Bad Economy Drives Women to Sell Eggs

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NEW YORK (CNN) -- With a full load of classes, two young children, and her bills piling up, Michelle decided to face her economic straits in a pretty unorthodox way.

She is donating her eggs to an infertile couple.

"The cost of living is crazy right now, with two kids, gas prices, and rent...I'm living paycheck to paycheck" said the 24-year-old, who did not give her last name to protect her identity. "I just really need the money to finish school."

Michelle is not alone. As the nation's economy is slumping, some fertility clinics say interest in donating has surged.

"We are seeing an increase in inquiries but we're not sure if it's due to the economy or increased awareness," said Dr. Susan Waller, a reproductive endocrinologist at the Reproductive Science Center of the Bay Area. Last July, the Reproductive Science Center received 120 calls inquiring about egg donation. This year that number jumped to 158 calls.

"I think there is a spike more for financial reasons," said Mahshid Albrecht, manager of Donor Services at the Reproductive Science Center. "But is that the only reason? Probably not."

An egg donor is typically compensated between $5,000 and $10,000. Experts say that while most women donate out of desire to help infertile couples, the financial allure is real.

"It's important to understand that if a young woman walks into a clinic and says she wants to be an egg donor, the clinic doesn't just sit down and say 'Sure' and hand them money," said Dr. Mark Hornstein, president of the Society of Assisted Reproductive Technology. "There are national guidelines. It's a tightly orchestrated, stringent process."

And it's not an easy process.

Before a single egg is cultivated, a donor must undergo a battery of psychological and physical exams. That vetting process can last from 30 to 40 days, and 90 percent of women are eliminated before a single egg is culled.

Once a donor is selected, she is injected with powerful hormones for up to three weeks to promote egg production. There are also blood tests and up to 10 visits to the fertility center for ultrasound monitoring.

"It is such a long, agonizing process," Michelle said. "It's six to eight weeks of poking and probing and blood work."

Then there are the risks. The most dangerous is a condition called ovarian hyperstimulation syndrome, when ovaries become enlarged. While most short-term risks are mild -- bloating, weight gain, and abdominal pain -- less is known about long-term risks.

Women who smoke, have a body mass index above 30, or who have a history of gynecologic problems are ineligible to donate.

Despite the intensive screening, ethical questions still linger about fertility for financial gain.

"In an ideal world it would be nice to not have to give financial compensation," said Dr. Weller. "But I work for a living trying to help people and I get paid for it. Is that OK? Yeah, I think that's OK.

"These women have something no one else can give," she adds.

Michelle says that while her finances drove her to donate, her main motivation has little to do with money.

"The best thing I've ever been in my life is a mom and to help someone else is a cool opportunity," said Michelle. "Knowing that it works is much better than the money."