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INTRODUCTION AND DISCLAIMER

When you first find out that you may need donor eggs, for whatever reason and at whatever stage of your ttc journey, it may come as a bit of a shock, and you are suddenly faced with a whole new set of questions and challenges

The purpose of this FAQ/links thread is to help answer some of those questions and point you in the direction of further information

I am not a doctor, nurse or fertility 'expert', just someone who has been through the process of IUI, OE IVF and DE IVF myself in both the UK and abroad over the past 3 years

We all have different experiences and individual circumstances (I, for example, am single, so I am using both donor eggs and donor sperm), and there is no one perfect answer or solution for everyone, but I hope that this thread helps you to start to find the answer which is perfect for your own personal situation

And just finally:

This post contains unconfirmed links/information and readers are reminded that FertilityFriends.co.uk or its owners are not responsible for the content of external internet sites

1. How to 'come to terms' with needing donor eggs?

For some, the move to donor eggs is a straightforward one, a case of "if that's what it takes to build my family, then so be it". For others it's much more complex and there are many issues to be taken into consideration

From personal experience, here are a few hints and tips about how to work through these issues:

a) The most important thing here is to take your time. You may need time to grieve for the loss of your own biological child, to work out the implications for you, your partner, perhaps other children you already have etc
(With donor eggs, you remove some of the time pressures in the sense that the success of treatment depends on the donor's age, and not yours. So whilst we all want our families sooner rather than later, remember that with DE treatment your own age becomes much less relevant, so don't be afraid to take some time before moving forwards)

b) Don't try to figure it all out by yourself - find people to talk to - it may be your partner, close family or friends, others who have been through the same experience, or a counsellor - ideally get a personal recommendation here on FF, or contact the British Infertility Counselling Association: http://www.bica.net/

c) Read blogs and books - DCN (see below) has a list of useful books and if you are a member, you can borrow them from their library. I personally found "Mommies, Daddies, Donors, Surrogates" by Diane Ehrensaft useful (you can get this from Amazon), and here are a couple of blogs I also found useful (I'm sure others can add to this list):
http://www.donoreggblog.com/
http://infertilityadventure.blogspot.com/2007/06/views-from-this-side-of-using-donor.html
And (thanks to Some1 for this link) here is another useful article entitled "Infertility and the emotional aspects of having a child through donor eggs"
http://www.4therapy.com/consumer/life_topics/item.php?seeresults=1&uniqueid=5902&categoryid=495

This US based site has some good articles on egg donation and the worries and concerns which may arise:
http://donorconcierge.com/category/egg-donation

Here are links to some threads on FF which discuss feelings around DE which you may also find useful:
http://www.fertilityfriends.co.uk/forum/index.php?topic=247712.0
http://www.fertilityfriends.co.uk/forum/index.php?topic=248785.0
http://www.fertilityfriends.co.uk/forum/index.php?topic=171097.0

A couple of additional book recommendations:

"Having Your Baby Through Egg Donation" by Ellen Sarasohn Glazer and Evelina Weidman Sterling - focused purely on egg donation and the issues you might face and the practicalities of treatment. It's US centric but is still very relevant to anyone considering/going through DE tx

"Everything Conceivable" by Liza Mundy - an objective study of the many ways families are created around the world

d) Contact the Donor Conception Network (http://www.donor-conception-network.org/) for a wide range of resources, guidance and information

And finally, remember that you may come to the conclusion that donor eggs is NOT the right path for you after all, and that's OK too - don't put pressure on yourself (and your partner/family) if it's not what's right for you all

2. Now I'm ready to go ahead, where do I start?

Once you have decided that you want to go ahead with donor egg treatment, one of the first decisions you will need to make, is which clinic to go to, and as part of that decision, whether to have your treatment in the UK or overseas
There are advantages and disadvantages to both, and again, there's no one right answer, you need to do your own research and reach your own conclusion

To help you do this, here is a summary of some of the differences between treatment in the UK vs. abroad, and a list of some of the things to think about when you are making your decision:

