Egg Donation
Egg donation is the process through which eggs are donated from one woman to another in order to conceive a child by means of assisted reproductive technology (ART).
Why should I donate my eggs/ova?

Egg/ova donation is the process whereby a woman donates ova for the purposes of fertility treatment for couples who cannot have a baby using a female partner’s own ova. This process typically involves in vitro fertilisation (IVF) technology, with the ova being fertilised in a laboratory.

There are several reasons why a couple would not be able make use of a female partner’s ova to achieve a pregnancy. These reasons include, but are not limited to; repeated pregnancy loss, premature ovarian failure, cancer, etc. Same-sex couples can also need donor ova for a variety of reasons.

Donating your eggs/ova means that you are part of creating modern families. When you donate, you help people who might not previously have been able to to become parents. You will make a significant contribution to the creation of a modern family – a family that might not have existed were it not for you.

Although the act of becoming a donor is extremely noble, it is a very important decision. Thus, we will answer all the questions you might have and you are free to contact us if you are unsure about anything. To us the most important part of the process is that you are comfortable with your decision and that you are 100% informed of the journey that lies ahead.

The process
1
APPLICATION

Once a potential donor has completed the donor requirements section and qualifies to apply, she can apply online (preferably) or, alternatively, the donor can email the donor bank (eggdonors@wijnlandfertility.co.za) requesting an application form. The application consists of a wide variety of questions that range from personal to medical and social information.

2
CLINIC VISIT & INTERVIEW

Potential donors, who have met the prerequisites and applied, will be requested to visit the clinic. The fertility counsellor will have an information session with the donor to provide guidance and explain the process of donation and will also invite the donor to ask all the questions she might have regarding the process. The profile of the donor will also be discussed with her to ensure all necessary information is provided. The necessary consent and agreement forms, containing all the legal aspects regarding donation, will be provided to the donor. The information session serves to ensure the donor understands the process and that she has made a well-informed decision.

3
MEDICAL EXAMINATION

After the clinic visit, a gynaecological examination will be scheduled for the donor with one of the doctors. The examination will be a standard one and will include all gynaecological and obstetric history, a gynaecological examination and a pap smear. During this examination, an ultrasound will be done to examine the prospective donor’s uterus, ovaries and other pelvic organs.

4
BLOOD SCREENING

If the doctor feels the donor is suitable for donation, he/she will request a few blood tests. These blood tests usually consist of screening certain hormone levels and for sexually transmitted diseases (STDs).

5
DONATION PROCEDURE

Once all the screenings are done, and the doctor is satisfied with all the results, the donor is ready to donate. The doctor will prescribe stimulation medication that will make the follicles, which carry the eggs/ova, grow. This medication will cause more follicles to grow than in a normal cycle. During the stimulation cycle, the follicular growth will be monitored and, once the follicles reach a certain size, the doctor and fertility sister will let you know and instruct you to trigger your ovulation, usually by means of a hormone injection. Once you have injected yourself with the trigger medication – 36 hours later to be exact – your follicles will need to be aspirated to ensure that we retrieve all available oocytes. The egg/ova retrieval is done in our theatre under anaesthesia. The procedure is quick and usually lasts between 10 and 15 minutes.

The donation can be done in two different ways:

Fresh Donation (Synched Donation)
This type of donation occurs when a donor is matched/chosen by a recipient, and the donor and recipient’s cycles are “synched”. Thus, the donor will be required to start the donation-stimulation cycle at a specific time, depending on when the patient is ready for the treatment. Once the ova have been retrieved, the sperm of the recipient’s male partner will be used to fertilise the ova.

Donation to the Ova Bank (Frozen Donation)
The donor will donate to the ova bank, thus synching with a patient will not be necessary. When the donor is ready to donate, the donation-stimulation cycle will commence. Once the ova have been retrieved during follicular aspiration, they will be vitrified (frozen) and stored in the ova bank until the donor’s profile is selected by a recipient. Once the recipient is ready to use the ova, the ova will be warmed/thawed and fertilised with the sperm of the recipient’s male partner. It is important to note that one ova-donation cycle to the bank could result in more than one recipient family, as not all recipients choose to thaw and fertilise all the ova. Some recipients will thaw and fertilise a certain number and, once they have achieved their pregnancy, they donate the remaining ova back to the ova bank.

The donation type will be dependent on the recommendation of the clinic and/or the needs of the donor.

6
REMUNERATION/COMPENSATION

Once the donation is complete, the donor will be compensated/remunerated for her time, travel and any reasonable expenses incurred due to the donation process.

1
APPLICATION

Once a potential donor has completed the donor requirements section and qualifies to apply, she can apply online (preferably) or, alternatively, the donor can email the donor bank (eggdonors@wijnlandfertility.co.za) requesting an application form. The application consists of a wide variety of questions that range from personal to medical and social information.

2
CLINIC VISIT & INTERVIEW

Potential donors, who have met the prerequisites and applied, will be requested to visit the clinic. The fertility counsellor will have an information session with the donor to provide guidance and explain the process of donation and will also invite the donor to ask all the questions she might have regarding the process. The profile of the donor will also be discussed with her to ensure all necessary information is provided. The necessary consent and agreement forms, containing all the legal aspects regarding donation, will be provided to the donor. The information session serves to ensure the donor understands the process and that she has made a well-informed decision.

3
MEDICAL EXAMINATION

After the clinic visit, a gynaecological examination will be scheduled for the donor with one of the doctors. The examination will be a standard one and will include all gynaecological and obstetric history, a gynaecological examination and a pap smear. During this examination, an ultrasound will be done to examine the prospective donor’s uterus, ovaries and other pelvic organs.

