1. What type of Surrogacy Services we offer?
There are two types of surrogacy, Traditional Surrogacy and Gestational Surrogacy.
In Traditional surrogacy surrogate is herself the Egg Donor, so that she is the genetic mother of the baby. In this case she can be directly impregnated with the sperm of the male partner by a process called Intrauterine Insemination or will undergo the process of IVF and egg retrieval which will then be fertilized in the laboratory with the male partner’s sperm. The embryos formed will then be transferred into her womb.
Gestational surrogacy is when the surrogate is only the “womb” donor and is genetically unrelated to the baby she carries. The egg comes from either the female partner of the infertile couple or from an anonymous egg donor. The process will have to essentially be an IVF technique.
As per the ICMR regulations, we can only offer Gestational Surrogacy in India.
Yes our clinic is perhaps the only clinic in India that helps IP’s from start to finish. We have an in-house legal department and a case manager assigned to you.
3. What exactly does the surrogacy procedure involve? Please give overview of steps involved with time lines.
A surrogate will first be recruited. Recruitment is done by Assisted Reproductive Technology bank. We then screen them for infectious diseases, general wellbeing, and fitness for the procedure. She also undergoes a hysteroscopy a procedure by which her uterus is visualized. The above process can take about 15 days to 1 month. Her cycle is coordinated with that of the egg donor and she is then put on medications to develop her endometrial lining to be able to accept the embryos while the egg donor undergoes her ovarian stimulation cycle. After the egg pick up of the donor, she is put on hormones to support pregnancy. The embryo transfer is then generally performed on the third day. She continues to be on hormonal support thereafter. She is tested for pregnancy after 12 days.
4. What is the Medical Protocol for Ovarian stimulation in an IVF Cycle?
Female needs to take Fertility injections for 10-11 days and the egg pickup happens on day 13 of the ncycle.
You should be in Hyderabad from day 5 of your periods and the Medication to be taken from day 1 of periods till day 5 will be provided to you at your place of residence. Alternatively you can do the full ivf cycle here
5. On what day after Oocytes Retrieval is the embryo transfer done?
The embryo transfer is generally done on day 3. In few cases on day 5 Blastocyst may be transferred.
6. What is the maximum number of Embryos to be transferred? Multiple Pregnancies?
We transfer 3- 5 embryos in an attempt.
Any pregnancies which are more than that of Twins are subjected to embryo reduction. The highest order of pregnancy carried by the surrogate is twins
7. Surrogate follow up during her pregnancy?
They are monitored once every fortnight. A clinical update of the same is sent to the Intended Parents over the email according to a predesigned protocol informed earlier to Intended Parents.
They are subjected to ultrasounds. 11th weeks scan is an anomaly scan along with a double marker test to rule out risk of Down’s syndrome.
Triple marker test is done at 18 – 20 weeks of pregnancy
Second trimester anomaly is done at 18- 20 weeks. Amniocentesis is not routinely performed.
The Intended Parents are informed about expected date of delivery, so that they can be present for the delivery. There is a nanny service available for those who wish for such services.
8. Do you perform amniocentesis routinely?
We do not perform amniocentesis routinely on our surrogates. If there is a reason to do so, like an abnormal triple marker test, abnormal ultrasound, then we do the amniocentesis.
9. Can Intended Parent wish to terminate pregnancy if there is any malformation in the baby?
The pregnancy will be terminated in the event there is an anomaly found in the baby which is incompatible with life or is dangerous for the health of the mother or the baby. Intended Parents will be consulted before any such decisions are taken. All terminations are done prior to 20 weeks of gestation as per Indian Law.
10. Do you have cryopreservation facilities?
We cryopreserve Eggs, embryos and sperm samples at our facility. These samples will be with us to be used at later dates.
11. What is the current wait time to actually start the procedure once we sign up?
Our program is very active, so we are ready whenever you are.
12. Do you assist clients with getting passports for the new born baby/exit visa?
Yes, we have a legal department and case managers specifically assigned to these things. We can explain in more detail per your request.
13. In your informational packet there are 4 retrieval cycles mentioned. Can you explain what exactly that means?
1 IV cycle means: 1 egg retrieval and fresh embryo transfer and frozen transfers if applicable. 4 IVF’s mean 4 egg retrievals and multiple embryo transfers.
14. For all 4 cycles in the package will the clinic use the same surrogate for all 4 or are we able to change the surrogate if we wish?
No, the surrogates are different; hence our time requirement for the second attempt is 15 to 20 days. If we had to use the same surrogate over and over again then the time gap between 2 transfers would be 2 months.
15. What forms of payment do you accept?
Currently we accept wire transfers & credit card payments at the Facility and paypal
16. Do you have Caucasian Donors?
Yes we have Donors from various Races and Ethnicities.
17. If we work with an outside egg donor, but do the surrogacy through you will you help facilitate that process?
Yes we will.
18. In terms of the legal representation for the surrogate, IP’s and the donor do we have to provide all of the legal representation ourselves or do you assist in that process?
No we have our own in-house legal counsel, who assists with your legal needs throughout the duration of our surrogacy program.