UCSF Center for Reproductive Health

Thank you for your interest in the UCSF Egg Donor Program. The UCSF Egg Donor Program is part of the UCSF Center for Reproductive Health, a compassionate and innovative program staffed by a diverse interdisciplinary team that has expertise from some of the top programs in the country. All of our physicians, who have extensive experience, are board-certified in both obstetrics and gynecology, and reproductive endocrinology and infertility. We have been helping patients become parents using donated eggs since 1991 and were one of the first programs in the Bay Area to do so. Donating your eggs to a couple who is yearning to become parents is a very generous act.

Our expertise is complemented by the commitment and care of a large team of professionals, including genetic counselors, psychologists, quality nurses and a detail-oriented office staff. At UCSF, we are also fortunate to have experienced, compassionate nurses who are committed to the philosophy of our practice: respecting and supporting patients’ medical and emotional needs. Our Egg Donor Team understands the needs of women who choose to donate their eggs and provide you with the compassion, counsel and support you may need as you embark on this generous journey.

Recipient Profile

Couples generally choose to use eggs from a donor because they are unable to conceive a child with the female partner’s own eggs. There are many reasons that a woman may not be able to conceive with her own eggs, including older age, early menopause, previous cancer treatments which damaged the ovaries, or production of poor quality eggs. Frequently, the individuals proceeding with an egg donation cycle have already been through extensive fertility treatments without success. Egg recipients can be couples or single women or men. At UCSF all recipients for our egg donor program are UCSF patients.

Your Involvement in the Process

Egg donors offer an amazing gift to couples or single women struggling to become parents. The knowledge that she has had the ability to make a profound difference for a family is frequently one of the most compelling reasons young women participate so generously in this process.

Being a donor means committing to a thorough health and psychological screening, and if chosen to be a donor, undergoing the preliminary phases of in vitro fertilization. The medical procedures involved in being an egg donor include administering injectable medications to stimulate your ovaries, undergoing ultrasound monitoring over the course of 10-14 days and having a simple outpatient procedure to remove the stimulated eggs from your ovaries.

To become a donor in our program, you must complete the following steps:

Call or email us to learn more and request an initial questionnaire, or you may download it here.
Complete and submit the donor application, along with photographs of yourself for your profile
Complete all screening procedures requested
Wait for a recipient to choose you as their donor

Frequently Asked Questions

(Click on a question to read the answer.)

Why should I choose the UCSF Egg Donor program?
If I am interested in participating, how do I get started?
What screening is involved?
What is the compensation?
Can you describe the whole process?
How much time is involved?
Will I need to give myself shots?
What are the possible side effects and risks?
Are there any restrictions during the process?
Can I become pregnant during treatment?
Will this impact my ability to have children and will this deplete my source of eggs?
Can I still work and/or go to school?
What are my responsibilities if I agree to become a donor?
What are my legal responsibilities to any child born from my donated eggs?
Will the recipients know me or meet me?
Can I donate more than once?

Why should I choose the UCSF Egg Donor program?

The UCSF Egg Donor Program is part of the UCSF Center for Reproductive Health, a compassionate and innovative program staffed by a diverse interdisciplinary team that has expertise from some of the top programs in the country. All of our physicians, who have extensive experience, are board-certified in both obstetrics and gynecology and reproductive endocrinology and infertility. We have been helping patients become parents using donated eggs since 1991 and were one of the first programs in the Bay Area to do so. Because the UCSF Egg Donor Program only provides eggs to UCSF patients, you will receive all your care in one setting contrary to the egg donor agencies that may send you to donate at various locations that may all have different processes.

If I am interested in participating, how do I get started?

We would love to hear from you. You may download an application here, fill it out and email it to eggdonorprogram@ucsfmedctr.org. Once the application is returned, we can consider you for the next steps of the screening process. Alternatively, you can call our egg donor coordinator at (415) 353-9251 or email us at eggdonorprogram@ucsfmedctr.org.

What screening is involved?

You will be asked to complete a detailed questionnaire about your background, medical, family, and personal history. After that is complete and has been reviewed by our staff, we will call you to arrange screening appointments with our psychologist and genetic counselor. The last step in the screening process is having a physical examination with a physician and laboratory tests.

