The most important thing in a surrogacy program, after, of course, choosing a surrogacy agency and clinic, is the choice of an oocyte donor. The search for egg donors is carried out by specialized agencies or the clinics themselves, which provide a full range of services.
The main difference is that the agency creates a base of donor phenotypes, selects the desired candidate together with the parents, after which a rather long process is carried out: the donor performs all the medical checks and then the cycles are coordinated for the collection of oocytes from the donor and the transfer of the embryo to the surrogate mother. That is, a clear calculation is made of the dates of stimulation and puncture of the donor according to the cycle of the surrogate mother. Such a complex procedure is needed to carry out the fertilization of a fresh egg.
Clinics that provide a full range of services most often organize work in a different way: they have their own cryogenic bank and accept at any time those who want to sell their eggs, which are subsequently frozen. For use in programs with an "anonymous donor", this is a fairly good inexpensive solution, as there is no need to sync cycles, pay an agency to find a donor, etc., but virtually no one chooses programs with an "anonymous donor. "as all parents want to know who their child will look like. For an additional fee, clinics provide the opportunity to select oocyte donors based on photographs from when they were young whose eggs are in the clinic's cryocyte bank, but we don't know how to guarantee that this particular egg donor is specifically selected for your program.
There is nothing wrong with the oocytes being vitrified, this practice has been used for a long time all over the world and has many advantages, and it is used more frequently in cases where the oocytes that remain after the Fertilization are stored for the same parents if they decide to re-do the program, as well as, if a young woman wants to postpone pregnancy to a more mature age and decides to vitrify her own eggs. But freezing eggs has two very important disadvantages:
lower percentage of fertilization success, compared to fresh oocytes. How much loss is something we cannot say with certainty, but it is obvious that the procedure of vitrification (freezing), storage, thawing leads to the loss of a part of the eggs, as well as the loss of their quality.
It is difficult to verify if the oocytes belong to the donor in the photo. In the case of a fresh oocyte program, it is practically impossible to carry out a counterfeit, and it makes no economic sense to take fresh oocytes to freeze later.
Egg donors are conventionally divided by professionals into three ABC groups:
A - the donors of this group are few in the national clinics. We are talking about donors with a beautiful appearance and a high level of education. They prefer to cooperate with European or American agencies, they go to a foreign clinic for 2 weeks to sell their oocytes for € 7,000-15,000. If you add to this the costs of the examination, the stimulation, accommodation and the puncture, to the expectant parents will cost at least € 12,000-20,000.
The search for such donors is carried out in a very primitive but effective way: promoters from the donor search agency approach them on the street and offer to participate in the program.
B - It is not a very large group either, these are the girls with correct anthropometric data and high growth.
They are looking for them in the same way as in the first case, they themselves do not usually request an offer to sell oocytes, but if they do, they do not go to clinics, but they look for buyers only through specialized agencies, where they can receive 5,000- € 7,000. For patients, this donor will cost in the region of € 7,000-10,000.
Whereas, on the clinic websites, the price of a puncture is indicated in the range of € 700-1,000.
С - the largest category of donors (more than 90%) with completely different anthropological data, these are girls who only need money. They go to the clinic themselves, get paid a fee, are asked to complete a short questionnaire, and provide photographs from when they were kids (sometimes adult photos). In any case, your oocytes are frozen for later storage.