Treatment: GESTATIONAL SURROGACY
Treatment: GESTATIONAL SURROGACY
GESTATIONAL SURROGACY
With gestational surrogacy, one or more embryos derived from the patient’s eggs and her partner’s sperm is transferred into the uterus of a surrogate. The surrogate in effect provides a host womb but does not contribute genetically. In spite of original ethical, moral, and medical legal reservations, gestational surrogacy has now gained widespread social acceptance. Candidates for IVF surrogacy can be divided into two groups: (1) women that do not have a uterus capable of carrying a pregnancy to term and (2) women who cannot safely undertake a pregnancy because of medical conditions or illnesses.
The process involves the genetic parents undergoing a thorough clinical, psychological, and laboratory assessment prior to selecting a surrogate. This is to exclude sexually transmitted diseases that might be carried to the surrogate at the time of embryo transfer. They are also counseled on the many issues confronting all IVF candidates such as the possibility of multiple births, ectopic pregnancy, and miscarriage. All legal issues pertaining to custody and the rights of the biological parents as well as the surrogate are discussed in detail and the appropriate consent forms are completed. It is advisable for the surrogate and the genetic parents to obtain separate legal counsel, in order to avoid a conflict of interest that would arise were one attorney to counsel both parties.
- Selecting and Screening Surrogates
- COH of the Egg Provider
- Synchronizing Cycles of Egg Provider and Surrogate
- Staggered-IVF with Surrogacy
- Building the Endometrial Lining of the Surrogate
- Transferring Embryos to the Surrogate
- Post-Embryo-Transfer Follow-Up
Related Posts
The surrogate undergoes ultrasound examinations 10 days to two weeks after the first estradiol valerate injection to assess development of her uterine lining. Approximately four days prior to the expected day of embryo transfer, the recipient is given daily injections of progesterone to optimize endometrial development. In the uncommon event of poor endometrial development, the … Read more
Testicular Sperm Extraction (TESE) is a minor procedure that can be performed on men that produce sperm but are unable to ejaculate it. It involves the introduction of a thin needle directly into the testicle(s), under local anesthesia, without making a skin incision. Hair-thin specimens of testicular tissue are removed in the space of 15 … Read more
Gonadotropin Releasing Hormone Agonists (GnRHa) (Lupron, Buserelin, Nafarelin, Synarel) How does the GnRHa work? A GnRHa is a medication with a very similar in structure to the hormone called gonadotropin releasing hormone (GnRH). As such, its initial effect, for approximately 4-6 days, is to stimulate the pituitary gland to produce both LH and FSH . … Read more
Disorders of sperm quality range from a low count or motility to a complete absence of sperm production. Deformities of the sperm cell shape (morphology) are important because they reflect its ability to fertilize the egg. Mild abnormalities of semen parameters can be effectively treated using techniques that “wash” away the seminal fluid to improve … Read more
The uterus is composed of a thick layer of smooth muscle (myometrium) surrounding thin lining (the endometrium) into which the embryo implants and which serves to protect and nourish a growing pregnancy. Approximately 20 to 40% of all reproductive age women will develop benign growths of the myometrium, referred to as fibroid tumors (leiomyomata). These … Read more
Currently, with few exceptions, practitioners of assisted reproduction tend to attribute “unexplained” and/or repeated IVF failure(s), almost exclusively to poor embryo quality, advocating adjusted protocols for ovarian stimulation and/or gamete and embryo preparation as a potential remedy. The idea that, having failed IVF, all it takes to ultimately succeed is to keep trying over and … Read more
In normal and stimulated cycles, pre-ovulatory endometrial (uterine lining) thickness and ultrasound appearance is predictive of potential embryo implantation (pregnancy) following In Vitro Fertilization/Embryo Transfer (IVF/ET). It has been shown that with “conventional” IVF/ET (where the woman receives fertility drugs and has her own fresh embryos transferred to her uterus), optimum implantation potential requires that … Read more
Your Fertility Journey
Starts HereIVF in the Trenches
SIRM Patient BlogsFertility Rescue
For Cancer Patients
Fertility Information