There are risks. And many women's health advocates worry that five-figure payments lure women to sell without seriously assessing those risks. The most hazardous side effect, Ovarian Hyperstimulation Syndrome (OHSS), is a complication occasionally seen in women who take certain fertility medicines that stimulate egg production. The symptoms of OHSS can include bloating, nausea, vomiting, diarrhea, excessive weight gain, shortness of breath, and sometimes kidney or liver failure. In addition, during the procedure, the patient is in immediate danger, as a careless doctor can puncture the donor's bowel, bladder, or blood vessels. And while the long-term physical effects of egg donation have not been well studied (the practice has only existed for about twenty-five years), some evidence suggests an increased risk of ovarian cancer and early menopause. Women can only produce so many eggs in their lifetime.

In a November 2008 study of eighty U.S. egg donors, two-thirds reported only positive feelings about having donated their eggs. Fourteen percent had negative feelings. For some women, money was their sole motivation, but others said they did it purely out of altruism, and they were proud of having helped someone conceive. A significant percentage couldn't recall being told about any physical risks, such as OHSS, before donating their eggs.

Health advocates worry that huge payments lure women to sell without seriously assessing the risks.

According to the CDC, around six million U.S. women have trouble getting pregnant. Contrary to rumor, these rates aren't actually rising. But demand for donor eggs is rising, as assisted pregnancies become less taboo. The procedure is difficult and maybe dangerous, but it may give many couples the chance to have a family. Ethically speaking, there are arguments both for and against it. But understandably, young donors may be thinking more about their student loans than altruism.

Nita plans on donating again; asked if she would ever consider doing it for free, Nita paused and answered, "Probably not. There are lots of appointments, lots of travel time. It took me six months from calling the clinic until finishing the application and being accepted, then another three to be chosen. You have to be committed if you want to do it."

Grace, on the other hand, will not be returning to a fertility clinic. After her first and last harvest, she ran into some problems. "I once read that sometimes people react to anesthesia in bad ways." Right as she was going under, Grace got scared, and in her dreamlike state blurted out, I'm on antidepressants and I've done acid before! Her eggs were still collected, and she was still compensated for them, but she was told she could not donate again. "They told me I deceived them," she says. "That I was only doing it for the money."

"No shit, I did it for money!" Grace continues. "Can you show me one fool who wouldn't?"  

ABOUT THE AUTHOR:
Mira Ptacin is the founder and host of "Freerange Nonfiction," a monthly reading series in NYC that brings together up-and-coming and established writers on stage. She recently got married and completed her first book, Poor Your Soul, which is a memoir about the uterus and the American Dream. Mira loves all dogs and most people.

Commentarium (15 Comments)

Dec 09 09 - 11:12am
drg

I admit I always wondered about selling my eggs. You see the craigslist ads and it sounds so easy. But now? No way, no how.

Dec 09 09 - 11:30am
Thad

This was a terrific read, nice reporting.

Dec 09 09 - 12:49pm
Ian

Great job Mira! Congrats on an important article.

Dec 09 09 - 3:13pm
BR

Great article - I love these "I've always wondered about this" articles. The only thing that I did take issue with - and maybe that means it's time for another article on sperm donation - is that a dude "jacks off in a cup" and rent is paid. Last I checked sperm donation pays $150 a pop - at most. If that's your rent, please tell me where you live...

Dec 09 09 - 4:49pm
RR

If you "donate" sperm a couple times a week, that's some nice rent money.

Dec 09 09 - 6:13pm
LPC

Great addition to the site, and nice article in support of egg donation. I wish the risks were explained a little more fully; if you look into the process anywhere else you'll almost always run across the words "invasive surgery," in addition to what happens when complication mixes with complication. It's a wonderful cause, though, and more people should know exactly what this is.

Dec 09 09 - 10:24pm
man

I need to pay off my student loans..but not sure about the needles involved. This shit is messed up!

Dec 09 09 - 11:36pm
AFC

You know what else would give infertile couples a chance at a family? Adopting a Foster Child. THAT is TRUE altruism.

Dec 10 09 - 5:30pm
GD

Really, really interesting stuff. In this economy, I am sure so many more women are curious about this. Lord knows you see an ad on Craig's List 10x a day.

Dec 10 09 - 10:07pm
sfd

I did it- SIX times between 1999 and 2001. Back then I "only" got $3000. All the risks were very carefully explained to me. Yes, it was difficult, what with the injections, blood tests, ultrasounds, etc. But after my last retrival the whole staff thanked me in the recovery room. The embryologist told me I had made a lot of people very happy. Very rewarding!

Oct 01 10 - 2:59pm
serialcrack

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Oct 01 10 - 4:00pm
serialcrack

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Nov 08 10 - 1:26am
Cracks

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Feb 10 11 - 7:27am
Rapidshare Braelyn

Bless them. And bless you, for initiation the thread.

Feb 15 11 - 6:12pm
colonel

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