Although usually only one makes it as a "healthy" option for fertilization, during a medicated egg donation cycle, more than 1 of the 30 eggs will be viable toward fertilization (anywhere between 8 and 15 eggs on the average, but sometimes even more).
Before you do the egg retrieval you will undergo a medical evaluation by the Intended Parent's fertility doctor. This will include cultures, blood work and an ultrasound – it is very similar to your typical gynecological exam.
You will also meet with a genetic counselor to see if there is any family history that could be a concern.
You will meet with a psychologist to make sure you understand the implications of your donation. The therapist will be someone who regularly talks with Egg Donors and fully understands the process.
Once cleared by the doctor, geneticist, and psychologist you will be referred to a lawyer that specializes in third party reproductive law who will review your contract with you. You will sign the contract and then you will be ready to start the medical procedure of the egg retrieval.
The agency will assist in setting up an appointment with a doctor close to where you live (that the agency and fertility clinic will be in touch with) to make sure your ovaries look good before starting the injectable medications. This clinic will be referred to as “the monitoring clinic.” In most cases, if all looks good your first medication will be a medication that will help all of your egg follicles keep growing while keeping you from ovulating. BTW, it may sound scary to inject yourself with medications but most of the Egg Donors soon get over the fear. Sometimes a partner or friend can assist or if it is really too hard for you we can arrange for someone locally to do it – possibly you will go to your local monitoring clinic and they can do it there.
The night before the retrieval you will be instructed to give yourself one last shot at an exact time. This is a different medication than what you have taken before and will trigger your eggs to release the next day. It is very important that you do the shot at precisely the time you are instructed or the retrieval will not be successful. Most people set an alarm on their smart phone so they are certain not to miss it.