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.
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
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.
What are the symptoms and complications of pelvic inflammatory disease (PID)?
Symptoms of PID
The infection may be subclinical (occurring without any symptoms), or there may be fever, chills, or pelvic pain indicating inflammation of the entire pelvic area.
Complications of PID
Severe or frequent attacks of PID can eventually cause scarring, abscess formation, and tubal damage that result in infertility. About 20% of women who develop symptomatic PID become infertile. The severity of the infection, not the number of the infections, appears to pose the greater risk for infertility.
PID also significantly increases the risk of ectopic pregnancy (fertilization in the fallopian tubes). A small US study suggests, however, that even mild Chlamydia infection that occurs in the upper genital tract may cause a higher proportion of ectopic pregnancies than previously thought.