The Path to Parenthood: Exploring Your Options

Your Guide to Egg and Embryo Donation

For many people, the path to parenthood takes a turn they did not expect. Age-related infertility, medical conditions, genetic concerns, or life circumstances can change the plan. For LGBTQ+ couples and single parents by choice, building a family may require donor support from the start.

Whatever brought you here, you have real options. Egg and embryo donation are established, effective paths to parenthood, and this guide will walk you through how they work, what to expect, and how to decide which is right for you.

Understanding Your Options: Egg Donation vs. Embryo Donation 

What Is Egg Donation?

Egg donation uses eggs from a prescreened donor to create embryos through IVF. The intended parent’s partner or a sperm donor provides the sperm. The resulting embryos are transferred into the intended mother’s uterus or a gestational surrogate. This allows intended parents to experience pregnancy and childbirth even when they cannot use their own eggs.

What Is Embryo Donation?

An embryo forms when an egg is fertilized by sperm. After fertilization, the embryo develops over five to six days to reach the blastocyst stage, when it can be transferred into the uterus during an IVF cycle.

Embryo donation involves receiving embryos that were created by another family through IVF but are no longer needed for their own use. There is no genetic connection to the intended parents, but you carry the pregnancy and give birth. Embryo donation is typically more affordable and faster than egg donation, making it a strong option for families who cannot use their own eggs or sperm.

Key Differences

  • IVF process: Both require IVF and an embryo transfer. With egg donation, fertilization happens after retrieval. With embryo donation, the embryos are already created and frozen.
  • Genetic connection: Egg donation allows a genetic link between the sperm source and the child. Embryo donation does not provide a genetic link to either intended parent.
  • Donor selection: With egg donation, you select a donor based on specific characteristics. Embryo donation involves choosing from pre-created embryo profiles with fewer customization options.
  • Timeline: Embryo donation is generally faster since the embryos already exist. Egg donation requires coordinating donor screening, stimulation, and retrieval before fertilization.
  • Cost: Embryo donation is typically more affordable because it bypasses donor stimulation, retrieval, and fertilization.
  • Legal and emotional considerations: Egg donation involves direct contracts with the donor. Embryo donation may include varying levels of disclosure or anonymity depending on the donating family’s preferences.

What About Surrogacy?

Surrogacy is an option for intended parents who cannot carry a pregnancy themselves, including those with medical conditions, uterine complications, or same-sex male couples. In gestational surrogacy, the surrogate carries an embryo created using donor eggs and the intended parent’s or donor’s sperm, or a donated embryo. If you are considering surrogacy, we can connect you with reputable agencies and support you through the coordination.

The team was amazing from start to finish. I recently finished retrieval with a donor and now in the middle of the Surrogacy process. As a first time parent the company walked me through the process, was very responsive to my questions, had a lot of options of great experienced donors and overall supportive. Would recommend them especially for families of color and LGBTQ.

– Intended Parent, New York

Which Option Is Right for You?

The right choice depends on your medical history, reproductive goals, genetic preferences, budget, and personal comfort. Our team can help you evaluate your situation and choose a path. Here is a simplified comparison:

Path to Parenthood

Who It’s Ideal For

Genetic Link

 Timeline

 Cost

 Considerations

Egg Donation

Individuals/couples with viable sperm but unable to use own eggs

Link to sperm source Moderate (Fresh cycles take longer; frozen options faster) Moderate to Higher  Greater control over donor traits, experience pregnancy

Embryo Donation

Those unable to use eggs and/or sperm, seeking affordable options

No genetic link Faster (embryos already available) Lower Fewer donor selection options, more streamlined process

Egg Donation + Surrogacy

Same-sex male couples, individuals unable to carry a pregnancy

Link to sperm source Moderate to Long Higher Includes additional legal/medical steps; surrogate coordination required

Embryo Donation + Surrogacy

Intended parents unable to carry on provide gametes

No genetic link Moderate Moderate Simple than egg + surrogacy; quicker start, surrogate need

