Becoming a donor does not just involve this person’s decision. It is not like someone could just wake up one morning and choose to be a donor. Recipients often worry about the quality of the donors but the available data bases gather only the physically and mentally fit donors who go through all kinds of medical tests and screenings and also psychological evaluations.
Firstly the donors have to fill up the egg donation application and the medical history form. These applications are very extensive and cover everything from standard things like date of birth to details of the medical history and even if the donor has freckles or not (if yes than how much, few or numerous? – not a joke) through all of the family shapes and sizes, eye colours, skin tones. Later there’s questions about all kinds of abilities like artistic or athletic and so on. A donor must be also ready to answer very personal questions like when did she first menstruate or if she ever sought psychological counselling and even if she ever attempted suicide. Of course all this information is later on verified (if it is possible) by the clinics staff. Just a couple percent of the applicants gets through and becomes a donor.
To be clear, checking every detail of the donor’s life is not the policy of every clinic. The artistic abilities or if she has freckles or not won’t be of interest in every clinic a person applies to become a donor. Almost any woman aged from about 20 to 32 years may be considered to become a donor if she and her family has a healthy medical history.
It is said that the psychological evaluation should be obligatory. 30% of all women being psychologically evaluated are disqualified. It could be that a woman is 100% fit physically to make an egg donation but her psychical state might be inadequate. This does not only apply to donors but also the recipient – sometimes older women seem to ignore the fact that their age is an obstacle not necessarily for her but for the child she wants.
Obligatory psychological evaluations could rise the overall safety of the whole procedure.
BMI of the egg donor
The donor is required to have a BMI level under 28. An egg donor should have a proportional body built – that is to be of proportionate weight and height. Overweight donor’s eggs might be of lower quality. There also may be need for higher doses of stimulation drugs to create follicles which could raise the costs for the recipient. According to recent researches the chances of implantation, live birth and clinical pregnancy were lower for patients with BMI 30 or higher. In comparison to the normal BMI level chances of live birth were lowered by 68 percent in the class three obesity, 61 percent in the second class and 37 percent in the first class obesity.
Some standard donor qualifications are:
- The age, ideally between 20 and 30 years
- generally good physical and psychological health
- weight in the normal range
- non-smoker smoker of course
- to have a regular menstrual cycle
- to have both ovaries
- cannot use contraceptive implants, psychoactive drugs
- lack of substance abuse in medical history
- no inheritable genetic disorders in family history
The medical history is thoroughly screened and donor’s health is very widely tested and screened by all the possible medical tests. So that is one thing that the recipient shouldn’t be worried about at all.
There are blood tests for infectious diseases such as:
– HIV, Hepatitis B and C, Syphilis (Treponema Pallidum), Chlamydia trachomatis, Neisseria gonorrhea
And also genetic testing:
– Beta Thalassemia, Cystic Fibrosis, Canavan Disease, Familial Dysautonomia, Bloom Syndrome, Gaucher Disease, Sickle Cell Disease and much more.