FAQ for Intended Parents

Q. What is Donor Nexus?

A. Donor Nexus is an egg donor agency and egg bank dedicated to providing affordable egg and embryo donation through shared fresh egg donor cycles, frozen egg donor cycles, and frozen donor embryo cycles. We are dedicated to providing not only affordable egg donation, but superior outcomes utilizing only the most elite IVF physicians and laboratories available at any price.

Q. Who are our clients?

A. Donor Nexus clients are loving families and individuals who are seeking to grow their families through the assistance of egg donation and embryo donation.

Q. What about non-traditional families?

A. Donor Nexus supports to right of all loving families to access care, including traditional married couples, unmarried couples, same sex couples, and individuals seeking a single parent family.

Q. Who are our egg donors?

A. Donor Nexus egg donors are young women aged 19 to 30 years that are fit, healthy and happy. They are college students, young working women and sometimes mothers themselves. They are young women who wish to do something to help others. They are young women that believe in Donor Nexus’ mission of providing egg donation to the many thousands that need it but cannot afford traditional egg donation.

Q. How do we find our egg donors?

A. Donor Nexus does not advertise for egg donors. Many egg donors approach Donor Nexus on their own when they hear about the program. Many others are referred to Donor Nexus by their current egg donor agency. We are proud that some of the largest and most reputable egg donor agencies in the United States have chosen to partner with Donor Nexus by trusting their egg donors to our program. Both egg donors and agencies are drawn by our reputation for providing outstanding clinical care and extremely high pregnancy rates with both fresh and frozen eggs.

Q. How do we screen our egg donors?

A. Donor Nexus adheres to the absolute highest egg donor screening standards in our industry. Remember, Donor Nexus is a partner in your cycle, as they will be placing the non-assigned eggs from each donor in their egg bank.

  • Medical screening: The egg donor completes a comprehensive medical questionnaire and is interviewed and examined by a board certified Reproductive Endocrinologist and Infertility subspecialist. The exam includes both a physical examination and ultrasound assessment of the uterus and ovaries.
  • Ovarian reserve testing: To insure that all of our egg donors are top producers of eggs, each egg donor has ovarian reserve testing completed which consists of a blood test looking at Follicle Stimulating Hormone (FSH), Anti-Mullerian hormone (AMH) and an antral follicle count (AFC). The antral follicle count is a special ultrasound where the examiner counts the number of resting eggs the egg donor has. These three tests allow us to reject any egg donor not likely to have a good response to fertility medication, greatly reducing the risk of poor response or poor egg quality.
  • Genetic screening: The egg donor is interviewed by a certified genetic counselor in order to identify if the egg donor has an increased risk for genetic diseases. The genetic counselor then recommends any specific tests needed for the egg donor based on her family history and ethnicity. In addition to these specific tests, the egg donor also is screened for cystic fibrosis, spinal muscular atrophy, Fragile-X, and a multitude of other genetic diseases. The results of both the genetic counselor’s report as well as the blood tests are available for review by the intended parents.
  • Psychological screening: The egg donor is screened by a licensed mental health professional. This included an interview as well as an objective standardized written test (usually the MMPI). A summary of these test results is available to the intended parents.
  • Infectious disease screening: The egg donor is screened for HIV 1 and 2, hepatitis B, hepatitis C, HTLV 1 and 2, syphilis, chlamydia and gonorrhea.
  • Drug screening: The egg donor is screened for drugs of abuse including: opioids (heroine, morphine, prescription narcotics), cocaine, amphetamines and marijuana.

Q. How do I begin with the egg donation process?

A. You may register with our online egg donor database to begin searching for your egg donor. You will then receive an email from Donor Nexus with more information about the program you are interested in. We are available to meet in person for a consultation at one of our HRC Orange County offices. We are also available for consultations via phone or Skype.

Q. What program is right for me?

A. Donor Nexus specializes in Shared Hope Fresh Egg Donor cycles. Shared egg donor cycles are optimal for those who are seeking affordable egg donation. We match at least two intended parents to a single egg donor. The number of intended parents linked to one egg donor is determined by the IVF physician. This allows the cost of IVF with an egg donor to be reduced by half while still providing the prospective parents with a success rate with the fresh transfer of over 80%.

Donor Nexus also offers Frozen Egg Donor cycles, which is for those who wish to cycle at a time that is convenient for the intended parent. With the Frozen Egg Donor cycle, you do not have to synchronize your cycle with an egg donor or other intended parents.

Donor Nexus also offers Embryo Donation cycles. All of the embryos are located at the HRC Fertility, Newport Beach laboratory. The embryos were all donated by previous IVF patients who are hoping to help other intended parents either start or complete their family.

