Egg Donor Compensation: How Much is Too Much and What Exactly are You Paying For? (Part One)

istock24464973Egg / Ova / Oocyte Donation* offers a viable option to women who have been told that they cannot or should not attempt to achieve a pregnancy using their own egg(s).  This can be, and generally is, an extremely emotional step for any individual or couple to take.  It is also one that can be costly.  With the current state of our economy, the expenses related to any infertility treatment are being more closely examined by those that find themselves in need of such treatment, and the compensation provided to donors is just one of these expenses to consider.  With more young women applying to become donors, because of the financial incentive that does exist, many of us in the field (and those that are thrust into this world because of their own fertility situation) are constantly wondering “how much is too much?”

As an attorney in the field, I take very seriously the responsibility of ensuring that the Egg Donation Agreements that donors and recipients (or “Intended Parents”) enter into are drafted appropriately, taking into consideration the standard of the industry and the guidelines that are available.  It is especially important to make clear not only the exact compensation the donor is going to receive, but what exactly the donor is being compensated for.

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While in California, that state in which I practice, there are no laws that specifically deal with egg donation or compensation, the American Society of Reproductive Medicine has published a report that deals specifically with the financial compensation of egg donors.  (“ASRM Ethics Committee Report: Financial Compensation of Oocyte Donors,” Fertility and Sterility, Vol. 88,  No. 2, August 2007).   The report makes clear what many of us in the field so strongly believe: that compensation to egg donors is justified on ethical grounds, but care needs to be taken with the explanation and delineation of the structure of the compensation, as well as the amount of compensation.  Both donors and recipients need to clearly understand that the donor is receiving compensation for the time, inconvenience and discomfort associated with the entire egg donation process: from the screenings required before a donor can begin medication, to the actual cycle obligations (which includes taking various hormone medications), and then the retrieval procedure.

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Compensation should never be dependent upon a certain number of eggs being retrieved or upon the quality of eggs being retrieved (which can, by extension, also mean that the fertilization rate of such eggs or whether or not a pregnancy is achieved from the donation should not be considered when structuring compensation).  The ASRM report even goes on to state that compensation should not vary based on the number or outcome of prior donation cycles or the ethnic or other qualifications/characteristics of the donor.

*In the assisted reproductive technology (“ART”) industry, professionals use several terms when discussing oocyte, or “egg” donation.  For purposes of uniformity, the term “egg” and/or “eggs” will be used in this entry.

-Kate Lyon, Attorney at Law

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