Path to Parenthood
Egg Donation

Who It’s Ideal For
Individuals/couples with viable sperm but unable to use own eggs

Genetic Link
Link to sperm source

Timeline
Moderate (Fresh cycles take longer; frozen options faster)

Cost
Moderate to Higher 

Considerations
Greater control over donor traits, experience pregnancy



Path to Parenthood
Embryo Donation

Who It’s Ideal For
Those unable to use eggs and/or sperm, seeking affordable options

Genetic Link
No genetic link

Timeline
Faster (embryos already available)

Cost
Lower

Considerations
Fewer donor selection options, more streamlined process



Path to Parenthood

Egg Donation + Surrogacy

Who It’s Ideal For
Same-sex male couples, individuals unable to carry a pregnancy

Genetic Link
Link to sperm source

Timeline
Moderate to Long

Cost
Higher

Considerations
Includes additional legal/medical steps; surrogate coordination required



Path to Parenthood
Embryo Donation + Surrogacy

Who It’s Ideal For
Intended parents unable to carry on provide gametes

Genetic Link
No genetic link

Timeline
Moderate

Cost
Moderate

Considerations
Simple than egg + surrogacy; quicker start, surrogate need

Get in touch if you have any questions and we’ll explore your options together

Egg Donation with Donor Nexus

Donor Nexus offers two egg donation programs: the Fresh Matching Program and the Frozen Egg Bank. The same experienced team manages both, and we can help you determine which fits your timeline, budget, and goals.

Fresh Matching Program

In a one-on-one fresh cycle, you are matched with one egg donor and receive all viable eggs from her retrieval. Fresh cycles tend to yield more embryos, making this a strong option for families who want genetic siblings or multiple transfer attempts.

Fresh Cycle Averages Per Retrieval: 28.9 eggs retrieved, 22.6 mature eggs ready for fertilization, 18.2 eggs successfully fertilized via ICSI, and 7.2 PGT-A normal embryos where testing is performed.

Timeline: Approximately 3 to 5 months from donor selection to egg retrieval

Starting at: $29,600 USD

How the Fresh Matching Program Works:

1. Consultation with our team to discuss your goals and options.

2. Donor matching: Browse our database and select a donor. We provide guidance by phone, email, or video call.

3. Donor screening: Medical, genetic, psychological, and infectious disease evaluations (timing varies based on the donor’s cycle).

4. Medical preparation: The donor’s cycle is coordinated with yours (or your surrogate’s) using hormone medications.

5. Egg retrieval: A short outpatient procedure at the IVF clinic.

6. IVF: Eggs are fertilized with sperm. Embryos are grown to the blastocyst stage (5 to 6 days). PGT-A testing is optional.

7. Embryo transfer at your fertility clinic. Most physicians recommend 2 days of rest afterward.

8. Pregnancy test: A beta hCG blood test confirms pregnancy, followed by early monitoring through the first trimester.

Frozen Egg Bank

The Frozen Egg Bank offers a faster, more streamlined path. You select from donors whose eggs have already been retrieved, vitrified, and stored. There is no waiting for screening or cycle syncing. Eggs are shipped to your clinic through our partnership with Cryoport’s temperature-controlled logistics. This is a good fit for families who want to move quickly, reduce upfront costs, or need fewer embryos.

  • Guarantee: 1 blastocyst embryo by day 7 suitable for transfer, freeze, or biopsy per cohort of 6 eggs. Replacement cohort available if the guarantee is not met (terms apply). Does not include a genetically normal embryo. 2012-2025.

  • Frozen Egg Bank Outcomes: 90.7% thaw survival rate, 83.1% fertilization rate, with 81.1% of patients obtaining at least one blastocyst and 60.5% obtaining two or more. Per standard lot of eggs, 2012 to 2025.

