (FSA), you might be able to use these pre-tax dollars to pay for egg freezing. However, the rules surrounding these accounts are complex and constantly evolving, so you’ll want to check with your plan administrator or a tax professional to ensure that this is a viable option for you.
Freeze your eggs for less – or even for free – with Cofertility
Cofertility is a human-first, tech-enabled fertility ecosystem that provides people agency over if, how, and when they have babies — today or someday. We have two programs for egg freezers:
- Our Split program offers women a chance to freeze their eggs for free when donating half of the eggs retrieved to a family who cannot otherwise conceive. If you qualify for the program and decide to donate half of your retrieved eggs, every expense associated with the egg freezing procedure — medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.
- Our self-pay Keep program allows women to freeze their eggs and keep them all for their future use. Through Keep, we offer our members partnerships and discounts to lighten the financial load of egg freezing, as well as access to our member community. An important note: even if you do have insurance or benefits coverage through work, you’re still able to participate in the Keep program. We’ll work with you to make sure all of your care is handled in a way that you remain eligible for the associated benefits.
The benefits of working with Cofertility include:
- Power of choice: Freeze your eggs more affordably or, if you qualify, freeze for free when you give half to a family who can’t otherwise conceive.
- Community: Our inclusive online spaces allow you to connect with others going through the process in our private online community.
- Compassion: We’ll always treat you with care, and our Split program gives you the opportunity to make someone’s family building dreams a reality.
- Data-driven: We provide you with trustworthy guidance and evidence-based research so you can make informed decisions about your fertility.
- Free egg freezing: Freeze and store your eggs for 10 years, entirely for free if you qualify for our Split program.
Ready to learn about more affordable (even free!) egg freezing with Cofertility? Fill out this quick quiz to learn about our accessible egg freezing options and see if you qualify for our programs — it only takes one minute.
Summing it up
Egg freezing is an empowering choice for those who want to preserve their eggs for future use. However, its high cost can be a barrier. While certain tax deductions may apply for medically necessary procedures, the applicability of tax deductions for elective egg freezing is less clear. You’ll want to seek personalized advice from a tax professional to understand your options fully.
In the quest to make egg freezing more accessible, every avenue of financial relief counts. As the conversation surrounding egg freezing continues to evolve, so too may the tax implications. It’s an ever-changing landscape that we’ll be keeping a close eye on moving forward.
What’s the Egg Donation Procedure Like?
Exactly what happens during the egg donation procedure, anyway? Use this guide to get a glimpse into and help you navigate the process.
Exactly what happens during the egg donation procedure, anyway? You’re excited about Cofertility’s Split Program, where those qualified get to freeze their eggs for free when they donate half to a family that can’t conceive. Still, you're unsure about one thing — the egg retrieval procedure itself. You want to understand what goes into maturing more eggs, and how those eggs will be retrieved. It’s a big deal — we get it!
We outlined all the details about what to expect during the procedure—including the protocol leading up to your retrieval. The stimulation and retrieval process is the same as what takes place during egg freezing or IVF. Use this guide to get a glimpse into and help you navigate the process.
How the egg donation process begins
At the start of your cycle, there are many tiny follicles with the potential to produce mature eggs. A follicle is a fluid-filled sac that continues to grow while the contained egg matures.
Usually, one follicle takes the lead. It grows faster than the rest, maturing before the others can. Once the egg inside fully develops, the follicle ruptures, releasing the egg during ovulation. This halts the other egg follicles in their tracks and never gives the immature eggs inside these follicles a chance to develop. These eggs are lost each month.
If a woman is not pregnant, the cycle restarts with a new batch of potential follicles. But with the aid of certain medications, doctors can help ensure that many - not just one - follicles mature at the same time.
The stimulation process
While the medications prescribed may be a little different for every cycle, most protocols to stimulate the ovaries during the egg donation are designed to do the following:
- Shut it down. Doctors will prescribe birth control or a progesterone-only pill to shut your ovaries down for a couple of weeks before your cycle begins. This sets the stage for fertility drugs and makes it easier to control your ovaries' response to those meds.
- Stim it up. When it's time to start the cycle, your doctor will prescribe medication to stimulate your ovaries. These drugs are similar to hormones that your body already makes, but in higher amounts. One of these hormones produced by the body is the follicle-stimulating hormone (FSH), while the other is the luteinizing hormone (LH). Your doctor may prescribe medication similar to either of these, or a combination of the two. These medications are injectables, but you’ll receive proper training from your clinic before you have to give your first dose at home. You’ll need to take these injections once or twice a day for about two weeks.
- Ongoing check-ins. During the two weeks that you’re taking these medications, the doctor will continually monitor your progress. Blood work will help monitor your estrogen levels while a vaginal ultrasound will be used to view follicle growth. These monitoring visits will help your doctor decide if and how to adjust your medication doses. If you've never had a vaginal ultrasound, it may sound a little scary, but the probe is slightly bigger than the size of a tampon. It’s totally comfortable, but it shouldn’t hurt.
- Prevent Ovulation. Once your follicles reach a certain size, or your estrogen reaches a certain level, your doctor may start you on a medication to prevent premature ovulation. This medication is also done via injection and, if necessary, will be added to your daily routine.
- Go time. Once the doctor decides that your follicles are ready for retrieval, you'll take what's known as a “trigger shot.” This injection will help the growing eggs mature and prepare them for retrieval.
- The egg retrieval. This is the only real “procedure” - the retrieval will be done outpatient (at the clinic, not the hospital) and will be done within 30 minutes. Your doctor will use a vaginal ultrasound with a needle attached. The needle will be guided into your ovary and used to aspirate the fluid in each follicle. With this fluid, will come eggs that can be used to create embryos. You will be under light anesthesia, so you won’t feel a thing and you will be provided medication to help you avoid any discomfort during or after the process.
- Recover. Right after the procedure, you may feel a bit foggy. The clinic will give you time to rest and your doctor will likely reiterate that you'll also need to take it easy for the next day or two. Physically, you can return to work or school the following day, but if you have the flexibility, you may want to take a day or two off to relax.
A highly-skilled clinical team will guide you through each of these steps in the egg donation process. Importantly, this team will help ensure that you don't develop any issues, such as ovarian hyperstimulation syndrome. Ovarian hyperstimulation syndrome is when your body responds too actively to the fertility medication and produces too many eggs. If you have symptoms of OHSS, these usually will resolve after a couple of weeks, says the American Society for Reproductive Medicine (ASRM).
Navigating with ease
If you’re considering the Split program, remember that while you may be new to the process, your team is not. Your doctors and nurses (and Confertility’s community) will guide you every bit of the way and answer any questions you may have.
What Does a Low AMH Result Mean?
A low AMH level is usually related to natural aging, but it can also have other causes. In this article, we’ll explore what a low AMH result means and answer some common questions that can come up.
Anti-Mullerian hormone (AMH) is a hormone produced by the follicles in the ovaries (the fluid filled sacs that contain eggs). It requires a simple blood draw and is most often used as a marker of ovarian reserve. Ovarian reserve is the term for the number of healthy eggs left in your ovaries. Since people with ovaries are born with a fixed number of eggs, this number naturally declines over time.
A low AMH level is usually related to natural aging, but it can also have other causes. In this article, we’ll explore what a low AMH result means and answer some common questions that can come up.
AMH and its role in fertility
So what exactly can AMH tell you about your fertility? As mentioned, your AMH level is positively correlated with the number of follicles you have in your ovaries. Simply put, the more follicles you have, the higher your AMH level typically is. As a result, AMH levels have been shown to be a good predictor of ovarian reserve and someone’s expected response to fertility treatments.
In fact, several studies have shown that there is a strong correlation between what your AMH level is and the number of mature eggs retrieved during an egg freezing or in vitro fertilization (IVF) cycle. To learn more about those studies, check out AMH and Egg Retrieval Outcomes.
What your AMH level can’t tell you is the exact number of eggs you have left in your ovaries or what your chances of pregnancy are. There are a number of other factors like your age, overall health, and genetics that also affect the number and quality of eggs and your overall fertility. So while AMH can be a useful tool in assessing your fertility, it shouldn’t be the only factor when making decisions about fertility treatments.
What is a low AMH result?
As with most things in medicine, there’s no absolute answer here. What is considered a low, normal, or high AMH level depends on your age and the lab where you take the test. Since there is no international standard, it’s best to use the reference ranges that come with your test results.
In general, an AMH between 1.0 and 3.5 ng/mL is considered to be in the “normal” range, which means you’re likely to have a good response to fertility treatments. Anything below 1.0 ng/mL is considered low and a sign of a declining ovarian reserve.
What does a low AMH mean?
Having a low AMH level can be a sign that your ovaries are making less of the preantral follicles. The lower the number of follicles, the lower your ovarian reserve is.
So what does this mean in terms of fertility?
