During an IVF procedure, an intended couple may have to choose an egg donor if the egg quality is lower. IVF is an expensive affair; intended parents prefer choosing an egg donor over going through the egg retrieval process over and over again for a successful IVF cycle completion.
Egg retrieval process
During IVF, hormone treatment is conducted, which will allow the donor’s ovaries to produce more eggs. Human Chorionic Gonadotropin (HCG) is injected to the egg donor, and the retrieval surgery is executed after 36 hours of the injection. The surgery is an out-patient surgery, and the egg donor can leave the hospital shortly after the surgery.
The surgery is executed through ultrasound technology. At the surgery, a device is presented into the vagina of the egg donor in kenya; this device, in turn, injects a needle into the ovary through the vaginal wall. Once the needle operates of each follicle, suction is applied outwardly toretrieve the follicular fluid. Using a suction tube, the follicular fluid is transferred to a test tube.
Will egg retrieval assure the number of eggs?
Considering IVF is an expensive fertility treatment, the intended parents always want assurance that the egg retrieval process will definitely retrieve the required number of eggs from the donor. However, this isn’t the case. Nothing about hormones is definitive, and it is crucial for the intended parents to understand this factor.
Fertility clinics conduct tests on every potential donor to ensure that the egg donor is healthy and has the potential of producing a good number of healthy eggs for the IVF. An egg donor is assigned to the intended parents only after this screening is successfully completed.
Since the intended parents spend time and money in the egg retrieval process, it is disheartening when the process is not successful. However, it is important to understand that the fertility clinic and the egg donor are obligated by law to ensure that the best possible egg donor is matched for every intended parent.
All fertility clinics perform tests on potential egg donors to evaluate their fertility potential and determine their ovarian response in the IVF process. Anti-Mullerian Hormone (AMH) is one of the vital tests conducted before taking a potential egg donor on board. The follicle count of the egg donor should be higher than 15 in both ovaries to enable them as egg donors in India.
Every potential egg donor is also tested for cysts since cysts usually prevent follicle growth. Ovary stimulation is periodically monitored to analyse how the egg donor responds to it. The process is terminated should the results not be satisfactory. The intended parents are requested to choose a different egg donor in such cases to avoid further wastage of money in this IVF process.
The serum AMH level associates to the number of early antral follicles of the egg donor. This test is hence useful in predicting the ovarian response of the eff donor during the actual IVF process. This test tells us that egg donors with low AMH levels are likely to be poor ovarian responders and hence will be excluded from being a potential donor.
Ovarian ageing is also monitored to confirm chances of diminished ovarian reserve in the egg donor. Reduced baseline serum of AMH is also not a positive sign. Egg donors with a poor ovarian reserve will have lower levels of AMH since their body may have entered menopause.
Though none of these tests or screening would provide assurance on the number of eggs, all of these tests are conducted by all reputed fertility clinics to finalize on an egg donor.