What you should know about Gestational Surrogacy Process?

What you should know about Gestational Surrogacy Process?

by Neelam Chhagani

gestational surrogacy for gay couplesThe gestational surrogacy process is a solution to many childless couples, who fail to have babies despite numerous infertility treatments.

With every passing year, the issues related to healthcare and lifestyle are gaining attention. Among many healthcare hurdles, infertility treatment in less popular and lesser talked about. On top of that, if a childless couple needs a Third-Party Reproductive service like the gestational surrogacy process, the conditions become more emotional and financially draining.

In current time infertility is rising, and more and more couples are finding it difficult to have babies naturally than ever before.

So, what is infertility definition?

The inability of a couple to have a clinical pregnancy even after trying for 12 months or more of unprotected sexual intercourse.

Infertility is a common problem owing to our sedentary lifestyle and other medical issues.  As per CDC, around 6% of the married women in the USA are unable to get pregnant even after one year of trying naturally.

For a long time, it was thought that infertility is related to a woman.  The female related infertility is well known and discussed extensively in the past.

But both man and woman can be equally responsible for infertility.  It is seen that when a couple is unable to conceive, man can be 35% responsible for it.  Fortunately, male infertility is a bit easy to tackle as compared to female infertility.

In the female, fertility drops sharply after the age of 35.  That is why female are encouraged to seek the consultation of a reproductive endocrinologist as soon as they become aware of their fertility issues.  In male-related fertility, the timeline is not that much important but seeking guidance from a fertility expert can help profusely.

What are the main Infertility causes?

  1. In a woman, it can be a hormonal imbalance.  The condition like PCOS (Polycystic Ovarian Syndrome) and endometriosis is commonly associated infertility.
  2. The age can be an important factor for a woman, who are unable to have babies.  The fertility is at the top at the twenties but drops gradually after 35 years.  After 40 years there is a sharp drop in fertility in women.
  3. A long-time smoking behaviour increases infertility in both male and female.
  4. Over consumptions of alcohol reduce fertility both in male and female.
  5. A sedentary lifestyle and unhealthy eating’s habits make it difficult to conceive.
  6. Overweight is mostly associated with infertility both in male and female.
  7. The stressful environment in families or office.
  8. Priority over professional commitment which can push the ideal age of having offspring to the later stage.

What are the possible infertility treatments?

Although infertility is rising, the good news is that it can be managed.  Infertility is not a disease, but a condition which needs medical attention at the right time and emotional support.

The medical technology around the Assisted Reproduction Technology (ART) has improved drastically over the years.  It means, more and more couples are getting the benefit of medical advancement and fulfilling their dream of parenthood.  However, infertility treatments come with a huge financial cost and emotional turmoil.

gestational-surrogacy-processThe common infertility treatments are:

1.    IUI- Intrauterine Insemination 

Intrauterine inseminating is the first line of treatment for couples who are struggling to have babies.  It is less invasive and less costly as compared to other advanced treatment like IVF or surrogacy.  In this process, sperms are washed and processed before insemination in the female partner.

2.  IVF- ICSI (In vitro Fertilization) 

IVF is a process in which eggs are fertilized with sperms outside the body.  In this process, the female partner is stimulated under the strict protocol to produce many eggs in her ovaries.  The process of stimulation can take up to 12 days.

Once ova are fully developed up to 18mm, eggs are retrieved from her body and fertilized with male partner’s sperms.  The fertilized eggs are known as embryos and can be implanted in female partner uterus in hope of implantation.

An IVF Cycle is an invasive fertility treatment and egg pick is done under mild anaesthesia.  The cost of IVF varies as per the case, but it is, in general, a costly process.  The cost of typical IVF Cycle including the stimulation medication can be between 1,50,000 to 1,80,000 INR.

Even with current modern technology IVF do not guarantee a 100% positive outcome.  The success rate of a typical IVF Cycle can be around 40% ( it depends on many factors).

