Surrogacy can offer a path to parenthood for individuals and couples who are unable to carry a pregnancy themselves. It is a complex fertility arrangement involving medical, emotional, legal and ethical considerations. Understanding the surrogacy services, process, eligibility requirements, surrogacy service cost, and associated considerations can help intended parents make informed decisions.
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Surrogacy is a fertility option that involves carrying and giving birth to a child for the intended parent(s). Consideration may be given to it if pregnancy is medically impossible, unsafe or not likely to result in a successful birth.
Gestational surrogacy is the most popular type of surrogacy used in modern fertility treatments, where the embryo is made through IVF and placed into the surrogate. In gestational surrogacy, the surrogate mother (gestational carrier) doesn't provide the eggs and is not the child's genetic parent.
Usually, fertility specialists, embryologists, counsellors and legal specialists participate in a surrogacy program to assist the intended parents through the process. Surrogacy treatment may be considered following a thorough fertility evaluation and consideration of medical history. Eligibility criteria and legal requirements vary from country to country and also in India.
Surrogacy treatment can be considered for pregnancy in a variety of medical scenarios where it is impossible or uneconomical to carry a pregnancy or where it might be harmful.
Some women are born with congenital uterine abnormalities that prevent the uterus from developing normally, making it impossible to carry a pregnancy despite having healthy ovaries and normal egg production.
Surrogacy may be a family-building choice for women who have had a hysterectomy for any reason, such as cancer, fibroids, or a history of severe bleeding.
Sometimes, if a woman suffers from repeated miscarriages, the fertility experts will discuss other options for reproduction like surrogacy.
Some uterine defects can make it difficult to conceive and may not allow a pregnancy to develop.
If the IVF treatments are unsuccessful for a particular woman due to uterine problems, then, in certain cases, the discussion of surrogacy treatment can begin.
A fertility specialist can assess the medical history and situation of a person to check whether surrogacy treatment in India is suitable for them or not.
The surrogacy services India, are complex and involve various stages that need to be carefully planned and coordinated.
The first step is a consultation with the fertility specialist. Your medical history, past fertility treatments, reproductive health and family-building objectives are reviewed. Your doctor will discuss the process of surrogacy, options, and whether or not surrogacy might be an option for you.
Intended parents routinely get fertility tests. This can involve blood tests, hormone test, ultrasound examination, ovarian reserve testing, semen analysis and infectious disease testing. The investigations can assist the fertility team in drafting a personalised treatment plan, and determining the best course of action.
For everyone involved, surrogacy is an emotional experience. Professional counselling can support intended parents to learn about the emotional, psychological and practical experience of the process. It also offers tips on expectations, communication and coping skills during the surrogacy process.
Before treatment, legal counsel is provided to all parties on relevant surrogacy law and paperwork needed. The processes may differ from country to country and from person to person, and so everyone needs to know what their rights, responsibilities and legal obligations are throughout the process.
After evaluations, a personalised IVF treatment plan is designed by the fertility experts. This involves choosing the right ovarian stimulation protocol, drug regimen, embryo formation approach and transfer schedule to boost the potential to produce healthy embryos for transfer.
When the intended mother/egg donor is contributing eggs, fertility medications are given to encourage the ovary to release more than one mature egg. Follicle growth is monitored by a regular blood test and ultrasound scan to ensure the best time for egg retrieval.
When mature, the eggs are retrieved in a minimally invasive surgical procedure, under sedation. With the help of ultrasound, the fertility specialist takes the eggs out of the ovary. Many patients can go home the same day as their surgery with a brief recovery period.
A prepared uterus is done with the proper medications, and a selected embryo is then gently placed into the uterus with a thin tube. It is a minimal procedure and does not require anaesthetic and typically requires only a few minutes.
A blood test is done 10-14 days after the embryo transfer to check for any sign of embryo implantation. If the result is positive, more tests of the blood and ultrasound are planned to check that the pregnancy is developing normally.
The surrogate is provided with regular antenatal care throughout the pregnancy, including routine health checks, ultrasound scans, and prenatal screening. The healthcare team carefully monitors the health of the surrogate and the baby to ensure a safe and healthy pregnancy.
The baby will be born under the expert care of experienced obstetric specialists. Post-delivery medical treatment, neonatal examination and any required legal and administrative matters are carried out in accordance with the regulations after birth.