First, having a lower AMH does not automatically mean you aren’t ovulating regularly or that you won’t be able to get pregnant naturally or with assisted reproductive technologies. However, research has found that what AMH is good at predicting is the response to ovarian stimulation and the number of eggs retrieved, regardless of a person’s age. So, someone with a higher AMH is generally expected to be able to get more eggs in one cycle than someone with a lower AMH. Because of this, fertility doctors typically use AMH levels (along with other information) to figure out the drugs and dosages you’ll need to maximize your response to ovarian stimulation medications.
If you’re trying to conceive naturally, you’ll be glad to hear that multiple studies have shown that AMH does not correlate with how likely you are to actually get pregnant. In fact, one study looked at levels of AMH, FSH, and another ovarian hormone, inhibin B and tracked people for a year. They found that there was no correlation between someone’s ovarian reserve and their ability to conceive and that a low ovarian reserve was not associated with lower fertility. As a result, they did not recommend the use of FSH or AMH levels to “assess natural fertility.”
Reasons AMH would be low
There are a few reasons that could explain a low AMH. Let’s explore them.
Natural decline with aging
By far, the most common reason for a low AMH is age. People with ovaries are born with all the eggs that they’re going to have in their lifetime. These eggs are then slowly used up over time as you ovulate during each menstrual cycle until menopause is reached. As a result, ovarian reserve naturally decreases over time, meaning the AMH level also decreases.
Hormonal birth control
Research suggests that hormonal birth control may affect AMH levels but it depends on the type of birth control. Specifically, birth control use is associated with a lower average AMH level than for people who are not on birth control, with the exact effect depending on the type of birth control.
The amount of time you’re on birth control may also be a factor. Multiple studies have shown that AMH doesn't change if you use combined oral contraceptive pills for less than six months. However, you may have a lower AMH if you’ve been a long-term user of the pill (or other hormonal methods). Thankfully, this is temporary – AMH levels typically rebound after a person stops using birth control.
You can learn more about birth control and AMH here.
Tobacco use
Studies have shown that tobacco use, usually cigarette smoking, decreases AMH levels. This effect appears to be reversible though–it was only seen in people who were active smokers, not people who had previously smoked.
Less common causes
There are several other, less common causes for a low AMH level. These include:
- Genetic disorders that affect the X chromosome.
- Medical treatments like radiation or chemotherapy.
- Having surgery on your ovaries.
- Losing one or both of your ovaries.
- Autoimmune conditions.
Can I still donate my eggs with a low AMH?
If you are looking to donate your eggs, minimum AMH requirements are usually 2.0 or above. With Cofertility’s Split program, we require a minimum AMH of 2.0, though clinics may have their own unique requirements. This is to increase the chances of retrieving enough eggs to actually split, to ensure positive outcomes for both parties involved.
What to do if you have a low AMH result
Finding out you have a low AMH can be disheartening, especially if you had future fertility plans that you’re worried may be affected. While there’s unfortunately not much that can be done to reverse a low AMH, there is still hope for starting a family someday even with a low AMH. With the exception of birth control or cigarette smoking, most studies have shown that lifestyle changes like diet or supplements have an insignificant effect on AMH levels but despite this, I promise it’s not all gloom and doom.
Let’s go through a few things you can do as you move forward with this new information.
Lean on your village
The first thing to do is take a deeeeeep breath… There are a lot of nuances involved here which can make it hard not to get lost in the weeds. Fertility is impacted by so many different things that you can drive yourself crazy trying to manage all of them.
Having friends, family, and mental health specialists available to support you when you need it is going to be crucial. Navigating fertility is hard no matter what, so having people around you who you can lean on on bad days and celebrate with on good days will help immensely.
Consult a fertility specialist
Speaking of your village, it should definitely include a fertility specialist. Consulting with a fertility doctor can help you better understand your reproductive health and provide guidance on any concerns or questions you may have. They’ll be able to review your specific options and work with you on a plan that helps you reach your family-building goals. This treatment plan will depend on a lot of things including how soon you want to have a child, how many children you want to have, your finances, and your desire to have a child who is genetically related to you.
So does this mean I have to freeze my eggs ASAP?
This is typically the first question people ask and the answer is not necessarily. As mentioned before, there are many other factors involved in assessing your fertility and modern technology has allowed for advances that make family building a possibility for virtually everyone. Your fertility specialist will be able to discuss all the options for starting a family based on your unique family-building goals. This could certainly include freezing your eggs for later use but it could also mean trying to conceive unassisted, undergoing IVF with your own eggs or with donor eggs, using a gestational carrier, or even options beyond these. Again, this is something that will require you to examine your personal goals and work with your provider to figure out the best way to reach them.
You are not a number
Repeat after me: you are more than one number! Your AMH level provides valuable insights into your ovarian reserve, but it’s just one piece of the puzzle when it comes to your fertility. AMH is always used as part of a full fertility evaluation, which often includes information about your medical history and age, a partner semen analysis, an ultrasound of the pelvis, an x-ray of the uterus and fallopian tubes, and/or additional lab work.
If that sounds like a lot, it is. This process can be overwhelming but focusing on the things that you can control can help you feel more grounded during your fertility journey, whatever that may look like.
How Cofertility can help
Cofertility is here to help you every step of the way on that journey. Our Split program offers women a chance to freeze their eggs for free when donating half the eggs retrieved to a family who cannot conceive otherwise. If you qualify for the program and decide to donate half of your retrieved eggs, every expense associated with the egg freezing procedure — medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.
In our Keep program, you can freeze and store your eggs for your own future use, with lower prices on things like storage and medication. as well as our team’s support and access to our community.In addition, you’ll have access to our team’s support and access to our community where you can engage with other people freezing their eggs at the same time!
Your journey is uniquely yours and our team is here to help you through it in whatever way you need.
Will I Regret Donating My Eggs?
In this article, we will explore the various factors that can influence the decision to donate eggs and the potential emotional and physical effects of egg donation.
Egg donation is a generous act that can help people struggling with infertility build their families. It is a decision that requires careful consideration and understanding of the process and potential implications involved.
One question that often arises in the minds of prospective donors is whether they will regret their decision to donate their eggs. In this article, we will explore the various factors that can influence the decision to donate eggs and the potential emotional and physical effects of egg donation.
Deciding to donate your eggs
Egg donation is not for everyone. And the decision to donate eggs is a deeply personal one, often driven by the desire to help a family struggling to conceive. Many donors find it rewarding to know that they have helped someone else fulfill their dream of having a child.
In addition to those struggling with infertility, there are other groups of individuals who may need the help of an egg donor. For example, cancer survivors who have undergone chemotherapy or radiation therapy may have reduced fertility or premature menopause. By using donor eggs in IVF, these individuals can have a chance at conceiving and starting a family.
Additionally, LGBTQ+ couples or individuals who wish to start a family may need the help of an egg donor. We work with a lot of gay dads, for instance, who need a donor egg to create an embryo that can be carried by a surrogate. By donating your eggs, you have the potential to help individuals and families of all kinds achieve their dream of starting a family.
What the research says about egg donation regret
Unfortunately, there aren’t a ton of studies published on egg donors. But looking at the few studies that do exist, it appears as though egg donors are generally happy with their decision and usually do not regret it. Let’s dive in:
Study: Egg donation--the donor's view [1]
Who: 113 egg donors in the UK
Findings: 95% had no regrets concerning their donation, and 72% would donate again
Study: Gamete donors' satisfaction [2]
Who: 165 egg donors in Sweden
Findings: 85.9% were satisfied with their overall experience of being an egg donor
Study: Emotional and relational aspects of egg-sharing [3]
Who: 48 egg-sharing donors (similar to our Split program, where donors keep half the eggs retrieved)
Findings: 83.3% would donate again and only 2.1% regretted their decision to participate
Study: A comparison of the attitudes of volunteer donors and infertile patient donors on an ovum donation programme [4]
Who: 20 anonymous volunteer (unpaid) donors
Findings: 90% would donate again
Anecdotally speaking, donors we work with at Cofertility are grateful for the opportunity to donate their eggs and keep half of the eggs retrieved for their own future use, for free.
Physical risks and side effects of egg donation
Egg freezing is considered a safe procedure. It is a low-risk (but not zero risk) procedure. In a single egg freezing cycle, the risk of a serious adverse event is under 2.5%. Severe ovarian hyper-stimulation syndrome (OHSS) accounts for the majority of complications, occuring in 0.1-2% of cycles. The risk of other acute complications, including pelvic infection, intraperitoneal hemorrhage, or ovarian torsion, is even smaller (<0.5%). This data is from a group of egg freezers; you can imagine the number would be even lower for egg donors who have gone through more rigorous health screening in advance of the retrieval.
That being said, many women do experience minor side effects – like bloating, constipation, nausea – from the medications and egg retrieval.
Emotional effects of egg donation
The emotional effects of egg donation can vary from person to person and can be influenced by several factors, including your expectations and understanding of the experience. Many donors find the experience rewarding and fulfilling, knowing that they have helped someone else start or expand their family. However, some donors may experience more complicated feelings about it. This is why our donors undergo psychological screening – to ensure they are mentally prepared.
It is important to have a strong support system in place during the egg freezing and donation process. This can include friends, family, and healthcare providers who can provide emotional support and guidance. If you freeze your eggs through Cofertility, you’ll be connected with a cohort of others freezing their eggs at the same time. We offer an online support group, and our entire team of experts will be behind you the entire time.