1. Donor anonymity - this is perhaps the biggest difference in having your treatment in the UK vs overseas, and the first thing to get clear in your own mind (and that of your partner where applicable). This is a particularly emotive issue with some people feeling strongly that the child should be able to contact their egg donor/find out more about them when they grow up, others feeling strongly the opposite. There are no right/wrong answers and this thread is not here to get into the debate on ID release vs. anonymous donors and/or whether to tell the child or not that they are donor conceived - it simply aims to provide the facts, the ultimate decision has to rest with you, the prospective parent(s)


For your reference, here are the threads on FF which provide support to those intending to tell, and not to tell (if you are undecided, you may find it useful to read through both of these):

Telling the child support thread:
http://www.fertilityfriends.co.uk/forum/index.php?topic=248489.0


Not telling the child support thread:
http://www.fertilityfriends.co.uk/forum/index.php?topic=248488.0


In the UK egg (and sperm) donors are legally obliged to be ID release. This means that when the child turns 18, they are able to request identifying information (eg. name/last known address) of the donor from the HFEA. There is, of course, no guarantee that the child will then be able to find the donor and make contact with them (donors are not obliged to keep their address details up to date, and the future of HFEA itself is currently under review in this latest round of government cutbacks) - but the option is there.


HFEA guidelines for the UK also say that all recipients can see at the time of choosing/accepting an egg donor, the pen picture written by the donor AND the letter written to the child, if these non-obligatory documents have been provided by the donor. These documents are in addition to the details you will get as standard (eg physical characteristics etc), and include the donor's nationality (some people who donate in the UK have their origins outside of British Isles). However note that not all UK clinics support their donors in writing pen pictures and letters for the children and not all clinics follow the guidance correctly - with some not giving extra information until the woman in pregnant or has had the child. Women should know that they can ask if this information is available and insist on having it if it is.
I believe that other countries with the same legal requirement for donors to be ID release are: Australia, New Zealand, Austria, Finland, Norway, Netherlands, Sweden and Switzerland (although note that not all allow egg donation so do check first)

With the exception of those countries listed above, if you have your treatment anywhere else in the world, your egg donor will remain anonymous. Neither you nor the child will ever be able to find out more information or make contact with the donor. The level of information you get about the donor will vary slightly from country to country and even clinic to clinic, but essentially you can expect only very basic physical characteristics (eg. hair/eye/skin colour, blood type, height/weight) and perhaps - but not always - some information about occupation/education level/hobbies

Many clinics abroad do/will not tell you the nationality of the donor (remembering that just because they live/donate in that country, the donor may not originate from there). This is apparently quite common in Spain where many Spanish clinics use donors from countries outside of Spain but do not tell recipients where the donor has come from. Hence if nationality of the donor is important to you, this is something to take into account when choosing a clinic/country for your treatment

NOTE: There is one clinic in Spain which has come to the attention of DCN which provides lots of info about donors (although they are still anonymous). It is Hospital Quiron in Barcelona. The link to the page telling about the donor information is: http://www.quiron.es/barcelona/reproduccion/index.php/en/what-can-you-know-about-donors
The senior doctor at this clinic is Spanish but trained in the UK and speaks excellent English
If lots of information about the donor is important to you, but you are happy for them to ultimately remain anonymous/non contactable, this may be a good clinic choice

There are a couple of further exceptions to the above, namely the US and South Africa:
In the US you have a choice of ID release or anonymous donor, and even with anonymous donors you tend to have access to a much more detailed donor profile, potentially with photos of the donor as a child etc. However, DE treatment in the US is relatively expensive and the choices of clinic, donor agencies etc huge - so you would need to do some careful research (NB: I have not yet tackled the US in this FAQ - if anyone has recently had tx in the US, would be great to get some insights into your experience, clinic choice etc)

South Africa is another country where you can get a lot of information on your egg donor, including a photo of the donor, and although they remain anonymous, some donors are happy to exchange emails with their recipients, with the egg donor agency acting as intermediary - and this can be done right from the beginning, you don't have to wait until any child reaches 18. 'Nurture' or 'Global Egg Donors' are two agencies to contact in South Africa


