Embryo Donation Process for Recipients

A step-by-step overview of the embryo donation process at Donor Nexus. No wait list, no home study, and most cycles are completed within two to three months.

The Embryo Donation Process, Step by Step

With the Donor Nexus Donor Embryo Program, most recipients complete everything from securing a donor embryo to their transfer in two to three months. No wait list, no home study, and cycles are $9,400 USD. If you have questions at any point, our team is here to walk you through it.

Step 1: Browse Donor Embryo Profiles

To get started, you can register for free access to our online database to begin browsing through donor embryo profiles. You can access our database through our website or download our app for easy mobile browsing.On our donor embryo database, you will find profiles sharing information about embryo donors and the embryo(s) they have chosen to donate to be used by others. We add profiles to our database regularly so always feel free to check back.Once you've narrowed down your search or selected a profile, we will be happy to connect with you via phone, email, or video conference to discuss your options regarding specific donors and our program.

Step 2: Securing Your Donor Embryo(s)

Once you choose a donor embryo(s), we will request you to send us the following information:

  • Name and date of birth

  • Partner name and date of birth, if applicable

  • Mailing address

Donor Nexus will email you preliminary paperwork, an invoice, and an agreement. You will have one week to complete the paperwork and submit funds.

Upon receipt of the signed contract and funds, the embryo will be secured. The embryos are removed from the database and can no longer be offered to other patients. We will also forward a confirmed match sheet to your IVF physician.

Step 3: Physician Consultation

Next, you will be put in contact with our partner clinic to schedule a consultation with the designated physician.

Step 4: Pretesting

The IVF physician will order pretesting to be completed before the frozen embryo transfer cycle. You will be put in contact with a nurse coordinator who will give you pretesting orders and help you throughout the entire process.

Note: If you are not local, the pretesting does not have to be completed at our partner clinic in Southern California.

You can expect to have the following pretesting ordered by your physician if you are 45 years old or younger:

  1. Uterine cavity evaluation: Sonohysterogram or hysteroscopy with mock embryo transfer (to be completed cycle day 6-10 of menses)

  2. State-mandated infectious disease panel for you AND your partner, if applicable.

  3. Any additional testing the physician requests

Step 5: Confirm Cycle Dates

Once your pretesting is completed, you will determine cycle dates with your nurse coordinator. Your nurse coordinator will also order your medications.

Step 6: Medication Phase

You will be on medications for about 35 days before your embryo transfer. You will have 2- 3 monitoring ultrasounds completed before your embryo transfer. The ultrasounds are spaced apart one to two weeks. These appointments ensure your uterine lining is ready for transfer.

Step 7: Embryo Transfer

The embryo transfer will take place at our partner fertility clinic in Southern California. Most physicians require 2 days of bed rest following the embryo transfer. If you live outside of Southern California, you can expect to be in California for a total of 4 days.

In the rare event that your embryo(s) do(es) not survive the thaw, the laboratory will be instructed to either thaw another embryo from the same profile or Donor Nexus will reach out to you to provide you with a backup embryo profile. You can choose to either thaw a backup embryo OR receive a refund or credit if the profiles do not meet your desired criteria.

Step 8: Pregnancy Test

Your first blood bHCG level will be drawn 10-12 days after transfer.

Hear From Our Families

"Finding this program was a godsend"

"We are so very excited! Thank you for your help in making this experience so easy. I will absolutely recommend Donor Nexus. We had been to 3 other doctors who had told us there was a 2-year waiting list for donated embryos. Finding this program was a godsend.”


- Intended Parent J.D.

Frequently Asked Questions

Embryo donation is one of the most personal decisions a family can make, and we know the process can feel overwhelming at first. This page is designed to answer your questions honestly and completely — because the more you understand, the more confident you'll feel moving forward.

Our donor embryo positive pregnancy rate is 69.5%, with a 49.7% ongoing pregnancy and confirmed delivery rate. Cycles start at $9,400 USD with no wait list and no home study required. If something isn't covered here, contact us. We're always happy to talk through your specific situation.