At Cofertility, you have a say on who your eggs go to
Some agencies downplay the magnitude of the impact you are making as an egg donor. Bringing a new human into this world is a HUGE deal! We believe donors should have a say in where their eggs go. This is why, with Cofertility, you get to opt-in to any match. You’ll get to learn a little about the family, even meet them virtually (if you’d like), and decide if you want to move forward. You also get to specify your communication preferences up front, giving you real options in the process.
Bottom line
If you are considering egg donation, it is essential to find a reputable and trustworthy egg donation agency. An agency that values the well-being and autonomy of donors is crucial to a positive egg donation experience. When researching agencies, look for those that prioritize your safety, provide comprehensive medical care, and offer supportive services to donors. Find an agency that will treat you with respect, dignity, and professionalism throughout - and beyond - the donation process.
At Cofertility, we are striving to be the best place to be an egg donor (or what we call, a Split Member). We offer a supportive and transparent process that empowers donors to make informed decisions about their egg donation journey. With our innovative approach, donors get to keep half of the eggs retrieved, plus storage for 10 years, entirely for free.
We believe that every donor deserves to have a positive and empowering experience, and we are committed to making that a reality. That’s why Cofertility was named one of the Best Egg Donor Programs by Egg Donor Connect.
Interested in egg donation with Cofertility? You can start by taking a short quiz to see if you’re eligible for our Split program. We’re appreciative of your desire to help another family and are excited to be on this journey with you.
Sources:
- Byrd LM, Sidebotham M, Lieberman B. Egg donation--the donor's view: an aid to future recruitment. Hum Fertil (Camb). 2002;5(4):175-182. doi:10.1080/1464727022000199082
- Skoog Svanberg A, Lampic C, Gejerwall AL, et al. Gamete donors' satisfaction; gender differences and similarities among oocyte and sperm donors in a national sample. Acta Obstet Gynecol Scand. 2013;92(9):1049-1056. doi:10.1111/aogs.12156
- Gürtin ZB, Ahuja KK, Golombok S. Emotional and relational aspects of egg-sharing: egg-share donors' and recipients' feelings about each other, each others' treatment outcome and any resulting children. Hum Reprod. 2012;27(6):1690-1701. doi:10.1093/humrep/des085
- Power M, Baber R, Abdalla H, Kirkland A, Leonard T, Studd JW. A comparison of the attitudes of volunteer donors and infertile patient donors on an ovum donation programme. Hum Reprod. 1990;5(3):352-355. doi:10.1093/oxfordjournals.humrep.a137104
Should I Tell People I'm Donating My Eggs?
Deciding to donate your eggs is a generous and compassionate act that provides hope to many families dreaming of a child. So even though the decision to donate your eggs may be an easy one, sometimes deciding if you should or should not tell friends and family about your donation, may not be as easy. In this article, we’ll discuss some of the considerations for sharing your egg donation journey.
Whether donating time, money, hair, blood, we donate because we believe it makes the world a better place. We are wired to feel happy, and when we give we not only feel happy, we also feel a sense of connectedness to those around us. Egg donation is one of those things that can not only make you feel as though you are making a difference, but an act that can create life and family tree branches that may never have existed otherwise.
Deciding to donate your eggs is a generous and compassionate act that provides hope to many families dreaming of a child. So even though the decision to donate your eggs may be an easy one, sometimes deciding if you should or should not tell friends and family about your donation, may not be as easy. In this article, we’ll discuss some of the considerations for sharing your egg donation journey.
Should I tell my family I’m an egg donor?
While there is no right answer, one thing is for certain, your decision to donate is yours and your alone and so is your decision to tell or not tell. This means you are the one who can best make this decision.
So when thinking through this decision, it is helpful to think about the relationships you have and what you feel comfortable telling those close to you. How supportive will they be about your decision? Do you feel afraid they might criticize you or not understand why you would want to do this, or try and talk you out of it? What is your fear or concern about telling, and how do you think this information will impact your relationships?
Something else to keep in mind is that when the egg donation process starts, you will be required to self-administer hormone injections for approximately two weeks. You will also need to have daily medical ultrasound appointments. And since egg donation is a medical procedure, you will not be able to drive home alone and will need someone to be with you after the retrieval. You may even need a few days off from work or school if you experience side effects. So, if you live with friends or family, it may not be easy to keep it from them.
Also you need to keep in mind that donating your eggs doesn’t just impact you. It impacts your entire genetic family because now they too will be genetically connected to the offspring conceived using your eggs. For example, if you decide not to discuss your egg donation with your family and keep it all under wraps, what happens if in a few years your mother does an at-home-DNA test and sees that she has a ‘grandchild’ out there. Would you rather just explain as things like this come along or would you rather prepare your family members beforehand?
If you do decide to talk about your plans to donate your eggs, be ready for a wide range of responses, including negative reactions, and uneducated (but well meaning) questions and opinions on the topic. Also be prepared for a lot of surprise and praise and revelations about their own fertility journeys.
Does my significant other have to know I’m donating eggs?
Just as noted above, because of the medical process related to egg donation, it may be difficult to not have your significant other involved, especially if birth control methods need to change. If you include your partner from day one, they might feel more comfortable and supportive of your decision to donate because they will be well educated about egg donation.
However, even if they are involved from the beginning, some may still not feel comfortable with this decision because of how they view the potential donor conceived person - they may still see this person as an extension of you and that may be uncomfortable. And if you already have children, your partner may be concerned about any potential impact on the donor-conceived person’s relationship with your children. In these cases, clarifying roles and educating partners will be very important.
Benefits of sharing
The benefits of telling your friends and family during the process means they can provide emotional and practical support, such as helping with injections or driving you to your appointments, and helping care for you after the retrieval. Also, talking about your donation helps educate people and remove some of the stigma that comes along with egg donation. It can also help you learn more about your family tree, their background and health histories.
How do I tell people I’m donating my eggs?
If you decide to tell family / friends about your decision to be an egg donor, start off by talking about your motivating factors, such as your desire to help parents build their families. Give them facts about why people need donors and who these people are… put a human face to it. Give whatever information you feel comfortable sharing, let them absorb, process, and then come back to you with more questions.
How do I tell my future (or current) children I donated my eggs?
Telling your children about your experience as an egg donor teaches them by example the importance of giving and good will, and the idea that we are all connected. How you approach the subject will make a big difference on how they receive the information. If you approach it with pride and honesty, they too will receive it in a very positive manner.
Depending on their age and level of understanding, children’s reactions vary. Younger children usually cope well with the information, especially if you explain it in age appropriate language. Older children may also have various reactions. Sometimes they just need more time to process it, including a need to understand how it will impact them and their lives.
Regardless, keep it simple. Explain your reasoning. Describe the process. If you know, tell them about the parents you helped and the outcome.
Summing it up
The world of infertility treatment is changing. At one time, needing help to create a family was a matter of secrecy. But now because of human generosity and the incredible advancement of technology, people who never believed it possible, can be parents. Further, medical societies and research encourage parents to tell their child how they were conceived. In the same manner, donors are also advised to be open about their donation. You might be surprised by the support and praise you receive from your friends and family.
Cofertility is in the “family” business, striving to make egg freezing and third-party reproduction more human-centered and accessible for all. Our Freeze by Co program allows you to freeze your eggs for free, when you give half to a family who can't otherwise conceive
What “The Sex Lives of College Girls” Gets Right (And Wrong) About Egg Donation
Our team has been watching this season obsessively (and spending way too much time talking about it during our daily meetings), and are overall so appreciative of how Kimberly’s donation journey was portrayed.
Warning: This article contains spoilers for Season 2 of The Sex Lives of College Girls.
At Cofertility, we are so thrilled that conversations about reproductive health are making their way into the limelight. From Jennifer Aniston opening up about how she wishes she froze her eggs at a younger age, to the latest season of The Sex Lives of College Girls, where Kimberly decides to donate (or as she refers to it, “sell”) her eggs in order to pay her college tuition, we love to see women becoming more educated on their fertility.
Our team has been watching this season obsessively (and spending way too much time talking about it during our daily meetings), and are overall so appreciative of how Kimberly’s donation journey was portrayed. Creators Mindy Kaling and Justin Noble have taken what has been traditionally portrayed as an overly-clinical, overwhelming process and humanized it — showing the reality of what egg freezing or donation cycles can look like for the modern woman. Here are just some of our team’s favorite aspects of the portrayal of Kimberly’s journey:
You don’t have to put your life on pause.
The process of donating (or freezing) your eggs involves a medical procedure and should be taken seriously, but as Kimberly shows us (with the help of her roommate, Leighton) in Season 2 Ep. 5, that doesn’t mean you have to put your entire life on hold.
While there are some things you’ll have to avoid, such as heavy exercise, alcohol, and sex, you won’t be pinned to your couch for three weeks while you prepare for your retrieval. You’ll need to stay local to your clinic for your monitoring appointments, but other than that, keep doing you.
