IVF with egg donation: |
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When does the second appointment take place?
After the first appoinment, you will be informed on a regular basis about the status of the stimulation of the donor. Your uterus is prepared for embryo transfer using a medication that thickens the endometrium in synchrony with the donor st¡mulation cycle. Ideally, when the oocyte retrieval in the donor is performed, your uterus will be ready to receive the embryos two or three days later.
Only one ultrasound is required to monitor whether your uterus is ready to receive the embryos. This ultrasound is usually performed in your country.
Should a semen sample be frozen at the first appointment?
Yes. We strongly recommend to freeze a semen sample from your partner at the first appointment. In this way, you don't have to come back until the day of the embryo transfer. Otherwise, your partner will have to come the day of the retrieval to provide a semen sample.
Which treatment should I have?
If you have your menstruation, a contraceptive pill is prescribed to inhibit ovarian function and to synchronise your cycle with that of the donor. Once synchronized, you will have a hormonal substitution treatment with estradiol patches, starting the same day the donor starts the stimulation. 7 to 9 days later you must have a scan done to check the thickness of the endometrium. Usually 24 h. before the embryo transfer 200 mg/8 h of vaginal progesterone is also prescribed.
What are the possible side effects of the treatment?
While taking the contraceptive pill it’s common to have slight spotting. Usually this is not medically significant or problematic for the treatment. If you do experience any problems then let us know and we will tell you what to do.
However, bleeding is important if it occurs whilst applying the patches. In this case always inform us.
When is the embryo transfer performed?
Two or three days after the oocyte retrieval, the embryo transfer is performed. The pregnancy rates are similar regardless when it is finally done. We recommend you to be here the day before the embryo transfer and the next day you should be ready to fly back. As the chances of success are much higher when using fresh embryos, we will only be able to give you 24-72 hours advanced notice of the transfer date. (Depending on the case and whether we are using a fresh or frozen semen sample).
How is the embryo transfer performed?
Although we are legally allowed to transfer up to 3 embryos, we rarely transfer more than 2. Twin pregnancies will occur in around 15% to 20% of patients. We recommend resting at the hotel on the day of the transfer. On the following day, you may travel.
Are pregnancy rates with egg donation high?
Yes. Egg donation is the assisted reproduction technique with the highest pregnancy rate per cycle. This is mainly due to the high quality of the oocytes obtained from young donors and also to the medication used to prepare the uterus for the transfer.
How long does the patient stay in Barcelona?
Two or three days approximately.
What should I do between the embryo transfer and the day of the pregnancy test?
During these two weeks you can lead a normal life but avoid strong physical efforts, risky situations and intercourse.
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