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SURROGACY PROCESS



Surrogacy Step By Step

  1. Determine if surrogacy is your best option. Surrogacy is an expensive and complex treatment option, which is best reserved for women without a uterus. Research shows that the reason for failed implantation is much more likely to be genetically abnormal embryos ( because of poor quality eggs), rather than a uterine problem. For women with repeated failed IVF cycle; repeated pregnancy losses; and older women, donor egg IVF or embryo adoption is a much better choice, because it's less expensive ! If you send me your medical details by filling in the form at www.drmalpani.com/malpaniform.htm , I can guide you. Don't get pressurized into doing surrogacy because you are fed up or frustrated !

  2. Find out if your embassy will allow you to take your baby back with you after you surrogacy treatment. Our legal consultant can guide you ! Our legal consultant will explain all the legal formalities you need to comply with and will get your signatures ( as well as those of your surrogate) on your Surrogacy Agreement and Contract, so that it is legally watertight.

  3. Select the right clinic. Taking treatment at a world-class clinic will maximize your chances of success and give you peace of mind you did your best ! Treatment can be expensive, but a baby is priceless. Our charges are very cost effective because of our high success rates !

  4. Send your registration fees so we can start your process

  5. Come to India for your treatment.

  6. Have realistic expectations ! Surrogacy has a high success rate, but it's not 100% !

  7. Once your surrogate gives birth, fly down to India; and then fly back with your baby !

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1. Treatment plan for surrogacy ( with your own eggs)

Here are the medical treatment details of a surrogacy treatment cycle, when we use your own eggs. We synchronise your cycle with that of your surrogate's by putting you on birth control pills.

( If you do not get periods because your uterus has been removed, please do not get confused as to how to count Day 1. We can still treat you - it's just that Day 1 will be the Day your surrogate's period starts, that's all).

Surrogacy treatment starts from Day 1 ( the day the bleeding starts) of your cycle.

At this time, we downregulate you by starting you on Inj Lupride (GnRH analog ) 0.2 ml sc daily . On Day 3, we do an Ultrasound scan to confirm there is no ovarian cyst, after which we keep you downregulated Until your surrogate's period starts. Once her period starts, we start her dowregulation With the Lupride, and then do a scan for her on Day 3 of her cycle.

At this time, we downregulate you by starting you on Inj Lupride (GnRH analog ) 0.2 ml sc daily . On Day 3, we do an
Ultrasound scan to confirm there is no ovarian cyst, after which we keep you downregulated
Until your surrogate's period starts. Once her period starts, we start her dowregulation
With the Lupride, and then do a scan for her on Day 3 of her cycle.

We do the next scan on Day 10, after which you would have to be in Bombay
For about 10 days. Your husband is needed on Day 14-Day 16 ( the day of the Egg pickup). All the treatment is performed at our clinic, which means you Never have to go elsewhere.

This is what your surrogate's daily schedule would look like.

Day 1. Inj Lupride, 0.2 ml sc. ( Downregulation starts)
Day 2. Inj Lupride, 0.2 ml sc.
Day 3. Inj Lupride, 0.2 ml sc. Vaginal ultrasound scan to confirm there is no ovarian cyst. If there is no cyst, we can commence treatment.
We wait till your period starts, and then start her Progynova on Day 4 of her cycle.
Day 4 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 5 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 6 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 7 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 8 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 9 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 10. Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Vaginal ultrasound scan to monitor endometrial thickness.

Your treatment starts from Day 1 ( the day the bleeding starts) of your cycle. At
This time, we downregulate you by starting you on Inj Lupride
( GnRH analog), 0.2 ml sc daily . On Day 3, you need to do an
Ultrasound scan to confirm there is no ovarian cyst, after which we start
Your superovulation with 4/8 ampoules of HMG (Menogon) daily. The dose of HMG will
Depend upon your ovarian morphology and your antral follicle count.

We do the next scan on Day 10, after which you would have to be in Bombay
For about 10 days. Your husband is needed on Day 14-Day 16 ( the day of the
Egg pickup). All the treatment is performed at our clinic, which means you
Never have to go elsewhere.