2. Waiting Lists/times - it seems to be a commonly held belief that waiting times for DE treatment in the UK are prohibitively long and this is why people go abroad for treatment. The truth seems to be that it varies considerably from clinic to clinic, and country to country. Some popular overseas clinics have waiting lists which are as long as the UK, some UK clinics have significantly shorter waiting lists than others. For up to date information on clinic waiting lists the only real answer is to call each clinic direct and ask. The National Gamete Donation Trust (http://www.ngdt.co.uk/) may also be able to help with information on which UK clinics have shorter lists. At the current time of writing (Feb 2011), good options to explore in the UK are the LWC Clinics (London, Cardiff, Darlington), and CRM (London). Depending on your matching criteria, you are probably looking at a 6-9 month wait with these clinics (significantly longer - ie up to 2yrs or more - with other clinics)
Many clinics abroad have no waiting lists at all, but the best way to be sure is to contact them directly

3. Egg share vs egg donation - in the UK there are very few altruistic egg donors (and it is illegal for egg donors to be paid for donating), so your egg donor is likely to be doing 'egg share' - which means that they require IVF for some reason (perhaps male factor infertility, blocked tubes etc) - you receive half the eggs they produce and they receive free IVF treatment in return. There is a risk here that the donor may not produce enough eggs to share so you end up with nothing except a cancellation fee (approx. £900 in London clinics). LWC and CRM quote that only 1% of cycles are cancelled - which seems a low risk, but nonetheless you do need to be prepared that it might happen to you
Overseas donors are generally paid to donate and you receive all the eggs collected. It is also quite common for overseas clinics to have back up donors available should your donor not respond to the medications/not produce enough eggs - therefore it is very unusual for you to end up with a cancelled cycle abroad (although not unheard of). Overseas donors will sometimes tend to be younger than those egg sharing in the UK, although not always (there is a belief that the younger the donor, the better - but I have not yet found any evidence to confirm or deny this)

With regard to success rates in the UK vs abroad, it's very difficult to generalize and almost impossible to compare statistics across clinics and countries. Many clinics abroad do not have accurate statistics as patients are not obliged to confirm pregnancies/live births to them
On average, both UK and overseas clinics will quote something like a 50-60% success (live birth) with donor eggs and I have as yet found no evidence that these success rates are significantly higher in overseas clinics vs the UK

4. Matching criteria - as mentioned above, the majority of clinics (whether in the UK or overseas) match on basic physical characteristics such as hair/eye/skin colour, height/weight, and blood type

NB a blood type match is not necessary for medical reasons and will not impact the successful outcome of your treatment
However if you are Rhesus Negative you should probably seek an RH negative donor (to avoid needing Anti D injections during pregnancy. And if you are having double donation, you should ensure the sperm donor is also RH negative)
However if you have made the decision not to tell the child they are donor conceived, or you are undecided on whether to tell or not, then you would be advised to ensure the donor's blood type is the same as yours
If you have particularly specific matching criteria, this may determine your choice of clinic/country for treatment. For example, there tends to be a shortage of black egg donors in the UK so in this case you may wish to seek treatment abroad where there may be a greater availability of black donors. The same may apply to mixed race donors, or donors from a particular religious background etc

One additional criteria which some clinics may wish to match on is CMV status. CMV is a virus, which if active during pregnancy and transmitted to the fetus, can cause potentially significant issues for the baby such as delayed development, deafness etc. Note though that the risk of the mother actually contracting the live CMV virus from donor egg/sperm is very low. However some clinics prefer not to take any risk on this and if you are CMV negative, they will insist on you having a CMV negative donor. Some clinics will let you sign a waiver if you are CMV negative but happy to take a positive donor, and some clinics don't even check your CMV status - so check with your clinic in advance if this is something you are concerned about.
Here is a useful link to a discussion on FF re CMV and sperm donors (same applies to egg donors):
http://www.fertilityfriends.co.uk/forum/index.php?topic=254242.msg4255011#msg4255011