Overall, the medical process of donating your eggs is the same process as freezing your eggs. If you’re curious to learn more about what that looks like, (and even how you can freeze your eggs for free when you donate half) we’ve got you covered.
Egg banks often target women in tough financial situations
Kimberly first learns about “selling” her eggs after getting denied a student loan that she desperately needed. If the thought of this gives you the ick—you’re not alone.
It’s true that the egg donation industry has historically targeted individuals in poor financial situations, and we wholeheartedly agree with the American Society of Reproductive Medicine (ASRM)’s stance that financial compensation for egg donation opens the door for exploitation.
Additionally, $80K for a single cycle is a pretty unrealistic expectation, given that the average compensation is more like $3,500 - $5,000 per cycle.
However, women who donate their eggs are truly giving intended parents the invaluable opportunity to fulfill their family-building dreams, and that deserves to be recognized. That’s why we created our Split program, which eliminates the icky-ness of financial compensation by instead giving our members the opportunity to freeze their eggs for free for their own reproductive future when they give half of the retrieved eggs to another family that can’t otherwise conceive.
Your squad is everything
Though going through an egg retrieval is considered a low-risk procedure, it’s not something that you should feel like you’re doing alone. On the day of your retrieval appointment, you’ll need to bring a companion with you since you’ll be put under anesthesia, but as we saw in The Sex Lives of College Girls Season 2 Episode 5, having your crew on deck for emotional support makes all the difference in making sure you feel empowered through this epic journey.
It’s more than just “selling your eggs”
Donating your eggs is a huge decision—one that goes far beyond a bank deposit after the fact. When you donate your eggs, you’re not just donating your eggs, you’re donating genetic material that will someday be used to bring a new life into this world, so there’s a lot to be considered.
To quote straight from Kimberly’s pro-con list, the possibility that you’ll “run into future kids at a shopping mall” may sound crazy, but it hints at the reality that we live in a world where anyone can walk into their local pharmacy and purchase a DNA test off the shelf for less than $100, and there is really no such thing as a truly anonymous egg donation experience.
At Cofertility, we take a firm stance in our belief that anonymous egg donation is wrong. We have invested in consulting with the donor-conceived community and truly believe that disclosed relationships are in the best interest of all parties involved, especially the donor-conceived children. So if you’re considering donating your eggs, make sure to keep in mind that the child or children conceived from those eggs may want to reach out to you in the future.
Additionally, Kimberly’s pro of “a cute gay couple uses my eggs” is one that is definitely within the realm of possibility, and one that we wholeheartedly support. The way we build families is more dynamic than ever, and at Cofertility, we work with countless LGBTQ+ intended parents to help make their family-building dreams a reality. If you’ve ever considered donating your eggs to a gay couple who needs them, this is a great way to do that.
Summary
At Cofertility, we’re on a mission to make the process of donating and freezing your eggs more accessible, human-centric, and supported. If you’re thinking about this as an option for yourself, we want you to know that we’re here for you. To see if you qualify for our Split program, where you can donate your eggs while freezing half of the retrieved eggs for your own future use, click here to take our free, two-minute quiz.
How Old Do You Have to Be to Donate Eggs?
This article explores age restrictions for egg donation, highlighting the recommended age range due to factors affecting egg quality.
Donating eggs can be a generous and life-changing decision for both the donor and the intended parent. If you have been interested in donating your eggs, you may be wondering if there’s an age cut-off. The short answer is, yes, there are age restrictions when it comes to donating eggs. In this article, we will discuss how old you have to be to donate your eggs and what factors may affect your eligibility.
What is the minimum age for egg donation?
American Society for Reproductive Medicine (ASRM) suggests that egg donors be at least 21 years of age at the time of donation. Most clinics and agencies follow this suggestion to ensure the donor is mature enough to understand the procedure and follow through on the commitment.
To be part of our Split Program, where you freeze your eggs for free when donating half to a family that can’t otherwise conceive, you must be at least 21 years old. And while we do not accept Split members who are under 21, please reach out and we’ll get back in touch after you turn 21.
What is the maximum age for egg donation?
While there is no legal maximum age to become an egg donor, ASRM recommends that donors be under the age of 34 and most clinics follow this guideline.
At Cofertility, we require our Split program members to be 33 or under, as it can take some time to match with intended parents and complete your cycle. If you are 34-39, you are still eligible to participate in our Keep program. With this program, you can freeze your eggs and keep 100% of them for yourself.
Why are their age requirements for egg donation?
Because donor egg IVF is already so expensive and time consuming, families and clinics want to do everything they can to increase chances of success.
One factor that can predict success is age. Women in their 20s typically have a higher quantity and quality of eggs, making them ideal candidates for egg donation. Data shows that, on average, those over 35 tend not to respond to fertility medication as well and therefore may not produce as many eggs. Research also shows that, unfortunately, egg quality declines with age.
Are there exceptions?
There are cases where a clinician may accept a known donor outside the recommended age range. For example, if someone wanted their 35-year-old sister to donate and she had recently undergone a successful egg retrieval, the doctor may approve her donation.
Conclusion
Egg donation is a serious commitment and involves a significant time and energy commitment from the donor. The process typically involves several weeks of hormone injections, frequent doctor's appointments, and a minor surgical procedure to retrieve the eggs.
While 21-34 is the recommended age for egg donation, keep in mind there are additional eligibility criteria. It is important for potential donors to carefully consider the risks and benefits and to ensure that they meet all of the eligibility criteria before making a decision.
Does Donating or Freezing Your Eggs Affect Your Future Fertility?
Has anyone ever told you that freezing your eggs will affect your ability to conceive naturally in the future? If you’ve heard this before, it’s understandable that it would make you think twice about pursuing egg freezing or donation. While this is a common question, it’s actually a misconception.
Has anyone ever told you that freezing your eggs will affect your ability to conceive naturally in the future? If you’ve heard this before, it’s understandable that it would make you think twice about pursuing egg freezing or donation. While this is a common question, it’s actually a misconception. Read on to learn more about why this is a myth and what egg freezing actually does for your fertility.
The truth about egg freezing (or donation) and fertility
Let's get right to it—does freezing or donating eggs impact your ability to get pregnant on your own in the future? The short answer is no, egg freezing won’t lower your egg reserve and it won’t affect your chances of getting pregnant naturally when you’re ready to do so. To understand why this is, let’s talk about the ovulation process.
What happens when you ovulate?
At the start of each menstrual cycle, when someone is on their period, their pituitary gland (in the brain) will release follicle stimulating hormone (FSH). FSH triggers fluid-filled sacs in both ovaries to grow. These sacs are called follicles and they each contain an egg. The follicles grow until a second signal from the brain forces only one follicle (the “dominant” follicle) to continue to mature and eventually release its egg. That egg being released is what we call ovulation.
Now that that single egg has been ovulated, what happens to all the other eggs in those other follicles? Well, since those follicles weren’t chosen as the dominant follicle, they stop growing and the eggs inside of them die. This is known as atresia. So, it’s basically survival of the fittest in each ovary every month — yikes!
So what does all that have to do with egg freezing?
Let’s briefly review what the egg retrieval process is for egg freezing, donation, and in vitro fertilization (IVF). The hormone medications used during all three processes prompts your ovaries to allow all of the eggs in a single cycle to mature (instead of the usual one) so you can freeze them for if and when you might need them later on.
Once the follicles have reached an appropriate size, the eggs are collected during a quick procedure in the office. This retrieval process happens under light sedation and involves using a vaginal ultrasound and a long needle with a suction device to retrieve the eggs. I promise this sounds much more intense than it actually is! An embryologist (an expert in the science of egg freezing) looks at each egg and grades their maturity before freezing them. If you’re doing IVF, they’ll go through fertilization instead of being frozen.
Can I get pregnant unassisted after egg freezing?
What you may have noticed from what was just explained is that egg freezing actually rescues all the other eggs that your body would otherwise allow to die during a normal menstrual cycle. So the process of egg freezing doesn’t take anything away from your egg reserve, it actually helps you save some extra eggs! And since during each cycle, your body goes through the ovulation process again with a new set of competing eggs, your chances of getting pregnant unassisted in the future also aren’t affected by egg freezing.
What egg freezing does do is give you additional options for if and when you’re ready to start growing your family.
Egg freezing actually rescues all the other eggs that your body would otherwise allow to die during a normal menstrual cycle. So egg freezing doesn’t take anything away from your egg reserve, it actually helps you save some extra eggs!
Can egg freezing damage my ovaries?
Like any other procedure, there are risks and side effects when freezing eggs, including risks of anesthesia, bleeding, pain, and infection. Thankfully, the majority of people who go through with it deal with side effects for a few days at most. When it comes to the ovaries themselves, they generally recover quickly. While there isn’t a lot of data specific to egg donors (as opposed to people freezing their eggs for themselves), the overall data indicate that the potential risks of surgical complications from egg retrieval are generally very small. However, in people with a history of endometriosis, pelvic inflammatory disease, pelvic adhesions or previous pelvic surgery, the risks are slightly increased so make sure to speak to your doctor about your medical history if you fall into any of these categories.
