Once you have made the decision to use an egg donor, there is additional screening that needs to be completed. As a female recipient, you will need an Hysterosonogram or Hysterosalpingogram so the doctor can evaluate your uterus and ensure that you can carry a pregnancy. As mentioned in my previous blog, you will also need to meet with a psychologist. You will have routine blood work done such as a complete blood count, day three hormones, TSH, prolactin and ultrasound. We also check your immunities for rubella and varicella.
If the recipient female is over the age of 45, there are additional tests that need to be completed such as a mammogram, stress EKG. Select patients may be asked to see a high-risk pregnancy specialist for a pre-conceptional consultation.
Both of the intended parents will be tested for an infectious disease panel including HIV, Hepatitis B and C, and RPR. Both partners are also tested for Chlamydia and Gonorrhea.
The donor is thoroughly screened as well. Aside from the pre-screening that she completes to be eligible to participate in our program that includes day three hormones, ultrasound, psychological evaluation and an interview with a genetic counselor, she also is tested for the infectious disease panel, a complete blood count, a comprehensive metabolic panel, drug and nicotine screen, PT & PTT, blood type and she also is drawn for genetic testing. We usually test all of our donors for the following genetic diseases:
Fanconi Anemia Type C
Hb Beta Chain-Related Hemoglobinopathy
Hexosaminidase A Deficiency
Niemann-Pick Disease, SMPD1-Associated
A positive test result would be followed by her removal or suspension from our program based on the guidelines set forth by the Practice Committee of the American Society for Reproductive Medicine (ASRM) and the Practice Committee of the Society for Assisted Reproductive Technology (SART). Some tests would result in immediate removal from our program with no hope to participate in the future, and some result in treatment for a specific condition and then a waiting period to be completed before re-testing and possible acceptance into our program.
These tests may seem extreme but they are really just performed in the best interest for all parties involved in doing an egg donor cycle. We want to protect everyone and ensure no one is being put at risk in agreeing to do a cycle.
Vicki Meagher has worked with InVia Fertility Specialists since 2006. She is our Third Party Coordinator, so she works with our patients that need an egg donor, sperm donor, gestational surrogate, or any combination of the above. She recruits and screens the egg donors for our in-house donor program as well. She loves working with intended parents and is passionate about third party reproduction and the important role it plays in helping patients achieve their dream of starting or extending their family. She is a member of SEEDS - the Society for Ethics for Egg Donation and Surrogacy.