ED preparation

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.

STIMULATION DOSAGES

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.

You may also read about Egg donor Profile