Egg Donation: A Victory for Reproductive Justice or Another Handmaid’s Tale?
By Chantal Bittner,
Bill of Health
| 02. 04. 2025
Before the United States election in 2024, Margaret Atwood shared a cartoon illustrating the handmaids from her dystopian novel entering a polling booth in their unmistakable red cloaks and white bonnets. Having voted, they transform into unique individuals, discarding the attire symbolizing their reproductive enslavement.
One of the central topics of the election campaign was undoubtedly abortion—a key issue in the fight for reproductive justice. However, reproductive justice encompasses far more than abortion. The egg donation industry has expanded into a multi-billion dollar market. While altruism frequently frames their actions, financial incentives are central to attracting many young women to donate—really, sell—their eggs. Upon closer examination, egg donors play a subordinate role despite being essential for the market to function. This post explores the egg market in the U.S. and Europe, shedding light on its implications for the reproductive rights of third parties involved in the process.
The U.S.: A free market model
In the U.S., egg donation operates as an unregulated free market. Compensation varies widely, reaching up to $250,000 in exceptional cases, with an average payment of approximately $7,000. Efforts by the American Society for Reproductive Medicine (ASRM) to regulate this market through guidelines capping payments failed: ASRM attempted to limit donor remuneration to $10,000. However, two donors sued ASRM, claiming the guidelines violated U.S. antitrust laws by constituting price-fixing. In 2015...
Related Articles
By Anna Collinson and Jo Adnitt, BBC | 08.18.2026
At least 30 children, most of them British, are feared to have been conceived by IVF treatment in northern Cyprus using the wrong sperm or egg donors.
In each case, the parents suspect they did not get the donors they...
By Dan Falk, Nautilus | 08.20.2026
The pseudoscience of eugenics, founded on the mistaken notion that nature envisions some “right” combination of genes, and that selective breeding can improve the human race, is making a comeback. While the heyday of eugenics was a century ago, the...
By Anna Louie Sussman, The New York Times | 08.21.2026
Since in vitro fertilization was invented nearly 50 years ago, at least 10 million children who would not otherwise exist have been brought into the world. New constellations of families — older moms, same-sex parents, single dads — have flourished...
By Jenni Fink, Newsweek | 08.19.2026
“Donald Trump” by Gage Skidmore is licensed under CC BY-SA 2.0
President Donald Trump's latest effort to limit birthright citizenship could have consequences for the international surrogacy industry, potentially affecting thousands of intended parents from overseas who travel...