Egg Donation in IranFertility Treatment
What Is Egg Donation and How Does It Work?
Egg donation is a way of fertility treatment in women whose egg has not the sufficient quality to be fertilized due to factors such as old age. In this method, the egg taken from a third party is inseminated with the sperm of the male partner in laboratory and the resulting embryo is transferred into the uterus of the female partner.
The History of Egg Donation in Iran
After the birth of the first baby through egg donation process in 1984, the desire for parenthood increased in infertile couples. The history of egg donation process in Iran dates back to the early 2000s. Today, this method has been used as a method of assisted reproduction in Iran’s fertility treatment centers for many years after it had passed religious and legal stages.
In this article, we provide you with comprehensive information about egg donation process in Iran. You can also learn about experienced gynecologists as well as best IVF clinics in Iran.
Who Is a Good Candidate for Using Egg Donation?
The egg donation method is used as an alternative method in women with poor egg quality or those who did not produce good-quality embryos in at least three cycles of assisted reproduction. This method can also be used where a genetic disease can be transmitted from mother to fetus or in cases a laboratory method such as PGD is unable to do anything to treat and identify genetic disorders. In general, the following people can use egg donation method to treat fertility problems:
- Women over the age of 35;
- Women with hypogonadotropic;
- Women with premature ovarian failure;
- Women with a history of oophorectomy (removal of the ovaries);
- Women with a history of chemotherapy or radiation therapy;
- Not responding ovaries to ovulation-stimulating drugs;
- The existence of definite signs of diminished ovarian reserve;
- Recurrent incurable miscarriage;
Egg Donor IVF Process Step by Step
Step 1: Donor Screening
Prior to the egg donation procedure, the donor must refer to the infertility center according to the schedule announced. At first step, the donor should be examined by a gynecologist. Then, she has to go through ultrasound examination and also perform tests such as AIDS, hepatitis, addiction, etc. Finally, the donor can take the permission by physician to donate her egg.
Step 2: Egg Donor Matching
To perform egg donor IVF, the physician regulates the donor’s menstrual cycle and coordinate it with the recipient’s cycle. This will take about a month. Of course, in order to choose the right donor for each person, the physician consider the donor health as well as the appearance similarity (phenotypic) between donor and reception which include skin color, eye color, hair color and body structure. The physician also maintains the confidentiality of donor identities.
Step 3: Ovarian Stimulation for the Egg Donor
Having gone through an ultrasound examination, the donor enters the process of taking medications to stimulate the ovaries to induce ovulation. Most of these drugs are taken for 10 days. Once the follicles have reached the proper size, the doctor will set a specific day for retrieving the eggs from the donor's ovaries. On the same day, a sperm sample is taken from the recipient's partner. The donated egg is then fertilized with sperm in a dish in laboratory. The egg retrieval process is an outpatient procedure which is performed under local anesthesia.
Step 4: Fertilization and Embryo Transfer
The resulted embryo made up of the recipient’s partner sperm and the donated egg is transferred into the recipient’s uterus. About two or three embryos are often transmitted per IVF cycle. The egg recipient can take a pregnancy test after 14 days.
Egg Donation Process in Iran
In some cases, medication or other methods of assisted reproduction cannot work towards preventing causes of infertility. For example, although a woman has healthy reproductive organs, she may not be able to conceive a child due to conditions such as old age, poor egg quality, premature menopause and other disorders. In such cases, using donor eggs is the only way to help fertility problem.
In egg donation process, donor egg is fertilized with the sperm of the intended father in the laboratory. The fertilized egg or embryo is then transferred into the intended mother’s uterus. The egg retrieval process is performed under local anesthesia. It is not necessary that donor stay in hospital but she is asked to rest at home for 24 hours. The whole process of egg donation will be done during several weeks; so, foreign couples have to consider at least 1-2 months staying in Iran.
What the donor have to do before egg retrieval?
The donor will probably be asked to abstain from eating and drinking for about 8 to 10 hours before the operation. she will also be asked not to wear contact lenses, jewelry, makeup and nail polish on the day of surgery. In the operating room, the donor will be given anesthesia by intravenous injection or inhalation.
What the donor have to do after egg retrieval?