4
BLOOD SCREENING

If the doctor feels the donor is suitable for donation, he/she will request a few blood tests. These blood tests usually consist of screening certain hormone levels and for sexually transmitted diseases (STDs).

5
DONATION PROCEDURE

Once all the screenings are done, and the doctor is satisfied with all the results, the donor is ready to donate. The doctor will prescribe stimulation medication that will make the follicles, which carry the eggs/ova, grow. This medication will cause more follicles to grow than in a normal cycle. During the stimulation cycle, the follicular growth will be monitored and, once the follicles reach a certain size, the doctor and fertility sister will let you know and instruct you to trigger your ovulation, usually by means of a hormone injection. Once you have injected yourself with the trigger medication – 36 hours later to be exact – your follicles will need to be aspirated to ensure that we retrieve all available oocytes. The egg/ova retrieval is done in our theatre under anaesthesia. The procedure is quick and usually lasts between 10 and 15 minutes.

The donation can be done in two different ways:

Fresh Donation (Synched Donation)
This type of donation occurs when a donor is matched/chosen by a recipient, and the donor and recipient’s cycles are “synched”. Thus, the donor will be required to start the donation-stimulation cycle at a specific time, depending on when the patient is ready for the treatment. Once the ova have been retrieved, the sperm of the recipient’s male partner will be used to fertilise the ova.

Donation to the Ova Bank (Frozen Donation)
The donor will donate to the ova bank, thus synching with a patient will not be necessary. When the donor is ready to donate, the donation-stimulation cycle will commence. Once the ova have been retrieved during follicular aspiration, they will be vitrified (frozen) and stored in the ova bank until the donor’s profile is selected by a recipient. Once the recipient is ready to use the ova, the ova will be warmed/thawed and fertilised with the sperm of the recipient’s male partner. It is important to note that one ova-donation cycle to the bank could result in more than one recipient family, as not all recipients choose to thaw and fertilise all the ova. Some recipients will thaw and fertilise a certain number and, once they have achieved their pregnancy, they donate the remaining ova back to the ova bank.

The donation type will be dependent on the recommendation of the clinic and/or the needs of the donor.

6
REMUNERATION/COMPENSATION

Once the donation is complete, the donor will be compensated/remunerated for her time, travel and any reasonable expenses incurred due to the donation process.

Why donate at Wijnland?
GUIDANCE, SUPPORT & COUNSELLING
If you do decide to become a donor, we will provide an ethical, medical and psychological information session before you start the donation process. This session will provide all the necessary information regarding the donation process and we will also answer any questions that you might have. We want to ensure that you make a well-informed decision and that you are comfortable and familiar with all the aspects involved in the donation process.

If at any time during the process you feel uncertain about something, need more information or you just need someone to talk to about the donation, you are very welcome to contact us. The clinic offers counselling support, as we are committed to supporting our donors as best we can before, during or after donation.
Frequently asked questions
OVA DONOR FAQ
Do I have to be a South African citizen to donate?
No, we welcome non-South African donors who are in possession of legal citizenship.
What are the costs involved in becoming a donor?
There are no costs involved in becoming a donor; all costs are covered by the clinic that relates to the donation cycle.
What is the approximate timeline of the donation process?
Once the donor has gone through the screening process and has been accepted as a donor, a donation cycle will take two to three weeks. You will need to be available for approximately four scans at the clinic, a scan usually takes 30 minutes. The day of the egg retrieval, you will need to be off for the entire day, as you will be put under anaesthesia.
Is the egg/ova-retrieval procedure painful?
In the majority of patients, the egg/ova-retrieval procedure is not painful, as it is performed under anaesthesia. It is common to feel slightly bloated afterwards, but if any discomfort or pain is experienced, the donor can inform the doctor and he/she will advise accordingly.

It is important to remember that, even though you are a donor, we regard and treat you as an independent patient and your medical needs are treated with the highest priority.
Are there any risks or side-effects if I donate?
The medical screening of the egg/ova donor is aimed at detecting and limiting any risks or complications as far as possible but as with any medical procedure, there are risks involved. One of the most significant medical complications which can occur, is ovarian hyperstimulation syndrome (OHSS). OHSS can occur when the donor’s ovaries become swollen and painful after the retrieval of the eggs/ova. However, our current stimulation protocol is aimed specifically at avoiding OHSS thus, the occurrence at our clinic is extremely low. If, at any time after the ova/egg retrieval, you feel extremely bloated and have abdominal pain and discomfort, please contact the doctor immediately so that he/she can advise you.
Will I be compensated/remunerated for my donation? If yes, how much?
Donors will be compensated for their time and travel, in terms of South African legislation, however it is important to note that the compensation is not related directly to the eggs/ova. The compensation for ova donation ranges between R7 000 to R10 000 per donation.
Will donating my eggs/ova affect my own chance of having children one day?
Various studies have shown no significant correlation between donating eggs/ova and the donor’s own future fertility.
Will people know I donated?
In terms of South African law, the donation process is completely anonymous. The law prohibits disclosure of donor and recipient identities.
How many times can I donate?
Donors may donate more than once, but a waiting period of about two to three months is recommended between donation cycles. The most important thing about egg/ova donation is the number of live births that are produced from your donation. Once the live birth quota, as determined by the National Health Act is reached, which is currently six, you will not be allowed to donate again.
Interested in being a donor?