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PHYSICIAN FLIP CHART

Physician Flip Chart

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Physician Flip Chart. The Egg Donation Process. Ottawa Fertility Centre. Topics to be discussed. Should I consider treatment with egg donation? Who are the egg donors? What are logistics between my cycle and my donor? What is recipient screening? What are the pregnancy rates? - PowerPoint PPT Presentation

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Page 1: Physician Flip Chart

PHYSICIAN FLIP CHART

Page 2: Physician Flip Chart

Ottawa Fertility Centre

The Egg Donation Process

Page 3: Physician Flip Chart

•Should I consider treatment with egg donation?

•Who are the egg donors?

•What are logistics between my cycle and my donor?

•What is recipient screening?

•What are the pregnancy rates?

•What are my financial options?

TOPICS TO BE DISCUSSED

Page 4: Physician Flip Chart

OPTIONS AVAILABLE

Ideal choice would be using your own egg and partner sperm

If the ideal option is not feasible the remaining options are:• Adoption • Donor Egg• Choosing Not to have Children

Page 5: Physician Flip Chart

WHEN IS EGG DONATION NEEDED?

Decreased Ovarian Function

Premature Ovarian Failure

Genetic Abnormalities

Failure of Other

Treatments

Page 6: Physician Flip Chart

GENETICS OF AGING OOCYTE

Maternal AgeChromosomal

AbnormalityNewborns

30 1/385

35 1/192

40 1/66

41 1/53

42 1/42

43 1/33

44 1/26

45 1/21Reproductive Medicine Associates: Genetics 2003-2004

ACOG publications

Page 7: Physician Flip Chart

EFFECTS OF AGE ON PREGNANCY RATES

Page 8: Physician Flip Chart

OOCYTE NUMBER

Page 9: Physician Flip Chart

DONOR SCREENING REQUIREMENTS

•Women between the ages of 21 – 32 years

•Height & Weight Proportionate (BMI <28)

•Non-smokers

•Healthy Medical and Family History

•Normal Hormone & Ovarian Evaluation

•Consultation with physician or nurse practitioner

• Negative drug screening

• Negative for Communicable Diseases, in accordance to FDA protocol

• Genetic Screening (Cystic Fibrosis, SMA, Fragile X and ethnically indicated genetic disorders)

• Psychological Evaluation

Page 10: Physician Flip Chart

Full profile includes :

• Physical characteristics

• Health and obstetrical history

• Family health history

• Likes & Interests

• Personal Essay Questions, including motivation for donation

• Childhood and adult photographs

DONOR APPLICATION

Page 11: Physician Flip Chart

REASONS FOR DONOR EXCLUSION

•Poor baseline hormone values and/or antral follicle count

•Psychological exclusion

•Problematic medical or family history

•Smoker

•Positive drug screen

•Positive genetic screen

•Donor changes mind, relocation, schedule conflict

Page 12: Physician Flip Chart

FDONOR EGG BANK USA

• Recipients receive 5-7 mature eggs• No need for synchronization with donor• Widens donor selection• No wait to select• More control of cycle timing• Less expensive

Advantages

• Limited number of eggs• Lower chance of embryo cryopreservation

Disadvantages

Page 13: Physician Flip Chart

SELECTING A DONOR

Decide on a donor program: fresh or frozen

View Donor Profiles

Select Donor

Make payment and start your cycle

Page 14: Physician Flip Chart

TIPS FOR SELECTING A DONOR

• Take your time, you may not see someone you like immediately

• Expect to match the most important issues

• Expect to make compromises on some less important issues

• Look for intellectual potential (essay and skills section), not just education level

• Everyone has imperfections

• Matching blood types is not medically necessary and does not impact success rates

Page 15: Physician Flip Chart

INFANT COMPLICATIONS FROM MULTIPLE PREGNANCY

Singleton Twin Triplet

Average Month at Birth 9 mths 8 mths 7 mths

% Very Premature(<7 mths) 1.7% 14% 41%

Average Birth Weight 7.4lbs 5.2lbs 3.8lbs

% Severe Handicap 1.9% 3.4% 5.7%

% Infant Mortality 0.6% 2.8% 19%

Page 16: Physician Flip Chart

DONOR EGG BANK USA THROUGH DECEMBER 31, 2013

EggThaws

EmbryosTransfers

Average # of Eggs

per Cycle

Average # of Embryos

Transferred

Clinical Pregnancies

(% ET) Miscarriages

(% ET)Ongoing

Pregnancies (% ET)

626 582 6.21.8

(day 3)1.6

(day 5)

291(50%)

36 (6%)

255(44%)