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Gynecology
Surrogacy
What is Surrogacy?
Traditional Gestational Surrogacy is utilized by couples where the woman may have had trouble conceiving, a series of miscarriages, a partial hysterectomy or she may have other medical conditions that decrease her chances for carrying a baby to term. In these instances the woman has viable eggs but simply needs another female to carry her baby to full term.

How is it conducted?
It is important that you have an identifiable medical reason for surrogacy. Based on the test results, the ART specialists will provide a comprehensive report indicating if he or she feels a surrogate transfer will work or if perhaps a donor egg might be required. The report also details when stimulation for both the genetic mother and the surrogate can begin. If the woman has any conditions that prevent one from predicting cycle times, we recommend purchasing a basal body thermometer and keeping an accurate temperature count for one month and sending us this data and then continue keeping track for a second month.

One has the option to start the fertility medications locally or in India.  It is significantly cheaper in India and the quality of the drugs are the same.    Your case manager will discuss this with you further. If you are getting a donor egg, the medication costs are included with the donor.

The ART specialist will send a prescription for the genetic mother's medications or we will arrange for the genetic mother to come to India just before menses begin so that she can start taking the medications.

We will also coordinate dates and times for the surrogate from the moment the genetic mother's menses begin. Should the genetic mother decide to stay in her own country to start her fertility medication this is a sample outline of dates and events.

Day one of menses starts birth control pills, inform the hospital, get base line blood test. Continue birth control pills throughout month. Order fertility medication (or go to India); Day 18 of birth control pills starts Leuprolide Acetate subcutaneous daily.

First day of second menses, start the gondaotropin injections (InjGonal-F and hMG daily. Blood test and Ultrasounds are required on day 1, 5, 7, and 9 in the home country. Day 9 fly to India, arrive evening day 10Day 11 you will have a blood tests, ultrasound, X-ray, and EKG. Meet with the doctor, tour the clinic, and meet the anesthesiologist. Genetic father will give a sample at the clinic. Night 11 take trigger shot. Day 12 is a free day. On Day 13 is the egg retrieval, this is a general anesthesia procedure that last around 20-30 minutes. A second sperm sample is collected as well. After the procedure and recovery at the clinic, rest at the hotel and local touring for next 36-48 hours. On Day 15 is the embryo transfer to the surrogate.  The couple may return home on the night of the 15th or the 16th.

Sperm is collected by ejaculation. However, the doctor can perform one of several surgical methods of sperm collection if the male patient is unable to ejaculate due to obstruction of the reproductive tract. Eggs are harvested from the female under trans-vaginal ultrasound guidance or by laparoscopy.

In the IVF laboratory, a single sperm is injected directly into the cytoplasm of a mature egg with the help of a micro manipulator. Fertilized eggs are allowed to mature into embryos, and then they are transferred into the woman's uterus at the appropriate time in her menstrual cycle.
Notification of the conception results are emailed to the intended parents 8-10 days following the embryo transfer.  Payment for a surrogate is due ONLY WHEN there is a confirmed surrogacy.

What post operative care?
The birth mother will deliver her baby at an excellent private hospital.  If the surrogate is carrying twins the mother will undergo caesarean delivery.

The mother will not bond with the child but breast milk from the mother will be pumped and given to the baby (or babies).

We encourage the parent(s) to come to India a few weeks before conception but if that is not possible only one parent is required to help with the necessary paperwork.


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