Where I live in Germany, for example (and also in other countries where egg donation is still illegal), egg donation is only suggested to women with difficult infertility histories and often multiple failed IVFs.

Their ovarian reserves tend to be so exhausted that there are basically no eggs left; thus, clinics have no alternative but to advise them to start exploring their options in other countries.

Strangely, women in the US for example (where egg donation is not only legal, but a booming sub-industry) are offered the option of egg donation much earlier, often at a time when they not only have plentiful eggs left, but have not even reached a reproductively challenging age of 40 and above.

Why is that the case? Because in the US, there exists enormous pressure on fertility clinics to maintain their sky-high pregnancy rates to compete in this fast growing business. As a consequence, those clinics can hardly afford to deal with challenging infertility issues for a long time.

The main goal of the fertility clinic is to make a woman pregnant and deliver a baby, and everything else (where the egg comes from and dealing with questions of being a genetic parent) is simply not their first priority. Continue reading here: Why are women advised egg donation earlier in the US than in Europe?