When the husband/partner lack any sperm or have a very poor semen analysis (azoospermia, oligospermia, poor motility), Couples go for donor sperm (DI). Sperm donation is also an option when there is a genetic problem which is inherited. Single women who want a child biologically also go for DI. You should be psychologically ready to go for DI. it is highly recommended that any patient who is seriously considering DI should see a counsellor who is experienced giving the right counselling infertility, and about trying DI. It is necessary that both partners should be comfortable to openly discuss the fears and questions. For many, it might mean dealing with certain questions of moral and ethical importance. for others it may be searching for questions about donor selection and whether to let the child conceived to know how they were conceived.
Success rates range from 60-80% for this procedure but getting pregnant may take many cycles.
If your age is above 40 or you are unable to produce any healthy eggs, donor eggs will help you carry and deliver a healthy baby. This is also considerd to be the best option when there is a risk of passing a genetic disease like Tay-Sachs disease or sickle cell anaemia to the offspring.
We at our clinic will help you out in estimating the advantages of gestational surrogacy and give you the information regarding cost, treatment protocols and legal issues. In the case of traditional surrogacy, the surrogate has her own biological child in her womb, but this child gets raised by others. In gestational surrogacy, the surrogate mother becomes pregnant with the method of embryo transfer and gets pregnant with a child that is not biologically related to her. The surrogate mother is thus only the gestational carrier. Once a fit surrogate has been recognised, and the screening method is finished, the cycle can initiate. The timing for this cycle depends on the surrogates and expected parents/donors menstrual cycle.
The surrogate’s uterus must be prepared for implantation with natural estrogen and progesterone. As we know that every woman is different from the other, thus the duration, dose, and method of giving these hormones may need to be personalized. This can be determined in advance by carrying out an evaluation cycle. This refers to an â€œdry runâ€ where we copy every portion of the cycle except the real transfer process of embryos for learning how to maximize the odds of success. The evaluation cycle is accomplished anytime before the original procedure. Under certain circumstances, the evaluation cycle can be dismissed when the response of the uterus to hormonal stimulation is known quite well. This is quite common for women undergoing various treatment cycles in the past.
It is required to synchronize the menstrual cycles of the surrogate and the expected parent for getting the mature eggs and embryos and transfer these back into a flawlessly prepared uterine lining for increasing the chances of successful pregnancy This is done with the help of hormonal guidance.We rule out the best technique that works best for every situation. Once both surrogate and expected parent ovarian function are suppressed and their cycles synchronized, they can begin the process of preparing for pregnancy.
On the same day, both the expected parent and the surrogate and begins the hormonal therapies to prepare the appropriate target for pregnancy success. The surrogate will start taking estrogen to spur the endometrial growth and the intended parent will also start taking FSH for stimulating the production of the ovum. These treatments are monitored with the help of ultrasound and blood estrogen levels till the eggs become ready to be retrieved and the uterus becomes ready for implantation. Generally, these treatments take around two to three weeks and need five office appointments for processes like ultrasounds and blood tests.
Consequently IVF and embryo transfer is done.
In cycles that are successful, the hormonal supplements are maintained throughout the first trimester (12 weeks) of the gestation. On the conclusion of the first trimester when the placenta matures to the point where it can accommodate all the hormonal demands of the pregnancy, no additional supplements are needed. Blood levels of estrogen and progesterone are monitored at the end of the first trimester and decrease of the hormone supplements slowly. After stopping the hormone supplements, the remaining pregnancy is alike as any other pregnancy!