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NATIONWIDE EGG DONATION & SURROGACY



Let us make your egg donation and surrogacy experience a great one! Our egg
donation and surrogacy agency has worked with clinics and intended parents
throughout the United States and internationally since 2001.

We understand this can be a difficult and stressful time. We look at each client
individually and work together as a team to help make your dream of having a
child a reality. NWED’s motto is to make this as easy and comfortable for you as
possible.




WELCOME HOME!

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Who are you?




PROSPECTIVE PARENT

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I'm interested in starting a family, or growing my family, and am seeking a
young woman to partner with in this process.

This is me!


PROSPECTIVE EGG DONOR

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I'm a young woman who would like to find out more about assisting a family in
having a child through donation of my eggs.

This is me!


PROSPECTIVE SURROGATE

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I'm a young woman who would like to find out more about assisting a family in
having a child by carrying their baby.

This is me!
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What is infertility?


In general, infertility is defined as not being able to get pregnant (conceive)
after one year (or longer) of unprotected sex. Because fertility in women is
known to decline steadily with age, some providers evaluate and treat women aged
35 years or older after 6 months of unprotected sex. Women with infertility
should consider making an appointment with a reproductive endocrinologist—a
doctor who specializes in managing infertility. Reproductive endocrinologists
may also be able to help women with recurrent pregnancy loss, defined as having
two or more spontaneous miscarriages.

Pregnancy is the result of a process that has many steps. To get pregnant:

 * A woman’s body must release an egg from one of her ovaries.
 * A man’s sperm must join with the egg along the way (fertilize).
 * The fertilized egg must go through a fallopian toward the uterus (womb).
 * The embryo must attach to the inside of the uterus (implantation).
 * Infertility may result from a problem with any or several of these steps.

Impaired fecundity is a condition related to infertility and refers to women who
have difficulty getting pregnant or carrying a pregnancy to term.

Is Infertility a common problem?


Yes. In the United States, among heterosexual women aged 15 to 49 years with no
prior births, about 1 in 5 (19%) are unable to get pregnant after one year of
trying (infertility). Also, about 1 in 4 (26%) women in this group have
difficulty getting pregnant or carrying a pregnancy to term (impaired
fecundity).

Infertility and impaired fecundity are less common among women with one or more
prior births. In this group, about 6% of married women aged 15 to 49 years are
unable to get pregnant after one year of trying and 14% have difficulty getting
pregnant or carrying a pregnancy to term.

What causes infertility in Women?


Women need functioning ovaries, fallopian, and a uterus to get pregnant.
Conditions affecting any one of these organs can contribute to female
infertility. Some of these conditions are listed below and can be evaluated
using several different tests.

Disruption of ovarian function (presence or absence of ovulation and effects of
ovarian “age”)

A woman’s menstrual cycle is, on average, 28 days long. Day 1 is defined as the
first day of “full flow.” Regular predictable periods that occur every 21 to 35
days likely reflect ovulation. A woman with irregular periods is likely not
ovulating.

Ovulation can be predicted by using an ovulation predictor kit and can be
confirmed by a blood test to check the woman’s progesterone level on day 21 of
her menstrual cycle. Although several tests exist to evaluate a woman’s ovarian
function, no single test is a perfect predictor of fertility. The most commonly
used markers of ovarian function include follicle-stimulating hormone (FSH)
value on day 3 to 5 of the menstrual cycle, anti-müllerian hormone value (AMH),
and antral follicle count (AFC) using a transvaginal ultrasound.

Disruption in ovarian function may be caused by several conditions and warrants
an evaluation by a doctor.

When a woman doesn’t ovulate during a menstrual cycle, it’s called anovulation.
Potential causes of anovulation include the following

 * Polycystic ovary syndrome (PCOS). PCOS is a condition that causes women to
   not ovulate, or to ovulate irregularly. Some women with PCOS have elevated
   levels of testosterone, which can cause acne and excess hair growth. PCOS is
   the most common cause of female infertility.
 * Diminished ovarian reserve (DOR). Women are born with all of the eggs that
   they will ever have, and the number of eggs declines naturally over time. DOR
   is a condition in which there are fewer eggs remaining in the ovaries than
   expected for a given age. It may occur due to congenital (condition present
   at birth), medical, surgical, or unexplained causes. Women with DOR may be
   able to conceive naturally, but will produce fewer eggs in response to
   fertility treatments.
 * Functional hypothalamic amenorrhea (FHA). FHA is a condition caused by
   excessive exercise, weight loss, stress, or often a combination of these
   factors. It is sometimes associated with eating disorders such as anorexia.
 * Improper function of the hypothalamus and pituitary glands. The hypothalamus
   and pituitary glands in the brain produce hormones that maintain normal
   ovarian function. Production of too much of the hormone prolactin by the
   pituitary gland (often as the result of a benign pituitary gland tumor), or
   improper function of the hypothalamus or pituitary gland, may cause a woman
   not to ovulate.
 * Premature ovarian insufficiency (POI). POI, sometimes referred to as
   premature menopause, occurs when a woman’s ovaries fail before she is 40
   years of age. Although certain exposures, such as chemotherapy or pelvic
   radiation therapy, and certain medical conditions may cause POI, the cause is
   often unexplained. About 5% to 10% of women with POI conceive naturally and
   have a normal pregnancy.
 * Menopause is a natural decline in ovarian function that usually occurs around
   age 50. By definition, a woman in menopause has not had a period for at least
   one year. Many women experience hot flashes, mood changes, difficulty
   sleeping, and other symptoms as well.

Fallopian tube obstruction (whether fallopian tubes are open, blocked, or
swollen)

Risk factors for blocked fallopian tubes (tubal occlusion) can include a history
of pelvic infection, ruptured appendix, gonorrhea, chlamydia, endometriosis, or
prior abdominal surgery.

Fallopian tubes may be evaluated by hysterosalpingogram or by chromopertubation.

 * Hysterosalpingogram is an X-ray of the uterus and fallopian tubes. A
   radiologist injects dye into the uterus through the cervix and simultaneously
   takes X-ray pictures to see if the dye moves freely through fallopian tubes
   indicating they are open.
 * Chromopertubation is similar to a hysterosalpingogram but is done in the
   operating room at the time of a laparoscopy. Blue-colored dye is passed
   through the cervix into the uterus and through the fallopian tubes. This test
   is used to evaluate if the fallopian tubes are open and to assess if they are
   dilated.

Physical characteristics of the uterus

Depending on a woman’s symptoms, the uterus may be evaluated by transvaginal
ultrasound to look for fibroids or other problems, including intrauterine
adhesions, endometrial polyps, adenomyosis, and congenital anomalies of the
uterus. A sonohystogram or hysteroscopy may also be performed to further
evaluate the uterine environment.

Thank you for helping me and my husband with our egg donor journey is an
understatement. You have been a breath of fresh air and will be eternally
grateful for your compassion and expertise. We are expecting our baby girl just
before Christmas! Once again thank you so much for all that you do.

~B.N.
California

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