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hollycomesalive

hollycomesalive
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North Carolina,
Bio
Two children; ages 4 and 2. Married. I'm an RN and a graduate student. I knit, I spin and I dye wool yarn and fiber. When not wearing Dansko's or clogs, I'm in flip flops. I listen to everything from Jack Johnson, Jeff Buckley and Ben Harper to James Taylor, the Who and Queen.

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Salon.com
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JANUARY 25, 2009 7:00PM

On Donating My Eggs...

Rate: 14 Flag

I'm going to get screened. I'm on a plane for a screening to donate my eggs. How do you tell that to the twentysomething guy next to you on the plane wondering where you're headed and why? They'll take lots of blood and do a vaginal ultrasound and exam. They'll set me up with a social worker to make sure I understand the process. I'll be taught how to inject myself with needles and I will be given a full psych. screening. Then they'll send me home on another plane.

I'm declared reproductively fit several days later, and they send me my meds and syringes through the mail. The first time I stick myself with a needle it's frightening. I stood in front of the mirror, squeezing some tummy fat between my thumb and my middle finger, and held the syringe like they taught me- like a dart. The skin was thicker than I imagined. Tough. It didn't even hurt. All of that work up for nothing.

The hormones didn't affect me the way I thought they would. Avram claims I was a little bitchy, but what does he know? I was just fine. I was monitored in my state for several days, which means every other morning I had to go to a clinic near my home to have my blood drawn. The woman at this clinic screwed up the vein in my right arm on the first stick. I don't know if she was a newbie or what, but I had a bruise in a 4 inch radius from the needle stick. They had to use my left arm after that, which meant I looked like a heroin addict by the time it was all over.

After several days of this, they flew Avram and I to the clinic and gave us a retrieval date. Every morning was the same thing, blood draw, ultrasound. It took up about an hour of my time in the morning. Sitting in the waiting room was strange. All around me were women and their husbands there for treatment. I felt almost...guilty. One morning an older woman struck up a conversation, asked me what kind of treatment I was there for- IUI? IVF? "Oh, I'm donating my eggs...", I said. She thanked me over and over, which sort of embarrassed me. Didn't she realize I was getting paid? This wasn't just out of the goodness of my heart. I mean, some of it was, but I wasn't doing this for free. It wasn't even that bad, this whole donation process.

In fact, we were having a great time. The kids were staying with my mom, and Avram and I were going out on the town.  We had a rental car, so we were mobile. It was almost like a vacation, except for the egg donation part. The food was great and we kept ourselves busy. Avram had bought those "Tour X" books you have on different cities that list all of the attractions. He planned out our days and nights. We went to movies, visited some friends that landed in the area, toured some touristy sites and did a lot of sleeping.

As my ovaries started to swell, they hurt. My egg retrieval was moved up based on how my ovaries were responding. On the morning of the retrieval, my ovaries felt like soccer balls. They put me under and that felt wonderful. Warm and fuzzy. When I woke up my IV was streaming blood. I tried to speak, but I couldn't and the nurse was talking to someone. I eventually let out a sound that got her over there and they fixed it. They gave me crackers and juice. Avram pulled the car around, and I got in, very, very sleepy. 

We flew home two days later. I was relieved and so excited to see the kids again. My compensation check came in the mail after about a week. That was nice. It was in my contract that I had the right to know what happened with the donation. Apparently they conceived. Good for them. I have recommended egg donation to my friends. It's a quick way to make some extra money- pay for that spring break trip or pay down your student loans. I know a girl who has donated 6 times, earning each time between 3 and 8K. She paid for an entire semester in the UK. And all she had to do was give up a couple of eggs.

Since then, some I have talked with have hinted that perhaps this is unethical. Either I was exploited by the intended parents (how could it be known what kind of future impact this could have on me?) or the intended parents were exploited by me (how dare I charge them for my services?). I reject either of those notions. Of course there is a thread of generousity in all of this. I wanted her to get pregnant. I wanted to help her have a baby. I have never experienced what it's like to want a baby and not be able to have one, and I'm sure it must feel terrible. She had been trying to get pregnant for years. She deserved it.

