Virginia Center for Reproductive Medicine | Fady I. Sharara MD, FAOG | Galal Abdo PhD, HCLD
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Egg Donor

Egg Donor Application

Thank you for your interest in the Egg Donation Program at VCRM. Egg donation is extremely safe with a very low incidence of potential complications (in a large study published in 2008 in Fertility and Sterility evaluating 973 cycles, the incidence of serious complications, such as ovarian hyperstimulation syndrome (OHSS), infection, ruptured ovarian cysts, was 0.7%). With the use of new protocols and ways to trigger ovulation (lupron trigger) the risk of OHSS is practically eliminated.

Donor Qualifications (scroll for application below)

Women between the ages of 21 and 27, from any ethnic background, may qualify to be donors for our anonymous egg donor program. Once accepted, you may donate a maximum of six times. Upon completion of a cycle, you will be compensated $7,500 for your time and effort.

Basic steps for egg donation

Step One

Complete the initial application below. This form assists our Donor Team in determining if you qualify for our Egg Donor Program.

Step Two

If you qualify for the program, you will be sent an email with the next steps and a link to complete a comprehensive online application.

Step Three

Once the comprehensive application is approved and you are accepted into our anonymous egg donor program, your initial consultation will be scheduled with our nurse coordinator. During this visit, the donation process will be discussed in detail. In order to complete the medical portion of the donor application process, a variety of medical tests will also be scheduled at this time for a later date. These medical tests must be performed at specific points throughout your menstrual cycle and for that reason, may require more than one visit. After all testing is completed, reviewed and approved by the VCRM physician, you will be formally matched with a recipient and the donation cycle will be scheduled. All costs for your medical care will be covered by the recipient.

Step Four

Once the egg donation cycle begins, you will be put on birth control pills followed by injectable medications for up to 13 days to stimulate production of multiple eggs in your ovaries. At the same time, the recipient’s uterus is being prepared to receive the resulting embryos. Once the eggs have matured, you will be scheduled for your retrieval. You will be given IV sedation and your eggs will be retrieved via transvaginal ultrasound with a needle guide.

Step Five

Once the eggs have been retrieved, your portion of the egg donation process is complete. In our laboratory, the donor eggs will be mixed with sperm to fertilize. Three to six days following egg retrieval, the developing embryos will be transferred to the recipient’s uterus. A pregnancy test will be performed on the recipient in 11 days. The anonymous egg donation process, from initial application to egg retrieval, may take up to three months to complete. The initial screening tests can be arranged to accommodate your schedule. Blood work will be taken and ultrasounds will be performed to check your hormone levels and visualize the number and size of your egg follicles. These monitoring visits are extremely important; not only do they ensure your safety throughout the process, but they also provide essential information that will help us maximize the success of the cycle.

 

To help us determine your eligibility for the program, please complete the confidential questionnaire below. Keep in mind that all potential egg donors must meet two basic criteria:

  1. Between the age of 21-30
  2. Current medical insurance




 

Name:

Address 1:

Address 2:

City:

State:

County:

Zip:

Email:

Phone:

Best time to call:

How did you hear
about our program?

Questions

Age:

DOB:

mm/dd/yyyy

Marital status?

Single Married Divorced Separated

Occupation?

Education?

Height:

& Weight:

Ethnic background:

Are you a smoker?

YES NO

Are you currently taking any medication?

YES NO
Type

Any illnesses?

YES NO
Type

Have you ever been hospitalized?

YES NO
When/Why

Do you have any maternal history of cancer?

YES NO
Who/Type

Is there a history of birth defects in your family?

YES NO
Who/What

Do you get a monthly period?

YES NO
How Often

Have you ever been pregnant?

YES NO
How Many

Do you have both Ovaries?

YES NO

Have you ever donated your eggs before?

YES NO
How Many

Are you currently under contract with another practice for egg donation?

YES NO

Do you have Insurance?

YES NO
Name of Insurance Company

Thank you for your interest in egg donation. We will call or email you if you qualify for our program.

In this section...


Donor Egg Cycle
Prices and 100% Refund Plan
Donor Egg Results
Egg Donor Application

100% Guarantee


We will refund your fees if IVF/Donor Egg treatments do not result in a live birth.
Restrictions apply.

Contact Us


Call us! 703.437.7722
info@vcrmed.com
Map / Driving Directions

In the News


VCRM in the News
Press Release
Our Newsletter

Dream Makers Wanted

We are looking for egg donors to help infertile couples achieve their dreams. Qualified applicants should be between 21-30 years of age and be in excellent health. $7,500 for each successful donation.

Egg Donor Application

Virginia Center for Reproductive Medicine • 11150 Sunset Hills Rd, Suite 100 • Reston, VA 20190 • phone: 703-437-7722