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Navigating the world of assisted reproduction with Mary Fusillo

In this episode, we speak with Mary Fusillo, a practitioner in assisted reproduction for over 25 years. Mary shares insights on her company, Family Solutions International, which provides egg donation, surrogacy, and fertility consulting. She contrasts US and European practice, particularly around donor compensation, and details the screening and selection of egg donors. We examine financial, logistical, and emotional aspects of egg donation and surrogacy, including cost breakdowns, roles and expectations for surrogates and intended parents, and ethical questions around donor anonymity. Mary also highlights psychological impacts and common challenges for all involved. This episode gives a comprehensive look at the complexities, joys, and ethical considerations of assisted reproduction

Timestamps:

00:00 Introduction and guest introduction
00:08 Mary’s background and career in assisted reproduction
00:52 Focus on egg donors and surrogacy
01:17 The egg donor process in the US
01:38 Compensation and selection of egg donors
03:41 Fresh vs frozen eggs
04:59 Costs and European perspective
06:11 Ethics and anonymity in egg donation
08:54 Logistics and travel for egg donation
16:03 Progesterone support in early pregnancy
21:03 Donor-egg cycle timeline
22:44 Age and ethics in donor-egg usage
25:46 Reasons for choosing donor eggs
28:09 Attachment to DNA and family
30:23 Introduction to surrogacy
33:11 Cost of donor-egg surrogacy
34:26 Typical surrogate profile
36:05 Surrogate relationships and dynamics
43:00 Cross-border surrogacy trends
47:49 Single men and surrogacy
50:23 Genetic testing and embryo screening
53:39 Ethics of telling children about their origins
56:33 Regrets and relief in egg donation and surrogacy
01:00:04 Final thoughts on third-party parenting

Social Media Links

Facebook:

https://www.facebook.com/familysolutionsinternational/

https://www.facebook.com/DonorSolutionDotCom/

Instagram:

@the_eggsplanation_pod

@familysolutionsinternational

@donorsolution

Resources Mentioned in This Episode

1. Egg Donation & Surrogacy Pathways

• Egg Donation – Discussed as a family-building option for individuals and couples facing infertility, genetic conditions, or age-related fertility decline.
• Gestational Surrogacy – Explained as a process where the surrogate carries a pregnancy but has no genetic link to the baby.
• Key Distinction Covered:
  • Traditional vs gestational surrogacy
  • Donor eggs vs intended mother’s eggs
    
    

2. Legal & Ethical Considerations

• Importance of legal contracts for:
  • Egg donors
  • Surrogates
  • Intended parents
• Discussion of cross-border surrogacy risks
• Emphasis on using licensed agencies and fertility clinics
• Consent, autonomy, and long-term wellbeing of all parties involved

3. Medical & Screening Processes

• Psychological screening for donors and surrogates
• Medical testing and fertility screening
• Hormonal stimulation and egg retrieval (egg donation)
• IVF processes involved in surrogacy journeys

4. Emotional & Human Aspects

• Emotional readiness of intended parents
• The lived experience of donors and surrogates
• Importance of counselling and emotional support throughout the journey
• Reframing stigma around non-traditional family building

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Website: www.BiohackingEve.com