In terms of complications down the road, there are really two main ways by which egg retrieval might conceivably affect future fertility. The first way is by bleeding and infection from the procedure leading to adhesions (scar tissue) and the need for further surgeries. The second way is through trauma to the ovaries causing the creation of antibodies that may make fertilization of an egg more difficult.
Fortunately, there is no data that supports either possibility. According to one large study of over 7,000 IVF cycles, the rates of both infection and need for surgery to treat a pelvic abscess was 0.03% (about 1 in 3,000 IVF cycles). As for the scar tissue and antibodies, researchers have not found a higher rate of adhesions among people who have had an egg retrieval compared to those who haven’t nor have they found evidence that antibodies interfere with sperm’s ability to fertilize an egg.
It’s up to you!
If you decide to go through with egg freezing, Freeze by Co is here to help. Our Split program allows those who qualify to freeze their eggs for free! In a Split cycle, you donate half of the eggs retrieved to a family that can’t otherwise conceive and freeze the remaining half for yourself.
If you don’t want to donate, you can still participate in the Keep program, where you’ll be able to freeze your eggs and keep them all for yourself, on your timeline. In addition, you’ll have access to our online support community. This valuable resource lets you engage with other people freezing their eggs at the same time!
Whatever you choose, our team is here to support you as you determine which family-building options are right for you!
Can You Vape During Egg Freezing?
One area of concern is the impact of vaping on fertility, especially for those who are considering freezing their eggs for future use. In this article, we’ll dive into the research on if vaping is okay for egg freezing and donation.
Vaping has become a popular alternative to traditional smoking in recent years. But while it’s been marketed as a healthier option, the long-term effects of vaping are still not fully understood. One area of concern is the impact of vaping on fertility, especially for those who are considering freezing their eggs for future use. In this article, we’ll dive into the research on if vaping is okay for egg freezing and donation.
Impact of vaping on fertility
Several studies have found that vaping can have negative effects on reproductive health, including decreased fertility and increased risk of miscarriage. According to the American Society of Reproductive Medicine (ASRM), infertility rates in male and female smokers are twice as high as infertility rates among nonsmokers, with infertility rates rising with the number of cigarettes smoked daily. The main ingredients in e-cigarette liquids, such as nicotine and propylene glycol, have been shown to have toxic effects on the ovaries and the eggs they contain.
Nicotine has been shown to reduce the quality and quantity of eggs in the ovaries. It can also lead to decreased blood flow to the ovaries, which can negatively impact the development of the follicles, the structures in the ovaries that contain the eggs. Despite needing more medication during the egg freezing process, smokers often have fewer eggs available for retrieval during an egg freezing cycle, as well as 30% lower pregnancy rates compared with nonsmokers.
Propylene glycol, another common ingredient in e-cigarette liquids, has been shown to have a toxic effect on the ovaries and eggs. The same study has linked propylene glycol to oxidative stress, which can lead to damage to the eggs and decreased fertility. In addition, propylene glycol has been shown to cause DNA damage, which can affect the quality of the eggs.
How vaping may affect egg freezing outcomes
Egg freezing is a process where a woman's eggs are retrieved, frozen, and stored for later use once she is ready to fertilize them and start or grow her family. The more eggs that are retrieved, the better the chances of a live birth down the line.
While the effects of vaping on fertility are still largely unknown, many fertility clinics advise their patients to quit vaping in an effort to improve egg freezing outcomes related to quality and quantity based on the above research on smoking. Lower quality eggs with a higher DNA damage rate could impact the success of a future pregnancy using these frozen eggs, as these eggs may be less likely to fertilize into embryos (or result in a successful implantation). In addition, fewer eggs retrieved from those who vaped may result in fewer options for future use, which can increase the likelihood of needing additional egg freezing cycles.
Our programs offer the opportunity to freeze your eggs in a way that’s more empowering, positive, and affordable — even free. Take our quiz today to see if you qualify for Split, our free egg freezing program.
Can I donate my eggs if I vape?
If you are considering applying for our Split program, where you can freeze your eggs for free when you donate half of the eggs retrieved to another family, please note that you will not be considered eligible if you currently use any nicotine products, including vaping. If you engage in vaping regularly, you will need to quit for two to three months before re-applying for the program. If you only vape occasionally/socially, you will need to quit for one month prior to your retrieval date.
Summing it up
In conclusion, while data is somewhat limited, it appears that the effects of vaping on fertility can have an impact on women who are considering egg freezing. The ingredients in e-cigarette liquids, such as nicotine and propylene glycol, have been shown to have negative effects on reproductive health, including decreased fertilization rates and increased risk of miscarriage. In addition, it is possible that vaping can lead to a lower number of eggs retrieved during an egg freezing cycle and a higher rate of DNA damage in the retrieved eggs.
Our recommendation? Safe is better than sorry — in the interest of the best cycle outcome, it’s probably a good idea to hold off on the e-cigarettes leading up to and during your egg retrieval.
If you’re considering egg freezing, consult with a fertility specialist or take our quiz to learn more about how you can preserve your fertility.
I'm a Psychologist: Here's How to Talk to Your Partner About Donating Your Eggs
One of the most important people to start the conversation about donating your eggs with is your partner. Having an open and honest conversation is a great way to ensure that both of you are on the same page and have a clear understanding of what donating your eggs means. Here are some tips on how to approach the conversation.
Considering egg donation is an extremely rewarding experience, and one that you may want to share with your family, friends and significant other. And because of the nature of the entire process — the lengthy application that asks about your family medical history, a psychological and medical evaluation, hormone injections and medical retrieval ( where you will need someone to accompany you after) — it is definitely not something you should do alone. And donating your eggs doesn't just impact you, it can very well impact your partner, your family and future children. So, if you’re thinking to yourself, “I am ready to donate my eggs to help out another family. Now how do I tell people I’m donating my eggs?” — we’re here for you.
One of the most important people to start this conversation with is your partner. Having an open and honest conversation is a great way to ensure that both of you are on the same page and have a clear understanding of what donating your eggs means. Here are some tips on how to approach the conversation.
Educate yourself first
Since you have already decided that egg donation is for you, you have most likely already done a lot of research. But, explaining it to someone else can be another story. Especially if they start asking about how it may impact them in the future. our partner might have questions about the egg retrieval procedure and the potential risks, they may also ask about what happens to your eggs after you donate them, and what happens when that egg becomes a human and wants to meet you. So make sure you spend some time doing the research for yourself. You can do that by talking to Cofertility, an IVF doctor or fertility psychologist. Ask a lot of questions. Do your homework. You want to become an expert so that you’re ready to field those important questions that will be asked.
Start with your partner
Once armed with all your egg donation knowledge, start the conversation with your partner. Having an open and honest conversation is a great way to ensure that both of you are on the same page and have a clear understanding of what donating your eggs means. Here are some tips on how to approach the conversation.
Talk about what this means for your future
Donating your eggs is a huge decision that can have an impact on your life far beyond your retrieval, so it’s important to have an open and honest discussion with your partner about what that might look like. For example, if you’re participating in Cofertility’s Split program (where you donate half of your retrieved eggs and keep half for yourself for for free for your own future use) and you and your partner think you may want to have children of your own in the future, it will be important for those children to know about your egg donation. After all, they’ll likely have at least one biological half-sibling out there that they may be curious about someday. Additionally, when you match with intended parents, both parties will agree on a desired disclosure status and outline what the relationship between you (the donor), the intended parents, and the donor-conceived child will look like. So it will be important for your partner to be in-the-know about the details
Prepare for their questions
If you think through the possible questions they could ask, you’ll feel more prepared and confident in answering them. This could include:
- Why are you donating your eggs?
- What are the potential risks and side effects of egg donation?
- What is the egg donation procedure like?
- Will donating your eggs impact our ability to have children of our own someday (hint: it won’t)
- What do you imagine our relationship with the recipient family will look like?
- Are there any potential emotional or psychological effects of egg donation?
- Do you think you’ll donate more than once?
Obviously you can’t predict every question that may be thrown your way. And if they ask a question that throws you off, you can just say “Great question, let me think about how to best answer that and get back to you”.
Revisit the conversation often
A decision as meaningful as donating your eggs should never be a one-and-done conversation, so keep this conversation an ongoing one. It’s likely that your perspectives will evolve over time, so it’s important to keep the conversation fresh so you can address any concerns as they come up. If at any time you or your partner have questions, our team at Cofertility is always here to help.
Summing it up
By donating your eggs, you’re truly making a life-changing impact on another family’s life, by giving them the opportunity to grow the family of their dreams. You should feel 100% confident in this decision before going into it, and having a supportive partner will make the egg donation process infinitely easier. Open and honest communication is key to any healthy relationship, and by involving your partner in this conversation early on, you’ll be setting yourself up for a successful donation experience that you can feel good about.
What Does a High AMH Result Mean?
Anti-Mullerian hormone (AMH) is a hormone produced by ovarian follicles. It is commonly used as a marker of ovarian reserve and can be measured in the blood. A high AMH level is often associated with polycystic ovary syndrome (PCOS), but it can also have other causes. In this article, we will explore what a high AMH result means and answer some common questions about AMH testing.
