Review of egg donor agency and egg donation programs in Malaysia. Beware of additional costs in Johor !

Angelica Cheng

Active Member
Dear Ladies,

Below is a list of egg donor agencies in Malaysia. Typically, these agencies charge between 20k to 25K Malaysian ringgits, if you approach them directly. Cost will usually be higher if you ask a Malaysian IVF clinic to source egg donors for you from these agencies, typically around 30K Malaysian ringgits, so the IVF clinic takes a cut of about 5K Malaysian ringgits as additional profit. Egg donors are typically compensated between 5K to 8K Malaysian ringgits. Hence the gross profit margin of these agencies are typically between 12K to 20K Malaysian ringgits.

Please take note of the following when using these agencies:

(1) It is cheaper for you to contact these egg donor agencies directly, and for them to arrange IVF treatment for you at their affiliated clinics.
As stated in the list below, some egg donor agencies are affiliated with IVF clinics in KL or Penang. They often partner with their affiliated IVF clinics to offer special package deals that include egg donor costs plus medical fees.

(2) It usually costs more to get an unaffiliated IVF clinic in Malaysia (particularly in Johor) to source egg donors for you. The IVF clinic usually takes an extra cut of profit. For example, if the egg donor agency charges RM 25,000, the IVF clinic will charge you RM 30,0000, thereby taking a cut of RM 5,000 as additional profit. What happens when you ask the IVF clinic to source egg donors for you is that they will approach many different agencies, and obtain several matching egg donor profiles. You make your choice of egg donor, and the IVF clinic will coordinate with that particular egg donor agency for your treatment. You don't pay the egg donor agency directly. Instead you give your money to the IVF clinic, who will pay the agency, and keep a fraction of your payment to themselves as additional profit.

This is particularly the case with IVF clinics in Johor, which usually do not let you contact the egg donor agency directly. As mentioned earlier, many egg donor agencies are affiliated with IVF clinics in KL or Penang, and Johor IVF clinics are afraid that their patients will be directed away to the agency's affiliated IVF clinic in KL or Penang. Furthermore, some of these egg donor agencies offer special package deals with their affiliated IVF clinic in KL or Penang, which is substantially cheaper than doing the entire egg donation process in Johor.

(3) Egg donation in Johor often involve additional fees for the traveling costs and hotel stay of the egg donor, as well as agency coordinator. As mentioned earlier, virtually all established egg donor agencies are based in either Kuala Lumpur or Penang. IVF clinics in Johor rely on such agencies, which in turn source egg donors from either KL or Penang. This may pose a problem because it is much more difficult to control and monitor the ovarian stimulation cycle of traveling egg donors from out-of-town, which might lower your IVF success rates. Please click on the following previous thread:

Also note that if you are doing egg donation in Johor, there are additional costs associated with the agency coordinator, who must accompany the egg donor to Johor. The coordinator has two major duties: (i) To ensure that the egg donor completes her egg donation cycle and does not back out half-way. (ii) To ensure that the egg donor is punctiliously injected with fertility drugs and regularly attends medical appointments to scan her follicle growth.



List of Egg Donor Agencies in Malaysia

Heart 2 ART
Website address:
Affiliated IVF clinic: KL Fertility Centre

Egg Donors Asia
Website address:

Affiliated IVF clinic: Island Fertility Centre

Egg donors and Surrogacy Malaysia
Website address:

Affiliated IVF clinic: Sunway Fertility Centre


Biosafe Egg Donor
Website address:

IVF Malaysia Consultancy 马来西亚试管婴儿咨询中心
Website address:

Zakuro Life

Amanda Abigail
Website address:


Previous threads requesting information

hello , has anyone here successfully conceived an angel w the help of an egg donor? could u please enlighten us abt the process and how did u find ur donor ? if u did, how much did you pay her for her services ? tq and best of luck
Hello all,
My wife and myself are looking for a chinese egg donor as we seek to have our own child.
We hope to find someone who can help us. Please do contact me if you can!
Hi ! I looking for egg donor so that when I do IVF got more high percentage . Did you manage to get the local agent contact no’s got Malaysian donor who are working in SG? Tks!
Would you know of a reputable egg donor agency which you would recommend?
We are also looking for any forum or reviews on Malaysia donor egg facilities. Any one did it with donor eggs overseas? Could you kindly share your experience with us? We are a Chinese couple and have been TTC for a few years now. We are also open to doing donor eggs in Singapore. But sadly, do not know of anyone willing to donate their eggs
Thanks. We researched the info as well. Our condition needs a angel donor. So we hope for someone willing to help us.
Hi Botbot,
Do you have the full cost breakdown for Mt E (cost of bringing frozen donor egg +ivf)? And is it for 6 oocytes + transport?
thanks!
thanks a lot angelica :)
Hi everyone,
I'm looking for an egg donor fresh or frozen, to try IVF.
Recently we found out that my eggs are no longer active and my body is already going thru menopausal stages.
The only way for me to be pregnant is thru IVF with donor eggs.
If anyone have balance eggs before the fertilization, i would welcome the donation.
Thank You.
Hope everyone is well and healthy during these dreadful times.
warm regards,
Hayari
Hi, is there anyone with successful IVF pregnancy at 43 to share?
 