But once all of that is stripped away, what essentially occurred was a business transaction. I had what the parents wanted- healthy, young, fertile eggs. The parents had what I wanted- money. Shouldn't we be allowed to trade? I wouldn't have donated if I wouldn't have been paid. In fact, I went out of state to donate because in my state the going rate for eggs is half of what it is elsewhere. I've spoken with several other egg donors, and women my age just have better things to do than donate their eggs in their spare time for free. So, if egg donors weren't paid, you probably wouldn't have many egg donors.

Also, if egg donors weren't paid, potential parents would probably have fewer quality donors to choose from. When I filled out 20+ pages of application and sent in the pictures of myself, all of my information was put in a database. The potential parents go through this database and pick who they want to be half of their child's genetic material. It's a big deal. They get to pick who is attractive to them. They get to select. So, paying egg donors benefits both parties.

Egg donation was a positive experience for me. I made some money and helped someone have a baby. Like I said, I have recommended it to friends. No one has taken me up on it yet, but we'll see.

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Holly, i admire you for this. i have met soo many women who are literally dying to get pregnant.
Money or not, you did something good.
Interesting post, and you have my admiration too.

I'm curious. Do you ever wonder if the child will want to meet you someday? Do you wonder if he/she looks like you, shares personality traits, etc.?
Tell the guy on the plane you're the easter bunny.
You lead a far more interesting life than I do, Holly!

Bioethics is fascinating, isn't it? Many of the same arguments are made in the discussion over paid organ donation, although the fact that the potential recipients have a lot more at a stake than "mere" (half?) biological parenthood lends the discussion a bit more drama, I suppose.

I suppose part of the question hinges on what one believes makes a parent, and, perhaps more importantly, who "deserves" to become a parent. I know very little about the process of egg donation; is there any kind of "vetting" process for the potential parents? If so, is the potential donor involved? I have no theoretical problem with donated my eggs (if I were 15 years younger), but I think I'd want to know something about the parents, in the same way I'd want to know if I were giving a child up for adoption.
I nearly donated eggs -- we started the process then my sister (the recipient) had a medical issue and then decided this wasn't for her.

Her fertility clinic did a lot of counseling to make sure that she and her husband understood all the issues -- and that I and my husband did, too.

In general, egg donors aren't given a whole lot of say, but an egg donor has a fair amount of market power and could veto any use of her eggs that makes her uncomfortable, for example gay parents, parents of advanced age. Most aren't aware of this.
That's right. You can veto, and you mark it on your application who you wouldn't want to donate to. However, in my experience, anonymous egg donors are more treated as commodities, not patients. You are making the agency money, and that's apparent. In my experience, the clinic could care less if you know what's happening with your body after that initial debriefing. Sure you need an initial understanding, but when I was actually going through the process, it was obvious that it was not important that I be in the loop- How are my ovaries doing? What were the results of my genetic tests? How are my levels? etc.


Erica- It was in my contract that the child could see my contact information when he/she becomes an adult and that it would be allowed for him/her to contact me. I specified that I would not be open to contact if the child were under 18. I do wonder if the child looks like me. I'm pretty sure, though, that part of the reason why they chose me was because I look like the mother, so the kids probably look like her too. I've also wondered if they'll have the same personality traits as I do. I'm sure they will to some extent but they'll be growing up in a completely different environment than I did, so what's nature and what's nurture, you know?


Squillo- I do think part of the question hinges on what it means to be a parent. I thought a lot about this before I decided to donate. To me, especially having my own kids, being a parent is about the day to day sacrifices and experiences, not so much about being pregnant and giving birth or genetics. I'm my kids parent because I changed their diapers, cleaned up their vomit and love them unconditionally, not because they came from my uterus (or ovary!). So, it was pretty easy for me to say, "These aren't my kids. These are her kids. She will be the one parenting them, so I can release any hold I had of these eggs and wish her the best." But I can definitely see where some people would have a problem with it, and I think that's why some choose not to donate. I have a friend who is considering surrogacy (not using her egg, only her uterus- and she's in her thirties with her own kids, so not a college student or anything), but she has a problem with egg donation. I don't get that, but that's her personal preference. Personally there is not enough money in the world to pay me to be pregnant for someone else, but whatever works for you I suppose.


