Genetic grief: a guide to cope with egg donation

Genetic grief describes the emotional process that some people experience when facing assisted reproduction treatments, such as egg donation, where there is no direct genetic connection with the future baby.
This grief is a natural part of the journey to parenthood for many couples, marked by the acceptance that the path to having a child may differ from initial expectations. We spoke to Dr Elena Santiago about genetic grief in oocyte donation and sperm donor IVF and in which countries ovodonation is allowed.

What is genetic mourning in oocyte donation?
Genetic duel in the context of assisted reproduction refers to the emotional process that individuals or couples go through when accepting that their future child will not share their genes, a common situation in treatments such as egg donation or IVF with sperm donor.
As a fertility specialist in Spain, Dr. Santiago adds that “Recognising and validating these feelings is crucial, and with adequate professional and emotional support, couples can go through this process, opening their hearts to the possibilities that ovodonation offers to create a family”.

Overcoming genetic grief before the process and after treatment can take time, in fact, from experience in the fertility clinic, the support of family and professionals is crucial.
Overcoming genetic grief is possible
Strategies and coping with genetic grief
- Self-care: Maintain mental and physical health through healthy habits and stress reduction activities.
- Acknowledge and Accept Feelings: It is essential to recognise and accept any sadness, frustration, fear or anger as normal reactions.
- Seek Support: Lean on friends, family or professionals to process these feelings.
- Be informed: Understanding the process of gamete donation can reduce anxiety.
- Expert Counselling: Consult experts for a thorough understanding of the process and expectations.
- Participate in Support Groups: Connecting with others in similar situations can offer comfort and understanding.
- Communication with Partner: Maintaining open and honest communication is crucial to the emotional well-being of both partners.

Opting for IVF with donor eggs or sperm represents a solution for those seeking to become parents, although it entails significant emotional challenges. Sharing your concerns and fears with experts, communicating effectively with your partner and reflecting on your motivations for becoming a mother are essential to process these feelings and get excited about the idea of motherhood again.
How to cope with fertility treatment as a couple
Coping with fertility treatment as a couple is not just a medical matter. In our practice, we often see how the emotional impact can be just as significant as the fertility treatment itself.
As we have already mentioned, the key to coping with genetic grief or fertility treatment is communication within the couple. Sharing your fears helps your partner to understand your feelings and emotions; “what we don’t communicate doesn’t exist”, says Dr Santiago, so making time to talk, time to spend together as a couple, and making plans for both of you, helps to improve communication between you.
Supporting your partner means being there for them, asking how they’re feeling, expressing your own fears too, and maintaining a mutual commitment throughout every stage of the treatment. It’s not about doing everything perfectly, but about remembering that you’re both on the same team.
Is egg donation worth it?
Egg donation does not instantly eliminate genetic grief. It is normal to need time to accept that the path to motherhood will be different from what you imagined. But for many patients, that grief gradually transforms as they come to understand that the bond with their baby does not depend solely on genetics, but also on epigenetics, pregnancy, care, presence and love.
The testimonials from women and couples who have undergone egg donation often agree on something very important: the hope of being able to carry a child, care for them and build a family of their own. Therefore, rather than simply asking ourselves whether it is “worth it”, we must also ask whether this treatment can bring us closer to the life we desire.
From a medical and emotional perspective, egg donation can be a real opportunity for patients with low ovarian reserve, poor egg quality, advanced maternal age and fertility, or a history of failed IVF treatments. However, each case must be assessed on an individual basis. The important thing is that no patient feels she is giving up on becoming a mother, but rather that she is finding a possible and safe way to achieve it.
Testimonials from patients who have had children through egg donation
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