Heterosexual couples comprise the majority of patients seeking treatment with donor eggs. The reasons for this are multi-factorial but one of the main underlying problems is the impact of female ageing on egg quality. Our couples have often pursued numerous other treatment options including IVF and present to us at the end of the road. Despite the high success rate that the option of using donor eggs brings, this solution may not suit everyone and with a age limit of 50 years for recipients of donor eggs it give the recipients time to fully explore this option without feeling that the clock is ticking. The success rate with donor eggs is not dependant on the recipients age nor whether she is still having periods or is menopausal – successful pregnancies can be created in all the above circumstances.