Troché Fertility Centers' Egg Donor Program is designed to assist women, who for diverse reasons are unable to produce or use their own healthy eggs for conception. This program provides women the opportunity to carry a pregnancy and deliver a baby. Throughout this overview, the woman donating her eggs is referred to as the “Egg Donor" and the woman/couple receiving the donated egg is referred to as the "Intended Parent(s)". Our goal is to make the egg donation process as positive, simple and stress free as possible. We will coordinate the screening requirements of all parties, synchronize the medical procedure, and if desired, we will assist you in selecting an Egg Donor compatible with your needs. Take a look at our Egg Donor profile database.
Egg Donation is indicated if one or more of the following criteria are present:
1. An elevated FSH (Follicle Stimulating Hormone) level (>15MIU) or women who are resistant to stimulation with fertility drugs.
2. Women over 40 years who want to improve their chances of achieving a healthy pregnancy.
3. A history of poor fertilization of eggs in an IVF cycle despite good sperm quality.
4. Women who have been unable to achieve a viable pregnancy despite repeated attempts at IVF.
5. When no ovarian function is present because of previous surgery, radiation or chemotherapy.
6. Women under 40 years of age who are experiencing premature menopause, or who have undergone menopause.
7. Women with a family history of a genetic disorder (usually dominant) that has a high likelihood of being past on to any child through her eggs. Also, for women with frequent miscarriages due to a genetic condition called a "balanced translocation".
If you are a candidate for Egg Donation, you will meet with our Third Party Coordinator to discuss what is involved in an IVF Cycle using an Egg Donor and the steps in choosing a donor.
A frozen embryo cycle can be used if the Intended Parents were not successful with the fresh embryo transfer or, if successful, when they wish for another child. Since the Intended Parents already have embryos to transfer, the Intended Mother's uterus needs only to be prepared to receive the embryos. Two different and equally successful frozen embryo protocols are available, Natural Cycle Frozen Embryo Transfer, and Programmed Cycle Frozen Embryo Transfer.
Natural Cycle Frozen Embryo Transfer: The embryo transfer takes place during a normal, spontaneous menstrual cycle in which the development of the follicles (and eggs) is monitored by ultrasound, and then the ovulation is induced with an injection of human chorionic gonadotropin (hCG). One week later (5 days after ovulation) the embryos (blastocysts) are transferred into the uterus. This protocol is best for women with regular and predictable menstrual cycles. Its main advantage is that only one injection is needed, and once pregnant progesterone supplementation is with a vaginal cream and not with injections.
Programmed Cycle Frozen Embryo Transfer: The preparation for this embryo transfer is very similar to that already discussed for a "fresh" egg donation cycle. When blastocysts are to be transferred, daily injections of progesterone are started six days prior to the date of transfer, and the Lupron is stopped. This protocol is best for women who are in menopause or have irregular and unpredictable menstrual cycles.
With both protocols prior to thawing the embryos, an ultrasound assessment of the uterine lining is performed to make sure an adequate endometrial thickness is present. If an adequate lining is not present then the transfer is cancelled. The evening before the scheduled transfer, the embryos are thawed. If the thawing is successful the embryo transfer will take place as previously described. About 60% of the frozen embryos survive the thawing process. Therefore, at least 1 blastocyst should be available for a frozen embryo transfer cycle.
Pregnancy rates using donor eggs are reflective of the age of the Egg Donor. We anticipate approximately a 60% live birth rate.
Troché Fertility Centers' overriding objective is to provide an efficient and successful mechanism for helping infertile couples achieve their life's dream of having a baby. Our team is committed to providing the highest quality medical care in a sensitive and caring environment. We are here to assist you on your path to fertility.
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