EGG BANKS program at clinique ovo

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1 EGG BANKS program at clinique ovo

2 HISTORY The first pregnancy resulting from egg donation in an IVF cycle was in 1983 Egg donation plays an important role in assisted reproductive technologies since it can be used to treat a variety of fertility problems. For many years it was not possible to freeze eggs successfully and therefore the only manner in which egg donation could take place was directly during a fresh IVF cycle. About 10 years ago a new way of cryo-preserving embryos was developed: vitrification. Vitrification is a method of cryopreservation that uses extreme cooling speeds to avoid freezing and the associated ice crystal formation. The result is much higher survival rates of embryos and also it became possible to successfully cryo-preserve eggs too. The ability to cryopreserve eggs opened the option of creating egg banks similar to the donor semen banks that have been in place for many years. Egg donors undergo their ovarian stimulation and egg retrieval and then the eggs are vitrified and stored. This allows the egg banks to develop a stock of eggs from which a recipient can select the egg donor that she would like based on characteristics of the donor. The egg bank option removes the need to find someone who will donate eggs for you. It also allows for a greater selection in terms of the characteristics (such as eye color, hair color, height, education, etc) for you to choose from.

3 DEDICATED EGG DONATION TEAM At clinique ovo we understand that egg donation is a complex process and for that reason we have a dedicated team of doctors and nurse coordinators working to help you through every step. You will have access to the egg donation nurse coordinators throughout your cycle with a specific and direct telephone number. They will help to explain the process both for the patient recipient and the egg donor, and be available to answer any questions that may occur along the way. EGG BANKS Vitrification of eggs is possible but it is a highly technical procedure that needs to be tightly controlled in the laboratories that carry it out. Eggs are very sensitive to being cryo-preserved which is why they could not be frozen in the past. For this reason ovo cryo works with the best egg banks only to ensure quality and maximise success rates. We have specially trained embryologists who have been validated by the egg banks; in order to warm (thaw) the eggs. DEBUSA FAIRFAX EGG BANK

4 DEBUSA Donor Egg Bank USA is one of the largest and most successful egg banks in North America. The clinique ovo is a member of the DEBUSA family of clinics which means that our patients have access to the donor eggs available to DEBUSA clinics. It also means that our laboratory is closely monitored by the DEBUSA clinical team to ensure that we provide the best possible outcomes for patients using DEBUSA eggs. If you do a cycle using DEBUSA eggs, the pricing includes the donor eggs, the cycle coordination, warming and fertilisation of the eggs, embryo culture and embryo transfer. You pay directly to DEBUSA and there are no cycle fees to pay to clinique ovo. The pricing does not include any medication you need to take, the preliminary workup (blood tests, etc.) and the annual storage fees. Programs available at DEBUSA Single Cycle Assured Refund 5-9 oocytes Up to 6 cycles with 5-9 eggs including all FET Guarantee 1 high quality embryo D3 Guarantee Baby or 100% refund $16,000 US $37,500 US NB: In the single cycle the costs associated with any FET cycles are no covered in the initial price. Whereas in the Assured refund program, all the frozen embryo transfers are included in the price up until a baby is born.

5 ALTERNATIVE EGG BANKS DEBUSA have a wide selection of donors but in the case that you are unable to find a donor with suitable characteristics we also work with two other egg banks. These banks do not offer complete programs and therefore you will need to purchase the eggs from the bank and pay the clinique ovo for the IVF warming cycle. Costs for Egg warming IVF cycle at clinique ovo = $5,000 CAD Fairfax Egg Bank Donor eggs from Fairfax egg bank are supplied in Canada through a distributor. Note that Canamcryo also distribute for other egg banks so please be aware when accessing their site. Option Includes 6 eggs Guarantee of one good quality embryo on day 3 $16,500 CAD + GST

6 Process for egg donation using an Egg Bank Initial consultation with doctor in the egg donation team Meet with egg donation nurse coordinator to explain protocol and consents and give list of required tests Consultation with the clinic psychologist Start selection process for egg donor Egg banks have detailed online catalogues and personnel to help with your selection Complete blood work and any other prescribed tests Confirm donor selection online Complete and sign consent forms and return them to clinique ovo and the egg bank For cases using DEBUSA payment in full to the egg bank For cases using other egg banks payment for the eggs to the egg bank and payment for the cycle to clinique ovo The egg donation nurse coordinator will schedule your cycle and organise the details with you

7 Cycle process Once you have selected the egg donor and your eggs have been received at the clinique ovo the egg donation nurse coordinator will schedule your IVF cycle. You will take medication to prepare your endometrial lining to receive the embryos. You will need to visit the clinic for ultrasound verification of your endometrium: on average 1-3 visits per cycle. Once your endometrial lining is ready, we can schedule the egg warming and the IVF. On the day of the egg warming, your partner will need to produce a semen sample; the warmed eggs are injected with a sperm from your partner. The embryo transfer takes place 3-5 days later. The embryo is placed in the uterus using a soft catheter under ultrasound guidance. Two weeks after the embryo transfer you will have a pregnancy blood test at the clinique ovo.

8 VERSION 01 - MAI 2017

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