Wednesday, 15 March 2017

Why do Patients Travel to India for Surrogacy

Why do Patients Travel to India for Surrogacy The need to have a child by means of surrogacy and Ivf makes infertile couples from all across the globe travel several thousands of miles to INDIA. "According to Dr. Samit Sekhar The willingness to travel for seeking surrogacy treatments and the practice that facilitates fertility travel is known as reproductive tourism." In the past few years, reproductive tourism in INDIA has expanded rapidly and is now a huge part of the medical tourism industry in INDIA.



The Kiran Infertility centre has carried out research as to the reasons that compel infertile couples to travel abroad for fertility care. some of the findings of that research are_ According to Dr. Samit Sekhar One in six couples worldwide experience some form of Infertility Problem at least once during their Reproductive lifetime. The current prevalence of infertility lasting for at least 12 months is estimated to be around 9% worldwide for women in the reproductive age group. 20-30% of infertility cases are explained by physiological causes in men, 20-35% by physiological causes in women, and 25-40% of cases are because of a problem in both partners. In 10-20% no cause is found. Infertility is also associated with lifestyle factors such as smoking, body-weight and stress. Increasing age in the female partner is one of the most common explanations today.  It is now estimated that around 5 million babies have been born worldwide through ivf and other forms of assisted reproductions since the first IVF baby was born in 1978. It is estimated that about 50,000 patients travel abroad each year for fertility treatments such as surrogacy Most ART treatments take place in women aged between 30 and 39. India- Major Destinations offering Reproductive Tourism Major Points of Departure for Patients of travelling to India for surrogacy treatments. USA Latin-American Countries mainly Brazil. Canada Israel Spain South Africa Japan Sweden Singapore Australia Hong Kong African Countries Factors contributing to Reproductive Tourism. The factors involved that contribute in prospective Intended Parents to search for other avenues abroad can broadly be classified into two: Demand Supply Factors contributing to Reproductive Tourism: Demand Side Requirements. Country Specific Policies and Laws Regulations with respect to ART Techniques Time Frame of the Process Racial Diversity Local Dearth of Technology Cost of ART Third party Reproduction- Eggs, Sperm, or Wombs. Social Stigma & Secrecy Gender Selection (banned in India) Country Specific Policies and Laws. