Egg Donor Selection and IVF Planning

Questions and Answers

What is the preferred age range for egg donors?

21-28 (correct)

30-35

18-24

25-30

What is the recommended BMI limit for egg donors?

Less than 30

Less than 24

Less than 28 (correct)

Less than 26

How many follicles should be observed on day 2-3 of the period for a favorable ovarian reserve?

17-20 follicles

12-14 follicles

15-16 follicles (correct)

10-12 follicles

How long is the egg donor recovery period recommended between stimulations?

2-3 cycles Signup and view all the answers

During the first visit for egg donation, how long should Intended Parents plan to stay in the destination country?

3-5 nights Signup and view all the answers

Which of the following steps is NOT part of the first visit for Intended Parents?

Egg donor selection via email Signup and view all the answers

What is the waiting period for Carrier Genetic Testing results once the donor's sample is in the laboratory?

35-45 days Signup and view all the answers

How many vials of sperm are recommended to freeze for planned IVF cycles?

4-5 vials Signup and view all the answers

What must be confirmed by email regarding the use of genetically untested egg donors?

The Intended Parents must understand and accept the associated risks. Signup and view all the answers

Which of the following is NOT part of the information that the case coordinator must check before organizing a meeting with the egg donor coordinator?

Score from psychological testing Signup and view all the answers

What is the minimum time that should pass between donations for the same donor?

2-3 months Signup and view all the answers

What happens during the IVF cycle when injectable hormone medications are administered to the donor?

Multiple eggs mature simultaneously for retrieval. Signup and view all the answers

What is the role of the embryologist during the IVF process?

To place eggs in a liquid that helps them develop. Signup and view all the answers

What is required of the Intended Parents before the IVF cycle regarding PGT-A testing?

They must sign a consent form. Signup and view all the answers

What is one of the potential feelings a donor may experience after the egg retrieval procedure?

Cramping and feelings of fullness Signup and view all the answers

If second donor testing is required, who bears the cost?

The Intended Parents are responsible for the cost. Signup and view all the answers

What is one reason for checking the shared codes in the IVF file on Drive?

To ensure donors do not donate more than twice for patients from the same country. Signup and view all the answers

What kind of testing should be done if the Intended Parents are carriers of a mutation?

CGT testing of the donor Signup and view all the answers

Study Notes

Egg Donor Criteria

Age of egg donors should be between 21-28 years.
Body Mass Index (BMI) must be less than 28.
Anti-Müllerian Hormone (AMH) levels ideally at 2.5 or higher.
Ovarian reserve assessed by 15-16 follicles on day 2-3 of menstruation.
Recovery period required between donations is 2-3 cycles.

Coordination Steps for Egg Donation

Intended Parents (IPs) need to visit the destination country twice for egg donation and PGT-A testing, or ship frozen sperm samples.
First visit lasts 3-5 nights, ideally 4 weekdays, with an agreed schedule and pre-arranged agenda.
Initial consultations involve a fertility doctor, genetic specialist, and egg donor coordinator, alongside sperm collection/freezing, with a recommendation to freeze 4-5 vials of sperm.
Up to 6-8 egg donor profiles shared, including health, physical attributes, and education; profiles are not sent via email but shown during in-clinic visits or Zoom meetings.
Selection of an egg donor requires Carrier Genetic Testing (CGT), taking 35-45 days for results; genetic specialists conduct compatibility analyses thereafter.
Cost for donor testing covered as part of the program; additional costs may apply for second donor testing.

Pre-Meeting Preparations

Check and present a comprehensive list of donors with specific details:
- Unique identification codes must ensure no donor is donating more than twice to patients from the same country.
- Verify donor age, AMH levels, ovarian reserve, and results from previous donations (e.g., number of eggs retrieved, fertilized, embryos after PGT-A).
- Confirm donation availability and required CGT testing if IPs are mutation carriers.

IVF Planning Overview

IVF involves a complex series of steps with added consultations for egg donors to monitor ultrasound results.
Medical stimulation begins on day 2 of the donor’s cycle, lasting 12-14 days; coordination and daily communication are vital.
A natural cycle typically allows for one egg to mature; IVF stimulation enables multiple eggs to mature simultaneously.
Medications tailored to individual donor characteristics, including medical history, age, and AMH levels.
Egg retrieval performed under ultrasound guidance, with mature eggs (M2) fertilized through Intracytoplasmic Sperm Injection (ICSI).

Post-Retrieval Coordination

Communicate with IPs about key milestones:
- Date of egg retrieval, number of retrieved and fertilized oocytes, and embryos developed to blastocyst stage.
- Report on biopsied embryos for PGT-A; consent must be signed and sent to the clinic beforehand.

Reporting and Documentation

Collect and title the IVF report on day 5; store electronic versions in patient records.
Send reports to IPs via email and WhatsApp, requesting confirmation of receipt.

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Description

Explore the vital criteria for selecting egg donors and the planning process for in vitro fertilization (IVF). This quiz covers essential guidelines such as age limits, BMI requirements, and ovarian reserve assessment. Understanding these factors is crucial for intended parents and coordination of egg donation surrogacy programs.