An eggstra special conviction

In an entry that I wrote back in September 2005, I briefly described the long, painful journey we took in order to bring our son into the world. I won't rehash it all now, but I will tell you that one of the paths we chose involved three failed rounds of egg donation treatment. Legislation in Israel regarding egg donation is changing, and to be honest, I'm not sure where things stand these days. When we elected to go down that road several years ago, however, the laws stated that only women who were undergoing fertility treatment could donate eggs. There were no donor banks like those that exist for sperm donation, and women who were not undergoing fertility treatment themselves could not volunteer to donate eggs. As a result of these policies, there was a shortage of donated eggs. Understandably, many women undergoing treatment found it difficult to give up something that had taken so much to obtain, and I didn't blame them for wanting to do the maximum ensure success, for not wanting to sacrifice the few chances they had.

There were other issues as well. I wondered about the quality of the eggs being donated, given that they were coming from women who were themselves having trouble conceiving, a problem that can stem from a multitude of factors, whether they be age-related, genetic, or simply a question of the woman's ability to produce good-quality ova. I also wondered how donors and recipients were matched, as I naively wanted a donor who had similar physical features to ours. We continued to make the rounds of various specialists to discuss our options, and while I don't remember much of what was said, the one thing I do remember is that the waiting list for receiving donated eggs was very long, and it could take more than a year until we reached the top of the list.

And then in 2000, the scandal broke. A senior gynecologist and fertility specialist was accused of giving several of his patients who were undergoing fertility treatment dangerously high doses of hormones so that they would produce very large amounts of eggs. Each of the women had previously agreed to donate some of their eggs, and the doctor was accused of harvesting the eggs in order to sell them to other infertile women. Needless to say, the (already low) number of women who were prepared to donate eggs plummeted, while demand for such eggs did not. Many Israeli fertility clinics halted egg donation procedures in the wake of the scandal, and any remaining thoughts we had of having the procedure performed in Israel via our health maintenance fund disappeared. There were almost no eggs available, nor would there be any available in the foreseeable future. This one doctor and his cohorts had single-handedly destroyed the egg donation option in Israel. Women had previously considered donating their eggs were no longer interested, terrified by the knowledge that an unscrupulous doctor had endangered the health and the lives of his patients undergoing the same procedure.

We went through two egg donation cycles abroad – one in London and one in Madrid. We considered cycling in the US, but the costs and the logistics were prohibitive, and we discovered that we could work with top-rated European clinics for much less than the cost of average US clinics. Each treatment cycle required two trips to Europe, not to mention the incredible amount of work that was necessary to coordinate schedules, reproductive cycles, flights (including one flight to Madrid on three days' notice) and accommodations. Research of the various medications was also required, in order to ensure that I would be able to purchase in Israel the drugs that were being prescribed in Europe. Time off had to be arranged from work – sometimes on very short notice.

And in the end, both cycles failed. We managed to do a third cycle in Israel that involved sending sperm to Romania to fertilize eggs provided by an anonymous Romanian donor, then having the fertilized eggs frozen and flown back to Israel for transfer. While legal, it was still rather murky, and involved quite a bit of hassle with our HMO, as we would have to pay out of our own pockets, but they might be willing to reimburse for part of the amount. The Romanian option came as a solution for women who for one reason or another could not seek out private treatment abroad as we had done. There were several similar options involving Romania, Poland, and Greece (and probably other countries where legislation is vague and treatment is inexpensive), and many of them involved some level of partnership and cooperation between fertility specialists in Israel and the foreign clinics. Some involved one or both partners flying abroad, others involved only the transfer of frozen sperm and fertilized ova between the two countries (as we had done). An entire industry was cropping up to fill the great hole that was created primarily as a result of the scandal in 2000.

I believe that Israeli legislation is being changed in order to allow any woman to donate eggs. Passing such a law would be a positive step that will allow great numbers of Israeli women to pursue dreams of creating a family, filling a painful void that cannot possibly be fully understood by someone who has never been in that situation. In the meantime, I felt great satisfaction this morning when I read this article. Seven years after the scandal first broke, Dr. Zion Ben-Raphael has been convicted by a Health Ministry disciplinary panel of "conduct unbecoming a doctor and violating patients rights laws", and will hopefully be appropriately punished for his actions. I'm not sure what punishment would be considered sufficient in light of all the damage he caused – damage to the credibility of an entire industry, and damage to the hopes of thousands of Israeli women in need of donor eggs, but punishment for the guilty parties coupled with an increased level of public awareness and changes to existing legislation will hopefully create an environment where the obstacles along the often painful journey to parenthood can be minimized as much as possible, no matter what kind of treatment is needed in order to complete the journey.