Jim- That's funny!
Thank you for the informative post. No matter the compensation, I think you are a very generous person to have been a donor.
You did something difficult and gave an family who couldn't do it on their own a chance. It was a gift, truly. I do also wonder (as Erica does), are you curious to follow up and see where the eggs go and to maybe see the child that comes from this donation? Just curious. (maybe you could address this issue in your post?)
I looked into this at a time when there was a possibility I would undergo an expensive fertility treatment. It would have been a way to cut the cost of the treatment and make some other family possible.

You report your experience as very straight forward but the process as it was explained to me was definitely risky and uncomfortable.

I think you gave a great gift.

Really, to me, there is no ethical dilemma. The risks in egg donation make the money important. I had a friend who was infertile as a result of her donation to a friend. She donated before they had the less invasive techniques they have today to gather the eggs, but the surgery still carries risks for the donor that sperm donation does not involve.
My ex-boyfriend's wife donated eggs twice. The second time was for the same couple because "the first time turned out so great!" I am currently trying to get pregnant myself (well, not this second) and have a friend who has offered her eggs if it comes down to it. I broke down crying when she made the offer because it struck me then what an incredibly selfless offer it was. I hope it doesn't come to that mostly because of the costs involved but I feel so completely lucky to have a friend like her.
I loved reading this post, and thank you for sharing that with others. I also have donated eggs, and I'm glad to see someone on here talking about it as well. Cheers to egg donation, and thank you for inspiring my next post :). Rated.
Thanks for an interesting story, and for your honesty and candor. Bioethics is not well served by sticking our heads up our butts and hoping that pedicures will somehow then cease to be an issue. In particular, I admire your disinclination to be infantalized by those who imply you're incapable of making a responsible decision about what to do with your own body.

I am struck - just a little - by your tendency to regard generosity and compensation as somehow exclusive, or financial transactions as intrinsically corrupt. Money, however flawed, is our universal symbol for value received. It's how we try to maintain equilibrium in the public sphere. Admittedly, we often fail, but I still think one should always accept currency proudly, striving for a balance between humility and pride.
Incoming Devil's advocate!

I would say that in this case, no one was exploited. But I can also see the potential for exploitation that has others worried. For you to generously give up your eggs and be compensated for what really is an awful lot of pain and trouble seems only fair to me, but I can easily imagine a poor woman who had no other way to get money doing it despite really not wanting to. What's the difference between being forced to donate eggs to survive and being forced to work at McDonald's or some other crappy job to survive? You may argue that there is no difference, but I think there is. It seems important to me that no one should ever be compelled to risk her health for the sake of money.

Of course, I guess there are a lot of poverty-stricken students participating in medical studies right now who are risking their health for the sake of money, but no one's making a big fuss over that, because it's old news and not the latest sexy culture change.
My 19-year-old daughter is considering this, and the idea troubles me. It IS a good thing, but for me, it seems strange that I'd have biological grandchildren out there in the world that I know nothing about. And I think she's too young to really appreciate how it might feel that she has biological children out there in the world that she knows nothing about.

Do you ever think about the babies who were conceived as a result of your donation? If you hadn't already had children of your own, do you think you'd still have donated your eggs?
If I hadn't of already had children, I don't think I would have donated my eggs. Having my own kids helped shape my understanding of what it is to be a parent, which was what gave me "permission" to donate. I think donating before you have your own kids would be more difficult because it would be harder to predict how you would react towards any resulting children.

I do think of the baby/babies that were conceived from my donation. I do wonder what they look like, if they look like my babies, if they have my Dad's cleft chin like all of my kids do, or if they have (or will have) my big smile. Maybe one day I'll find out, but maybe one day I won't. Maybe she had a late loss and that baby was never born at all. All I know is she conceived. Mostly, and I know this is strange, but I wonder if the baby was a girl. I want a girl eventually, and I thought how ironic (funny ironic, not sad ironic) would it be if the only female genetic offspring I had to my name was one born to another woman. Just my luck, you know? ;)
Thank you for sharing your story. Thankfully there have been so many breakthroughs on the infertility front far as the availability of alternatives, including egg donation. There are also a surprising number of women in the U.S. who are considering becoming a surrogate mother to families who want children. Also I’ve found that the organizations facilitating the process are caring people who have a deep desire to fulfill the dreams of couples desiring to become parents. I wish you the best of luck.