Anti-Mullerian hormone (AMH) is a hormone produced by ovarian follicles. It is commonly used as a marker of ovarian reserve and can be measured in the blood. A high AMH level is often associated with polycystic ovary syndrome (PCOS), but it can also have other causes. In this article, we will explore what a high AMH result means and answer some common questions about AMH testing.
First off, what is AMH?
AMH is a hormone that is produced by the granulosa cells in the ovarian follicles. It plays a role in the growth and maturation of ovarian follicles in females. AMH levels are relatively stable throughout the menstrual cycle and can be measured in the blood.
AMH is commonly used as a marker of ovarian reserve, which is a rough number of eggs that a female has remaining in her ovaries. Since females are born with a fixed number of eggs, this number naturally declines over time.
What are normal AMH numbers?
What is considered a “normal” AMH level depends on your age, as well as the lab where you take the test. Since there is no international standard, it’s best to use the reference ranges included on the test results (your doctor can share those with you if you did a test through a clinic).
In general, however, an AMH between 1.0 and 3.5 ng/mL suggests a “normal” range that is likely to have a good response to egg freezing.
If you are looking to donate your eggs, however, minimum AMH requirements may be slightly higher. For example, with Cofertility’s Split program, we require a minimum AMH of 2.0, though clinics may have their own unique requirements. This is to increase the chances of retrieving enough eggs to actually split, to ensure positive outcomes for both parties involved.
What AMH level is considered high?
In healthy females of reproductive age, higher levels of AMH mean that the ovaries have a larger supply of eggs. This means one would be expected to have better than average outcomes for egg freezing.
Remember, there is no universal standard for AMH, so it can vary depending on the lab where the test is run. Your test results will include if your range is “normal”, “low”, or “high” and the cut-off can differ. For example, Atlanta Fertility considers over 4.5 ng/mL high. Advanced Fertility considers anything over 4.0 ng/ml high. While RMA would consider an AMH over 3.0 ng/ml as “very high”.
With high levels of AMH, you may be at higher risk for ovarian hyperstimulation syndrome (OHSS). This means your doctor may choose a specific protocol and/or do extra monitoring to decrease the risk of complications during egg freezing.
What AMH level is considered too high?
Again, this question depends on the lab. Your test results will come with a reference range, and will indicate if your number is high for your age. If your doctor considers your levels abnormally high and has concerns, they will discuss the results with you.
Common reasons for high AMH
The most common reason for high AMH is that you are very fertile and likely to retrieve more eggs in an egg freezing cycle.
But a high AMH level may also indicate PCOS, which is a hormonal disorder that affects 8–13% of females of reproductive age. Those with PCOS typically have high levels of androgens (male hormones) and may have irregular periods, acne, and excess hair growth. Patients with an average AMH level ≥ 4.45 ng/ml have a 9.35 times higher likelihood of developing PCOS, but not all patients with a high AMH have PCOS.
In rare cases, abnormally high AMH could be a sign of an ovarian tumor. Certain types of ovarian tumors, such as granulosa cell tumors, can produce high levels of AMH.
Does high AMH always mean PCOS?
While an increase in AMH levels has been reported to be associated with PCOS, high AMH alone is not enough to diagnose PCOS.
Not all patients with PCOS have high AMH levels, and not all patients with high AMH levels have PCOS. Diagnosis of PCOS requires a combination of symptoms, hormone levels, and imaging studies, such as ultrasound.
Does high AMH mean good egg quality?
Not necessarily. While a high AMH level is often associated with a larger number of ovarian follicles and eggs, it does not necessarily mean that the eggs are of good quality. Egg quality is determined by factors such as your age, genetics, and environmental factors, and cannot be measured directly by AMH levels.
Am I ovulating if my AMH is high?
AMH levels do not indicate if you’re ovulating or not. Ovulation is the release of a mature egg from the ovary and can be confirmed by monitoring the menstrual cycle and/or performing ultrasound studies.
Will I get a lot of eggs if I have a high AMH?
The success of egg freezing outcomes largely depends on the number and quality of eggs retrieved. Studies have shown that AMH levels can be used as a predictor of egg quantity, and can thus help to predict the potential success of egg freezing. Those with higher AMH levels tend to have better outcomes with egg freezing, as they are likely to have more eggs retrieved and a higher chance of success in future fertility treatments.
But by no means does a high AMH level guarantee a lot of eggs during an egg retrieval procedure for fertility treatments. The number of eggs retrieved during an egg freezing cycle depends on several factors, including your age, ovarian response to stimulation medications, any other underlying medication conditions, and the skill of the doctor performing the procedure.
What is a good AMH level for egg freezing?
Research has found that AMH is a good predictor of the response to ovarian stimulation and the number of eggs retrieved. Because of this, fertility doctors typically use your AMH levels (along with other biomarkers) to determine the drugs and dosages you will need to maximize your response to ovarian stimulation.
Now, what about a correlation between AMH and actual babies born (live birth rate)? Well, while AMH does seem to have some association with live birth rates after IVF, its ability to actually predict a live birth is not that great. This is especially true for younger people. A 2021 study found that AMH is a good predictor of live birth in older (>39 years old), but not younger, people. They found that younger participants (≤38 years old) could get pregnant even with low AMH levels as long as they had frequent egg retrievals.
Freeze your eggs with Cofertility
One option to make egg freezing better is working with Cofertility. Through our Split program, qualified freezers can freeze their eggs for free when donating half of the eggs retrieved to a family who can’t otherwise conceive.
Through our Keep program — where you keep 100% of eggs retrieved for your own future use — we offer exclusive discounts on expenses, such as frozen egg storage. Keep members also still gain free access to our Freeze by Co Community, a safe space for those engaging in the egg freezing process (or gearing up for it) to connect and lean on each other. It also enables access to exclusive guidance, free expertise, and community events.
By making egg freezing easier and more accessible, our programs further strengthen the American Society of Reproductive Medicine (ASRM)’s Committee Opinion that egg freezing can help promote social justice and strengthen gender equality.
Summing it up
A high AMH level is generally a good sign for your ability to successfully freeze your eggs. But for some, it can also be one indicator of PCOS. While a high AMH level is often associated with a larger number of ovarian follicles and eggs, it does not necessarily mean that the eggs are of good quality (egg quality is more dependent on age).
AMH levels are commonly used as a marker of ovarian reserve and can be helpful, in conjunction with other measures, in predicting the number of eggs that can be retrieved during an egg freezing cycle. However, it is important to keep in mind that egg quality is determined by several factors and cannot be measured directly by AMH levels. If you have concerns about your fertility or AMH levels, it is important to speak with a fertility doctor for personalized advice and treatment options.
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How Many Times Can You Donate Your Eggs?
If you are already an egg donor and considering donating again, or if you’re considering donating for the first time, you may be wondering how many times you can donate your eggs. While there’s no limit on how many times you can freeze your eggs, there are industry guidelines that United States clinics follow on how many times you can donate. In this article, we’ll dive into everything you need to know.
Egg donation is a medical procedure by which a qualified egg donor donates their eggs to a family that can’t otherwise conceive. There are various reasons a family may need donor eggs, from infertility to cancer treatments to being LGBTQ+. Egg donors give these families the opportunity to become parents.
If you are already an egg donor and considering donating again, or if you’re considering donating for the first time, you may be wondering how many times you can donate your eggs.
While there’s no limit on how many times you can freeze your eggs, there are industry guidelines that United States clinics follow on how many times you can donate. In this article, we’ll dive into everything you need to know.
How long is the egg donation process?
If you freeze your eggs with Cofertility's Split Program, where you get to keep half of the eggs retrieved for free when donating the other half, you can think about the process as two parts: before and after you match with a family.
The time to match with a family can vary; some donors match within a few days while some it can take several months. You can increase your chances of matching by ensuring your application is comprehensive and shows off your personality, accomplishments, and motivations for joining Cofertility’s Split program. Additionally the more photos, the better!
After you are matched, you can expect the entire process to take about two to four months. This includes screening, a legal agreement, and the two-week cycle. The timeline can vary based on your schedule, the intended parents schedule, and clinic availability.
Why some people donate eggs multiple times
There are various reasons why some individuals choose to donate their eggs multiple times. For some, egg donation provides an opportunity to help others achieve their dream of starting a family, and the desire to make a significant impact on someone else's life may be a motivating factor.
Some people are drawn to the idea of preserving their own fertility at the same time. At Cofertility, our Split members keep half of the eggs retrieved. By undergoing several cycles, our egg donors can get more control over their own reproductive future.
One study found that people who participate in egg share programs like ours are happy with their decision. In fact, 83.3% would donate again and only 2.1% regret their decision to participate.
How many times can you donate eggs?
The American Society for Reproductive Medicine (ASRM) is an organization that provides guidance and recommendations to fertility clinics and professionals. One of the guidelines that the ASRM has established is regarding the maximum number of egg donation cycles that an egg donor can undergo in their lifetime. According to their recommendations, egg donors should undergo no more than six cycles of egg donation throughout their lifetime.
