Enhancing fertility through donor programs
All stages of the Egg Donation Process are clearly laid out, for ease in understanding.
BIRTH CONTROL PILLS
The Egg donor (ED) is started on BCP on day 1 or 2 of her menses and the pills are given such that she withdraws them 4-5 days prior for planning the fresh cycle.
Medicine dosages are decided by considering age, height, weight and hormonal tests (FSH,LH and AMH) of donor.
DAY 1: FIRST DAY OF MENSES
Donor need to undergo a Pelvic Scan to visualise the ovaries, and have an antral follicular count. Donor will need to do Blood work for serum E2 (Estradiol) levels.
Start Stimulation as per advised drug and dosage on day 1, latest by day 2.
Continue the same medications daily from Day 1 to Day 5 or as advised.
DAY 6: SCAN
Scan to evaluate the ovarian response, depending on which the medication dosage may be altered. Continue medication as advised. Blood work.
DAY 8: REPEAT SCAN
The anesthetist needs to evaluate donor and her blood work to see that she is fit for the procedure
The scan is repeated every two days.
The follicles are usually considered mature and ready for retrieval once the size of the leading follicle has reached 18-20mm. This is usually achieved by day 11 of stimulation
DAY 11: TRIGGER SHOT
This is the medication which causes the final maturation and release of the eggs inside the follicles
The egg retrieval is scheduled between 34-36 hours post the trigger shot
DAY 13: EGG RETRIEVAL
Egg pick up is done under short general anesthesia, vaginally under ultrasound guidance. The procedure lasts for 10-15 mins. On discharge donor is prescribed a course of antibiotics to be taken for the next 5 days.