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Common questions about surrogate mother selection to the Obstetrician-Gynecologist, Fertility Specialist in ADONIS Oksana Katraha

 1.How does the selection of surrogate mother is performed?

Based on the legislation in Ukraine. All surrogate mothers need to have at least one child. From the uncomplicated pregnancy. Then the surrogate mother comes to the ADONIS for the interview, to see how she is like, how she looks like how she is carrying her body (the kind of human aspect), and what does she know about surrogacy, how does she thinks about surrogacy, etc. She is meeting with our psychologist (for the evaluation of her psychological out long for emotional state)

She needs to bring all of the supporting documents that outlined that what she is sharing is the truth. One of the vital documents she has to bring that information about the birth of her first child from the medical institution, registration of child, etc., if the surrogate mother is married she has to also present written permission from her husband that he is agreed about her participation.

The next step is the medical evaluation. Because there is a very comprehensive list by the legislation of the Ukraine of all of the medical evaluation that the surrogate mother needs to go through also, ADONIS has that goes above the legislation requirements.

The age that doctors at ADONIS considering the best for the surrogate mother is between 20 up to 34 years. And it much narrower than decided by the legislation.

Next is the ultrasound diagnostics of the pelvic area of the future surrogate mother, and questions about the menstrual cycle, it should be regular it is vital.

Some of the other questions that are being asked are that have there been any complications during the first pregnancy/es. And has she participated in the other surrogate programs before?

After she passes all that ultrasound evaluation she goes through all other complex tests that are required (blood tests, hormonal evaluation, TORCH infections etc.), once all of that has been confirmed then the last she needs to pass evaluation of the family doctor. To evaluate the general health condition and that all other organs and systems are healthy. Once all of this information is being put together, then the decision is being made.

2. What is very special for the ADONIS to take the final decision?

The final decision about the participation of the surrogate mother is being taken by a Concilium of doctors. So it is not just one doctor making a decision.

3. What is the max number of surrogacy cycles that are acceptable for one surrogate?

How many times she can deliver? In this case, the doctor is paying attention to the general condition of the woman, as after every delivery the muscle tone is different etc. And if the woman has two cesarian sections then she can’t be a surrogate.

4. How many attempts can surrogate mother have?

Perhaps during the program, the first attempt was not successful, then there is a second embryo transfer, after the second one doctors doing a lot of additional diagnostics to understand what is the reason for the unsuccessful attempt. Problem with surrogate mother or smth with an embryo.

First, they look at the embryo: whether they are created from the donor eggs or from the attendant mother oocytes. If it is the donor’s oocyte that is in perfect condition. The doctor will look at the surrogate mother and the additional test: hysteroscopy will be performed to evaluate the condition of the endometrium. The health of the endometrium is important for embryo implantation.

If there is a problem with the surrogate then she will not continue taking the part in the surrogacy program.

5. How often does there is a necessity to change the surrogate mother?

It happens very rarely. Because before the start of the program we check the health of the surrogate mother very well, so she can be just not chosen for the program because of some health problems (then she got a recommendation to visit another specialist to take care of her health).

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    • Medical supply of induction of superovulation Individual Protocol
    • Test on progesterone of blood at day of trigger injection
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
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    • Donor`s sperm (one dose)
    • IVF+ICSI with the medicines cost
    • Controlled stimulation of Patient`s ovarii (induction of superovulation) (without the cost of medicines)
    • Medical supply of induction of superovulation Individual Protocol
    • Test on progesterone of blood at day of trigger injection
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
    • Cultivation of embryos in IVF program, including till blastocyst stage (by needs)
    • Embryos transfer (ET) in Patient`s uterus cavity in IVF program
    • Cost of embryological supply of TVP
    • Cost of embryological supply of ET
    • Blood test on Human chorionic gonadotropin (beta-hCG)
    • Ultrasound diagnostics of pregnancy in terms up to 11th weeks
    • Blood sampling

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    • Selection of Sperm`s donor
    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of IVF Program
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    Medical services:

