Egg Donation

Sometimes, it takes a village...

Egg Donation

Sometimes, it takes a village...

Your family planning journey is unique. Your care should be too.

Markham Fertility Centre has a dedicated Donor and Surrogacy team that will guide you through all aspects of your family-building journey, whether that includes sperm donation, egg donation, embryo donation and/or gestational surrogacy. Rest assured knowing that our program is Health Canada approved after a stringent review process.

About Using an Egg Donor

Egg donation is a process whereby a person or couple receives eggs from another person in order to conceive a child.  The egg donor voluntarily underwent ovarian stimulation and egg retrieval for the purpose of donating their eggs. Egg donation may be a consideration for patients who are unable to become pregnant using their own eggs or who do not have eggs available to use. You may be an appropriate candidate for using donated eggs under the following circumstances:

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    You have decreased ovarian reserve (low egg number) and/or poor quality eggs

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    You are over the age of 43

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    You are a single male or a same-sex male couple

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    You have a medical condition (i.e. endometriosis, cancer treatment) that has negatively impacted your egg quantity/quality

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    You want to prevent transfer of a genetic condition to your child

There are two main types of egg donation:

Known Egg Donation

This is commonly referred to as “directed” or “identified" donation and results from the donation of eggs from someone who is known to you, such as a friend or relative.

Anonymous Egg Donation

This is commonly referred to as “non-identified” donation and is facilitated by an egg bank (frozen eggs) or a donor agency (fresh, "non-frozen" eggs).  You will have the opportunity to select the best match for you by reviewing important characteristics of the donor such as ethnicity, height, weight, education, personal history and genetic profile. Our coordinators will guide you through the whole process.  Our genetic counselling team will review the genetic history of all relevant individuals and discuss expanded carrier screening to ensure the best chance of a healthy baby.

There are many things to consider when choosing to proceed with donor eggs, whether it is from a known or anonymous donor. When making these decisions it is important that your clinical team support you with proper and timely information and guidance. This is why Markham Fertility has created a dedicated team whose only function is to assist patients using a donor and/or surrogate to create their family.

Egg donation is more common than you may think. In Canada, there are over 1,000 cycles each year where a donor egg has been used to create a family.

What Does Your Journey Look Like?

Choosing the Right Egg Donor

Your Journey Using 'Known' Egg Donation Begins Here

One approach to obtaining donor eggs is to use a known egg donor - a friend or family member.

One approach to obtaining donor eggs is to use a known egg donor - a friend or family member.  They will participate in an IVF cycle essentially.  The known egg donor process is more involved and can take longer than using an egg bank/agency, especially if you have not yet found an egg donor.  Below we outline the typical pathway for Known Egg Donation.

View your journey

Choosing your Egg Donor

Your journey with a known egg donor will start with a consultation with your fertility specialist at Markham Fertility Centre and an appointment with one of the dedicated Donor and Surrogacy nurses. Both you and your potential egg donor will have separate appointments to ensure everyone feels supported and comfortable with the process. Your nurse will start to set up appointments for genetic testing, counselling, and blood work for both parties. This is an essential stage to ensure your egg donor is a good candidate for the procedure. Once tests are back, your fertility doctor will meet with the donor to discuss the procedure and risks associated with being an egg donor. 

Testing - Genetic, Infectious Disease Screening (6 weeks)

Both you and the donor will meet with our genetic counsellor to discuss expanded carrier screening (ECS).  The purpose of ECS is to identify any genetic risks for the future baby. Results from ECS take approximately six weeks. Both parties will also complete infectious disease screening.  Infections disease screening must be completed no longer than six months before the egg retrieval.  

Implications Counselling

While you are waiting for results of genetic tests, you and your egg donor can complete counselling appointments. Markham Fertility Centre requires that both the potential egg donor and intended parent(s) attend an appointment with a psychologist or counsellor. Counselling ensures that both you and the donor fully understand the implications of using donor eggs so both parties can consent to treatment. Counselling can also help you and the donor understand the emotional implications of egg donation and how it may affect you and everyone involved. It can also help you prepare for any potential concerns that may arise in the future.

Legal Agreement

Egg donor agreements are an essential part of the known egg donation process. It is considered best practice for the the egg donor and intended parent(s) to have independent legal advice.  There are a number of experienced reproductive lawyers in Canada to choose from. The D&S team can also provide a list.   

Your Known Egg Donor Cycle

Once all of the above has been completed (testing, counselling, legal agreements), your dedicated nurse will start the process to prepare your donor to complete a cycle to stimulate their ovaries and retrieve eggs. 

Once the eggs are in our lab, we proceed with fertilization and growing embryos to prepare for an embryo transfer. It is possible to complete a fresh embryo transfer or a frozen embryo transfer. You will have discussed these options with your fertility specialist before the start of treatment.

Your Journey Using 'Anonymous' Egg Donation with an Agency Begins Here

Anonymous egg donation is a more common option for patients on the path to parenthood.

