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Egg Donation and surrogacy |
Egg DonationEvery year, men and women hear that dreaded news from their doctors… they will not be able to conceive they are infertile. Their hopes and dreams are dashed. It doesn’t matter whether the cause is diseased fallopian tubes, incurable endometriosis, primary ovarian failure (premature menopause), which can occur following surgery, chemotherapy or radiation or naturally as early as age 20, or an unexplained fertility problem. These couples won’t be able to have a child – not without the help and generosity of an egg donor. In other cases, a woman may still be producing eggs but because of inheritable genetic disorders, recurrent miscarriages or repeated IVF failures, she is advised to use donor eggs.Egg donors are among the special few who know what it means to truly give of oneself. Every year, thousands of young women donate their eggs, enabling many infertile couples to build a family. Donors are women of 20-30 years of age. They will have a normal body weight, healthy medical and genetic history and will have tested negative for all the infectious disease screening. Our donors are Eastern European (Slavic) women, students and graduates, living in Ukraine, a lot of them are already married with kids. Recruitment is by word of mouth and newspaper messages. Potential Egg-Providers must meet the following Criteria: ➢ Be between the ages of 20 and 30. ➢ Be a Non-Smoker. ➢ Have no previous history of severe endometriosis or of having had one ovary removed. ➢ Have no history of previous low ovarian response to ovarian stimulation. ➢ Have both ovaries. ➢ No personal history of transmissible diseases. ➢ No personal or family history of inheritable disorders. ➢ An egg provider will not be accepted with an untreated polycystic ovarian disease. We synchronize the recipient's cycle with that of a donor. The donor undergoes a similar stimulation protocol as discussed in the IVF cycle. When you select your donor, a contract is written and signed by the donor and the future parents. It delineates the donor's responsibilities and clearly states that the future parents receive all the eggs produced by the donor in the specified treatment cycle. Currently Available Egg Donors Revised This is our basic egg donor list where we provide you with information on: age, hair colour, eight, education, weight, eye colour. Our patients have access to more details about the donors including photos, questionnaires showing their social, medical and family histories, IQ test results, psychology reports, outcome information on previous egg donation cycles using their eggs, etc. The egg provider and recipient will remain anonymous to each other. Every measure is taken to ensure that this confidentiality is not compromised. Genesis Dnepr IVF acts for the Future Parents in establishing an account from which payments are made for psychological, genetic and legal services for the donor in executing the Donor Contract. Throughout the entire process we are available for support, supervision and counseling. The donor is given all she needs to fulfill her responsibilities. SurrogacySurrogacy is perhaps the most complex and difficult way to achieve parenthood. A surrogate mother is one who lends her uterus to another couple so that they can have a baby, the word “surrogate” meaning substitute or replacement.A surrogacy arrangement is one in which one woman (the surrogate mother) agrees to bear a child for a couple (the intended parents) and surrender it at birth. This provides an opportunity for those who are unable to carry a child themselves to overcome their childlessness. Some women are unable to carry a child to term. A variety of causes account for this, including failure of the embryo to implant, repeated miscarriages, hysterectomy or a pelvic disorder. Some women experience problems such as dangerously high blood pressure, a heart condition or a liver disease, so that pregnancy would entail a serious health risk for them. Women who need gestational carriers include those who: • do not have a uterus • have an abnormal uterine cavity • have had several recurrent miscarriages • have had recurrent failed IVF cycles There are two main kinds of surrogacy: 1. The surrogate mother provides the egg. In this case, the surrogate is inseminated artificially by the husband's sperm. In this case, the infertile woman has no genetic relationship to the baby. 2. More commonly, the infertile woman provides the egg, which is then transferred to the surrogate mother by IVF with her husband's sperm and an embryo transfer performed to the surrogate's uterus, which then acts as an incubator for the next nine months. In this case, the infertile woman has genetic relationship to the baby as well as her husband. Surrogate must be between the ages of 20-35 Have at least one child of your own Have had positive pregnancies and birth experiences Must be physically and emotionally healthy Must not use recreational drugs, smoke or abuse alcohol Have an appropriate Body mass Index. Height and weight must pass medical screening guidelines. A potential surrogate mother must be in good overall health and be able to undergo a pregnancy with the minimum amount of risk to her own health. Some medical conditions will prevent a woman becoming a surrogate mother, for example, if there are any known medical problems which could lead to complications with the pregnancy, or put the woman at risk. Also those who are considerably overweight, are heavy smokers, drinkers or substance abusers are not suitable as surrogate mothers because of the associated risks both to the woman and the baby. As the risks of illness and problems are much higher in the first pregnancy it is strongly recommended that surrogate mothers should have given birth to at least one child previously and preferably have completed their own family. This also means that the woman is able to give her “informed” consent to the arrangement, since a woman who has experienced pregnancy prior to the surrogacy arrangement has that knowledge to base her decision on. Deciding to go in for surrogacy is a very hard decision for most couples, because of the many variables involved, and they have many concerns - social, legal, emotional and medical. Finding a surrogate can be extremely difficult! If you have a friend or relative who agrees to be your surrogate, then your best option is altruistic surrogacy. Not only is this much less expensive, the risk of this going sour is much less. Commercial surrogacy is much trickier, because you then need to take extensive steps to protect your interests, and ensure that the surrogate will hand over the child to you after birth. Finding a reliable clinic, an honest surrogate and a good lawyer can be hard work. It is also very expensive. The good news is that we can help you to find a surrogate - please contact us for details. Certain guidelines have been laid down to try to minimise misuse of the surrogacy technique; and a surrogate motherhood contract needs to be drawn up, which should specify the financial remuneration and that the child will become the legitimate adopted child of the infertile couple, i.e, the intended parents. This needs to be signed by the couple, the surrogate, and her husband. It is vital that the surrogate and the couple consider the future of the child. The receiving mother should ideally be present at the birth and care for the baby in hospital. She can even be prepared for breast feeding (induced lactation) by hormone treatment. Our Surrogates are intensively screened and educated about the process. An investigation of the surrogate’s background, including her spouse or partner, if applicable, is done. Each surrogate is interviewed by a psychologist who provides a report of her support system, family structure, mental/emotional state and ability to fulfill her role as a surrogate. This first meeting lays the groundwork for their relationship. During the process the psychologist will provide support and help the surrogate to deal with any difficulties. The following tests for surrogates are required: 1. Fluorography (repeated annually); 2. GP examination and health level and no contraindication to pregnancy report (repeated annually); 3. Psychiatrist examination and report (once); 4. Blood test for RW, HIV, ÍÂsÀg and Àb for Hepatitis Ñ (repeated 3-monthly); 5. Blood grouping, Rhesus factor determination; 6. Clinical blood analysis (repeated monthly); 7. Hemostasia examination (repeated monthly); 8. Urine common examination (repeated monthly); 9. Flora swab (repeated monthly); 10. Cervical swab cytological examination (repeated annually); 11. Biochemical blood examination (repeated monthly); 12. Gynecological examination; 13. Pelvis minor organs ultrasound investigation; 14. Cervical canal, vagina and urethra examination for clamydia, mycoplasma, ureaplasma, gonorrhoea, CMV, herpes simplex virus (repeated 6-monthly); 15. Antibodies determination for toxoplasma, cytomegalovirus, herpesvirus, rubella (repeated 6-monthly).
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