This is what the daily schedule would look like.

Day 1. Inj Lupride, 0.2 ml sc. ( Downregulation starts)
Day 2. Inj Lupride, 0.2 ml sc.
Day 3. Inj Lupride, 0.2 ml sc. Vaginal ultrasound scan to confirm there is no ovarian cyst. If there is no cyst, we can commence superovulation.
If there is a cyst, we aspirate/ puncture it under ultrasound guidance and continue with the treatment.
Day 4 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM. Superovulation starts.
Day 5 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 6 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 7 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 8 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 9 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 10. Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM.
Vaginal ultrasound scan to monitor follicular growth
The Lupride and Menogon injections will continue on a daily basis; and scans will be performed every alternate day, until the follicles are mature. This is usually Day 14- Day 16 for most patients. At this time, an HCG injection will be given, and eggs retrieved 36 hours after this.
Embryo transfer is performed into the surrogate 3 days later; and supernumerary embryos, if any, are cryopreserved.
After the transfer, luteal phase support is provided with daily Progynova ( estradiol valerate2 mg, 3 tab daily; and Uterogestan ( 200 mg), 6 vaginal suppositories daily.
You can travel back 3 days after the egg collection.

14 days after the transfer, we do a blood test for beta HCG for the surrogate to confirm a pregnancy.

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2. Treatment plan for surrogacy ( with donor eggs)

Surrogacy treatment starts from Day 1 ( the day the bleeding starts) of your egg donor's cycle.

Once your surrogate's period starts, we start her dowregulation
with the Buserelin, and then do a scan for her on Day 3 of her cycle.

At this time, we start her treatment with 4 tablets daily of Progynova ( estradiol valerate, 2 mg each).
Simultaneously, we start your egg donor's superovulation, with
4 amp of Menogon ( HMG) daily.
Your husband is needed on Day 14-Day 16 ( the day of the
egg pickup). All the treatment is performed at our clinic, which means you
never have to go elsewhere.
This is what your surrogate's daily schedule would look like.
Day 1. Inj Buserelin, 0.5 ml sc. ( Downregulation starts)
Day 2. Inj Buserelin, 0.5 ml sc.
Day 3. Inj Buserelin, 0.5 ml sc. Vaginal ultrasound scan to confirm there is no ovarian cyst. If there is no cyst, we can commence treatment.
We wait till your period starts, and then start her Progynova on Day 4 of her cycle.
Day 4 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 5 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 6 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 7 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 8 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 9 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 10. Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Vaginal ultrasound scan to monitor endometrial thickness.

Your eggdonor's treatment starts from Day 1 ( the day the bleeding starts) of her cycle. At
this time, we downregulate her by starting her on Inj Lupride
GnRH analog mfr by Sun Pharma) , 0.2 ml sc daily . On Day 3, we do an
ultrasound scan to confirm there is no ovarian cyst, after which we start
her superovulation with 4 ampoules of HMG (Menogon) daily. The dose of HMG will
depend upon your ovarian morphology and your antral follicle count.

This is what your egg donor's daily schedule would look like.

Day 1. Inj Lupride, 0.2 ml sc. ( Downregulation starts)
Day 2. Inj Lupride, 0.2 ml sc.
Day 3. Inj Lupride, 0.2 ml sc. Vaginal ultrasound scan to confirm there is no ovarian cyst. If there is no cyst, we can commence superovulation.
If there is a cyst, we aspirate/ puncture it under ultrasound guidance and continue with the treatment.
Day 4 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM. Superovulation starts.
Day 5 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 6 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 7 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 8 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 9 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 10. Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM.
Vaginal ultrasound scan to monitor follicular growth
The Lupride and Menogon injections will continue on a daily basis; and scans will be performed every alternate day, until the follicles are mature. This is usually Day 14- Day 16 for most patients. At this time, an HCG injection will be given, and eggs retrieved 36 hours after this.