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Angelica Cheng

Active Member
Please also see this previous thread:

Singaporean patients undergoing egg donation should beware of Malaysian IVF clinics trying to hard-sell highly expensive embryo genetic testing (PGS / PGT-A) to them. Some of these hard-selling tactics include:

(i) Playing on their fears of unknown genetic defects carried by the egg donor. Singaporean patient should note that there are much cheaper alternative methods of genetic screening such as testing of the egg donor's blood sample before starting IVF, or NIPT (Non-Invasive Prenatal Testing), which can be done after getting pregnant. A blood sample contains thousands of white blood cells, from which an abundant amount of DNA genetic material can be extracted. By contrast, only a few cells and tiny amount of DNA are extracted from the embryo during PGS (biopsy procedure). This makes it technically simpler and much cheaper to do genetic testing of the Egg Donor's blood sample, as compared to genetic screening of embryos with PGS / PGT-A.

(ii) Playing on their fears of Down syndrome. In reality, the chances of Down Syndrome with young donor eggs is extremely low. As seen in the attached tables and charts, the chances of Down Syndrome for a 20 year-old donor is 0.05% (1 in 2,000), while that for a 25 year-old donor is 0.083% (1 in 1,200). If patients are really worried about the possibility of Down syndrome, they can always do NIPT (Non-Invasive Prenatal Testing) after getting pregnant, which is very much cheaper than PGS (PGT-A).

(iii) Claiming that PGS (PGT-A) can improve the IVF success rates with donor eggs. This maybe true only for older women undergoing IVF with their own eggs, because of spontaneous genetic abnormalities that occur more frequently in the eggs of older women. Egg donors are typically very young, aged between 20 to 25 years of age, with very healthy eggs. Hence, PGS (PGT-A) will not further improve the already high IVF success rates of older women using donor eggs.

(iv) Playing on their biased preference for either a son or daughter. It is true that PGS (PGT-A) is the most effective method of sex-selection. But the question is whether it is moral and ethical for Malaysian IVF clinics to hard-sell such an expensive technique to Singaporean patients?

(v) Downplaying the risks of damaging the embryo during genetic testing with PGS (PGT-A). This is a highly delicate procedure that involves drilling a hole through the embryo shell (Zona Pellucidae), and extracting a few cells for genetic testing. No matter how well-trained is the lab staff (embryologist) doing the procedure, there is still a risk of human error. The more busy the IVF lab is, the greater the risk of human error, as lab staff are under pressure to complete procedures as fast as possible.

Expert opinion by American fertility specialists that highly-expensive PGS (PGT-A) is not necessary for egg donation:


 

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Angelica Cheng

Active Member
Hi . I am still searching for it.
Good News for all Singaporean IVF patients requiring Egg Donation !!!

Singapore has permitted import of frozen donor eggs from Egg Bank Asia, based in Penang, Malaysia. This Egg Bank has a wide and excellent choice of Chinese race egg donors. Currently there are 3 clinics in Singapore, which have either imported frozen donor eggs for their IVF patients from Egg Bank Asia, or are in negotiations to do so. These are as follows: (i) Alpha IVF Singapore, (ii) Centre for Human Reproduction at NUH, and (iii) Mt. Elizabeth Fertility Centre.

Website:

Phone number: +60-12-579-2006

WeChat ID: EggBankAsia

Email: [email protected]

However, before importing donor eggs into Singapore, patients should note the following:

(1) Transportation of frozen donor eggs into Singapore is very expensive.
Due to COVID-19 pandemic situation, the only method of import is by air-travel, land transport through the Causeway is prohibited. Current quoted cost of import through courier service: USD$1,800. The current cost of frozen donor eggs are as follows:

Known Egg Donor - USD$1,300 per frozen egg (Minimum order of 8 frozen eggs)

Anonymous Egg Donor - USD$1,000 per frozen egg (Minimum order of 8 frozen eggs)

(2) It is much cheaper to do the egg donation process in Penang (Malaysia), rather than import frozen donor eggs into an IVF clinic in Singapore.
Egg Bank Asia is closely affiliated with Island Fertility Centre based in Georgetown Penang. They offer the following packages:

Entire IVF package with 8 frozen donor eggs, including medical fees - USD$ 11,500

Entire IVF package with fresh egg donation, including medical fees - USD$ 16,500

(More expensive because more than 8 eggs usually obtained from young healthy donor, typically 15 to 20 eggs per cycle)

(3) An older women can afford to wait for egg donation, unlike IVF with her own eggs. The womb (uterus) does not age as fast as her ovaries. Why not wait out the pandemic, to enjoy cheaper costs of IVF treatment at Island Fertility Centre in Penang (Malaysia), which is closely affiliated with Egg Bank Asia?