Donor Nexus also offers Traditional 1-on-1 Egg Donor cycles. This program matches one intended parent to one egg donor. The intended parent will receive all the eggs retrieved from the egg donor. This program is ideal for those who are hoping for more than 2 children or who wish to perform genetic screening on the embryos.

Q. How do your costs work?

A. With all of our programs, we collect a one-time global fee. This fee can be paid in up to three installments. We offer a variety of payment options. Please see our ‘Financial Breakdown page for more information.

Q. What is HRC Fertility?

A. Founded in 1988, HRC Fertility is the largest IVF program in the western United States with 8 offices across southern California. HRC Fertility has pregnancy rates that are in the top 10% of all IVF centers according the Centers for Disease Control (CDC), an independent government agency. All covered care is performed at HRC Fertility and all egg retrievals and embryo transfers will be performed at HRC Fertility’s newest and most state of the art facility located in Newport Beach, California.

Q. What are your success rates?

A. Click here to view our success rates.

Q. When will my doctor and/or nurse coordinator be notified of the match? 

A. Once we receive your preliminary forms, completed contract and first installment of funds, we will send your doctor and nurse coordinator an official match sheet. The donor is officially matched only once we have received these 3 items.

Q. I’ve had pre-testing completed, how long is my pre-testing valid?

A. Generally, pre-testing is valid for up to 12 months.

Q. Do you have age restrictions for patients who would like to carry?

A. Each physician has his/her own age limits when treating patients. Generally, if a patient is over 50 years old, the physician will order additional tests to ensure the patient is healthy enough to carry. The additional testing includes a stress test, EKG, chest X-ray, mammogram, and pap smear. Most of these tests can be completed by your primary care physician.


 

 SHARED HOPE™ FRESH EGG DONOR CYCLE

Q. What is Shared Hope™?

A. Shared Hope™ is our shared egg donor program. A shared egg donor cycle, commonly referred to as a split egg donor cycle or a tag along egg  donor cycle,  is a cycle where more than one couple is matched to an egg donor. This allows the cost of IVF with donor eggs to be reduced by half while still providing the prospective parents with a success rate with the fresh transfer of over 80%. In a traditional egg donor cycle, one couple selects an egg donor and takes on all the cost of the donor’s screening, medications, legal fees, travel and other related medical expenses. The result often leaves the couple with many unneeded embryos, left over embryos that they will never use. The also couple assumes all the financial risk for screen failures and dropped cycles.

Q. How many eggs do I get?

A. With Shared Hope™, intended parents receive 5 fresh,  mature eggs that can be injected with sperm. Donor Nexus assumes all cost and risk for donor screen failures and dropped cycles.

Q. What else do I get?

For a flat discounted fee, Donor Nexus pays for all medical care related to the  egg donor and all cycle-related care for the prospective couple that is completed at a Donor Nexus fertility center. This includes all egg donor screening, legal contracts for the egg donor, egg donor insurance, all egg donor medication, all cycle coordination, cycle monitoring for egg donor and recipient (ultrasounds and lab tests), egg retrieval, fertilization by ICSI, embryo culture and embryo transfer.

Q. What guarantees do I have?

A. The Shared Hope™ cycle guarantees two suitable embryos for transfer or freeze on Day 3.  Couples that on rare occasion do not receive the agreed upon allocation of eggs or do not have two quality embryos for transfer or freezing receive a full or partial refund if a viable pregnancy does not occur. In a typical case, Donor Nexus will have two or three couples matched to a donor. The typical case results in about 17 viable eggs. Five eggs will be assigned to each couple, leaving 7 eggs unassigned. The assigned eggs will be fertilized with the designated sperm and the resulting embryos grown out and transferred into the prospective mother (or gestational carrier if Mom is unable to carry a pregnancy).

Q. What if there are fewer than 5 fresh eggs to fertilize?

A. You will go forward with the fertilization and transfer. You will receive a pro rata refund or credit IF live birth does not occur as the result of the fresh transfer. This refund amounts to $3000 if 4 eggs are injected, $6000 if 3 eggs are injected, $9000 if 2 eggs are injected, $12000 if 1 eggs is injected and $18000 if no eggs are injected.

Q. What if fewer than 2 embryos are available for transfer?

A. In the rare event that 5 eggs are injected with sperm but fewer than 2 embryos are available for transfer AND pregnancy with heart beat does not occur patients will receive an $8000 credit towards future treatment with Donor Nexus OR a $3000 cash refund if they elect not to continue with Donor Nexus.

Q. What happens to leftover eggs and embryos?

A. Intended parents may freeze any of their left over embryos for later use. The unassigned eggs will be frozen and placed in the Donor Nexus Egg Bank and made available to couples.

