In vitro fertilization with donor material – when and how?
Sometimes the desire for one’s own child is very strong, but it is biologically impossible or risks. In this case, perhaps you are considering the possibility of fertilization with donor material. These can be donor ova, sperm or embryo. It is natural for each couple to encounter many questions, worries and fears. In this delicate sphere, there are no right and wrong decisions, but it can certainly be said that with advances in medicine, conception of donor material is becoming an increasingly secure and accessible procedure. Renowned clinics around the world offer donor programs with a range of opportunities.
When do you need fertilization with donor material?
In some cases, conception is impossible or unlikely. More women postpone birth for a future, but with age, the ovarian reserve decreases and the possibilities for achieving a successful pregnancy become more limited. In addition, it is possible that the future mother does not produce eggs or they are of poor quality due to a health problem, chemotherapy, genetic disease. Or the woman is carrying genetic anomalies that can be passed on to the offspring and can not be avoided by genetic screening. In such cases, fertilization with donor ova may be used. Statistics show that when using donor material, the success rate is higher than traditional in vitro, because the donors are young, healthy and have undergone detailed genetic testing.
Similar problems can lead to low sperm count or quality in the male, and then his partner’s egg can fertilize with a donor sperm. And when the problem is two-sided or the couple has already had several unsuccessful attempts with inferior embryos, an embryo donated by another couple may be used.
If a woman has a problem that does not allow her to wear the baby, the so-called ” surrogate motherhood, in which another woman wears the fruit to the successful end of the pregnancy. This option is not regulated in Bulgaria but is part of the opportunities offered in many clinics around the world, with clearly defined rules for all parties in the process.
How does fertilization with donor material happen?
The procedure is very similar to classic in vitro, but with oocytes and / or sperm donated by a healthy donor of fertile age. Therefore, in these cases the term “third party of reproduction” is used. Donor eggs are sometimes stored frozen and fertilized after thawing, but in most cases they are “fresh”. This means that the monthly cycle of the two women, a donor and a recipient, is synchronized with medication so that fertilization can happen immediately after the oocytes and uterus of the future mother are prepared for transfer at the right time.
In some countries it is possible for the couple to choose the donor among relatives and relatives and in others it is obligatorily anonymous. In some clinics, however, the child is willing to seek out the donor after the age of 18.
Will it look like me or how do donors choose?
In all clinics that offer donor programs, donors must pass a series of medical, psychological, and genetic tests to ensure that they receive healthy donor material. But nowadays much more is possible. Many clinics offer prospective parents a choice of information about the physical characteristics, family history, education and interests of potential donors. Some of them also provide photos from the childhood of the donor, while others provide even up-to-date 3D pictures and videos. So the couple can stop at someone who is not only with the same color of skin, eyes and hair, but with similar interests and interests.
How widespread is the conception of donor material?
According to US statistics, more than 8,000 donor eggs are born annually, with more than 70% of women over 45 years of age who use assisted reproductive techniques use donor eggs.
In Bulgaria, this opportunity has only been discussed in recent years and although it is available in several clinics in Bulgaria, the number of donors of donor material is still too small. Therefore, couples often require long waiting for a donor and a large number of them go to clinics abroad where they can start the procedure immediately or within a few weeks.
How do I choose a clinic?
Nowadays, a wide choice of options and easy mobility around the world can seriously hamper decision-making. Clinics have donor banks varying in size, achieve different levels of success, and work under different rules governed primarily by the laws of the country concerned. For example, in some of them, the couple must marry to benefit from donor programs, but in others they are available for unmarried couples or single women who want a child or even couples of the same sex.
The Health Information Center “Medical Karaci” works with clinics in several countries to be able to meet the requirements and budget opportunities in any situation. For example, in the Czech Republic and Cyprus the donor is obligatorily anonymous, whereas in the United States the couple can choose him among his or her close relatives. In the country of great opportunities, the success rate is high and the laws are liberal, but the value of the procedure is also not to be underestimated. The most reasonable prices are offered in Ukraine, where success is also high, and the service package may include virtually everything, even surrogate motherhood with proper legal documents.
Many clinics offer packages with guaranteed success, meaning that if they do not realize pregnancy, they recover funds or provide free procedures.
It is good to choose the clinic according to the specificity of the particular case – cause of infertility, planned budget, etc. It should be borne in mind that the success rate of fertilization with donor material as well as conventional in vitro treatment varies widely between countries and between clinics in the same country. Therefore, it is important, before making a decision, to thoroughly investigate the destination, the specific clinic and the reviews for the clinic beyond its website.