(4) For best results, it is better to do Egg Donor IVF at Island Fertility Centre in Penang (which is closely-affiliated with Egg Bank Asia), rather than importing frozen donor eggs into Singapore. Avoid using frozen donor eggs that are transferred from an egg bank. If possible, use the IVF lab that is affiliated with that egg bank. This is because the thawing protocol must be matching and compatible with the freezing (vitrification) protocol, and only the same IVF lab that performs both the freezing and thawing processes, can ensure this. Also beware that IVF success rates with frozen donor eggs are significantly lower than with fresh donor eggs (see attached bar chart below).

Please refer to the following video podcast by Dr. John Jain, an American fertility specialist:

 
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Angelica Cheng

Active Member

Advice and tips for Singaporean patients seeking egg donation in Malaysia

With the increasing trend of late marriages and delayed motherhood in Singapore, coupled with the lifting of age limits in IVF treatment since 2020, there is anticipated to be increasing demand for egg donation by older female IVF patients nearing or past menopause. Such women with diminished ovarian reserves often consider the egg donor option, after having failed IVF due to the reduced number and low quality of their retrieved eggs. In recent years, neighboring Malaysia has emerged as a popular destination for Singaporean IVF patients seeking egg donation, due to close proximity and cost-competitive medical fees. Nevertheless, there are various pitfalls that patients have to navigate through, as highlighted by the Q & A below. Cumbersome travel and quarantine restrictions due to the COVID-19 pandemic are economically unsustainable in the long-term, and it is only a matter of time before borders reopen, and Singaporeans are once again free to travel to Malaysia for IVF treatment.

Is it difficult to find a local egg donor in Singapore?

Yes, because Singapore health regulations require egg donation to be altruistic, and payment can only be made to reimburse direct expenses such as traveling costs. The egg donation process is lengthy, tedious and painful, involving a few weeks of regular hormone injections, frequent blood tests and ultrasound scans, finally culminating in day surgery for egg retrieval. Additionally, there is also the hassle and inconvenience of commuting to and fro for numerous medical appointments. Understandably, without any financial incentives, very few local young women are willing to donate their eggs.

Why go for egg donation in Malaysia?

A large pool of egg donors of different races and educational backgrounds are readily available in Malaysia because of generous financial inducements. Additionally, Malaysia has numerous IVF clinics and donor agencies that offer cost-competitive egg donation programs, which are much cheaper than other foreign countries such as USA, Australia and Taiwan. It is also much easier to source Asian egg donors in Malaysia, compared to Western countries such as USA and Australia. Moreover, Singaporean patients prefer to undergo IVF treatment at a destination close to home like Malaysia.

Are there any legal restrictions on egg donation in Malaysia?

Yes, only non-Muslim patients are allowed to receive egg donation. Shariah laws in Malaysia forbid Muslim patients from receiving egg or sperm donation.

What are the typical costs of egg donation in Malaysia (excluding medical fees)?

At the beginning of 2020, before the outbreak of the COVID-19 pandemic, egg donor agencies in Malaysia typically charge between 20k to 25K Malaysian ringgits, if you approach them directly. Egg donors are typically compensated between 5K to 8K Malaysian ringgits. Hence the gross profit margin of these agencies are typically between 12K to 20K Malaysian ringgits.

Which cities in Malaysia are good for egg donation?

Greater Kuala Lumpur and Penang. Most of the egg donor agencies are located here, and virtually all IVF clinics in Malaysia, even those from other cities and states, depend on these agencies to source egg donors for their patients.

What about egg donation in Johor that is much closer to Singapore?