What is the compensation?

We offer egg donors $7000 compensation for their time, travel, and efforts, once they have completed an egg donation cycle. Preliminary medical screening prior to donation is performed at no cost to you, and you may request results of all your medical tests for your own records and/or to give to your doctor.

Many egg donors also report the positive emotional impact of egg donation as an additional form of “compensation.” Knowing that you have helped complete a family can be very rewarding.

Can you describe the whole process?

Once your questionnaire has been reviewed by our team, you will be scheduled for the screening process. This process involves meeting with a psychologist, genetic counselor, and reproductive endocrinologist. The reproductive endocrinologist performs a physical exam which includes a pelvic exam and cervical cultures; other blood tests will also be drawn at this visit. Blood tests include screening for infectious diseases and carrier status for specific genetic diseases, and reproductive hormone levels.
At this screening appointment, the members of our team are available to discuss the process in detail and to answer any questions you may have. The reproductive endocrinologist will also review the medical procedures involved and discuss any risks.
If you are accepted into the UCSF Egg Donor program, you are then an active egg donor candidate, and your profile will be accessible to UCSF Center for Reproductive Health patients who desire a donor egg cycle. This is a confidential process, in which pictures and profile information supplied by you are shared with interested patients. Only your first name is shared to protect your privacy.
Once a recipient has chosen you as their egg donor, you will attend a class taught by the UCSF Egg Donor Program staff to learn how to prepare and administer your injectable medications. You may either administer the medications to yourself, or you may choose a friend or family member who is willing to give you daily injections.
When you are ready to proceed, your doctor and nurse coordinator will coordinate your cycle with that of your recipient. The cycle will begin with a few weeks of birth control pills (to synchronize your cycle with the recipient’s). This is then overlapped with injections of a medication (lupron) that temporarily halts your ovaries’ normal functioning. Egg production is then stimulated using injectable follicle-stimulating hormone (FSH), which is similar to the natural hormones your body makes before you ovulate.
You will be given a detailed calendar which describes when to take your medication and when to come in for blood tests and ultrasounds. You will have short visits to the UCSF Center for Reproductive Health between 7:00am and 10:00am on approximately 7-10 mornings during a two week period. For your convenience, if you live in the North Bay, we may arrange for you to have many of your visits at our Marin office. These visits include taking a blood sample and vaginal ultrasound to assess your progress. The egg retrieval is done at the end of the 2 week monitoring period and is performed transvaginally, using a light general anesthetic, given through an IV. You will need to have someone with you to drive you home after the retrieval, and will need to allow yourself a day for recovery when the retrieval is performed. Most donors can resume normal activities the next day, although occasionally the recovery period takes longer. Once the retrieval is performed, you will receive compensation for your time, travel and efforts.

How much time is involved?

The screening process generally takes a few weeks to complete. You will speak to the UCSF Egg Donor Program coordinator by phone and come into the office for a few short visits at our Mount Zion location. Once you are chosen as an egg donor, a cycle takes approximately 4 weeks. During a two week period, you will come to the clinic approximately 7-10 times for ultrasound monitoring and blood tests. These appointments generally require a 15-30 minute visit in the morning. The day that you are scheduled for the egg retrieval, you will be at our clinic for a large portion of the day. Most donors are able to continue to work or go to school during the overall process.

Will I need to give myself shots?

Yes. The shots are done at home. You can do them yourself, or have a close friend or family member help you with them. We will teach you how to mix and administer your medication in our office.

What are the possible side effects and risks?

As with any medical procedure, there are possible side effects and risks. Many women feel very minor or no discomfort during the donation cycle. Others have varying symptoms that typically resolve following the egg retrieval procedure. In some cases a donor might feel bloating, pressure, abdominal pain and swelling, breast tenderness and moodiness from the hormone medications, which will go away by her next period. Severe side effects are rare and will be discussed with you by a physician in detail prior to your entry in the program.

Injection Side Effects and Risks
The blood tests and hormone injections are usually well tolerated. Some women, however, experience pain, redness, or minor bruising at the injection site. Allergic reactions are rare.

