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In 2007, I became an egg donor for the first time. In 2009, I was diagnosed with Stage IV endometriosis and told that if I ever wanted to get pregnant, I would need to pursue IVF right away. In 2010, I did just that—two IVF cycles, both of which failed.

This background has given me a unique perspective on the fertility industry. I’ve seen it from both sides: as a donor and a patient. And through that experience, I came to realize that there is a lot about the practice of egg donation that probably needs to change.

I also realized that most egg donor recipients have no idea those issues exist: Not because they are heartless or don’t care, but because the standard sales line they are getting from clinics is the same most donors are fed: Egg donation is practically risk-free and a win-win for all parties involved.

The truth, unfortunately, is a little more complicated than that. And it’s the reason why I personally have always known I could never use an egg donor.

But it’s also...