5. Cost - we are assuming throughout this document that you are paying privately for your treatment. In the UK as a rough guideline at the current time (early 2011), you would need to allow ca £8-9,000 per cycle in London. This covers your initial consultation, waiting list fee where applicable, your meds/scans, the donor's meds/scans, egg collection and embryo transfer but does not take into account any travel costs etc associated with the cycle (for eg if you need to come to London because waiting times are long at your local clinic) and also does not take into account any counselling required or other associated costs (eg acupuncture, vitamins, immune treatments etc)

Courtesy of JosieS: prices at CARE Manchester (as of March 2011) for IVF with donor eggs - incl. waiting list fees, general drugs to get to the point of ET, HFEA fees and a couple of other bits and pieces, are approx £6500. ICSI is £900 extra, freezing any left over embryo's is £350 for 3 years - so a little less than the London prices, but not significantly.

It is impossible to generalize about costs overseas as they vary so widely from country to country so you will need to do your research and contact clinics for the most up to date prices. As a very rough guideline the Eastern European Clinics - except Russia (eg Czech Republic, Ukraine) tend to be the cheapest (perhaps ca €4,500-5,000 per cycle), followed by Russia, Greece and Cyprus. Spain is usually around the same price as the UK, if not slightly more. The US can be significantly more expensive (see the list at the end of this FAQ for approximate prices and links to clinic websites for some of the most popular clinics)

NOTE: for treatment overseas you also need to factor in travel and accommodation costs which again vary considerably depending on the country you choose

6. Logistics - another factor to bear in mind. In the UK you will presumably need to account for minimal travel and accommodation (although for example if you're in Scotland and your clinic is in London, you need to think about this too), whereas overseas there are significant logistics to be factored in. How often will you need to visit the clinic, will you get your pre cycle scans done in the UK and where, how will you get to the clinic, where will you stay - all this needs to be researched and taken into account before you make your final clinic selection


7. Communication - whilst the majority of overseas clinics will have staff who speak English, it will be as a second language and you cannot expect the same fluency as you would in the UK/US. Much of your communication may be by email, you may be frustrated by the brevity of the email response, or the speed (or not) of response to emails. None of this is necessarily a major barrier to successful treatment, but is another factor to take into account when you are selecting a clinic

8.Screening tests - again, you will need to give some thought to what tests are needed, where you will get them (at the overseas clinic vs in the UK), how much they may add to your overall costs etc

9. Medications - if you have treatment abroad, make sure you know how you will get the necessary medications for your cycle. Will you visit in advance of treatment and purchase the meds abroad, will you request a prescription and find a UK pharmacy to dispense (not all will accept overseas scripts) etc? Again, not a barrier to treatment, but a factor to consider
For some further reading on treatment in the UK vs abroad, the Donor Conception Network has a useful article on this topic here:
http://www.donor-conception-network.org/overseasdrs.html


And here is a link to a thread on FF which gives guidance on which UK pharmacies will accept scanned/emailed scripts from overseas clinics:
http://www.fertilityfriends.co.uk/forum/index.php?topic=137734.0


3. I've chosen my clinic, what happens now?

The process of egg donation is broadly similar regardless of whether you are in the UK or abroad, although each clinic will have its own preferred protocol and recommended medications so please use this information as a guideline only, and confirm all details with your chosen clinic.

The first step is for you to be matched with an egg donor. You will usually be asked to fill in a form listing the basic physical characteristics to be matched, and based on this you will be offered a donor. If you are unhappy with your first match for whatever reason, it is important to say so and to request an alternative. This may mean a longer wait, but ultimately you need to be comfortable with your donor

There has been much debate on relative success rates of younger vs older donors, and proven (ie had children themselves or donated successfully before) vs unproven (no children/first donation/IVF) donors - but little factual evidence one way or another. It would seem that the younger the donor, the better. But also proven donors tend to be better than unproven.
At the end of the day only you can make that final decision on donor choice…

