International Patients

Donor Nexus has helped patients from all over the world achieve their dreams! Many patients seek egg donation in the United States because their local jurisdiction either limits or bans compensated egg donation. Our knowledge, expertise, and experience of international cycle coordination lends itself to optimal outcomes and an overall more positive experiences for our intended parents. In addition, our all-inclusive cycle packages reduce the stress and inconvenience of having to coordinate payment to multiple entities. Below you will find a brief outline of the process an international patient traveling to the United States for egg or embryo donation might expect. As always, feel free to contact us for more specific information or questions.

Step 1: Egg Donor Selecting/Matching 

The Donor Nexus team will work with you to determine what cycle program best suits your needs. If desired, we will set up a phone call or Skype video conference at a time that best suits your needs.  Once we determine the specific cycle, we will work with you to select an egg donor or donor embryo.

We will discuss your desired characteristics and send you profiles to review that most closely match your criteria. Once you’ve chosen an egg donor or donor embryo, you will receive preliminary paperwork, a contract and an invoice. All items must be completed and returned to Donor Nexus within 10 days. Once we received the paperwork, signed agreement and initial deposit, the cycle is confirmed and we will assist you in connecting with HRC Fertility.

*Note: there is a Donor Nexus representative who is available for in-person meetings in Sydney and Melbourne, Australia on a quarterly basis.

You can expect the entire process to take approximately 3-4 months from cycle confirmation to embryo transfer. 

Step 2: Initial Consultation and Intended Parent/Egg Donor Pretesting

Donor Nexus will help you schedule your initial consult with an HRC physician. The HRC physician will review your medical history and order pretesting to be completed in your home country by either your general practitioner (GP) or gynecologist.  Some pretests will need to be completed on specific days of your menstrual cycle. Once testing is completed, you will be put on the birth control pill in order to synch  your cycle with the egg donor.

You can expect to have the following pretesting ordered by your physician:

  1. Uterine Cavity Evaluation- sonohysterogram or hysteroscopy with mock embryo transfer (to be completed Cycle Day 6-10 of Menses)
  2. State Mandated Infectious Disease Panel
  3. Any additional testing the physician requests
  4. Semen Analysis on husband or designated sperm provider

The physician will review your pretesting results and determine if you are cleared to move forward with the cycle. You will work with your nurse coordinator to determine specific cycle dates.  At this time you can book flights and accommodation.

Egg Donor Pretesting (only applicable for fresh egg donor cycles)

Donor Nexus adheres to the absolute highest 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 egg 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 the egg donor is a top producers of eggs, the egg donor has ovarian reserve testing done 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.
  • 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.
  • Genetic screening: The egg donor is interviewed by a certified genetic counselor in order to identify if the egg donor has increased risk for genetic diseases. 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.
  • Drug screening: The egg donor is screened for drugs of abuse including: opioids (heroine, morphine, prescription narcotics), cocaine, amphetamines and marijuana.
Egg donor pretesting can take up to 2 months to complete. You will receive copies of the pretesting report once the donor is cleared by the physician.

Step 3: Starting Treatment

You will start treatment in your home country. Your HRC physician and nurse coordinator will coordinate with your local clinic to have the necessary ultrasounds and blood tests completed prior to traveling to California. The HRC staff has worked with hundreds of international patients coordinated pretesting and monitoring appointments at local clinics with great success. Most patient medications can be ordered from a local pharmacy or shipped to your home if they are not available locally. You will be on medications for approximately 4 to 6 weeks prior to your embryo transfer.

Step 4: Traveling to Los Angeles for Your Embryo Transfer

The embryo transfer will take place at HRC Fertility. On the morning of the embryo transfer, the physician will discuss the results of the cycle and show you photos of the embryos. You will determine which embryos to transfer/freeze/discard. Most physicians require 2 days of bed rest following the embryo transfer.

If you are using fresh donor eggs or frozen donor eggs, you have 2 options when deciding how much time you want to spend in Los Angeles, CA.

Option 1: If you want to use fresh sperm, you or the designated sperm provider needs to be in Los Angeles the day before the donor’s egg retrieval/thawing of frozen eggs. You then have 5 or 6 days to sight-see in between the egg retrieval and embryo transfer. The embryo transfer will take place at HRC. Most physicians require 2 days of bed rest following the transfer. You are able to fly home the night of the 2nd day of bed rest.

Option 2: If you want to use frozen sperm, you can ship frozen sperm from your home country or the designated sperm provider can fly to Los Angeles and leave a sample at the clinic prior to the procedure.

If you are using donor embryos, you only have to be in California for a total of 4 days. You will fly to LA the day before your transfer (you will not need to be seen on this day). The following day will be your embryo transfer, followed by 2 days of bed rest. You can fly home the night of the 2nd day of bed rest.

Step 5: After Your Embryo Transfer

You will be seen at your local clinic 10-12 days after the embryo transfer for your initial bHCG blood test. If there is a positive pregnancy, you will continue to monitor at your clinic for the first trimester. The HRC physician will oversee your care during this time. Once you reach your second trimester, you will return to your OBGYN for the remainder of your pregnancy.