    • Examination of Oocytes donor (fresh before IVF)
    • Cryopreservation and storage of sperm during 12 months
    • IVF+ICSI with Eggs Donation with the medicines cost  (own Egg Donor)
    • Medicines cost for Egg Donor, without the cost of medicines for the patient:
    • Controlled stimulation of Eggs donor`s ovarii (induction of superovulation) (without the cost of medicines)
    • Medical supply of Eggs donor’s stimulation
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of Eggs donor`s ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
    • Cultivation of embryos in IVF program, including till blastocyst stage (by needs)
    • Cost of embryological supply of TVP
    • Cryopreservation of embryos / oocytes with vitrification method (1 cryothek)
    • Storage of cryopreserved biological material and embryos within 4 months

     

    Non-medical services:

    • Selection of Ooctyes donor
    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of Egg Donation Program
    • Free 2nd medical opinion
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    IVF+ICSI+EGGS & SPERM DONATION (6 "fresh" donor`s eggs)

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    • Donor`s sperm (one dose)
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    • Eggs donation
    • Controlled stimulation of Eggs donor`s ovarii (induction of superovulation) (without the cost of medicines)
    • Medical supply of Eggs donor’s stimulation
    • Preparing of endometrium of Patient
    • Medical supply of endometrium preparing
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
    • Cultivation of embryos in IVF program, including till blastocyst stage (by needs)
    • Embryos transfer (ET) in Patient`s uterus cavity in IVF program
    • Cost of embryological supply of TVP
    • Cost of embryological supply of ET
    • Blood test on Human chorionic gonadotropin (beta-hCG)
    • Ultrasound diagnostics of pregnancy in terms up to 11th weeks
    • Blood sampling

    Non-medical services:

    • Selection of Ooctyes donor
    • Selection of Sperm`s donor
    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of Egg Donation Program
    • Free 2nd medical opinion
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    SURROGACY ("fresh" embryo transfer)

    Medical services:

    • Examination of Surrogate mother (before IVF)
    • Cryopreservation and storage of sperm during 12 month
    • IVF+ICSI with Surrogate mother with the medicines cost
    • Prenatal care program “Waiting for baby” (without cost of medicines)*
    • Fees for SM`s delivery (cost of delivery in natural way, without complcations), pregnancy with 1 fetus
    • * surrogate mothers are avaliable with cesarean section and without cesarean section, for a quick start – surrogate mothers with cesarean have already been selected and diagnosed

    Non-medical services:

    • Selection of Surrogate Mother
    • Translation of Patient’s documents and legalization of translation
    • Development of individual draft on Agreement of surrogacy
    • Notarization Agreement of surrogacy providing
    • Coordination Services
    • Notarization Surrogate mother`s statement after birth providing
    • Legal services for registration of Child born as a result of the Client’s participation in the SM Program, preparing documents for Embassy (without services of translation and legislation cost) special price with discount for complex offer (price without discount – 1000USD)
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    SURROGACY (thawed embryos transfer)

    Medical services:

    • Cryopreservation and storage of sperm during 12 months
    • IVF+ICSI with the medicines cost (without preparing of endometrium and ET stage) with vitrification and storage of embryos for 4 months
    • Examination of Surrogate mother
    • Cryoprogram (transfer of thawed embryos, cost of medicines for endometrium preparing included)
    • Prenatal care program “Waiting for baby” (without cost of medicines)*
    • Fees for SM`s delivery
    • * surrogate mothers are avaliable with cesarean section and without cesarean section, for a quick start – surrogate mothers with cesarean have already been selected and diagnosed

    Non-medical services:

    • Selection of Surrogate Mother
    • Translation of Patient’s documents
    • Development of individual draft on Agreement of surrogacy + Legal services for registration of Child
    • Notarization Agreement of surrogacy providing+ Notarization Surrogate mother`s statement
    • Coordination Services
    • Financial compensation Surrogate mother for transportation expenses, for embryos transfer (within 3 working days after ET), for a healthy diet and clothing for pregnant woman (paid in parts, monthly)
    • Final compensation Surrogate mother (after delivery)

     