After egg retrieval process, the doctor may prescribe antibiotics to prevent infection as well as reduce inflammation in the genitals. The donor is asked to return to hospital for a post-retrieval checkup, so that the doctor can make sure that she is recovering properly from both the ovarian stimulation and retrieval. In most cases, donors can return to routine activities in a day or two after egg retrieval, but in a case any of the following complications occur, it should be immediately reported to the doctor:
- Body temperature over 38° C;
- Severe abdominal pain or bloating;
- Chronic nausea and vomiting;
- abnormal uterine bleeding (low bleeding is normal);
- Painful or difficult urination;
- Weakness or dizziness.
Donor Egg Recipient Requirements
- Having a doctor’s referral letter which shows the person is eligible to use egg donation;
- Being under the age of 45;
- Not having diseases that endanger the health of mother and fetus;
- Not having diseases such as AIDS, hepatitis, syphilis, etc.;
- Not being addicted;
- Having a uterus and endometrium suitable for pregnancy.
Egg Donor Requirements
- Being between 21 to 35 years old;
- Being divorcee or non-lactating widow;
- Preferably having one healthy child;
- Being genetically healthy;
- Not having diseases such as AIDS, hepatitis, syphilis, etc.;
- Not being addicted;
- Having Normal ovarian volume and reserve;
- Having consulted a psychologist or psychiatrist.
Are There any Risks from Donating Your Eggs?
- Injection problems
The physician uses injectable hormonal drugs to stimulate the ovaries release healthy eggs. Most people will not have any problems during the injection, but in some cases, some will experience allergies, redness, bruising, and in rare cases, fluid retention, breast pain, and mood swings. In addition, injections of hormonal drugs may cause irregular menstruation in subsequent menstrual cycles.
- Ovarian cysts
Ovarian cysts have been reported in about 1% of women who had donated their eggs.
- Ovarian hyperstimulation syndrome
In some cases, the egg donor develops ovarian hyperstimulation syndrome and some complications such as dehydration, kidney damage, fluid retention in limbs, and blood clotting disorders. In order to perform egg retrieval, ovarian stimulating hormones are injected so that the ovary can release several eggs. If the donor’s body fails to control the injected hormones, they may become allergic and their health may be at risk.
- Risks during egg retrieval
If a donor refers to unreliable centers or inexperienced doctors for performing egg retrieval, she increases the risk of damage to her intestines, bladder, arteries around the ovaries and damage to adjacent organs of ovaries.
- Hot flash
Some of the complications of ovarian stimulation hormones injection includes hot flash, sweating, anxiety, vaginal dryness, insomnia, rapid heartbeat, and feeling of extreme heat.
- Depression and mental health problems
Some egg donors become depressed after the procedure. It is recommended that the person be prepared mentally for the donation before proceeding.
- Genital cancer
Studies show that since a woman takes a lot of hormonal drugs during the egg donation process, frequently donating eggs can increase the risk of women’s cancer.
Legal System of Egg Donation in Iran
Before starting the egg donation process, the receivers and donor will be informed about their rights and duties in this regard during a legal consultation session. After having reached an agreement, the two parties sign a contract. It should be noted that the donor will not have any rights over the embryo produced through IVF procedure. The resulting embryos legally belong to the receivers of the donor egg.
Egg Donation in Islam
Shiite and Sunni scholars have held various opinions on use of egg donation method. Most of Sunni scholars agreed that egg donation is not permitted in Islam, while a majority of Shiite scholars consider this method allowable. Actually, they agree that if the donor and recipient’s partner temporary marry together for a few hours before the egg retrieval process, the resulted embryo in the laboratory will be legitimate.
So, we recommend you to obtain necessary information about fatwā of your marji’ taqlīd, if you wish to use donor eggs.
How much Does Egg Donation Cost in Iran?
In general, all methods of fertility treatments in Iran are cost-effective compared with other countries. Egg donation is a procedure that is performed through IVF. It is an expensive fertility procedure which price depends on many factors. The cost you pay for receiving fertility treatments in Iran includes the medications and all other related costs, while in other countries such as the United Sates it does not include medications.
If you are looking for more information about Egg Donation Process in Iran, please contact us to get free consultation from raadinahealth medical consultants. We support and help you to find the best fertility treatment centers in Iran as well as the right specialist for your needs. To book an appointment with a doctor, begin here.
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