DONATION OF OOCYTES AND SPERM

The method of oocytes donation is used in the following cases:

  • when patient’s ovaries do not produce oocytes due to various medical causes;
  • after numerous unsuccessful IVF attempts;
  • to prevent the risk of transmission of hereditary diseases to a child.

 

Oocytes are collected from a healthy female donor and are fertilized with sperm of the patient’s husband. The embryos obtained are transferred into the future mother’s uterine.

When is oocyte donation used?

  • Premature ovarian failure syndrome.
  • Absence of oocytes caused by natural menopause.
  • Condition after ovariectomy, radiation therapy and chemotherapy (oncological diseases, endometriosis, etc.).
  • Abnormal development of genital organs (gonadal dysgenesis, Turner syndrome, etc.).
  • Risk of transmission of sex-linked hereditary diseases.
  • Congenital malformations of the fetus.
  • Unsuccessful attempts of IVF, “weak” response of ovaries to ovulation stimulation and repeated obtainment of poor-quality embryos during previous IVF programs.

 

IVF using donor sperm

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Sperm from a donor is used in programs of in vitro fertilization in following cases:

  • male infertility factor;
  • if genetic causes of inability of conception have been identified;
  • a woman has no partner;
  • ejaculation problems.

 

Donor sperm is also successfully used by fertility specialists for intrauterine insemination.

 

 

Donor oocyte or donor sperm: when it is hard to make a decision.

 

Psychological aspects

 

Almost every couple finds it psychologically difficult to make a decision on use of donor oocytes. It is very important not to hurry to refuse this offer of a fertility specialist, but to carefully weigh the pros and cons, and, subsequently, understand and decide, whether you have internal willingness to accept this option, allowing birth of a long-awaited child in a family.

Our experience shows that once this decision was made, successful pregnancy was achieved and a baby was born, nobody remembers anymore the fact that this child is not genetically native for a woman or a man.

 

It is much easier to hide from other people the fact of using donor oocytes than surrogacy. Even doctors, delivering a baby, as well as those who carry out pregnancy follow-up starting from the second trimester, may know nothing about it. Only during the first trimester, special medication support prescribed by the doctor, performing IVF, is required.

 

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We realize how hard it is to overcome the mental barrier, for this reason our specialists treat this problem very tactfully. Indeed, it is very important inform the patients properly that a child will be genetically native by half for a couple, and by the time of delivery, a woman, generally, no longer bears in mind the fact that donor’s genetic material had been used.

After hearing doctor’s words “Congratulations, you’re pregnant!” all thoughts and concerns are focused on care of pregnancy, since these children are generally very long-awaited.

Most couples, who had a baby by IVF with donation, regret they had not done it before. Usually, by the time they come to donation, a couple had already had several unsuccessful IVF attempts and spent a lot of money on them. However, the greatest loss is time, which is the most precious, as well as mental injury and disappointment as the result of unsuccessful attempts.

We recommend couples, who for the first time have heard from their doctor an offer to consider donation, to get more information from various sources: a clinic; parents, who have gone through this program; Internet forums. Those, who have already become parents by using IVF with donation, can share their emotions and how they struggled with doubts, made a decision, how their relatives reacted and how happy they are now, hugging their own child. A good option would be to communicate with parents, who have gone through a donation program at our clinics.

 

It should be noted that owing to tremendous work done by doctors in the process of donor selection, often, children born with the help of IVF program with donation are the living image of their parents. The donor is carefully selected according to height, weight, eye and hair color, facial features, and a body type. Moreover, forms of our donors always include description of donor’s psychological features, character traits and hobbies. Consequently, future parents are able to influence in advance not only the way their child will look, but also which traits he or she may inherit from the donor of genetic material. Needless to say, the donor will also be carefully selected according to medical characteristics and with due regard to personal compatibility.

 

In Europe, donor selection is an anonymous procedure: a clinic selects the donor on its own, and a couple is not able to see her.

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In this regard, Ukraine has a number of advantages.

  • We offer our patients to choose the donor using a catalogue.

Donor’s page includes her photo taken recently, and, in addition, donor’s photos at an early age are often available (it significantly helps future parents to imagine the way their child will look at different stages of his or her life).

  • Donor’s video presentation. A woman introduces herself in a brief interview, and in addition to all that has been earlier described, our clients can judge temperament of the potential donor. This is important since temperament may partially be inherited by their child.

 

Who can be a donor of genetic material?

 

According to recommendations of the ASRM (American Society of Reproductive Medicine) and ESHRE (European Society of Human Reproduction and Embryology), a donor must be under 35 years and have good physical and mental health.
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A donation program excludes applicants with history of oncological, cardiac and hepatic diseases; hereditary and sexually-transmitted diseases; mental deviations; alcohol and drug abuse.

A female donor must have at least one healthy child. Our donors do not participate in programs more than the recommended number of times. Our experts control the number of programs, in which a woman has participated, and, if necessary, this information is provided to the client.

 

It is allowed to enter the program with your own donor. This is relevant for representatives of rare nations and nationalities, as well as for those, whose family members become an egg donor. Experts of our clinics always meet the wishes of patients and are ready to offer different options to solve the problem.

 

How is IVF program with donation carried out?

 

There are several stages.

  • Stimulation of donor’s ovaries, which includes synchronization of donor’s and recipient’s menstrual cycles.
  • Follicles puncture.
  • Storage of fertilized embryos.
  • Transfer of embryos to a female recipient.

 

Female recipients receive a two-week course of hormonal stimulation. As the result, a large number of oocytes are produced in ovaries. A procedure of follicles puncture is performed under general or local anesthesia using aspiration (sucking follicles out with the help of a thin needle) through the vagina, and lasts for up to 20 minutes. After the procedure, a female donor stays at the clinic under doctor’s supervision for 2-3 hours.

 

What happens to oocytes after their collection

 

After collection, oocytes are fertilized and placed in an incubator, where embryos are kept for up to 5 days. Subsequently, 1 to 3 most viable embryos are introduced into the uterus through a thin catheter. This is a simple procedure that does not require use of any sedatives. Before implantation, a patient is administered with progesterone solution in order to prepare the uterine endometrium.

Extra embryos are frozen in liquid nitrogen.

 

Legal aspects of donation

 

Donation of oocytes is allowed by law in the territory of Ukraine. This issue is regulated by Order of the Ministry of Health No.771 dated December 23, 2008.

Legislation of Ukraine on oocyte donation states: donors of biological material has no the right to assume parental liabilities regarding a child born with the use of donor oocytes.

 

The Family Code of Ukraine (S.3, Ch. 12, Art. 123 on origin of a child born as a result of use of assisted reproductive technology) states the following:
surrogacy_in_ukraine

  1. In case a wife gives birth to a child conceived as the result of use of assisted reproductive technology employed with the written consent of her husband, he is registered as the child’s father.
  2. When a human embryo conceived by spouses (a man and a woman) using assisted reproductive technology is transferred into the body of another woman, these spouses shall be child’s parents.
  3. Spouses are recognized as parents of a child born by the wife, after transfer into her body of a human embryo conceived by her husband and another woman using assisted reproductive technology.

 

Use of oocyte donation is performed in an adult woman solely for medical reasons with the written consent of patients. Medical confidentiality is also ensured.

 

According to the law of Ukraine, donors of oocytes or sperm shall not have any parental rights or obligations regarding an unborn child.

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