Once the donor has been accepted, you will need to synchronise with them to ensure your cycle matches theirs and you are 'ready' at the right time for embryo transfer. Some clinics are able to give you a specific embryo transfer date months in advance and they time the donor to fit with this, others (and particularly in the UK) may give you much less notice

You may need to go on the birth control pill for a number of weeks in advance of your DE cycle to synchronise with your donor

You will almost certainly need a one off injection (the 'depot shot') to suppress your normal ovulation - this is usually about 3 weeks before your donor starts her stimming medications. Examples of this shot are: Diphereline, Decapeptyl, Zoladex - your clinic will give you a prescription for this. It is possible to administer this injection yourself, but generally you are advised to make arrangements for it to be administered by a professional - this is something to take into account as you will need to find a GP/nurse/clinic in the UK willing to do this for you
Then once your donor starts to stimm for her cycle, you start to take estrogen - either in the form of tablets (eg. Estrofem/Estrimax/Progynova) or patches - to thicken your uterine lining in preparation for embryo transfer
You will need to schedule an ultrasound scan around day 14 to ensure your lining is thick enough (a minimum of 8mm is generally preferred)

On the day of your donor egg collection (your clinic will inform you of this), you will add progesterone to your medications. This may be in the form of pessaries (eg cyclogest), gel (eg crinone) or injection (eg gestone, agolutin)


This is also the day that the male partner will need to provide sperm (unless he has already left frozen sperm at the clinic) so he at least will need to be at the clinic on the day of egg collection. The female partner only needs to be at the clinic on the day of embryo transfer (assuming lining scan has already been done elsewhere on day 14)

You will be informed how many eggs have been collected, then the following day how many have fertilized. Embryo transfer will be 2- 5 days after egg collection depending on the number and progress of the embryos. Your clinic will keep you informed about this
You will stay on both the estrogen and progesterone until your pregnancy test date (usually approx. 14 days post transfer) and if positive, until 12 weeks pregnant


5. What about DEFET/"embryo adoption" (and how does this differ to a 'fresh' DE cycle?)

Some clinics also offer frozen donor embryo transfer, often called "embryo adoption". It is quite unusual to find this in the UK, but the NGDT (see above for details) may be able to help find clinics in the UK with frozen embryos available
This is much more common abroad, especially in the Czech Republic and Spain (other clinics may also offer, so it is worth asking if you have a specific clinic in mind)

In this case you are doing 'double donation' - both egg and sperm, hence this is a popular choice for many single women and/or couples with both male and female factor infertility

DEFET is significantly cheaper than a fresh DE cycle, and the waiting lists tend to be shorter (although as always this varies from clinic to clinic and depends to some extent on your specified matching criteria so you will need to check with each clinic for most up to date waiting times)
However, success rates are generally lower (again, hard to be specific as it varies so much from clinic to clinic but most will quote approx 30-40% success with DEFET vs approx 50-60% with a fresh cycle) and you may get less choice in terms of the donor characteristics

One thing you may wish to query with the clinic is where the donor embryos come from. This may or may not be important to you, but if it is, it's something to be very clear about before proceeding. Some clinics may offer embryos which have been donated by couples who have finished their treatment (in which case there will almost certainly be full siblings out there somewhere), other clinics 'make' the embryos using eggs from back up egg donors and sperm from their sperm bank (in which case there are less likely to be full siblings).

The protocol for DEFET is very straightforward - the transfer is typically on day 19-21 of your cycle. You can either plan this naturally (ie inform the clinic on day 1 and proceed from there) or you can time your cycle using the BCP to ensure day 1 falls when you need it to (eg if you need to travel at a specific time/school holidays etc)
Then similar to a fresh cycle, you take oestrogen to thicken your lining from day 1, add in progesterone 5 days before the planned transfer and it's as simple as that. As with a fresh cycle, a lining scan is recommended around day 14 to ensure lining is thick enough. You only need to be at the clinic on day of transfer, and only the female partner (in the case of couples) needs to travel for transfer.