This recommendation is in place to ensure the safety and well-being of the egg donor, as undergoing multiple cycles of egg donation can increase the chances of potential complications. By setting a limit on the number of cycles, ASRM aims to protect the health of egg donors.
Why can't you donate eggs more than six times?
The reason ASRM recommends six donations maximum is partly to reduce risks for the egg donor, and partly to protect the potential offspring. While ASRM states that “existing data cannot permit conclusive recommendations”, they nonetheless suggest sticking with the number six due to limited data on the long term safety risks of undergoing over six ovarian stimulation cycles.
Egg donor health
Egg freezing is considered a safe procedure. In a single egg freezing cycle, the risk of a serious adverse event is under 2.5%. Severe OHSS accounts for the majority of complications, occuring in 0.1-2% of cycles. The risk of other acute complications, including pelvic infection, intraperitoneal hemorrhage, or ovarian torsion, is small (<0.5%). However, after six cycles, the risk compounds to 8%-13%. Therefore, out of abundance of caution, ASRM recommends capping the procedure to six cycles.
Inadvertent consanguinity
Another reason there are recommended limits on egg (and sperm) donation is because of inadvertent consanguinity. This refers to the accidental conception of a child by closely related individuals. This can occur when undisclosed biological connections exist. The resulting offspring are at risk for genetic disorders and other health complications if they inherit two copies of a recessive gene from the closely related parents.
There are donor registries to help prevent this, but if a parent does not disclose to their child that they are donor-conceived it may still occur. The chances are small in today’s world of genetic testing, but it’s still a consideration.
What disqualifies you from multiple egg donations?
Donating once doesn’t necessarily guarantee you will be able to donate your eggs again. Certain factors can disqualify you from additional egg donations. For instance, if anything major in your medical history has changed like a serious diagnosis or surgery.
Additionally, if your first egg retrieval was unsuccessful (due to low number of eggs or a complication), it’s unlikely you’ll be able to donate again.
Ultimately, the decision to undergo additional egg donation cycles should be made in consultation with a fertility doctor, taking into account the potential risks and benefits for you and the intended parents.
How much time do I have to wait between egg donation cycles?
You may be wondering how long you’ll need to wait between egg freezing and donation cycles, or if you can do them back to back. It is generally recommended to wait at least one menstrual cycle before starting another cycle. Some people like to give their body a break and wait three to six months between cycles, while others prefer to get it over with and complete back to back egg freezing cycles. We suggest talking to your fertility doctor for guidance.
Instead of donating for money, keep half the eggs retrieved
Cofertility’s Split program offers qualified candidates the chance to freeze their eggs for free when donating half to a family who cannot otherwise conceive. If you’re eligible for the program, by meeting Cofertility’s requirements, and decide to donate half of your retrieved eggs, your egg freezing procedure, medications, and ten years of storage will be completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.
Depending on the number of eggs that you are able to retrieve in the first cycle, you may want to complete a second Split cycle so that you’re donating and keeping a sufficient number of eggs.
8 Questions to Ask Yourself Before Donating Your Eggs
We think you should consider the opportunity to donate your eggs fully, and really understand what you’re getting into, before making a decision. Here are 8 things to consider before donating your eggs.
As the demand for donated eggs continues to rise, more and more women are considering becoming egg donors to help others start a family. Some egg donation agencies downplay the magnitude of the impact you are making as an egg donor. Bringing a new human into this world is a HUGE deal!
We think you should consider the opportunity fully, and really understand what you’re getting into, before making a decision. Here are 8 things to consider before donating your eggs.
1. Do I understand the emotional impact?
The emotional effects of egg donation can vary from person to person and can depend on your expectations and understanding of the experience. Many donors find the experience rewarding and fulfilling, knowing that they have helped someone else start or expand their family. However, some donors may experience more complicated feelings about it. This is why our donors undergo psychological screening – to ensure they are mentally prepared.
It is important to have a strong support system in place during the egg freezing and donation process. This can include friends, family, and healthcare providers who can provide emotional support and guidance. If you freeze your eggs through Cofertility, you’ll be connected with a cohort of others freezing their eggs at the same time. We offer an online community, and our entire team of experts will be behind you the entire time.
2. Am I okay with the physical risks?
Egg freezing is considered a safe procedure. In a single egg freezing cycle, the risk of a serious adverse event is under 2.5%. Severe OHSS accounts for the majority of complications, occuring in 0.1-2% of cycles. The risk of other acute complications, including pelvic infection, intraperitoneal hemorrhage, or ovarian torsion, is small (<0.5%).
That being said, many women do experience minor side effects – like bloating, constipation, nausea – from the medications and egg retrieval.
3. How do I feel about compensation?
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.
As one person conceived with a donated egg and donated sperm put it in a survey, “Don’t donate for the money. Understand that you are having children, playing a part in creating people with their own complicated emotions and thoughts.”
At Cofertility, our model is different. Instead of cash compensation, our donors keep half the eggs retrieved (for free). That’s right, if you qualify for the program and decide to give half of your retrieved eggs, every expense associated with the egg freezing procedure — medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.
4. Will I get a say in who my eggs go to?
If you work with Cofertility, the answer is yes. We believe donors should have a say in where their eggs go. This is why you get to opt-in to any match. You’ll get to learn a little about the family, even meet them virtually, and decide if you want to move forward. You also get to specify your communication preferences up front, giving you real options in the process.
5. Do I have the time to donate?
The process of egg donation is not a quick one. It involves medical screening, legal contracting, psychological screening, genetic testing, multiple doctor visits, monitoring, and hormone tests which usually happens over a period of two to four months from the time you match with intended parents. Additionally, the actual egg retrieval procedure requires a day or two of recovery time. It’s important to consider whether you are able to commit the time required for egg donation before making a decision.
6. What will my relationship be like with the intended parents? What about with any children born from my eggs?
If you donate through Cofertility, you get to determine the type of relationship you would like with the family. If the eggs you donate lead to a child (and we hope they do!), your relationship with the parents and/or children can take on two forms:
- Disclosed: You exchange contact information and can communicate directly.
- Undisclosed: You do not exchange contact information and only communicate via Cofertility.
The scope and degree of communication (both during and post-match) is what both parties make of it and can be outlined in your legal agreement. Communication can range from sharing an annual holiday card to direct, regular communication between you and the donor-conceived child. We share more about what these relationships look like in practice in our article on disclosure status.
Regardless of the relationship that you have with the family post-birth, we can facilitate a phone or video meeting in which you speak to the intended parents. This can be done with or without sharing names. With an undisclosed donation, you and the family can also choose to allow the donor-conceived child to receive your contact information when they turn a certain age (usually 18). This is called Open ID, an increasingly popular option.
Either way, it’s important to remember that many donor-conceived children grow up curious about their genetics and may want to reach out down the line. We want to ensure that you are aware of and open to that possibility before joining the Split program.
7. How will this impact my relationships?
Donating your eggs may have an impact on your relationships with family and partner, if and when you decide to tell them. It’s important to consider how they will react and whether you are comfortable sharing your decision with them. It’s also important to understand the potential impact on your future relationships and any children you may have in the future.
Read more in Should I Tell People I'm Donating My Eggs?
8. What is the potential to help others?
Donating your eggs can be a fulfilling experience that allows you to help others start a family. It’s important to consider the impact you can have on the lives of others and whether you are comfortable with that responsibility.
Many types of families need egg donors to grow their family, including couples facing infertility, LGBTQ+ couples, cancer survivors, women with age-related fertility decline, and more.
Egg donation with Cofertility
At Cofertility, we are striving to be the best place to be an egg donor (or what we call, a Split Member). We offer a supportive and transparent process that empowers donors to make informed decisions about their egg donation journey.
With our innovative approach, donors get to keep half of the eggs retrieved, plus:
- Free storage of their own eggs in cryopreservation for up to 10 years
- Coverage of all medical costs for the egg donation process
- Connection to the Cofertility community for support all along the way and after too
- The ability to work with the intended parents to decide together what your relationship will look like
If giving your eggs to intended parents sounds like something you would like to do, you may be able to qualify for the free egg freezing process and have your donation process covered too.
Find out more about Cofertility, and take our quiz to see if you qualify for Split!
We believe that every donor deserves to have a positive and empowering experience, and we are committed to making that a reality. That’s why Cofertility was named one of the Best Egg Donor Programs by Egg Donor Connect.
What AMH Do I Need to Donate my Eggs?
Understanding Anti-Mullerian Hormone (AMH) levels and their significance in the egg freezing and donation process.
As a potential egg donor, you may be wondering about the qualifications, including if there’s a minimum AMH (Anti-Mullerian Hormone) levels. Understanding this hormone and its significance is critical in the egg freezing and donation process, especially if you're considering donating your eggs through an egg share program like the one offered by Cofertility. Let's delve into these important topics.
What is AMH anyway?
The Anti-Mullerian Hormone, or AMH, is a hormone secreted by the cells of developing egg sacs (follicles) within the ovaries. AMH levels are often used as an indicator of ovarian reserve, which means the quantity of eggs that are available for fertilization. The hormone plays an important role in fertility care as it provides insights into ovarian function and the potential to produce viable eggs during egg freezing.
