The Florida Institute for Reproductive Medicine – One of the largest Donor Embryo Programs in the Country – Kevin Winslow, M.D.
Couples going through in vitro fertilization frequently have additional embryos that are cryopreserved. The majority of couples end up using these embryos for a second or third pregnancy. Approximately 10% of couples will not use their cryopreserved embryos. At the Florida Institute for Reproductive Medicine we strongly encourage these couples to consider embryo donation. For many infertile patients embryo donation is the ideal answer to their dreams of becoming parents. It is a relatively simple and inexpensive option. With embryos from over 50 couples the Florida Institute for Reproductive Medicine has one of the largest donor embryo programs in the country. We have embryos from Caucasian, African American and Hispanic couples. Couples interested in embryo donation can make an initial phone consultation with one of our board certified reproductive medicine specialists (904-399-5620 or www.firmjax.com).
The purpose of this consult is to determine whether embryo donation is an appropriate treatment option. Following this consultation couples will have a follow up consultation with our donor embryo IVF nurse coordinator to review donor embryos. The program is totally anonymous, i.e., the donating couple does not know who the adopting couple are and vice versa. The adopting couple may ask anything they wish regarding medical history, age, infectious disease screening of the donating couple to help make their decision. The female partner prior to undergoing embryo transfer will be asked to have a sonohysterosalpingogram to rule out any significant uterine pathology. This study can be done by the patient’s local ob/gyn or a reproductive medicine specialist.
Preparation for donor embryo transfer is relatively simple – the female is treated initially with estrogen either orally or by patch, on day 13 of estrogen she will have an ultrasound to assess uterine thickness (this can be performed by the patient’s local physician). As long as her lining has thickened appropriately she will begin progesterone. Progesterone can be given either vaginally or IM. Transfer will occur 3-5 days later depending on the age of the embryos. The female partner will travel to the Florida Institute for Reproductive Medicine in Jacksonville for embryo transfer (a relatively pain free procedure). Once the transfer is performed the patient can travel back to her home that same day.
A pregnancy test will be checked 11-13 days later. If the patient is pregnant she will continue on estrogen and progesterone through eleven weeks. She will have a pregnancy ultrasound two weeks after her pregnancy test. If the patient is not pregnant she will stop hormone therapy and can expect a period within 3-5 days. Pregnancy rates with the donor embryo program are primarily determined by the age of the mother producing the embryos, as well as the number and quality of day three and day five embryos transferred. With embryos from a female less than 35 years of age with two, day five embryos pregnancy rates of 50-60% are typical. Of those individuals who are pregnant 30-40% will have a twin pregnancy. In general no more than two, day five embryos or three, day three embryos are transferred at any time to minimize the risk of triplets and high order multiples.
The cost for the embryo donation program is typically around $4,000.00. If the adopting couple or treating physician feel additional screening of the donating couple or adopting couple are indicated additional costs may be incurred.