6. Finding/using a known donor in the UK

If you are having your DE treatment in the UK, then rather than be a recipient of egg share with an anonymous donor, you may wish to use a known egg donor, for example a family member (eg sister, cousin) or a close friend.
In this case, both you and the donor (and potentially both partners as well) will be required to attend counselling sessions with your chosen clinic before going ahead to ensure you have thought through and understood all the implications of the donation situation. For example you will need to discuss what you will tell the child, what level of contact the donor will have with the child/what role they will play in the child's life etc.
Here is a useful link to some material provided by Shady Grove in the US on Using a Known Egg Donor:
http://www.shadygrovefertility.com/using-known-egg-donor-what-discuss

Your donor will need to have screening tests to ensure she is suitable to donate. Most clinics impose a 35yr and under age limit on egg donors, however this will sometimes be relaxed in the case of a known donor

If you do not have a family member or friend able/willing to donate, you may still be able to find a known egg donor if this is your preference. The NGDT (see above for link) may be able to help advise you on how to go about this, where and how to advertise etc.
There is also a relatively new agency which has been getting some positive feedback (including from DCN) which can help find you an altruistic egg donor: http://www.altrui.co.uk/

APPENDIX: Which country/clinic and how much will it cost?
As said above, only you can make the final decision on the right country/clinic for you. You may have a particular reason for choosing a specific country (family links, you speak the language, you've enjoyed holidays there etc), or you may base your decision on how easy it will be to travel there, or on length of waiting list, or simply on gut feel….

If you are looking for UK clinics, your first port of call should be the HFEA (Human Fertilisation Embryo Authority): http://www.hfea.gov.uk/
Here you will find information about all UK clinics and other useful guidance
As mentioned before, the The National Gamete Donation Trust (http://www.ngdt.co.uk/
) may also be able to help with information on which UK clinics have shorter waiting lists for donor eggs.
If you are thinking of going abroad, here is the link to the FF International Board which has sections for each country - this is the place to go (in conjunction with the clinic websites) to read about different clinics and research which one might be right for you:

http://www.fertilityfriends.co.uk/forum/index.php?board=261.0

And here is a list of some of the more popular (amongst FF members at least) overseas clinics with approx prices for a fresh DE cycle, and links to the clinic's website

Please feel free to add to this list if you have recent experience of particular clinics/countries:

Czech Republic
Gennet - Prague €4,900 (from April 2011) excluding recipient meds
http://www.gennet.cz/en/price-list-1404038217.html

Reprofit - Brno €4,500 (from July 2011) excluding recipient meds
http://www.reprofit.cz/page.php?id=90&rodic=71&lang=en

CRM - Zlin €4,500 excluding recipient medications
http://www.crmzlin.cz/en/page/1891.ceniky/

Gyncentrum - Ostrava Confirm with clinic direct
http://www.gyncentrum.com/english.php

Fertimed - Olomouc Confirm with clinic direct
http://www.fertimed.cz/en/main_en.htm

Cyprus
NB: prices thanks to other FF members, the Cyprus clinic websites do not publish price lists so please contact clinics direct to ensure you have the most up to date prices

Dogus £4500 - (approx €5,350)
http://www.dogusivfcentre.com/welcometodogus.aspx

Pedieos €5000 (they also offer a package of 6 cycles over 2yrs for €7500)
http://www.pedieosivf.com.cy/en

North Cyprus Fertility Clinic home page €4500
http://www.lowcostivf.net/

ISIS, Cyprus (no prices?): €4800
http://www.isisclinic.com/fertilityUnit.htm

Greece

Serum Athens inc prices €5000 excluding recipient meds
http://www.serum-ivf.com/treatment/donorprogram/oocyterecipient.html

Chania: €4000
http://www.fertilitycenter-crete.gr/default.aspx?id=4&lang=en

Russia

Ava Petersburg €5595
http://www.avapeter.com/en/prices/

Altra Vita, Moscow €6,860 (271, 650 rubles)
http://www.altravita.ru/prize-m.html

Ukraine
Intersono, Lviv Confirm with clinic direct
http://intersono.ua/en/main/

ISIDA Confirm with clinic direct
http://ivf.isida.ua/en/price.html

Spain
NB: prices from Fertility Friends July 2010 - not verified as clinic websites do not have price lists, you would need to contact to confirm latest prices