The success rate of IVF depends on many factors like:

  • Female partner age
  • Male partner sperms quality
  • Number of eggs retrieved
  • The fertilization rate
  • The grade of embryos

3.  IVF with Egg Donor.

In some cases, especially for elderly women, who are unable to produce good and fertile eggs, IVF can be done with a younger and healthier egg donor.  The egg donor is another lady, who can donate her ova to the couples who find it difficult to conceive.   The baby is genetically linked with the egg donor as she is contributing half of the genetic material for the fertilization.

It is seen that with good ova from a young and proven egg donor, the success rate of IVF can be improved.  Nowadays, almost 40% of IVF cycles are done with the help of donor eggs.

In case of IVF with an egg donor, the overall cost of the IVF Cycles is increased as the cost of the egg donor is added on top of IVF cost. The cost of IVF with egg donor can range from 2,50,000 to 300,000 INR.

4.  IVF with Surrogacy 

Although most of the couples can have babies with lifestyle changes.  Or sometimes, a medical procedure like IVF or IVF with egg donor is needed.

However, to a few couples, surrogacy can be the only way to achieve parenthood.

Achieving surrogacy pregnancy is not an easy job!! 

Surrogacy Process is the most complex, lengthy and financially draining process.  Any fertility services which includes third-party reproductive assistance, come with their own hurdles.

The common question among prospective parents is to finding a surrogate mother and to understand how surrogacy work and we will discuss more this topic. 

What is gestational surrogacy and how does surrogacy work?

In gestational surrogacy, the embryos are created with IVF ( In-Vitro Fertilization), using the eggs from female (or sometimes egg donor’s eggs) and sperm from the male partner.  The embryos are then implanted in a third person, known as gestational surrogate or gestational carrier who carries the baby to term. In gestational surrogacy, the surrogate mother is not biologically related to the baby, but just a carrier of the baby for commissioning parents.

Gestational Surrogacy is a relatively complex and long process where a woman carries a baby/babies to full term and deliver for another couple who are unable to have babies.  This is known as gestational surrogacy and the surrogate mother is a gestational carrier.

The surrogacy arrangement is legally available in many countries, meaning commercial surrogacy is allowed there.

Who Need Gestational Surrogacy Services?

  1. The most common reason for a woman to hire a surrogate mother is the absence of the uterus. This may be absent from the birth or may have been removed surgically (hysterectomy)
  2. Women who had multiple miscarriages or who had unexplained or unknown failed repeated IVF cycles.
  3. Gay men or single men becoming a parent via surrogacy is sometimes only mean of becoming a father.
  4. Other complex medical related reason like high blood pressure, chronic diabetes, thyroid issues, and obesity. This can be due to a stressful and sedentary lifestyle.  

What does likely gestational surrogacy cost?

Gestational carrier cost depends on many factors and can be calculated based on which locations or country you wish to hire a gestational carrier. In USA, the typical surrogate mother cost is much higher than any other country and it leads to overall high surrogacy cost.

Surrogacy costs in USA  range from $75000 to $130000.  The individual surrogacy fee for any particular case can be calculated based on IVF procedure cost and surrogate mother compensation, as these are 2 factors conclude most of the surrogacy cost. 

Overseas surrogacy in countries like Ukraine and Georiga or Russia can range from $45000 to $50,000. It goes without saying that Eastern Europen countries surrogacy cost is lower and legally secure as well.

Gestational Surrogacy cost in Canada or the UK is around $85000. It is worth to mention that only altruistic surrogacy is allowed in these 2 countries.

Type of surrogacy process 

·         Commercial surrogacy

When a surrogate mother is compensated with money for her time and effort/discomfort while carrying a baby, this is known as commercial surrogacy.

·         Traditional surrogacy

In this surrogacy arrangement, Surrogate Mother is both carrier and biologically related to the baby. She is half genetically linked with the baby. This form of surrogacy is not common.

·         Altruistic surrogacy

Here, the surrogate mother carries and delivery the baby for the infertile couple without being monetary compensation for her time and effort.  She gets all medical related expense.

·         Independent surrogacy

In Independent surrogacy, the commission parents themselves manage their full surrogacy process without involving any surrogacy agency.

What is the controversy related to a gestational surrogacy process?

Surrogacy is surrounded by controversial and negative feedback from the different strata of society. In some society, it is still a taboo.  Lack of knowledge and less awareness toward the topic, contribute to questions and doubts about the surrogacy process.  On top of that surrogate pregnancies are not easy to achieve.

