People often reveal themselves by the language they use and, sometimes, by the language they deliberately avoid. Defining language around family is important in egg (and embryo) donation families—specifically, the confusion surrounding the terms "biological mother" and "genetic mother."

Using clear and accurate terminology is important for donor-conceived children and adults alike. There is no child too young to hear about their origin story,1 and, in fact, research suggests that donor-conceived individuals thrive best when informed from the start, fostering a sense of perpetual awareness about their unique origin story. Children can be introduced very early on to the concept that each person has two genetic or biological parents,* one providing the egg and the other the sperm, each endowing approximately 50 percent of the DNA required to form a new life.

A unique disparity in terminology emerges within egg donor families, unlike sperm donor families, as the nonbiological mother often carries and gives birth to the child. While phrases like "I carried and delivered my child, so I am the biological/genetic mother" are commonly heard from egg-donor mothers of young children, it's imperative to distinguish between maternal roles and genetic contributions. Though undoubtedly a mother in every sense, she is not the biological mother.

As her child matures and learns about and delves into discussions about inherited traits and predispositions, it becomes essential to frame these conversations accurately. How should she navigate topics like inherited diseases and physical characteristics? Can she confidently assert her biological/genetic connection despite the egg donor's contribution?........

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