Anonymous egg donation is a more common option for patients on the path to parenthood.  Markham Fertility Centre works with a number of donor egg agencies. All potential donors undergo screening at MFC in accordance with Health Canada regulations.

View your journey

Choosing your Egg Donor

Your journey using an egg donor will start with a consultation with your fertility specialist at Markham Fertility Centre and an appointment with one of the dedicated Donor and Surrogacy nurses. Your D&S team will provide you with a list of donor egg agencies and will be by your side as you navigate the process of choosing a donor. Donor profiles will include a great deal of information about potential donors including height, weight, appearance (hair colour, eye colour), ethnic background, medical/genetic history, etc. Once you have a potential match, the donor will be contacted by MFC to begin testing.

Testing - Genetic, Infectious Disease Screening (6 weeks)

Both you and the donor will meet with our genetic counsellor to discuss expanded carrier screening (ECS).  The purpose of ECS is to identify any genetic risks for the future baby. Results from ECS take approximately six weeks. Both parties will also complete infectious disease screening.  Infections disease screening must be completed no longer than six months before the egg retrieval.  The donor will also be assessed by one of MFC's fertility physicians to assess their suitability.

Implications Counselling

While you are waiting for results of genetic tests, you and your egg donor can complete counselling appointments. Markham Fertility Centre requires that both the potential egg donor and intended parent(s) attend appointments with a psychologist or counsellor. Counselling ensures that both you and the donor fully understand the implications so both parties can consent to treatment. Counselling can also help you and the donor understand the emotional implications of egg donation. It can also help you prepare for any potential concerns that may arise in the future.

Legal Agreement

Egg donor agreements are an essential part of the known egg donation process. It is considered best practice for the the egg donor and intended parent(s) to have independent legal advice.  There are a number of experienced reproductive lawyers in Canada to choose from. The D&S team can also provide a list.   

Your Anonymous Fresh Egg Donor Cycle

Once all of the above has been completed (testing, counselling, legal agreements), your dedicated nurse will start the process to prepare your donor to complete a cycle to stimulate their ovaries and retrieve eggs. 

Once the eggs are in our lab, we will proceed with fertilization and growing embryos to prepare for an embryo transfer. It is possible to complete a fresh embryo transfer or a frozen embryo transfer. You will have discussed these options with your fertility specialist before the start of treatment.

Your Journey Using 'Anonymous' Egg Donation with an Egg Bank Begins Here

Markham Fertility Centre works with a number of Health Canada-approved donor egg banks.

Anonymous egg donation is less involved, but also tends to cost a little more. The journey is faster because you are selecting an egg donor from a pool of people that have already been screened and approved. They have completed all testing and the eggs are generally ready to be transferred to our lab. There is no need for a legal agreement with the donor, although you may want legal advice when signing the agreement to purchase eggs from the bank.

View your journey

Meeting your Care Team

Your dedicated Donor and Surrogacy team will assist you through the process of selecting a donor egg bank and specific donor.  Your nurse will set up appointments for genetic counselling, infectious disease screening and other tests to ensure you are ready to receive embryos.  

Selecting your egg donor (Variable Timeframe)

The process of selecting an egg donor is an intensely personal one and the time to complete this phase often depends on finding the "right" match.  It can be difficult to find a donor with a particular ethnic or racial background. This can make the process more lengthy. We will assist you as much as possible.  Once you select and purchase donor eggs from an approved egg bank, your eggs will be transferred to our lab.  Our lab must verify compliance with Health Canada standards before they can be used in your treatment cycle.

Genetic Testing (6 weeks)

As part of selecting an appropriate donor, you will meet with our genetic counsellor to discuss expanded carrier screening (ECS) to identify any genetic risks for your future child. It takes about six weeks to receive the results from genetic testing.

Starting your Egg Thaw Cycle (~ 3 weeks)

Timing is an important consideration when completing a cycle to transfer embryos from your donated eggs.  Our lab will thaw and fertilize your eggs while our nurses prepare you to receive the embryos, if you are having a fresh embryo transfer.  In a fresh transfer, we need to ensure that the embryos and the lining of the uterus are properly synchronized.

Embryo Transfer

During an embryo transfer, an embryo will be inserted into your uterus with a special catheter.   The procedure takes 10 to 15 minutes and discomfort is minimal.  Any extra embryos will be frozen for a future cycle called a frozen embryo transfer (FET).  An alterative approach is to have all of your embryos frozen and perform a frozen embryo transfer when you are ready for pregnancy.  There are a number of reasons why you may freeze all your embryos, including genetic testing.  Click here for more information on FETs. 

MFC Donor & Surrogacy Program

Sperm Donation

Learn More

Options for those using donor sperm including known donor and sperm from an approved sperm bank

Embryo Donation

Learn More

Overview of our unique embryo donation program outlining the steps and requirements

Gestational Surrogacy

Learn More

Options for using a gestational surrogate and the related steps

Common Questions About Egg Donation

You may have many questions about using an egg donor. This to be expected. We have lots of resources to assist you in your information gathering.