Embryo transfer is performed into the surrogate 3 days later; and supernumerary embryos, if any, are cryopreserved.
After the transfer, luteal phase support is provided with daily Progynova ( estradiol valerate2 mg, 3 tab daily; and Uterogestan ( 200 mg), 6 vaginal suppositories daily.

14 days after the transfer, we do a blood test for beta HCG to confirm a pregnancy for your surrogate.

You can print out an IVF calendar ( of a typical IVF cycle ) at
www.ivfindia.com/ivfcalendar.php

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3. Treatment plan for surrogacy for gay couples and single men

Surrogacy treatment starts from Day 1 ( the day the bleeding starts) of the surrogate's cycle.

Once your surrogate's period starts, we start her dowregulation
with the Buserelin, and then do a scan for her on Day 3 of her cycle.

At this time, we start her treatment with 4 tablets daily of Progynova ( estradiol valerate, 2 mg each).
Simultaneously, we start your egg donor's superovulation, with
4 amp of Menogon ( HMG) daily.

All the treatment is performed at our clinic.

This is what your surrogate's daily schedule would look like.

Day 1. Inj Buserelin, 0.5 ml sc. ( Downregulation starts)
Day 2. Inj Buserelin, 0.5 ml sc.
Day 3. Inj Buserelin, 0.5 ml sc. Vaginal ultrasound scan to confirm there is no ovarian cyst. If there is no cyst, we can commence treatment.
We wait till your period starts, and then start her Progynova on Day 4 of her cycle.
Day 4 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 5 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 6 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 7 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 8 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 9 Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Day 10. Inj Buserelin, 0.5 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Vaginal ultrasound scan to monitor endometrial thickness.

Your egg donor's treatment starts from Day 1 ( the day the bleeding starts) of her cycle. At
this time, we downregulate her by starting her on Inj Lupride
GnRH analog mfr by Sun Pharma) , 0.2 ml sc daily . On Day 3, we do an
ultrasound scan to confirm there is no ovarian cyst, after which we start
her superovulation with 4 ampoules of HMG (Menogon) daily. The dose of HMG will
depend upon her ovarian morphology and antral follicle count

This is what the egg donor's daily schedule would look like.

Day 1. Inj Lupride, 0.2 ml sc. ( Downregulation starts)
Day 2. Inj Lupride, 0.2 ml sc.
Day 3. Inj Lupride, 0.2 ml sc. Vaginal ultrasound scan to confirm there is no ovarian cyst. If there is no cyst, we can commence superovulation.
If there is a cyst, we aspirate/ puncture it under ultrasound guidance and continue with the treatment.
Day 4 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM. Superovulation starts.
Day 5 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 6 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 7 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 8 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 9 Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM
Day 10. Inj Lupride, 0.2 ml sc. Inj Menogon ( 75 IU), 4 amp IM.
Vaginal ultrasound scan to monitor follicular growth
The Lupride and Menogon injections will continue on a daily basis; and scans will be performed every alternate day, until the follicles are mature. This is usually Day 14- Day 16 for most patients. At this time, an HCG injection will be given, and eggs retrieved 36 hours after this.

These are fertilised with your sperm. We can freeze your sperm in advance and use the frozen sperm for fertilization.

Embryo transfer is performed into the surrogate 3 days later; and supernumerary embryos, if any, are cryopreserved.
After the transfer, luteal phase support is provided with daily Progynova ( estradiol valerate2 mg, 3 tab daily; and Uterogestan ( 200 mg), 6 vaginal suppositories daily.

14 days after the transfer, we do a blood test for beta HCG to confirm a pregnancy for your surrogate.

You can print out an IVF calendar ( of a typical IVF cycle ) at
www.ivfindia.com/ivfcalendar.php





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Home | What Is Surrogacy | Surrogacy In India | Fees | Process | FAQs | Legal Issues | Enquire Now | Contact Us

Malpani Infertility Clinic. Jamuna Sagar, Shahid Bhagat Singh Road, Colaba, Bombay 400 005.
Tel: 91-22-22151065, 91-22-22151066. Fax (India): 91-22-2215 0223
Email: info@drmalpani.com

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