AMH testing is a common part of the fertility workup as it helps doctors understand more about your ovarian reserve and ability to retrieve eggs that can be successfully fertilized. It is important to note that AMH level is not a measure of egg quality, but of quantity, and its level remains fairly constant throughout the menstrual cycle, which makes it a good measure for predicting ovarian reserve at any time.
What AMH do I need to donate my eggs?
Through our Split program, qualified freezers can freeze their eggs for free when donating half of the eggs retrieved to a family who can’t otherwise conceive.
In the context of donating through our Split program, having an appropriate level of AMH is important. Fertility doctors typically consider an AMH level above 2.0 ng/ml as a good indicator for egg donation, and this is the benchmark used at Cofertility. Note that some clinics have a higher requirement.
This level suggests that you are likely to respond well to fertility treatments and produce a sufficient number of eggs for both donation and personal use. This allows us to proceed with the egg retrieval process in a manner that is both safe and effective.
However, if your AMH level is lower than this, it does not necessarily mean you cannot freeze your eggs. You can still qualify for our Keep program — where you keep 100% of eggs retrieved for your own future use — we offer exclusive discounts on expenses, such as frozen egg storage. Keep members also still gain free access to our Freeze by Co Community, a safe space for those engaging in the egg freezing process (or gearing up for it) to connect and lean on each other.
Everyone is unique, and AMH is just one factor of many that we consider during the evaluation process. You can learn more about qualifications for our Split program here.
What is egg sharing?
Our unique model allows you to donate your eggs while also preserving half for your own future use. This can be an advantageous option for those who want to help others by donating their eggs, but are uncomfortable with other egg donation programs.
We believe egg sharing balances the interests of the donor and the recipient. It opens up opportunities for families seeking to conceive via donated eggs while respecting the donor's potential future family planning needs.
Egg donation with Cofertility
At Cofertility, we are striving to be the best place to be an egg donor (or what we call, a Split Member). We offer a supportive and transparent process that empowers donors to make informed decisions about their egg donation journey.
With our innovative approach, donors get to keep half of the eggs retrieved, plus:
- Free storage of their own eggs in cryopreservation for up to 10 years
- Coverage of all medical costs for the egg donation process
- Connection to the Cofertility community for support all along the way and after too
- The ability to work with the intended parents to decide together what your relationship will look like
If giving your eggs to intended parents sounds like something you would like to do, you may be able to qualify for the free egg freezing process and have your donation process covered too.
Take our quiz to see if you qualify for Split!
We believe that every donor deserves to have a positive and empowering experience, and we are committed to making that a reality. That’s why Cofertility was named one of the Best Egg Donor Programs by Egg Donor Connect.
Summing it up
Understanding your AMH level is a crucial part of the egg donation process as it provides an indication of your ovarian reserve, thereby shaping your egg freezing journey.
While an AMH level above 2 ng/ml is ideal for egg donation, it's important to remember that it's not the sole determinant of your eligibility. The process is multifaceted, taking into account various factors, and everyone’s situation is unique.
At Cofertility, we’re here to guide you every step of the way. From understanding your AMH levels to navigating through the egg sharing process, our team of fertility experts is ready to assist you in making informed decisions about your reproductive health and fertility journey. Your contribution as an egg donor can change lives, including your own.
Read more:
Seven Mistakes People Make When Freezing Their Eggs
A guide to help you avoid seven common mistakes people make when freezing their eggs.
Egg freezing, also known as oocyte cryopreservation, has grown in popularity, with a 46% increase in egg freezing cycles from 2020 to 2021 alone! This transformative medical procedure has garnered significant attention and interest.
Amidst all the buzz and excitement, it's important to navigate your egg freezing journey with the facts. To ensure a successful and fulfilling experience, we've curated a guide to help you avoid seven common mistakes people make when freezing their eggs.
Working with the wrong doctor
The importance of selecting the right doctor for your egg freezing journey cannot be overstated. Entrusting your reproductive health to a skilled and compassionate fertility specialist is paramount. Choosing a doctor who understands your unique needs, communicates effectively, and provides personalized care is essential for a successful egg freezing experience.
Take the time to research and seek recommendations, ensuring you find a doctor who aligns with your values, instills confidence, and supports you every step of the way. Remember, the right doctor can make all the difference in your pursuit of fertility preservation.
Read more in What To Look For in An Egg Freezing Clinic
Not freezing their eggs sooner
We are born with all the eggs we will ever have, and lose them each month until we hit menopause and no eggs remain. Not only that, but our quality of eggs decline along with quantity. This is because eggs are more likely to contain chromosomal abnormalities (mistakes in their DNA) as we get older.
One of the biggest mistakes individuals make is underestimating the impact of age on egg freezing. Fertility specialists often emphasize the significance of freezing eggs at a younger age, ideally before 40. Time is a precious resource when it comes to preserving fertility, and being proactive ensures a higher chance of success.
One survey study of 98 patients found that the vast majority of egg freezers showed no regret, stating that it was a good decision. But some stated that their only regret was not doing it sooner.
Overlooking lifestyle factors
Creating an optimal environment for egg freezing involves mindful attention to various lifestyle factors. Mistakes are made when individuals underestimate the significance of a balanced diet, regular exercise, and healthy habits. Embrace a nutrient-rich diet, prioritize stress management techniques, and maintain a consistent sleep routine. By incorporating these lifestyle choices, you not only enhance your overall well-being but also create an environment conducive to successful egg freezing.
Skipping the pre-freezing fertility assessment
Embarking on the egg freezing journey without a comprehensive fertility assessment is akin to navigating uncharted waters without a map. To avoid this mistake, consult a knowledgeable fertility specialist who can evaluate your ovarian reserve, hormonal levels, and overall reproductive health. This pre-freezing evaluation allows for a tailored approach and provides valuable insights into your ovarian reserve, which can help predict how well your body would respond to egg freezing medications. Knowledge is power, and a thorough assessment is the first step towards a graceful and informed decision.
Ignoring emotional support
The egg freezing journey can be emotionally charged, as it involves contemplation of one's fertility and future family-building aspirations. Neglecting emotional support during this transformative process is a common yet avoidable mistake. Seek a support system composed of loved ones, therapists, or support groups who can provide guidance, empathy, and understanding. Emotional well-being is the cornerstone of this journey, and by tending to it, you pave the way for a more harmonious experience.
If you freeze your eggs with Cofertility, our inclusive online spaces allow you to connect with others going through the process at the same time.
Thinking it’s an insurance policy
One misunderstanding people make when freezing their eggs is viewing it as an insurance policy against future infertility. While egg freezing does offer a chance to preserve fertility potential, it's important to understand its limitations and set realistic expectations.
Egg freezing is not a guarantee of future pregnancy. It is a proactive step to preserve eggs at a younger age when they are more viable, increasing the chances of successful conception later on. However, there are various factors that can influence the outcome, such as the quality of the eggs, overall health, age at the time of egg freezing, quality of the egg freezing clinic, sperm health, and the chosen fertility treatment in the future.
It's essential to have a clear understanding of the success rates associated with egg freezing and the potential limitations. The chances of achieving a successful pregnancy with frozen eggs can vary depending on individual factors and the quality of the eggs at the time of freezing. Consulting with a fertility doctor can provide valuable insights into your specific situation.
Failing to plan for the future
Freezing eggs is a remarkable step towards reproductive empowerment, but it should not be seen as a standalone solution. A mistake often made is neglecting to plan for the future beyond egg freezing. Engage in discussions with your fertility doctor about next steps, including potential pathways to parenthood, such as in vitro fertilization (IVF). By mapping out your future plans, you embrace a sense of preparedness and ensure a seamless transition when the time comes to utilize your frozen eggs.
Paying too much
One of the common mistakes people make when freezing their eggs is not fully understanding the costs involved and potentially paying more than necessary. The pricing structure for egg freezing can be complex and opaque, leading to confusion and unexpected financial burdens. Average egg freezing cycle costs range from $10,000 - $20,000 for consultations, testing, ultrasounds, medications, and the egg retrieval, plus the ongoing cost of annual storage.
If you work with Cofertility, you can rest assured that you’re getting the best price when working with one of our partner clinics. Through our Keep program, we offer our members partnerships and discounts to lighten the financial load of egg freezing, as well as access to our member community.
Or, in our Split program, which offers women a chance to freeze your eggs *for free* when donating half the eggs to a family who cannot otherwise conceive. If you qualify for the program, every expense associated with the egg freezing procedure — medications, supplements, travel if necessary, insurance, and 10 years of storage — are completely free of charge. We don’t even need a payment or credit card up front, as the family you match with covers all the expenses.
Let us help you freeze those eggs!
If you are interested in freezing your eggs, we can connect you with a fertility specialist for a consultation to discuss your specific situation. Our Freeze by Co platform is making egg freezing more empowering, positive, and accessible — even free — when you give half of the eggs retrieved to a family who can’t otherwise conceive.