Surrogacy journeys vary and can last anywhere from medical, legal and personal requirements.
The first step in the surrogacy journey is to consult with a fertility specialist. An evaluation of your medical history, fertility issues and treatment objectives is conducted. The doctor discusses the process of surrogacy, suggests appropriate investigations and outlines the medical, emotional, and legal considerations.
Comprehensive fertility tests are carried out for the intended parent(s). These can include hormone blood tests, ultrasound, ovarian reserve testing, semen analysis and infectious disease screening. The outcomes assist the fertility team in creating another individualised treatment program for the surrogacy program.
Intended parents start psychological counselling and legal advice before treatment. This stage assists all parties to understand the emotional obligations, duties and legal requirements of surrogacy treatment and allows for informed decision-making to proceed with the medical procedures.
In case of the intended mother or donor eggs, ovarian stimulation and collection of eggs and fertilisation are carried out. The eggs are nurtured in a lab for a few days, so the embryologists can determine which embryo (or embryos) is the healthiest and transfer it to the surrogate's uterus.
When the uterus is ready, the embryo is placed in the surrogate's uterus via a fine catheter. The process is quick, inconsequential and typically painless. The surrogate can go home after a brief time and resume medications as prescribed.
A blood test is done about 2 weeks following the embryo transfer to determine pregnancy. If the implantation is successful, other hormone tests and an early ultrasound scan will be arranged to check that the embryos are developing normally and that the pregnancy is progressing.
The surrogate is regularly checked by the doctor throughout the pregnancy, which includes regular health check-ups and ultrasound scans and prenatal screening. The fertility doctor and obstetrician are closely watching the surrogate's health and the growth of the baby to ensure the baby's health and to support the pregnancy.
The baby is born at the right time, with the help of skilled obstetric professionals. Newborn health assessments, postnatal care, and required legal and administrative steps are performed after delivery, based on laws and regulations for surrogacy.
Surrogacy in India is typically a high-cost procedure, with the fees varying from ₹15 lakhs to ₹25 lakhs or higher, depending on the medical conditions, IVF treatments, diagnostic tests, and medicines, hospital fees, and other related costs. The total price will depend on the specific fertility needs of each individual as well as the specific treatment plan that has been recommended by the fertility specialist, so the cost of each fertility journey will be different. The price of surrogacy treatment in India can differ depending on various factors.
These may include:
The success rate of surrogacy largely depends on factors such as the age of the egg provider, embryo quality, IVF success, the surrogate's overall health, and the fertility clinic's expertise. Gestational surrogacy typically has a high rate of pregnancy and live births with the use of high-quality embryos, but has variability in each case.
Many factors will determine the success of surrogacy, such as:
Several benefits can be seen for intended parents with the help of surrogacy.
Surrogacy is a means for others or families who are unable to carry a pregnancy to experience the joys of parenthood and create the family they long for due to medical reasons, uterine abnormalities, or prior surgery.
Depending on the treatment approach, the child may have a genetic relation to the intended parents/donor in gestational surrogacy.
Surrogacy can be a viable option for individuals who are unable to become pregnant through other fertility options or when carrying a pregnancy is unsafe.
Skillfully assisted by experienced fertility specialists, embryologists, obstetricians and counsellors, the entire journey of surrogacy is guided with personalised care, monitoring of treatment progress and support to all.
The surrogacy experience takes patients through a detailed treatment process, such as fertility assessment, IVF, embryo transfer, pregnancy monitoring, and routine medical check-ups, ensuring that patients receive all the care they need for the entire reproductive process.
Like all fertility treatments, surrogacy involves potential risks and challenges.
Fertility medicines used in IVF, as well as ovarian stimulation and egg collection can cause symptoms of bloating, mild pain or, very rarely, ovarian hyperstimulation syndrome (OHSS). Your fertility specialist will closely monitor your treatment to minimise these risks.
As with all pregnancies, there are potential complications of a surrogate pregnancy including miscarriage, ectopic pregnancy, gestational diabetes, high blood pressure and pre-eclampsia and premature delivery. These complications can be monitored and treated if they do occur with regular antenatal care.
Intended parents and the surrogate may find surrogacy to be an emotionally challenging process. Anxiety, stress or uncertainty can be experienced at various points in the process. Everyone can go through the process with confidence and with the support of a professional counsellor and emotional help.
