Egg donation at Genesis is possibly the most organised and successful program worldwide. Genesis receives patient requests directly or from referral sources mainly established in the United Kingdom, the Arab countries and Canada. The demand for this treatment modality is high and Genesis has a dedicated team comprised of accredited individuals who consistently provide individualized care to patient/couples.
Egg donation provides the only means of conception for women who produce very poor quality eggs, too few eggs, no eggs or eggs which are abnormal due to genetic reasons. There is currently no restriction as to an age limit for potential recipients although Genesis believes that an upper limit of 55 years should be set. Egg donation at Genesis is anonymous. Egg donors receive no financial compensation for their contribution and renounce liability of the eggs donated in written consent forms witnessed by a member of Genesis medical staff.
The mean age of egg donor candidates is 25. All donors must have proven fertility potential prior to their enrolment to this program. Furthermore, candidates receive extensive clinical and psychological evaluation, laboratory screening and counseling to determine their suitability. Donors are screened not only for routine tests such as HIV 1 & 2 , Hepatitis B & C, VDRL, CMV, Chlamydia etc but for their chromosomal constitution through karyotyping and other single gene defects mainly conveyed from the female partner to the male offspring. Such analyses include all known mutations of cystic fibrosis, fragile X-syndrome and muscular dystrophy. Egg donors of Mediterranean origin are also screened for thalassaemia trait whereas Afro-Caribbean candidates are also screened for Sickle cell anaemia. Most of the candidates are of Eastern European decent and are university graduates. Recipient couples who enroll for treatment will liaise directly with Genesis for their treatment synchronisation. Genesis will forward a list of potential donor candidates for their review and once a decision of choice has been made, a synchronisation regime will be prescribed.
Normally a physician will be assigned to consult with the recipient couple and answer questions regarding their treatment. In the event that the involvement of a physician has not been made possible in the city of the recipient residence, Genesis will provide in a satellite fashion the relevant assistance. It is the policy of the institution to only provide egg donation treatments at a single scheme basis. The recipient benefits from the whole cohort of eggs harvested from a single donor rather than sharing this number with a second or even third recipient, an approach which is adopted by almost all other clinics offering this service. The single scheme almost always allows for embryo cryo-preservation. In the event that the couple has been successful with the fresh embryo replacement, the embryo freezing provides a good possibility for the couple to achieve a sibling at a subsequent stage. There are no restrictions as to how long embryos can be retained in the frozen state. Following treatment completion, the Genesis’ egg donation staff provides continuous care and support to both the donor and the recipient. Genesis will liaise with the clinic assigned to monitor a successful pregnancy and disclose all information requested for the best possible monitoring and care. The written consent of the recipient couple is a prerequisite for Genesis to disclose such information to third parties. Similarly, Genesis looks after the donor candidate and makes sure of her well being. Genesis is very pedantic over the issue of biological family. Donors who have successfully assisted in the establishment of more than 4 to term pregnancies are not being recruited in the program thereafter.