Testing for the Recipient
Before you can be a good candidate to receive an egg or embryo donation, your healthcare provider will need to perform a thorough medical evaluation, including a medical history and physical examination. This will help determine whether your health would be jeopardized by pregnancy. It is also important to identify any underlying medical issues that might compromise a pregnancy, such as problems that might affect fertilization and implantation.
Other than the blood tests mentioned earlier, some of the tests you may have to go through include:
- Cervical cultures for bacteria (such as chlamydia)
- Blood tests to determine Rh factor and to test levels of FSH and/or estradiol to determine the health of the ovaries
- Hysterosalpingogram, saline sonogram, or hysteroscopy to look at the uterine cavity
- Semen analysis to rule out male factor infertility.
In some cases, you may need to go through a trial transfer, also called a "mock" transfer, which is used to determine the length and direction of the uterus. A mock transfer can also help your healthcare provider identify any problems that may occur with the embryo transfer.
This mock transfer is also used to ensure that the prescribed hormonal regimen will achieve the desired blood levels along with the optimal uterine effects. This preparatory cycle includes the use of an ultrasound to ensure that the endometrial lining (lining of the uterus) reaches the desired thickness.
Some recipients may also be advised to go through pretreatment counseling prior to egg or embryo donation. This may include an in-depth discussion of what to expect during the procedure, the likelihood of success or failure, and the psychological effects of "third-party reproduction."