Every country has its own surrogacy laws and they may change. In India, surrogacy is regulated by the Surrogacy (Regulation) Act, 2021, with specific eligibility criteria and legal requirements. It is important to fully understand regulations before moving forward with intended parents.
There are several medical and administrative costs associated with surrogacy such as fertility assessments, IVF treatment, medications, laboratory fees, pregnancy monitoring and hospital fees. The overall expense will depend on the particular requirements of treatment and the complexity of the case.
When more than one embryo is transferred, the risk of a multiple pregnancy (twins, triplets or more) rises. For multiple pregnancies, there is a greater likelihood of pregnancy complications, Preterm Delivery and Low Birth Weight, which is why single embryo transfer is encouraged where possible.
Surrogacy, when used in conjunction with IVF, has high success rates, but pregnancy cannot be ensured. The results of treatment can be affected by factors like embryo quality, underlying fertility issues, and overall reproductive health in the mother.
Following embryo transfer, patients typically enter a waiting period before pregnancy testing.
Following the embryo transfer, the surrogate can usually return home the same day and resume most normal daily activities. The fertility specialist may prescribe medications to support implantation and provide specific instructions regarding rest, physical activity and follow-up appointments.
Approximately 10 to 14 days after the embryo transfer, a blood test is performed to confirm pregnancy. If the test is positive, follow-up blood tests and an early ultrasound scan are scheduled to confirm successful implantation and monitor the healthy progression of the pregnancy.
Once pregnancy is confirmed, the surrogate receives regular antenatal care throughout the pregnancy. Routine health check-ups, ultrasound scans and prenatal tests help monitor the health of both the surrogate and the developing baby.
The surrogacy journey can be emotionally significant for both the intended parents and the surrogate. Counselling and emotional support throughout the pregnancy can help address concerns, manage expectations and provide reassurance at every stage.
The baby is delivered under the supervision of experienced obstetric specialists. After birth, the newborn undergoes routine health assessments, while the surrogate receives postnatal care. Any required legal and administrative procedures are completed according to applicable laws and regulations.
Fertility treatment cannot ensure pregnancy, but some steps can help promote reproductive health.
Choosing a reputable fertility clinic with experienced fertility specialists, advanced IVF laboratories and a patient-centred approach can make a significant difference to your treatment journey. Expert medical care, personalised treatment plans and continuous support help optimise treatment outcomes and ensure you receive the guidance you need at every stage of your surrogacy journey.
Follow all prescribed medication and scheduled appointments. It is important to follow your fertility specialist's recommendations to optimise your embryo development, implantation and treatment success.
Eating a healthy diet, exercising regularly, getting plenty of rest and a proper weight can help to maintain reproductive health and enhance IVF success. Do not smoke, drink or use recreational drugs before and during treatment.
Diabetes, thyroid disorders, hypertension or obesity are other conditions that should be under control prior to treatment. Good management of underlying health conditions minimises risks, and enhances a pregnancy outcome.
A surrogacy journey can be very emotional. Talking with counsellors, family or support groups can help decrease stress, promote mental health and help everyone concerned handle the situation more easily.
Keep a close watch on your fertility specialists throughout the treatment. Questioning, timely reporting of symptoms, and adhering to treatment advice ensures timely treatment and helps to resolve any concerns throughout the surrogacy process.
If you have failed to conceive naturally, have had repeated miscarriages, abnormalities of the uterus, medical issues that would make it unsafe to become pregnant, or had previous fertility treatments without successful results, you should speak to a fertility specialist. Early evaluation can help you find out what's causing the problem and determine the best treatment for your fertility, which may involve surrogacy if possible.
Let's look at some of the related fertility treatments surrogacy treatment India.
ICSI, also known as Intracytoplasmic Sperm Injection, is a procedure that injects sperm into the egg.ICSI is a high-level IVF procedure where a single healthy sperm is gently pushed into the egg to create fertilisation. It is recommended for couples where there is male factor infertility or where there has been a previous failure in fertilisation.
Click here to know more about ICSI treatment
In IVF, the eggs are fertilised with sperm in a special lab to make embryos that are placed in the uterus. It is one of the most commonly used fertility treatments and is an integral part of the gestational surrogacy process.