Everyone who has gone through IVF has had infectious disease screening completed before their embryos were created — that includes HIV 1 and 2, HTLV 1 and 2, hepatitis B, hepatitis C, and syphilis. If an egg or sperm donor was used in creating the embryos, FDA labs were completed at that time as well.


Because these embryos were originally created for use between sexually intimate partners, not all of the FDA-required screening that applies to third-party donors — such as egg donors, sperm donors, or surrogates — was completed. As a result, the embryos are classified as "ineligible but acceptable" for transfer, which is a standard FDA designation for this situation and does not affect their safety or viability.


Most donating couples will not have had genetic screening completed, which is worth discussing with your physician.

Each profile includes everything we have available, which typically covers basic health information, donation preferences, general physical characteristics like height, weight, hair and eye color, ethnicity, their ages when the embryos were frozen, any medical or surgical history they've identified, any family history provided, and background information like occupation, state, and education when available.

Each profile lists all available embryo information, which may include embryo grading, the year the embryos were frozen, gender if genetic testing has been done, outcomes from other embryos in the batch if known, whether an egg or sperm donor was involved in creating them, the stage at which they were frozen, and genetic carrier results if screening was completed.


The amount of available information varies by profile, and we always recommend having your IVF physician review all medical records before you proceed.

Embryo grading is assigned by the embryologist when the embryo is frozen to give a sense of its quality.


At HRC Fertility, the grading scale works like this:

  • a Fully Hatching or Hatching Blastocyst graded BB or better is an A.
  • An Expanding Blastocyst graded BB or AA is an A-/B+.
  • A Blastocyst graded BB or AA is a B/B-.
  • An Early Blastocyst graded AA or BB is a C+/C.
  • A Compacting embryo is a C-.


Your physician will discuss what the grading means for your specific embryos and what to expect in terms of success rates during your consultation.

Yes. Visit our PGT-A Testing page to learn more about your options.

Yes, when the embryos have already had genetic testing. Some profiles on our database include tested embryos with the sex identified — if so, it will be listed directly on the profile. Learn more on our Gender Selection page.

No. At this time, donor embryos stored at HRC Fertility cannot be transferred to an outside clinic. The transfer can take place at any HRC Fertility clinic.

On transfer day, your HRC consent forms will include your specific donor embryo profile number. We recommend writing this number down before you arrive so you can verify it yourself. It's a simple step and gives you complete peace of mind.

No, and this is an important distinction. An HSG checks whether your fallopian tubes are open. A uterine cavity evaluation — which may be a sonohysterogram, mock transfer, or hysteroscopy — checks for uterine anomalies like polyps, septums, or fibroids that could affect implantation.


They're different tests serving different purposes. Your physician will order the right one.

Generally up to 12 months.

Each physician sets their own guidelines. For patients over 45, most physicians order additional testing — typically a stress test, EKG, chest X-ray, mammogram, and pap smear — to confirm you're healthy enough to carry. Most of this can be done by your primary care physician.

At least 9 months after a vaginal delivery, at least 12 months after a c-section. If you're breastfeeding, stop breastfeeding and have two normal periods before completing pre-testing.

Guidance, Stories, and Support

Embryo Donation Program and Resources

Our Donor Embryo Program

An overview of the Donor Nexus Donor Embryo Program. No wait list, no home study, and cycles at $9,400 USD. Browse available donor embryo profiles and learn how to get started.

Donor Embryo Success Stories

Real families who trusted Donor Nexus with one of the most important decisions of their lives. Read their stories, in their own words, and find hope for what is possible.

Donate Your Remaining Embryos

Learn what Donor Nexus offers embryo donors, including no cost to you, flexible open ID and nonidentified options, and a team that will help place your embryos with a loving family.

Family Equality
Seeds
U.S. Food and Drug Administration
Entreprenistra 100 Award Winner
Hopeful Mama Foundation