But the good news is that now more and more people are becoming aware of it and taking the route of surrogacy to have babies.  There are more resources and advanced technology for them.

The other limiting factor for opting for surrogacy is a high surrogacy cost.  The cost of surrogacy depends on which country you wish to do a surrogacy program.

In European countries like Surrogacy in Ukraine and Surrogacy in Georgia, typical surrogacy cost is $45,000.   In the USA the cost varies stateside, but in surrogacy friendly state like California, the cost can be $115,000 to $140,000.

gestational-surrogacy-processWhich countries offer legally viable commercial gestational surrogacy process?

Surrogacy laws in each country are different. There are few countries which ban commercial surrogacy. There are few countries which make it easy to peruse surrogacy but few countries do not have any surrogacy laws at all.  We try to cover a few countries here.

AUSTRALIA– Only Altruistic surrogacy only available. No donor or surrogate matching available.

CANADA– Only Altruistic surrogacy available and both local Canadian and foreigners can do surrogacy in Canada.

GREECE– Heterosexual couples and single females are eligible. For foreign nationals, a prior court order.

GEORGIA– Commercial surrogacy in Georgia is only allowed for heterosexual couples.  Commission parents name come on the baby birth certificate.  Legally protected and affordable options. Becoming a new hub of surrogacy.

UKRAINE-  Commercial surrogacy in Ukraine is only allowed for heterosexual couples. The right of the Intended Parents is well protected as per surrogacy laws.

INDIA– Commercial surrogacy in India is only allowed for Indian citizens.

ISRAEL– Only altruistic surrogacy available for heterosexual couples, Israeli citizens.

LAOS– Compensated Surrogacy in Laos available to foreigners.  Mostly Asian same-sex couple opt for surrogacy, but there is no legal protection

THAILAND– Only available altruistically to Thailand heterosexual couple.  Surrogacy in Thailand was banned in mid of 2014.

UK– Only Altruistic surrogacy in the UK available to the intended parent.

USA– Many States allow commercial surrogacy in the USA–  like California.  A gay and heterosexual couple can enroll for surrogacy based on the States where surrogacy is allowed.

Gestational Surrogacy Process is a complex process which comes with a huge financial and emotional enterprise. 

This is especially scary if couples are planning to have cross-border surrogacy services.  This means they travel to some other country for IVF and surrogacy process.  This might be due to the low cost of surrogacy in other countries or this can be since surrogacy is not legally allowed in their own countries.

While opting for cross border surrogacy, it is good to take the help of an experienced and trusted Surrogacy Consultant.

IVF Conceptions is a leading fertility consultancy playing the instrumental role in making family possible through IVF, Egg Donations and Surrogacy Services since 2010.

IVF Conceptions is a one-stop solution for Fertility and egg donations and surrogacy services, globally.

  • An individual case manager with 24*7 assistance.
  • Trusted and best IVF Clinic as partners.
  • LGBT friendly approach.
  • Our services are free of cost.

Conclusion for the gestational surrogacy process

Infertility and opting for gestational surrogacy is a painful and emotionally draining experience. 

The lack of resources and awareness make it more difficult for childless couples.  The huge cost of gestational surrogacy process with no guarantee of success, make it frustrating and depressing as well.

Due to lack of information about the surrogacy process, many parents do not know what is surrogate pregnancy and how does surrogate pregnancy work?

However, you need to know that you are not alone, and the right help is available.  The first step is to consult the experienced and compassionate surrogacy expert.  With the right guidance and awareness, you can make an informed decision.

Motherhood is the best experience, and nothing should stop you from achieving it. 

If you are ready to start your parenthood journey with gestational surrogacy process, we are there to help you.  Get in touch to have a free consultation to know your various surrogacy options, which are affordable yet secure.

 

 

 

 

 

 

 

I am Neelam Chhagani, CEO and International Patient Follow-up Manager, representing IVF Conceptions. I work as a surrogacy consultant and assist and guide the Intended Parents to become parents via surrogacy, globally.It will be my great pleasure to assist you.

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