Click here to know more about IVF treatment
For women who have a low ovarian reserve, poor quality eggs or a premature period of ovarian insufficiency, donor Egg IVF may be recommended. Embryos are made in a fertility treatment by a process called IVF, when healthy donor eggs are fertilised.
Click here to know more about Donor Egg IVF
For whatever reason, there is a high risk of the intended father's sperm being unable to conceive because of severe male infertility, genetic conditions or lack of viable sperm, donor sperm may be used.
Embryo freezing is a method that helps to preserve high-quality embryos produced in an IVF cycle for later use. The use of frozen embryos may allow for future transfers, which decreases the number of times that the woman needs to be stimulated and her eggs retrieved.
Click here to know more about Egg Freezing
Our team of fertility specialists is highly experienced in providing fertility treatment for various fertility issues. We have advanced knowledge and skills in assisted reproductive technologies and work towards developing a treatment plan that meets the individual needs of each patient based on their reproductive health.
Femcare Fertility has modern IVF laboratories and advanced reproductive technologies to assist in accurate diagnosis and embryo development and in fertility treatment. We use technology to provide high quality care to patients throughout their treatment.
Each person's fertility journey is unique. Before formulating an individualised treatment plan that suits your unique needs, we take the time to understand your medical history and your goals and individual situation for your fertility.
The care for fertility, IVF, ICSI, donor programmes, fertility preservation and pregnancy care is available at Femcare Fertility, thus offering a full range of reproductive health services under one roof.
We know how hard these issues of fertility can be both physically and emotionally. Our team offers compassionate support, honest communication and continuous guidance to ensure patients feel informed, confident and supported through their fertility journey.
We believe that we are giving accurate information to our clients about treatments, outcomes, timelines and costs. Our specialist team is on hand to help with your queries, plan your care and support you from your initial appointment onwards, on your Parenthood journey.
Every fertility journey is unique. Whether you are exploring IVF, fertility preservation or other family-building options, our experienced team is here to provide guidance, support and personalised care.
Individuals or couples with medical issues, uterine abnormalities or those who have previously undergone surgery may be good candidates for surrogacy treatment. It can also be taken into account in cases where pregnancy would present a serious health risk or in cases where there are multiple unsuccessful treatments for fertility.
Typically, the entirety of the surrogacy process will take several months to more than a year, depending on the individual circumstances. This includes fertility tests and the treatment, the creation of embryos, embryo transfer and the pregnancy.
The success of surrogacy is dependent on many factors such as the age of the egg provider, quality of eggs and sperm, embryo quality and the overall health of the surrogate. The knowledge and training of the fertility clinic and embryology lab are also crucial.
Surrogacy rates vary because each patient's treatment plan is unique. Costs can cover fertility investigations, IVF treatments, medicines, laboratory costs, pregnancy monitoring and hospital costs. Other types of treatment can affect the total cost – like donor programmes or genetic testing.
When health-care practitioners with experience in fertility and obstetrics are involved, surrogacy is generally considered safe. But, as with any fertility treatment and pregnancy, there are some medical and pregnancy risks. Your fertility specialist will review the benefits and risks, depending on your unique situation.
There is little pain at most stages of the surrogacy process. Egg collection and other procedures are performed under sedation and embryo transfer typically does not require anaesthesia and is a rapid process. The discomfort caused by the temporary nature of the position is usually minor and temporary.
The number of IVF cycles varies among patients. The outcome is affected by various factors, including age, the diagnosis of fertility, and the quality of the embryos and/or previous treatment history. For some patients, success may be obtained in one cycle, for others multiple cycles may need to be repeated.
It is crucial after embryo transfer to take medications as prescribed and to keep all follow-up appointments. Avoid heavy lifting, strenuous activity and smoking without your doctor's approval. Adopting a healthy lifestyle and following your fertility specialist's advice can help treat the condition.
A couple may pursue surrogacy if it is not medically possible, safe or likely for one or both of them to become pregnant again. It is also suggested for females who have had a hysterectomy or those who do not have a working uterus or women with serious uterine disorders. After a comprehensive evaluation, a fertility specialist will be able to help you decide if surrogacy is the best choice for you.
If a woman's fertility or health issues prevent her from carrying the pregnancy, she should seek advice from a fertility expert. Through early consultation, the cause of infertility can be determined and all potential treatments considered, including those for surrogacy when applicable. A personalised assessment will allow you to get advice on your medical condition and legal requirements.
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