Medication Side Effects and Risks
Hyperstimulation syndrome: There is a small risk of ovarian hyperstimulation syndrome (OHSS) developing during an egg donation cycle. OHSS generally occurs following the actually egg retrieval. It involves enlargement of the ovaries, significant increases in fluid retention within the abdomen and concentration of the blood within the blood vessels. It its more mild form, it can be uncomfortable but resolves within several days. The severe form occurs in approximately 1% of donor cycles. In severe cases, hospitalization may be required for monitoring. While the condition is serious, it usually lasts no more than one week.

Procedure Side Effects and Risks
The egg retrieval is a transvaginal ultrasound guided procedure. The risk of serious complications of this procedure is rare: approximately 1 in 1,000. Serious complications involve bleeding, requiring observation in the hospital and/or blood transfusion, damage to internal organs and infection.

Other Side Effects and Risks
To date, available evidence does not suggest any increased risk of cancer of the breast or ovaries from serving as an egg donor. In addition there is no evidence of increased risk of infertility.

Are there any restrictions during the process?

There is a chance of pregnancy you could get pregnant during the egg donation process, so we ask that you abstain from intercourse during this process.

Your ovaries will become enlarged during the egg donation process. We request that you refrain from activities that involve high impact, such as running, mountain biking, jumping, etc. until several weeks after the egg retrieval. After approximately one month, your ovaries will return to their normal size.

Can I become pregnant during treatment?

Yes! It is very important that you avoid intercourse from the time you start the hormone medication until 3 weeks after your egg retrieval. This will prevent an unwanted pregnancy and ensure that the cycle proceeds as planned.

Will this impact my ability to have children and will this deplete my source of eggs?

No. The procedure itself does not have any impact on your future ability to have children. Females are born with approximately two million eggs. Each month in a woman’s life a group of eggs begin the maturation process, but the body selects only one egg each cycle to ovulate while the rest are absorbed by her own body. Fertility medications “rescue” a portion of these excess eggs that the body would have ordinarily discarded.

Can I still work and/or go to school?

Although the egg donation process requires you to adhere strictly to your medication and appointment schedule, most women are able to continue with work and school without difficulty. You must take the medication as instructed, and on time. You must be on time for all monitoring appointments and arrange for transportation to and from the egg retrieval. This requires that you make your egg donor cycle a top priority during the few weeks that it occurs, and you may have to reschedule other events, classes or work times as necessary to adhere to this schedule.

What are my responsibilities if I agree to become a donor?

You must be truthful in all portions of the donor screening process, and follow the doctors’ orders during the treatment cycle. The egg donation process requires you to adhere strictly to your medication and appointment schedule. You must take the medication as instructed, and on time. You must be on time for all monitoring appointments and arrange for transportation to and from the egg retrieval. This requires that you make your egg donor cycle a top priority during the few weeks that it occurs. You will need to abstain from sex from the time you start the hormone medication until 3 weeks after your egg retrieval to prevent an unwanted pregnancy and make sure the cycle proceeds as planned

What are my legal responsibilities to any child born from my donated eggs?

When you agree to donate your eggs, you are giving up all rights and responsibilities associated with eggs and any child born as a result of them.

Will the recipients know me or meet me?

Most egg donor arrangements are anonymous, meaning you won’t know the recipients and they won’t know you. Information about you is shared with the recipients in a non-identifying manner. For example, you will be identified to patient couples by the following information: blood type, ethnic background of your mother and father, height, weight, body build, eye color, hair color and texture, years of education, occupation, and special interests and family medical history. Pictures you share with us will also be shared with potential recipients. We will not share the following information with the recipients: your last name, your address, your telephone number, or your email address.

We are committed to creating egg donation arrangements that fit the personal needs of both donor and recipients. Some donors and recipients are interested in meeting each other and we support that process, if all parties are willing. On your application, you will indicate whether you are willing to meet the recipients, and whether you would be willing to meet their child when the child is an adult.

Can I donate more than once?

Yes. If all goes well with your first egg donation cycle, we would be happy to have you come back and donate again. Repeat donation may take less of your time, because you will have already completed the initial screening process. For your safety, egg donors can donate no more than 6 times. This guideline has been established by the American Society for Reproductive Medicine.