Surrogacy

Procedure Description

As of 2009, Dr. Rama reports having delivered over 40 babies through surrogacy with current ongoing pregnancies.

Surrogacy

Conventional medical, surgical and assisted reproductive procedures (eg. IVF) will help infertile couples to achieve pregnancy. There are, however few cases where the conventional options cannot be used. In order to achieve pregnancy, some couples solicit the assistance of a third party to provide sperm, egg or alternatively to carry a child for them. (surrogate parenting)

Surrogacy – for Whom?

· Women without uterus - born without uterus
· Surgical removal of uterus (hysterectomy)
· Women with some uterine disease (adenomysis, multiple fibroids, endometrial damage)
· Women with chronic ill health (uncontrolled diabetes and hypertension, heart diseases, seizure disorders, physical disability etc)

For above women – a “third party reproduction is the only option”. There are two categories of surrogate parenting.

Classical Surrogacy: In this form of surrogacy, the surrogate is inseminated with the male partner's sperm.

IVF or Gestational Surrogacy: Genetic material belongs to the aspirings parents. The third party (surrogate) carries the baby nine months and after delivery handovers the baby to the owners.

Using a family member as a surrogate: It is better when a family member offers to server as a surrogate as it is comforting to have personal knowledge of your surrogate's medical history and background.

Surrogate Selection and screening:

Infertile couple who qualify for IVF surrogate parenting elect to solicit the assistance of empathetic friends or family members who agree to act as surrogates. Other couples elect to solicit surrogates through media advertising.

Surrogate Screening: Once the surrogate has been selected, she undergoes a full medical and laboratory evaluation. These include following.
- A careful medical and family history
- A thorough physical examination
- A psychological evaluation
- Blood test for HIV, Hepatitis B & C an other sexually transmitted disease.
- Cervical cultures for organisms such as Chlamydia and urea plasma
- An evaluation of the uterus by hysteroscopy
- Blood test for prolactin and thyroid stimulation hormone.
- Stimulation of ovary – retrieval of eggs insemination, Embryo transfer

Surrogacy - Some points to remember
- It is important for all participants involved in third party reproduction to have legal, medical and psychological consultations.
- Empathy and integrity are key personality traits in the screening of surrogates, gestational carriers and intended parents.
- The positive adjustments of all parties and the tranquility of the case can be increased if the participants are well matched and invest in the preconception discussions.

Synchronizing the recipient & donor cycle:

One cycle before actual IVF procedure we bring the menstrual period as close as possible to both donor and recepient. Preferably recipient gets period, a couple of days earlier than donor.

The recipient will require estradiol & progesterone to help prepare her uterine lining for implantation of the transferred embryos.

Surrogate Mothers:

Our center is dedicated in providing the best and affordable complete surrogacy and egg donation case management. Our goal is to see your complete family through surrogacy. We shall be with you and guide you till your dream turns into reality.

We counsel for both surrogate mothers and couple undergoing surrogacy program with us. We believe in loving and caring approach. We assist couple to find a suitable surrogate and once conceived we take care of surrogate till delivery. We offer personalized care and interest in individual situation. With our program number of couples across the globe now became proud parents of lovely child.

Dr. Rama's FAQ On Surrogacy:

Q. What is surrogacy?

A. The current & more accurate term for surrogate is “carrier”. A surrogate is a woman who agrees to carry a pregnancy for another person or couple, called the intended parent(s).

Q. What kind of woman become surrogates?

A. The typical surrogate is a woman in her mid 20’s to early 35’s married & the mother of her own children. Although compensated, surrogates generally provide their services to help other loving, committed couples experience the same joy they have as parents.

Q. What will be the situation to become a surrogate?

A. To become a surrogate the woman should fulfill the following criteria:

- Age between 21 & 35 years old.
- A non smoker, on drug user who maintained a healthy life style.
- Must have successfully carried at least one child of your own term.
- In a stable living situation.
- If married, have a spouse who’s supportive of your decision to become a surrogate mother.
- Have a healthy, weight/height ratio.
- Willing to give up caffeine, alcohol for the duration of the pregnancy.

Q. What is the purpose of a surrogacy agreement?

A. Surrogacy agreements are the first stage in a two step process. The purpose of the surrogacy agreement is to allow each party to state their intentions,& their responsibilities to one another. The agreement will clearly state that the surrogate does not intend on parenting any resulting children & does not wish to have physical or legal custody of any children. The surrogacy agreement will also define the right & responsibilities of the assisted parents.

Q. What is the difference between gestational surrogacy & traditional surrogacy?

A. In gestational surrogacy, the surrogate is not biologically related to any resulting children. This type of surrogacy requires the use of a third party egg donor (either anonymous or known), and the procedure to establish the pregnancy is called ”In Vitro Fertilization”. In traditional surrogacy, the surrogates own eggs are used to conceive the child, so she is biologically related to the resulting children.The procedure used to establish the pregnancy is generally referred to as “ artificial insemination”.

Q. What are the tests that a surrogate needs to undergo?

A. The tests that a surrogate needs to undergo are as follows:

- The complete medical & family history.
- A test through physical & psychological examination & evaluation.
Blood test for HIV,hepatitis B & C & other sexually transmitted disease.
- Cervical cultures organisms such as Chlamydia urea plasma.
- An evaluation of the uterus by hysteroscopy.
- Blood test for prolactin & thyroid stimulation hormone.

Q. What is the reason for opting surrogate parenting?

A. The reason for going towards surrogacy includes:

- Woman without uterus- by birth or by hysterectomy.
- Woman with some uterine disease (adenomyosis, multiple fibroids, endometrial damage).
- Woman with chronic ill health (uncontrolled diabetes & hypertension, heart disease, seizer’s disorders, physical disability etc).
- The prospective parent may be a single man or a male couple who would like to become parents.

Local Currency
Indian Rupees
Local Cost
542,000
USD Cost
US$ 10,840
Cost Includes

A single cycle of IVF with embryo transfer has the following charges:

150,000 Rupees includes medical care, expert consultation, stimulation, oocyte aspiration, IVF lab charges, Invitro Fertilization and Embryo transfer, consumables, disposables, media, laser assisted hatching

25,000 Rupees ICSI
50,000 Rupees oocyte donation
150,000 Rupees embryo donation
30,000 Rupees semen sample freezing

Dr. Rama works with a third party agency to locate suitable surrogates. The charges include:
20,000 Rupees for agency to provide a suitable surrogate
300,000 Rupees for the surrogate (20% at time of conception, 80% at birth; 25,000 if the surrogate does not conceive)
72,000 Rupees for medication, monthly scans, checkups, etc.

At an exchange rate of 50 Rupees = US$1, total charges for a surrogacy without complications are US$10,840.

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