IM €9800 including meds (+ €155 consultation)
http://www.institutomarques.com/en_presentacion.html

IVI €9-10,000 (+ €150 consultation)
http://www.ivi.es/en/centres/infertility-clinic-ivi_valencia_1.aspx

Ceram, Marbella €5,800
http://www.ceram.es/ingles/index.html

Vista Hermosa €6540 excluding meds
http://www.urvistahermosa.com/en/sobre-nosotros/

Eugin Barcelona €6590 inc meds (+ €105 consult)
http://www.eugin.net/en/

USA
Shady Grove (Washington) Contact the clinic for costs (they offer a shared risk programme of 6 cycles & if a term healthy
baby is not born then 100% full refund, plus detailed information on the donor)
www.shadygrovefertility.com


Advanced Fertility Center of Chicago The success rate with fresh donor eggs is one of the highest in the US (74% live births in
(recommended by Bling1975) 2009) but they are a bit less costly than the other top clinics. A fresh DE cycle costs
$25.000 + meds (approx $3.000) They also offer shared risk and 100% guarantee programs
of 4 fresh and unlimited frozen cycles (you have to pay the donor and the meds for each
fresh cycle)

www.advancedfertility.com

South Africa

Cape Fertility Clinic Contact the clinic for prices. You have to use an egg donor agency of which there are
(recommended by Candee) several, eg Nurture: www.nurture.co.za. You are also given quite a lot of information about
the donor, as well as pictures of the donor as a child, although I should stress that donors are
anonymous in South Africa so you can't have an open donor as in the UK.
You also don't have more than one patient per donor and the clinic also have frozen eggs and
back up donors if things don't go right with your donor.

http://www.capefertilityclinic.co.za/index.asp?

This post contains an unconfirmed link/information and readers are reminded that FertilityFriends.co.uk or its owners are not responsible for the content of external internet sites

And thanks to Lillyann for these DFET prices (as of Feb 2011, all in € and assumes 2 embryos to be transferred)
Reprofit 1,000 Frozen
Serum 2,000 Frozen
Serum 5,000 Fresh
IB 3,140 Frozen
Dogus 5,000 Fresh only
Irema 2,500 Frozen
Ceram 1,400 Frozen
IM 3,585 Frozen
BCNIVF 2,550 Frozen
BCNIVF 3,300 Fresh shared
Zlin 5,050 Fresh
FIV 2,500 Frozen
ISIS 4,950 Fresh
Eugin Contact clinic for a price specific to the tx required
 

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What an amazing, valuable document...so very helpful for newcomers.  Only thing I can see that is missing is link to HFEA website for UK clinics as assumption towards the end seems to be that the clinic will be abroad.
Well done
Olivia
 

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Brilliant!  So much information and all in the one place and in the natural sequence of events too. I am in the middle of my research and to be honest wasn't getting very far. I know this is going to help.

Paddy xxx
 

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well done suitcase!
 

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Thank you Suitcase - great help to us as we are also going abroad for donor egg and donor sperm,
you are such a support on here and always giving advice - Amazing person  :)


Saucy
 

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Discussion Starter #6
excellent point Olivia - have amended accordingly  :)

thanks everyone, glad it's helpful already...hopefully others will add their comments/experiences too so we can expand it even further  :)

Suitcase
x
 

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Suity, job well done!  This is an amazing gift to so many people.  ^hugme^

A-Mx
 

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Wow Suitcase that's a fab document :)

I have a clinic to add, Shady Grove in the US (Washington), costs are much higher than those quoted but they include a shared risk programme of 6 cycles & if a term healthy baby is not born then 100% full refund, plus detailed information on the donor to help with the selection process (and to pass on to any child/children if you are planning on 'disclosure') which is hard to come by in European clinics.

