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IVF (In-vitro Fertilization) Surrogacy with Self Eggs

Posted by on Sep.19, 2016

On most occasions surrogacy is done with the intended parents own eggs and sperm. This usually happens when the lady does not have a uterus (genetic or surgical removal) or has a defective uterus (septum, bicornuate, arcuate, or due to infection like Tuberculosis).   Another reason we use surrogacy is when the couple has had numerous failed IVF cycles.
The intended parents first decide to proceed with self-cycle surrogacy at our centre, they sign the contract and the tentative dates are decided. The lady is put on pills to be able to synchronize with the surrogate’s menstrual cycles. The surrogate is also prepared to build the endometrium.  Once the intended parent (lady) periods start, hormones are injected to make multiple eggs. This usually goes on for 10-12 days. The lady needs to stay in the city for minimum of 7 days provided she takes a few of these injections at home. All this is discussed and explained to the couple beforehand. There is regular communication through e-mail and telephone.
The eggs are retrieved under anesthesia, they are fertilized with the husband’s sperm, it is to be noted here that if time does not permit the husband may leave his semen sample in his earlier visits and the same can be frozen.
After fertilization of the eggs and sperm, the embryos take 2-3 days to develop. We are doing both cleavage and blastocyst transfer depending on the total no. of eggs retrieved, no. of grade A embryos formed and previous history. The embryos are then transferred into the surrogate under the ultrasound guidance. The decision regarding the no. of embryos depends on the age of the intended lady and previous treatment history. We usually transfer 2-3 cleavage stage embryos or 1-2 Blastocysts.
Following embryo transfer the surrogate is given hormonal supplements like estrogen and progesterone. She is asked to take rest and the pregnancy test is done 2 weeks later. Both her co-ordinator and the centre co-ordinator pay regular visit to ensure that the instructions are being followed.

A girl dreams of being a mother right from her childhood. It is very difficult when she realizes that it is taking time to do so or perhaps impossible. A woman status in society is still measured by her ability to have children. A man’s worth is measured by his qualifications, job, business achievements and wealth. However an equally capable woman will not be held in such high esteem even if she achieves all this if she has not attained the expected role of motherhood side by side.

Infertility is a huge psychological and social burden on the couple. Not only are they going through months and months of personal agony when they fail to conceive. They are also being indicated by the society. This pressure from the society is wholly targeted towards the woman. The cause of infertility is equally divided amongst the man and the woman. Even if the cause is because of the man the blame goes to the woman. Ironically it is the woman folk themselves who antagonize these women. It is high time we all stand up for their cause and lend a supportive and caring hand rather than vindictive attitude. This can come through education of society, awareness of the masses and empowerment of women.

In India the male child is given preference over the female. The reason for this is probably the petriarcle structure of society. The family name and wealth is transmitted on to the sons and the girl is sent off to another family with some wealth which is called as the dowry system. This was the traditional system of society which is still followed in certain parts of the country. However in the cities where 30% of the population is residing the biased towards the male child is still existing and sometimes stronger. South Delhi has the worst female: male ratio in the country. This is because of rampant use of ultrasound to diagnose the gender of the feotus and terminate the female child. Unfortunately the top most educated class of the country, the doctors themselves are in many ways responsible for allowing this gastly pratice to continue. In modern society the value of a male child in terms of carrying on the name of the family and taking care of old age is only a mith. Who remembers the name of the forefathers beyond three generations. Who is taking care of all the old people who are living alone in their homes or old age homes. Most of them have their married sons staying elsewhere or working abroad. It is not uncommon to see daughters coming forward to give emotional and financial help to their aging parents.

Today’s modern woman in India is completely empowered. She is educated, capable, financially strong and independent in every sense of the world. We should be proud to have daughters in our families. It is high time we led go of this age old meaningless desire to have a son and welcome the girl child wholeheartedly and give her the special place she deserves.

Personalized Care
Our goal is personalized, top quality care. We understand that no single treatment path is right for everyone. Our first step is to listen closely and asses your needs carefully. The panel of physicians discuss every case individually to provide the personal, specialized care you deserve.

Our view to treat the infertile couple
We know that facing infertility is the most stressful situation; we realize the pain and frustration that become an integral part of the lives of childless couple. At our center we make all the process from “Diagnostics to Treatment” as comfortable as possible. Once the cause is known for infertility, we undertake the appropriate course of action. Many problems can easily be corrected with medications or surgical procedures. For couples facing more difficult challenges our ART program ranks amongst the best. We know- when you enter in the program, you may not know the complete scientific procedure. You may feel helpless, confused and anxious. We simply believe that – Our goal is to provide you with the state-of-the-art medical case and an environment that fosters the best possible outcome.

Researches have shown that as many as one in six couples in their childbearing age remain infertile. Behind this surprising statistic lie the confusion and frustration of millions of couples, who seem unable to have a baby and are unsure what to do about it. With patience and proper medical care, however, most of these people can eventually become parents. Expert medical advice to these couples is the best option. This assists such couples to recognize the problem, sort out options and conceive through a proper medical treatment.

Evaluation
The process of evaluation takes one completed monthly cycle, and may include:
Hormonal assessment through blood work and ultrasounds
Semen analysis and culture
Hysterosalpingogram (HSG), an x-ray that detects blockages or malformations in the fallopian tubes.
Endometrial biopsy, which can detect any inflammation in the uterine cavity
Surgical evaluation and treatment including hysteroscopy and laparoscopy, which enables the physician to diagnose and correct problems in the uterus and pelvic cavity
Cycle monitoring, which involves hormone testing through blood work and ultrasounds

Initial Treatment
After evaluation of your needs, we develop a customized treatment plan based on your diagnosis, age and goals. The initial treatment options may include:
Ovulation induction using fertility medications
Timed intercourse cycles
Intrauterine inseminations (IUI)
Donor sperm
Surgical treatment including hysteroscopy, laparoscopy, myomectomy, and removal of endometriosis
Reversal of tubal ligation.

How to find best fertility clinic
Seeking fertility care is a decision of lifetime. It is expensive, time-consuming, as well as physically and emotionally draining. In order to achieve dream parenthood, it is important to find the best care possible from the very beginning. To find the best fertility clinic you must consider the following factors :

Location: Institute where couple wants to take treatment should be easy to locate.

Stay: Fertility institute should offer a good comfortable room in institute or can make arrangements in nearby good
hotels.

On-line consultation: Fertility institute should give advice or arrange pretreatment for national or international couples to cut down their stay.

Mode of payment: Fertility institute should have facility to accept credit card, bank transfer & wire transfer for payment.

Information of procedure: Couple undergoing fertility treatment should know about their treatment procedure.

Facilities of the centre: The centre should have all the facilities like hormone lab, pathological lab, ultrasound scan, operation theater to conduct minor to major infertility correction procedures, IVF lab, IUI, etc.

Working environment: Fertility center should have co-operative environment.

Experience & expertise: Knowledge and expertise of fertility centre matters a lot .

Emergency services: Fertility center should offer 24/7 contacts or any emergency services.

Success rate: Success rate of fertility center is a major part to consider that centre for treatment.
There should be easy access to primary fertility specialist.

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