Lucy Solie-Vilker
October 29, 2026
Choosing where to find an egg donor shapes much of the donor egg IVF process, from the donors you can consider to how smoothly your cycle is coordinated with your clinic. Intended parents often compare several egg banks and agencies before they decide.
If you are weighing your options, this guide explains what Donor Nexus offers, the outcomes we report, how donors are screened and supported, and how case management works, so you can decide whether we are the right fit for your family.
The short answer
Donor Nexus is an egg donation agency and frozen egg bank that has supported families since 2012, with more than 2,000 babies born through its programs.
Intended parents can choose the Fresh Matching Program, the Frozen Egg Bank or the Donor Embryo Program, each with one dedicated case manager from start to finish.
Why choose Donor Nexus?
Families tend to choose Donor Nexus for four reasons: several program options under one team, transparent outcome data, carefully screened donors who feel supported, and a case manager who knows your file. Donor Nexus has completed more than 1,000 egg retrievals and more than 26,500 eggs retrieved over 14 years, and about 70% of cycles come from repeat donors and referrals.
Because the team works with a smaller group of donors, case managers can get to know both donors and intended parents. That matters most for families with complex medical histories, international shipping needs or specific donor preferences.
What programs does Donor Nexus offer?
Donor Nexus offers three paths to parenthood, and you can compare them side by side before you commit.
| Fresh Matching Program | Frozen Egg Bank | Donor Embryo Program | |
|---|---|---|---|
| How it works | You are matched with one donor and receive all viable eggs from her retrieval | You select a cohort of eggs already retrieved and frozen | You select embryos donated by families who completed IVF |
| What you receive | All eggs from one retrieval, an average of 28.9 | A cohort of 6 frozen eggs | 1 to 3 embryos from the selected profile |
| Timeline | On average 4 to 6 months from match to retrieval | Typically 4 to 6 weeks from payment to transfer | Most families finish in 2 to 3 months |
| Where treatment happens | Your own fertility clinic | Eggs ship to your clinic worldwide | Transfers at HRC Fertility in Southern California |
With the Fresh Matching Program, your donor travels to your clinic for her retrieval, and legal contracts are finalized before medications begin. The Frozen Egg Bank offers cohorts from $19,500 to $29,500 with both Non-ID and Open ID donors. Our comparison of fresh vs. frozen donor eggs can help you decide between the two.
What outcomes does Donor Nexus report?
Donor Nexus publishes its outcomes for each program on the success rates page. From 2012 to 2025:
- Fresh Matching Program: donors averaged 28.9 eggs retrieved, 22.6 mature eggs, 18.2 fertilized through ICSI and 7.2 euploid embryos where PGT-A was performed. Pregnancy and live birth data for fresh cycles are held by the intended parents' clinics.
- Frozen Egg Bank: 90.7% of eggs survived warming, 83.1% of surviving eggs fertilized through ICSI, 81.1% of patients obtained at least one blastocyst and 60.5% obtained two or more.
- Donor Embryo Program: transfers at HRC Fertility had a 69.5% pregnancy rate and a 49.7% delivery rate.
Each Frozen Egg Bank cohort also comes with a Blastocyst Embryo Guarantee of at least one blastocyst by day 7, which requires a normal semen analysis with more than 1 million total progressively motile sperm. Our guide to understanding fertility guarantees explains how guarantees like this work.
For broader context, ASRM guidance recommends telling recipients that previously frozen donor eggs are a reasonable option, because there is good evidence of no significant difference in pregnancy rates per transfer compared with fresh donor eggs.1
How does Donor Nexus screen egg donors?
Every egg donor completes medical, genetic and psychological screening. That includes an ultrasound and ovarian reserve testing, infectious disease and drug screening, a genetic carrier panel with a certified genetic counselor, a psychological evaluation and a legal consultation. Donors in the Frozen Egg Bank have completed all of these before their eggs are listed, while fresh donors finish remaining screening after you select them.
Donors are generally 19 to 30, with donors in their early 30s considered case by case (usually proven donors), and they must be non-smokers with a BMI under 24.9 (with some exceptions, such as athletes). For context, ASRM guidance recommends carrier screening for all egg donors and expanded panels over ethnicity-based testing.2 Our article on genetic compatibility with donor eggs explains how carrier results are compared.
Why does donor-first care matter to intended parents?
Your cycle depends on your donor, so how she is treated matters to you too. About 70% of Donor Nexus cycles come from repeat donors and referrals, a sign that donors choose to come back. Donors set their own compensation with guidance, receive their own legal counsel at no cost, and have a dedicated team from start to finish. When a donor travels without a companion, Donor Nexus arranges a private nurse through its NurseRegistry partnership.
For intended parents, that consistency means fewer surprises and a donor who understands what her cycle involves.
How does case management work?
Your case manager is your main point of contact from the day you choose a program until your donor's retrieval or your embryo transfer. They coordinate with your fertility clinic, schedule screening and legal steps, and keep you updated so nothing falls through the cracks. For frozen eggs, they also work with your clinic and Cryoport to meet shipping requirements.
Case managers also help you search for a donor. You can learn how that process works in our article on how Donor Nexus builds egg donor matches.
“It was SO nice speaking with you and refreshing to finally find someone to talk to who actually takes the time to explain things and answer my questions in such a professional and positive way. It means a lot to me. I have been in contact with many, many agencies and you are the first one I was impressed with.”
B.J., intended parent · Read more from Donor Nexus families
How do you get started?
Start by registering to browse the donor database, which gives you access to egg donor and embryo donor profiles. When you find donors you like, the team can walk you through costs on the financial breakdown page and share resources such as IVF grants.
If you're exploring donor eggs, our guides to using donor eggs, how our egg donor agency works and our frozen donor egg bank walk through each path, and you can create an account to search the egg donor database whenever you're ready.
Frequently asked questions
What programs does Donor Nexus offer?
Donor Nexus offers the Fresh Matching Program, a Frozen Egg Bank and a Donor Embryo Program. You can compare all three with one team and move between options if your plans change.
How long has Donor Nexus been in operation?
Donor Nexus has worked with egg donors and intended parents since 2012. In that time the team has completed more than 1,000 egg retrievals, and more than 2,000 babies have been born through its programs.
Can Donor Nexus ship frozen donor eggs to my clinic?
Yes. Frozen donor eggs ship to fertility clinics worldwide through a partnership with Cryoport, and your case manager coordinates the shipping requirements with your clinic.
Are frozen donor eggs as effective as fresh donor eggs?
ASRM guidance says previously frozen donor eggs are a reasonable option, with no significant difference in pregnancy rates per transfer compared with fresh donor eggs. Your doctor can help you weigh cost, timing and egg numbers.
How do I start with Donor Nexus?
Register to browse the donor database, then talk with the team about which program fits your medical history, timeline and budget.
Sources
- Practice Committee of the American Society for Reproductive Medicine. Evidence-based outcomes after oocyte cryopreservation for donor oocyte in vitro fertilization and planned oocyte cryopreservation: a guideline. Fertility and Sterility. 2021;116:36-47. asrm.org
- Practice Committee of the American Society for Reproductive Medicine. Gamete and embryo donation guidance. Fertility and Sterility. 2024;122:799-813. asrm.org
Disclaimer
This article is general information about Donor Nexus programs and is not medical advice. Outcomes vary for every family, so talk with your fertility doctor about what to expect in your own treatment.
Related reading
Lucy Solie-Vilker
Lucy Solie-Vilker is the CEO of Donor Nexus, where she's helped build one of the most established platforms in egg and embryo donation. Since 2012, her work has contributed to more than 2,000 babies born to Don…
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