Donor Egg IVF Options

DONOR EGG IN VITRO FERTILIZATION PROGRAMS

In order to provide maximum flexibility for patients requiring donor egg in vitro fertilization, Florida Institute for Reproductive Medicine has developed the following treatment programs. 

CRYOPRESERVED DONOR OOCYTE IVF (EGG BANK) (NON INSURANCE)

With the advent of egg vitrification, we have seen pregnancy rates with cryo egg IVF comparable to those with fresh IVF cycles.  This program is intended to provide maximum flexibility for scheduling, i.e. the patient can do this anytime that is convenient , they are not waiting on an egg donor to cycle.  This program is our lowest cost donor egg option.  Patients are only purchasing eggs that they are likely to use.  This minimizes much of the waste in a traditional donor egg cycle.  Individuals can purchase additional eggs in order to have a genetically similar sibling can do so.  Click for pricing information

DONOR EGG FRESH SPLIT CYCLE COST INDEX (NON INSURANCE)

Traditionally, this is how donor egg has been performed.  It requires synchronization of the recipient’s endometrium with the stimulation of the donor.  The eggs that are obtained are split with the recipient couple receiving half of these with a minimum of six viable eggs. The eggs are fertilized that day.  Embryo transfer is typically performed either three or five days later.  There may or may not be additional embryos available to cryopreserve depending on the number of eggs produced.  Click for pricing information

DONOR EGG NON-SPLIT CYCLE COST INDEX (NON INSURANCE)

The recipient patient is synchronized with the donor going through stimulation.  The recipient couple receives all eggs produced.  These eggs are fertilized. Embryo transfer typically occurs three or five days later.  This option often results in additional embryos to cryopreserve, it is intended for those couples who feel very strongly about having a genetically similar sibling. Click for pricing information

KNOWN DONOR EGG NON-SPLIT CYCLE (NON INSURANCE)

This treatment option offers the ability to select a known donor.  This donor goes through stimulation.  The recipient is put on hormone replacement to synchronize development of the lining so that the transfer can be performed if desired.  When using a known donor, it is recommended to try and obtain an individual in their 20s or early 30s.  Known donors most often have the intention of providing eggs only for a particular recipient.  It is therefore offered as a non-split option.  Click for pricing information

DONOR EGG IVF GUARANTEED PROGRAM (NON INSURANCE)

Although pregnancy rates in general are very high with donor eggs, a pregnancy cannot be guaranteed.  Because of this, many couples are reluctant to seek treatment.  For those patients for which this is a significant concern, we offer the donor egg IVF guaranteed program.  Criteria for the program are outlined here.

PROGRAM CRITERIA:

If a patient qualifies for the program, they would be given up to three donor egg IVF cycles as well as all resulting cryopreserved (frozen) IVF cycles related to their donor egg cycles for a fixed cost of $35,850.  If these cycles do not result in a pregnancy that progresses past twenty weeks of gestation, after three donor egg IVF transfers as well as the transfer of all their cryopreserved embryos, they would be refunded 100% of their $35,850.  The original cost of $35,850 includes:

To qualify for this program the donor egg recipient must:

• Be no older than 47 years old at the start of the first fresh donor egg cycle
• Not have health insurance coverage for donor egg IVF services
• Have a uterus capable of carrying a pregnancy to term (i.e. there cannot be significant pathology predisposing to poor implantation, miscarriage, or uterine rupture, unless corrected prior to treatment)
• Must have a stimulated endometrial thickness greater than, or equal to, 7 millimeters
• Have body mass index (BMI) ≤ 33
• Not have a history of endometriosis
• Not have a communicating hydrosalpinx (tube filled with fluid).
• Not have had more than one prior failed donor egg IVF cycle
• Not have any medical condition predisposing to poor implantation or miscarriage
• Not have a history of recurrent pregnancy loss
• Not use tobacco, recreational drugs, or be on any potentially teratogenic medication

Have a partner, or commercially prepared donor sperm, with sufficient quantity of sperm to allow egg fertilization.  Therefore, no azoospermia (absence of sperm) or severe oligozoospermia (very low sperm count) on semen analysis is acceptable. 

Post-vasectomy patient can qualify, but require pre-treatment hormonal testing indicative of continued sperm production, followed by sperm retrieval for egg fertilization.  (The costs of the hormonal testing and sperm retrieval of the male partner are not included in the refundable donor egg IVF program and are performed at an additional charge).  If no sperm or poor quality sperm is obtained from the epididymis or testicle, the couple must be willing to use donor sperm to continue qualification in the program.

The physicians at the Florida Institute for Reproductive Medicine will have final discretion as to whether someone is accepted into the program or is released from the program.  A patient will be released from the program by Florida Institute for Reproductive Medicine’s physicians only if one of the qualifying criteria is not longer valid, e.g., if the female patient underwent a hysterectomy, or is deemed medically not suitable for carrying a pregnancy.  If a patient is released from the program or voluntarily leaves the program prior to completion of all three donor egg IVF transfers and any resulting cryopreserved embryo transfers, the program will not be considered fulfilled.  Therefore, charges up to the point of program discontinuation will be calculated on current F.I.R.M. individual (“a la carte”) service pricing.  If the total of individual charges at the time of program discontinuation exceeds the initial donor egg IVF refund cost of $29,500 they will be waived, and if the total individual charges are less than the original $29,500 the difference will be refunded. 

Once accepted into the program, the patient must proceed with the transfer of her donor egg derived IVF embryos.  If pregnancy does not result, then transfer of the resulting cryopreserved embryos from the first donor cycle will follow.  If pregnancy has not occurred following the transfer of all the resulting cryopreserved embryos, a second donor egg IVF cycle with transfer would occur.  If pregnancy does not occur following the donor embryo transfer of the second cycle, then the transfer of all cryopreserved embryos from the second donor egg IVF cycle happens next.  Again, if pregnancy has not occurred, a third donor egg IVF cycle with embryo transfer would be undertaken, again followed by transfer of all cryopreserved embryos from that donor egg cycle.  If the couple does not have embryos available for a cryo transfer after a donor egg IVF cycle, they would proceed immediately into their next donor egg IVF cycle.  No credit or monies would be refunded because of a lack of cryopreserved embryos.  

Embryo transfer guidelines:  If available, one or two blastocysts (day 5/day 6 embryos) for both donor egg and cryo IVF cycles would be transferred.  If a patient is not willing to have two blastocyst embryos transferred, this would preclude participation in the program. Once a patient has been approved for the program, they must start their first donor egg IVF cycle, within 90 days.  If not, you must be re-approved.  If a patient voluntarily terminates a pregnancy for any reason other than a genetically chromosomally abnormal pregnancy, the contract will be considered fulfilled.  No monies will be refunded.  If a couple were to return for transfer of their cryopreserved embryos after a successful live birth, they would be charged at regular F.I.R.M. cryo IVF cycle rates.