Donor Process

There are several steps involved in becoming an egg donor.

  • First, if you are interested in our egg donation program, please call Little Flower Assisted Reproductive Services at 214-206-3571 for your initial phone consultation. A Little Flower Assisted Reproductive Services caseworker will gladly explain the process to you and will be happy to answer any questions or concerns you may have. You may also complete the Information Request, and a caseworker from Little Flower Assisted Reproductive Services will contact you for an initial phone consultation within 24 to 48 hours.
  • Complete an application.
  • If accepted to the program, your de-identified egg donor profile will be viewed via email or mail by our recipient couples. Your caseworker will keep you posted as to the status of a match.
  • Once matched with one of our recipient couples, you will sign an Agreement with Little Flower Assisted Reproduction Services. Your caseworker will begin to coordinate all of your appointments starting with the psychological assessment. The psychological assessment is a requirement for any egg donor choosing to donate through Little Flower Assisted Reproduction Services. The psychological assessment is composed of a clinical interview and the Minnesota Multiphasic Personality Inventory (MMPI-2), both of which are conducted by a licensed mental health professional. Results from the clinical interview and MMPI-2 are indicators of your acceptance or exclusion to our program. During the clinical interview, the licensed mental health professional will explore your family history, educational background, motivation to donate, current life stressors and coping skills, difficult or traumatic reproductive history, interpersonal relationships, sexual history, history of major psychiatric or personality disorders, legal history, and any history of abuse or neglect. The clinical interview will ensure that you are well informed of the risks involved in egg donation, as well as the medical, psychological and physical aspects of the donation process. The MMPI-2 is a multiple-choice test that will assess your overall personality in addition to your mental and emotional well being. The psychological assessment is a reliable evaluation of your participation in our program.
  • If the psychological assessment meets Assisted Reproduction Medicine (ASRM) standards, you will proceed with the medical screening process. Your initial medical evaluation will be conducted by the recipient couple’s physician. The medical screening process consists of an initial interview with the physician, certain laboratory tests, a physical exam and an injection course. The interview portion of the screening process will cover many areas including your motivation for donation, a complete overview of you and your family’s health and genetic history, your sexual history, and your fertility history. The physician will also explain the medical process, the fertility medication and its possible side effects, the egg retrieval process and its possible side effects, and any and all risks associated with the donation process. The laboratory tests that you must submit to vary from clinic to clinic, but generally include blood type, HIV, hepatitis, syphilis, cystic fibrosis, Chlamydia, gonorrhea, CMV, and a full drug screen. In addition to the laboratory testing, the physician will conduct a full pelvic exam, which may include a vaginal sonogram. The pelvic exam and vaginal sonogram will assess the overall health of your ovaries. Before you begin your medication regimen, you must complete an injection course that consists of an informative video as well as instructions from the nurse or physician. The course is a sufficient tool in teaching you to administer the necessary medication by injection.
  • Egg retrieval is initiated with fertility medication designed to regulate your menstrual cycle, suppress your ovaries to a menopausal state, and then manipulate and stimulate your ovaries to develop mature, viable eggs for fertilization. The medication regimen lasts approximately two to four weeks until your eggs are ready for retrieval. Most Assisted Reproduction Technology (ART) facilities will begin the medication regimen with a daily agonist injection which will “down regulate” your natural hormones. The physician gains greater control over the stimulation process. You commonly start your agonist treatment around day 21 of your cycle. You may experience menopausal side effects while on the agonist such as hot flashes, headaches and mood swings. Approximately 7 to 14 days after the start of this medication, you will begin gonadotopin, also known as the “stimulation medication.” It is common for this medication to be injected daily for 10 to12 days prior to egg retrieval. While on the stimulation medication the physician will draw and test blood, which will determine your estrogen levels. You will also undergo a vaginal sonogram, which will indicate the size of each developing follicle. Your estrogen level, as well as the measurement of follicles, must coincide before the physician orders the administration of the last injection. The final step before egg retrieval is the injection of the Human Chorionic Gonadotropin (HCG). The HCG injection releases the mature eggs from the follicular wall and is administered 34 to 36 hours prior to the scheduled egg retrieval. The egg retrieval is a 20 to 30 minute procedure in which you will be sedated. The eggs are extracted vaginally by ultra sound guided equipment. You may experience some mild discomfort, minimal bleeding and nausea post-retrieval. It is common for the physician to prescribe pain medication for any discomfort.
  • Ovarian Hyperstimulation is a rare condition in which severe ovary enlargement occurs due to an accumulation of fluid. Less than 2% of patients will experience this condition, and it may be avoided through monitoring appointments, which measure the response to the fertility medication. If ovarian hyperstimulation is a concern in your situation, the monitoring physician will attempt to avoid this by lowering the dosage of medication. In a severe case, fluid is removed vaginally and will relive any discomfort and/or pain. The recipient parents are required to purchase a limited liability insurance policy, which will cover ovarian hyperstimulation and any other medical complications or hospitalizations associated with the egg donation process for the 90 day period preceding the retrieval.
  • You must bring someone with you on retrieval day.
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