Singaporean patients must beware that most egg donors in Johor come from out-of-town or out-of-state. As mentioned earlier, the overwhelming majority of egg donor agencies and agents in Malaysia are based in Kuala Lumpur and Penang, and IVF clinics in Johor rely on such agencies and agents to source egg donors for their patients. It is much more difficult to control and monitor the ovarian stimulation cycle of traveling egg donors from out-of-town or out-of-state, who reside far away from the IVF clinic. Such traveling egg donors may commute to the clinic for medical appointments, receive the hormone medications and then return to their hometowns where they are expected to self-inject for several days. Because supervision from the IVF clinic is not near at hand, the egg donor may not be bothered to strictly comply with such a painful and tedious routine of self-injections. If they are extra careless, the expensive hormone medications may not be kept properly refrigerated leading to spoilage and reduced potency. Without strict adherence to the injection protocol and proper refrigeration of hormone medications, the number and quality of eggs obtained from the donor will be severely compromised. Additionally, Singaporean patients must also take note that there are usually additional traveling and hotel costs associated with getting an out-of-town egg donor and her accompanying agency coordinator to travel to Johor.

Is it better to contact egg donor agencies directly, or get your selected IVF clinic to source egg donors from such agencies?

It is cheaper for you to contact egg donor agencies directly, and for them to arrange IVF treatment for you at their affiliated clinics, rather than getting an unaffliated IVF clinic to source egg donors for you from these agencies. Many egg donors agencies in Kuala Lumpur and Penang partner with their affiliated IVF clinic to offer special package deals that include egg donor costs plus medical fees. If you get an unaffiliated IVF clinic in Malaysia (particularly in Johor) to source egg donors for you, the clinic usually takes an extra cut of profit. For example, if the egg donor agency charges RM 25,000, the IVF clinic will charge you RM 30,0000, thereby taking a cut of RM 5,000 as additional profit.

Is embryo genetic testing necessary for egg donation?

Because it is unknown whether the egg donor is carrying any genetic defect, most Malaysian IVF clinics often recommend patients to do highly-expensive genetic testing of IVF embryos (PGS / PGT-A). This is completely unnecessary and a waste of money, if the egg donor is young and healthy, because chromosome abnormalities such as Down syndrome usually appear only in the eggs of older women. To evaluate whether the egg donor is carrying any unknown genetic defect, it is much cheaper to do genetic testing of the egg donor’s blood sample before starting IVF treatment. Moreover, you can also use NIPT (Non-Invasive Prenatal Testing) to screen for genetic defects in your unborn child after getting pregnant, which is also much cheaper than PGS (PGT-A). Although many fertility clinics claim that embryo genetic screening can improve the IVF success rates of older women, this usually refers to older women using their own eggs, which have a high incidence of chromosome abnormalities. PGS (PGT-A) will not improve the success rates of older women using a young egg donor. Patients must also beware of the risks of damaging the embryo during the ‘highly-delicate’ PGS (PGT-A) procedure, which involves extracting cells from the embryo after drilling a hole through the embryo shell (Zona pellucida).The smooth performance of this technique is often highly dependent on the skill and training of the laboratory staff (Embryologist). Even with high levels of training and accreditation, there is still a possibility of human error, particularly in a very busy laboratory that handles several such cases a day. Lastly, one must also beware that Malaysian IVF clinics often manipulate and play on the patient’s biased preference for either a boy or girl child, to persuade them to undertake embryo genetic testing for sex selection.

Should I choose fresh or frozen egg donation?

Some IVF clinics and egg donor agencies in Malaysia offer frozen egg donation as an alternative to fresh egg donation. The advantages of frozen versus fresh egg donation are greater convenience due to simpler logistics, as there is no need to coordinate and synchronize the treatment cycle of both donor and recipient; as well as lower costs due to negating the travel and hotel stay required for fresh egg donation. Another advantage is the greater certainty of the number and quality of frozen eggs available, which are unknown and non-guaranteed for fresh egg donation. Nevertheless, patients should use the same fertility clinic or IVF lab that recruited the egg donor and freeze her eggs. Avoid transferring frozen donor eggs from one medical facility to another. For best results, the thawing protocol must be matching and compatible with the freezing (vitrification) protocol, and only the same IVF lab that performs both the freezing and thawing processes, can ensure this. Patients should also beware that IVF success rates with frozen donor eggs are significantly lower than with fresh donor eggs.

What else should Singaporean patients be wary of when doing egg donation in Malaysia?

A critical piece of information that is often downplayed by Malaysian IVF clinics is the risk of accidental incest between half-siblings conceived by the same egg donor. Although such risks may be minimized in Singapore through safeguards that limit the number of children conceived per egg donor to three, it must be noted that there is no mandatory limit to the number of recipients that a single egg donor can donate to in Malaysia. Additionally, Singaporean patients should also be aware of the lack of appropriate counseling for egg donation in Malaysia. Rigorous counseling will ensure that both husband and wife are agreeable to egg donation, without any misgivings or emotional blackmail from either spouse, and without undue pressure from parents and in-laws. Additionally, they would also miss valuable advice on whether or not to tell their child the truth about his/her conception in the future.
 
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