Fertility industry offers big money to recruit egg donors with high SAT scores

Compensation strongly correlated with average SAT score of the university's students, according to the study published in The Hastings Center Report by researcher Aaron D. Levine, of the Georgia Institute of Technology. In addition, approximately one-quarter of the advertisements listed specific requirements for potential donors, such as appearance or ethnicity. This also goes against ASRM guidelines, which prohibit linking compensation to donor personal characteristics.

Holding all else equal, such as demand for in vitro fertilization within a state and donor agency variables, Levine found that each increase of 100 SAT points in the average for a university increased the compensation offered to egg donors at that school by $2,350.

Of the advertisements violating ASRM guidelines, many offered $20,000, several offered $35,000, and one was as high as $50,000. Current ASRM guidelines recommend that sums of $5,000 or more require justification and sums above $10,000 are not appropriate.

The extent to which compensation limits are appropriate remains an open question, says Levine, but industry steps to self-regulate could alleviate concerns about exploitation. Monetary thresholds may be valuable if these limits protect a substantial number of potential donors from undue pressure to donate. Levine suggests verifying donor agency compliance (which is currently self-reported) or changing the format of advertisements.

In a related commentary, John A. Robertson, of the University of Texas, argues against greater regulation, and calls the current guidelines into question themselves. "After all, we allow individuals to choose their mates and sperm donors on the basis of such characteristics," he writes. "Why not choose egg donors similarly?"