Q. What does it mean when an egg donor’s status says ‘Matched- Waiting for Additional Recipient’?

A. This means that the egg donor has been selected by an intended parent and has begun her prescreening tests. We are now looking for an additional intended parent to link to the cycle.

Q. How does it work if I choose an egg donor who isn’t local to Southern California?

A. On each individual donor profile, under the section ‘About ‘, it will state if there are additional fees required for travel expenses. These travel expenses are paid by each intended parent to cover the costs of the egg donors’ local monitoring appointments, the egg donors’ flight(s) and her companion’s flight to Newport Beach and the hotel stay for the egg retrieval. Any unused travel expenses will be reimbursed to the intended parent(s). *In the event that the egg donor’s retrieval is delayed, Donor Nexus may need to collect additional funds to cover the cost of the extended hotel stay.

Q. Many intended parents are worried their egg donor will not retrieve enough eggs for a shared cycle. On average how many eggs does a donor retrieve? 

A. The average number of eggs retrieved from an egg donor participating in a shared cycle is 25.  Of the 25 eggs, on average, 21 are mature. Donor Nexus only allows an egg donor to participate in a shared cycle if they either have 1. previously completed an egg donor cycle and retrieved a healthy amount of eggs or 2. have completed ovarian reserve testing that demonstrates they will produce enough eggs.  If there is a possibility that the egg donor will not retrieve enough eggs and a match has already been confirmed, Donor Nexus will limit the number of intended parents linked to the shared cycle. Please note, Donor Nexus does not match more than 3 intended parents to any shared cycle, unless authorized by the IVF physician.

Q. When will my doctor and/or nurse coordinator be notified of the match? 

A. Once we receive your preliminary forms, completed contract and first installment of funds, we will send your doctor and nurse coordinator an official match sheet. The egg donor is officially matched only once we have received these 3 items.


 

FROZEN EGG CYCLE

Q. What is egg vitrification?

A. Egg vitrification is the most advanced technique of egg freezing available today. All of Donor Nexus’s frozen donor eggs have been frozen via vitrification. Sometimes referred to as “egg flash freezing”, the process of vitrification involves reducing the temperature rapidly. This transforms the egg from a liquid state to a vitreous state instantaneously. The advantageous result of this modern technology is it limits the formation of ice crystals in the egg. When eggs are frozen using older technology, the freezing occurs more slowly and heightens the risk of ice crystal formations. The ice crystals can subsequently destroy the structure of the cell.

Q. Will I have an opportunity to meet my egg donor?

A. The majority of egg donations are anonymous. The only time an intended parent is able to meet their egg donor is if both parties agree to have an open donation. Donor Nexus will facilitate the meeting and be present to act as the mediator. If an intended parent wishes to have an open donation, a new legal contract will need to be drafted.

Q. Can I give my child the opportunity to communicate with the egg donor in the future?

A. We cannot guarantee this opportunity unless you elect to have a open donation with the donor.

Q. How long does the process take once I find an egg donor?

A. The length of time is dependent upon which program you choose.

If you participate in a shared cycle, once the funds and contract are complete, the process takes 3 to 4 months to complete.

If you choose a frozen egg cycle or a donor embryo cycle, once funds and your contract are complete, the time is dependent on the amount of time needed to prepare your or the gestational carrier’s uterus for the embryos transfer. This ranges between 4 and 6 weeks.

Q. When will my doctor and/or nurse coordinator be notified of the match? 

A. Once we receive your preliminary forms, completed contract and first installment of funds, we will send your doctor and nurse coordinator an official match sheet. The egg donor is officially matched only once we have received these 3 items.


 

FROZEN DONOR EMBRYOS CYCLE

Q. When will my doctor and/or nurse coordinator be notified of the match? 

A. Once we receive your preliminary forms, completed contract and first installment of funds, we will send your doctor and nurse coordinator an official match sheet. The match is official only once we have received these 3 items.
Q. Why can’t I see photos of the donor parents? 

A. Embryo donation is an altruistic act on behalf of the donor parents.  They are not compensated for donating the embryos, or  for completing additional forms and questionnaires.  Because of this, we receive limited information from the donor parents.  All the information that has been provided to us is in the donor embryo profile.

Q. What does FDA Ineligible mean? 

A. FDA ineligible means that the donor parents did not have specific FDA labs drawn at an FDA certified laboratory prior to the embryo(s) being created.  Because most donor parents do not create embryos with the intention of donating them in the future, they do not have this blood work completed. Please contact your nurse coordinator or physician for a more detailed explanation.

Q. What if the embryos do not survive the thaw? 

A. In the rare chance that the embryos do not survive the thaw, you will receive a partial refund/credit.