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    SURROGACY+EGG DONATION ("fresh" embryo transfer)

    Medical services:

    • Examination of Surrogate mother (before IVF)
    • Cryopreservation and storage of sperm during 12 months
    • IVF+ICSI with Egg Donation
    • Prenatal care program “Waiting for baby” (without cost of medicines)*
    • Fees for SM`s delivery
    • * surrogate mothers are avaliable with cesarean section and without cesarean section, for a quick start – surrogate mothers with cesarean have already been selected and diagnosed

    Non-medical services:

    • Selection of Surrogate Mother + Selection of Ooctyes donor
    • Selection of Ooctyes donor
    • Translation of Patient’s documents
    • Development of individual draft of Agreement of surrogacy + Legal services for registration of Child
    • Notarization Agreement of surrogacy providing + Notarization Surrogate mother`s statement
    • Coordination Services
    • Financial compensation Surrogate mother for transportation expenses, for embryos transfer (within 3 working days after ET), for a healthy diet and clothing for pregnant woman
    • Final compensation Surrogate mother (after delivery)

     

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    SURROGACY + SPERM DONATION ("fresh" embryo)

    Medical services:

    • IVF+ICSI with Surrogate mother with the medicines cost + Donor’s sperm (one dose)
    • Donor’s sperm (one dose)
    • Examination of Surrogate mother
    • Prenatal care program “Waiting for baby” (without cost of medicines)
    • Fees for SM`s delivery
    • Prenatal care program “Waiting for baby” (without cost of medicines)* in case of observation of pregnancy by the leading obstetrician gynecologist or in the case of twins there will be an extra payment (see additional services)
    • * surrogate mothers are avaliable with cesarean section and without cesarean section, for a quick start – surrogate mothers with cesarean have already been selected and diagnosed

    Non-medical services:

    • Selection of Surrogate Mother
    • Selection of Sperm’s donor
    • Translation of Patient’s documents + Development of individual draft on Agreement of surrogacy
    • Notarization Agreement of surrogacy providing + Notarization Surrogate mother`s statement after birth providing
    • Development of individual draft of Agreement of surrogacy
    • Coordination Services
    • Legal services for registration of Child

     

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    • * surrogate mothers are avaliable with cesarean section and without cesarean section, for a quick start – surrogate mothers with cesarean have already been selected and diagnosed

    Non-medical services:

    • Selection of Egg Donor (1+ times, if needed)
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    • Notarization Surrogate mother`s statement after birth providing
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    • *10 or more embryo transfers depending on a case
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    SURROGACY + SPERM DONATION (thawed embryos)

    Medical services:

    • Donor’s sperm (one dose)
    • IVF+ICSI with the medicines cost  (without preparing of endometrium and ET stage) with vitrification and storage of embryos for 4 months
    • Examination of Surrogate mother (before IVF)
    • Cryoprogram (transfer of thawed embryos, cost of medicines for endometrium preparing included)
    • Prenatal care program “Waiting for baby” (without cost of medicines)* in case of observation of pregnancy by the leading obstetrician gynecologist or in the case of twins there will be an extra payment (see additional services)
    • * surrogate mothers are avaliable with cesarean section and without cesarean section, for a quick start – surrogate mothers with cesarean have already been selected and diagnosed

    Non-medical services:

    • Selection of Surrogate Mother
    • Selection of Sperm’s donor
    • Translation of Patients` documents for Medical Center (passports, marriage certificate) and legalization of translation
    • Development of individual draft of Agreement of surrogacy
    • Notarization Agreement of surrogacy providing
    • Coordiantion Services of SM Program till pregnancy of SM confirmation
    • Coordination Services of SM Program till SM`s delivery
    • Notarization Surrogate mother`s statement after birth providing
    • Legal services for registration of Child born as a result of the Client’s participation in the SM Program, preparing documents for Embassy (without services of translation and legislation cost) special price with discount for complex offer (price without discount – 1000USD)
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    Doctors

    Tetiana Fakhrutdinova
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    MD, Head of the Obstetric Hospital, Obstetrician and Gynecologist of the highest category

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