  • Timeline: 4 to 6 weeks

  • Cost: $19,500 to $29,500 USD

How the Frozen Egg Bank Works:

1. Consultation with our team to discuss your needs and goals.

2. Select a donor and secure your egg cohort from our online database.

3. Eggs are shipped to your clinic through Cryoport’s temperature-controlled logistics.

4. Your clinic thaws and fertilizes the eggs with sperm (partner or donor).

5. Embryo transfer: One or more embryos are transferred. Remaining embryos may be frozen for future use.

6. Pregnancy test: Beta hCG blood test 10 to 12 days after transfer, followed by early monitoring.

Donor Nexus was one of five different agencies we contacted while searching for an egg donor. Not only did we find them to have an excellent database of donors, but they were the most responsive and helpful of all the agencies, always responding to phone calls and emails the same day. The donor lived out of the country and Donor Nexus took care of the entire process to ensure everything ran smoothly. I am now 20 weeks pregnant and couldn't be happier. A big thank you to Ashley for helping us along this process!

- Intended Parent, Los Angeles 

Embryo Donation with Donor Nexus 

Our Donor Embryo Program is non-religious, non-discriminatory, and operates under a medical tissue donation model. No home study is required. There is no wait list. Whether you are looking for a non-identified or open ID donation, the program offers flexibility to match your comfort level.

Embryo Allocation: The number of embryos received depends on the specific profile and availability. Genetically tested (PGT) profiles typically include 2–3 embryos. Untested profiles may include 3 or more embryos, depending on availability.

  • Guarantee: In the rare event that the embryo(s) do not survive the thaw, we will either thaw additional embryos from the same profile or provide alternative embryo profiles to select from
  • Timeline: Around two to three months 
  • Costs: $9,400
  • Success rates: 69.5% positive pregnancy rate and 49% live birth rate

How the Donor Embryo Program Works:

1. Consultation to discuss your goals and learn about the program.

2. Browse our database and select a donor embryo profile with guidance from our team.

3. Physician consultation at HRC Fertility.

4. Pre-testing, cycle date confirmation, and medication (approximately 35 days). Two to three ultrasounds are completed during this time.

5. Embryo transfer: A quick, minimally invasive procedure at a partner clinic in Southern California. Plan for a 4-day stay.

6. Pregnancy test: Beta hCG blood test 10 to 12 days after transfer.

Independent Match Embryo Donation

If you have already connected with a potential embryo donor on your own, whether through referrals, online communities, or personal networks, Donor Nexus offers Independent Match Coordination services. Our team handles clinic and lab communication, legal coordination, paperwork, embryo transport, and logistics, so the process is professionally managed from start to finish.

Our hearts are bursting with joy and love for this precious little girl! Our family is complete, and again, I definitely have you to thank for that. If you weren’t so kind, supportive and helpful when I initially reached out to Donor Nexus we wouldn’t be holding our daughter in our arms. We would probably still be reaching out to other places and barely getting any responses back, or being put on 2-3 year wait lists. I can’t tell you how happy we all are, and I hope you know what an important role you play in the lives of people searching for donor embryos and how much it’s appreciated!

– Intended Parent, Pennsylvania

Finding the Right Donor

The Donor Nexus database includes over 500 profiles and is updated regularly. You can search by program type and filter by characteristics that matter to you.

Factors to Consider When Choosing a Donor

Everyone’s priorities are different. Our team can walk you through the database or suggest profiles based on your preferences. Here are some common factors:

  • Physical characteristics: Height, eye color, hair color, ethnicity, overall appearance
  • Education and background: Academic history, degrees, intellectual interests
  • Personality and interests: Hobbies, values, talents, lifestyle
  • Medical and genetic history: Family health background and genetic screening results
  • Openness preferences: Nonidentified, identified, or open ID (see below)

Types of Donor Arrangements: Open ID, Nonidentified, Identified

Deciding on the level of contact you are comfortable with is an important part of the process. Each donor’s preferences are listed on her profile so you can see them before making a decision.