Jx

www.shadygrovefertility.com

/links
 

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You have saved me hours and hours and made this process so much easier - and as I do all the research this will be wonderful to plonk in front of DH and say 'read'. Thank you so much xxxxx
Emma
 

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Suitcase,

This is fantastic!  What a great and valuable idea.  It is a wonderful basis for a much-needed resource on this board.

Thank you so much,
Daisy
xxxx
 

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Discussion Starter #11
MillyMax - will add Shady Grove to clinic list

To all reading - if you have experience of US DE IVF pls pass on clinic recommendations and any other tips, as this is an area I know little about. Will pop a post on the US board as well to see if there's some helpful hints to be had there

Have also tried to tidy up the formatting/editing of the document - not sure why it doesn't just come out like it is in Word...

Hazel - fab if you could make sticky and if there are any additional suggestions/amendments, I'll update as we go along  :)

Suitcase
x
 

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that's a great resource Suity thanks
 

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Suitcase - what a great resource you have put together, I am sure it will be very useful for many people!

I just wanted to show you this link http://www.4therapy.com/consumer/life_topics/item.php?seeresults=1&uniqueid=5902&categoryid=495 It is an article I found a couple of years ago about coming to terms with using donor eggs, called "Infertility and the emotional aspects of having a child through donor eggs". Thought it might be useful to add to your 'coming to terms' section.

Some1

xx

/links
 

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Suity,
Really nice and kind of you, it,s a great way of inspiring people and from here, many people can pick up and move futher.
Barbara1
 

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Hi suitcase,

Thank you thank you this has saved me so much time! this is great info and helps me out alot!!!

I wonder if you can help i have been recommended a clinic in Cyprus  called the Genesis, when i have looked on the boards and no one seems to have much info on, i just wondered why are spain and greece such popular choices?

DDx
 

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Discussion Starter #16
some1 - thanks, have added the link  :)

DD - it's hard to say what drives choice of clinic and why/how some clinics become particularly popular vs others. I think with Spain that quite a few UK clinics have partnerships with clinics in Spain and/or recommend Spanish clinics even if no partnership - hence a lot of people find themselves heading for Spain because of that
Serum in Greece seems to have built up a lot of momentum over the past 12 months or so, at least amongst FF users, largely because it gets such positive recommendations and Penny (the lead doctor) there seems very dedicated and also very much offers a personalised protocol, is open to immune treatments etc rather than just offering the 'standard' one size fits all approach

I also wonder, and this is hypothesis only, whether people are attracted to Spain and Greece because of the good weather/chance to combine tx with a holiday, and potentially also ease of getting cheap flights there etc

It also seems that once a clinic gets 'critical mass' here on FF - ie quite a few people go there, get BFPs, give positive feedback, then that seems to help encourage others - word of mouth seems very important in the whole thing

But I can only speculate...I can't say for sure why one country/clinic seems to 'win out' over another. And I only really post/read FF, whereas I am sure there are other sites/boards which may show a totally different profile of popular clinics

If you have a good/personal recommendation for a clinic in Cyrpus, don't be afraid to be one of the first from FF to use...this is often how the best/recommended clinics are discovered. It's not always the most well known/much posted about clinics which offer the best service....so if you've good reason to pick your clinic in Cyprus, don't be put off by others here not knowing about it (yet)

Best of luck to you
Suitcase
x
 

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excellent suitcase thank you so much, you are a star!
  ^hugme^

DDx
 

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Wow Suity - you have been busy.  What a fantastic resource.  I wish Id had one of these when I started out for treatment generally.

xxxx 
 

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Suity - Wow!! What an amazing piece of work!  It's incredible that you can find the time and energy to do this at 8 months pregnant - I'm in awe  ;) .

This will be so useful to so many FFers.  Hopefully, I personally won't now have a need to use DEs, but at one point I thought I would be going down that route and this would have been very helpful. 

A couple of thoughts:

1) Is it worth adding a couple of sentences about donor embryos as an alternative to DE IVF (a cheaper option and may be worth considering, particularly if you are single)?

2) Would it be an idea to add a link to this document from the over 40s board, as it tends to be us "older ladies" who need to take the DE route?

B xx
 
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