Egg Donation Part 2 - Egg Retrieval Procedure

Once you have been pre-screened and qualified to be an egg donor for in vitro fertilization the egg donation center that you are working with will teach you how to self-administer the medications used during the process. Be forewarned that you will be injecting yourself with these medications. Two types of medication often used for controlled ovarian hyperstimulation include Follicle Stimulating Hormone (FSH) and Lupron. FSH stimulates the production of eggs while Lupron prevents the ovaries from releasing the eggs before the retrieval process takes place. Some possible side effects of these drugs include fatigue, moodiness, headache, ovarian cysts, and in some rare cases hyper stimulation syndrome of the ovaries. An indication of hyper stimulation syndrome is enlarged painful ovaries and would be detectable on an ultrasound.

Timing is everything when it comes to the administration of these medications. Lupron is typically begun 5-6 days before the start of your period. When your period starts you will need to have a baseline vaginal ultrasound prior to starting the FSH. This will help to detect the presence of any cysts on the ovaries. Ovarian cysts are not uncommon and usually resolve on their own but large or complex cysts may require treatment. If the ultrasound is clear you will begin taking the FSH approximately 2-3 days after the start of your period. Your blood will be drawn at regularly to monitor the level of estradiol, the hormone secreted by developing eggs, in your system. Another vaginal ultrasound will be performed to determine the size and number of eggs in your ovaries when your estradiol level is at the appropriate level. A single injection of Human Chorionic Gonadotropins (hCG) will be administered when the eggs are ready for retrieval. HCG is a naturally occurring hormone that helps with the last stage of development of the eggs. About 36 hours after the hCG injection the eggs are ready for removal.

Since you will be sedated when your eggs are removed you will be asked not to eat or drink anything after midnight the day before the procedure. When you arrive for the procedure you will change into a gown and an IV will be started for the administration of medications and fluids. Then you will be given medication to ensure you are adequately sedated and comfortable during the egg removal. Once you are sedated, a thin needle is inserted through the vagina into the ovaries and the eggs are aspirated into the syringe.

After the procedure you may experience some pelvic discomfort, small amounts of vaginal bleeding or blood in your urine. These side effects usually clear within a day or two. You will be able to return home a few hours after you wake up. You will need to have someone drive you home since you will still be feeling the effects of the medication used to sedate you. You will be given a prescription for pain management as well as an antibiotic to decrease your chances of infection. After the eggs are removed your part is done. The eggs will then be used for the infertility treatment called in vitro fertilization.

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