  • Open ID: The donor agrees to release identifying information to any donor-conceived individual aged 18 or older upon request. This does not imply an ongoing relationship.
  • Nonidentified: No identifying information is shared between the donor and intended parents. Note that future anonymity cannot be guaranteed due to advancements in genetic testing.
  • Identified: An agreed-upon level of communication between the donor and intended parents. This may include contact for medical reasons, sharing photos, or the option for offspring to meet the donor in the future.

Register to receive free and instant access to our online donor database

The Egg Donor Screening Process

Our egg donors are women ages 19 to 30 from diverse backgrounds. All donors complete a screening process that can take up to four months. Here is what it includes:

  • Medical evaluations: Ultrasound evaluations, ovarian reserve testing, infectious disease and STI screenings, drug screening, and genetic carrier panels.
  • Psychological evaluations: A detailed assessment to confirm the donor is emotionally prepared for the donation process.
  • Legal screening: A consultation with a reproductive law firm to review the donor’s rights, responsibilities, and contract.

Genetics, Epigenetics, and Bonding Beyond DNA 

Egg donors contribute 50% of a child’s genetic material, providing the blueprint for physical traits, natural talents, and potential health predispositions. But biology goes beyond genetics.

The Influence of Epigenetics

Epigenetics studies how environmental factors influence gene expression without changing the DNA itself. During pregnancy, the intended mother’s health, nutrition, and overall prenatal environment can affect which genes are activated or suppressed, shaping the baby’s development. A healthy diet and reduced stress, for example, can positively influence gene activation and may impact the child’s long-term health. Research suggests that the prenatal environment can have a more significant impact on development than genetics alone.

Beyond Genetics

The care, presence, and support you provide as a parent play the most significant role in your child’s growth. Genetics is one piece of the picture. The experiences you share, the values you teach, and the bond you build are what define a family.

 

How Donor Nexus Supports You

We serve all families: single parents, same-sex couples, unmarried partners, and traditional couples. There is no one-size-fits-all approach, so we offer flexible programs and hands-on coordination from your first inquiry through your transfer.

International support: Flexible coordination for families outside the U.S., including travel planning, clinic referrals, and virtual consultations across all time zones.

Dedicated case manager: One point of contact who guides you through every detail: procedures, timelines, program options, and what to expect.

IVF clinic partnerships: We partner with top fertility clinics to ensure you receive strong clinical care. If you have not chosen a clinic, we can recommend one.

Legal coordination: We facilitate the legal aspects of your donation or match, working with legal professionals to create contracts that protect all parties.

Flexible payments: Many programs offer installment payment plans.

Financing through CapexMD: Fertility-specific loan options designed for this process.

Grants and financial resources: We maintain a regularly updated list of IVF grants and charitable funding programs.

Insurance guidance: We can help you determine whether any part of your treatment is covered by your health insurance or employer benefits.

Real Families, Real Stories

 

Finding Hope After Failed IVF: Sandy's Journey to Parenthood

An intended parent reflects on her initial hesitation and the support she received throughout the donor egg process.

Victoria’s Heartfelt Blog on Donor Conception

An honest story from one intended mother coming to terms with using donor eggs and why she ultimately feels at peace with her decision. 

An Embryo Donation Story

After a full-term pregnancy loss and years of researching adoption, David and Cori discovered embryo donation and found their path to both bearing and adopting the same child.

Pen Pals: Letters Between an Intended Parent an Egg Donor

An inside look at a heartfelt exchange between an intended parent and her egg donor.

Ready to Take the Next Step?

If you are ready to move forward, or even just want to explore what is possible, our team is here. We have helped thousands of families get started, and we can help you, too.

 

Get in touch if you have any questions and we’ll explore your options together

Additional Resources For Intended Parents 

 

Blog for Intended Parents

Resources, research, and personal stories.

Intended Parent Testimonials

Stories from families who have been through the process.