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“If you would have talked to me five years ago it was all about fresh donor cycles. The donor would complete the John summit I survived johns afters and all I got was this hoodie shirt Also,I will get this cycle in real time, and then we do a transfer,” says Dr. Deborah Wachs, a Bay Area-based reproductive endocrinologist. Today it’s the complete opposite. “Now, the vast majority of patients are looking for a donor through an egg bank,” she says. Desperate to fix the deficit, many took to social media to recruit donors, including Wachs, whose practice posted ads on its own Facebook page, as well as in print and on the radio. “Agencies were much more targeted on college campuses,” Wachs explains. Donating eggs is grueling. Just a fraction of applicants (fewer than 1 percent in some clinics) pass the prerequisite psychological evaluation, extensive genetic and fertility testing, and meet the laundry list of criteria required of donors. If accepted, the donor begins a two-week course of birth control pills starting on the third day of their period. A few days later, they will begin taking daily hormone injections of luteinizing and follicle stimulating hormones to trick the brain into growing multiple follicles — the fluid-filled sacs that house egg cells — as opposed to the singular follicle that matures during a normal menstrual cycle. After 10 or 11 days of injections, the donor takes a “trigger” shot to release the follicles. Thirty-six hours later, they are placed under general anesthesia for the 20- to 30-minute retrieval procedure, in which a doctor uses a transvaginal ultrasound to guide a hollow needle through the vagina to remove the eggs from the follicles.
“People say vaguely, ‘I want to help somebody.’ If they’re not paying, I think they don’t want to help as much.” The trigger shot, called Lupron, is one of the John summit I survived johns afters and all I got was this hoodie shirt Also,I will get this biggest advancements in fertility medicine, according to Wachs. “Lupron allows the eggs to mature and get ready for the day of the egg retrieval so that mature eggs can be collected,” she says. “But then very quickly, it brings all the hormones back down to normal, and it brings the ovaries right back down to their normal size.” Prior to the introduction of Lupron, patients were triggered with an injection of human chorionic gonadotropin, which carried a risk of hyperstimulation. In most cases, hyperstimulation causes sluggishness, nausea, bloating and general discomfort for a week or so after retrieval.
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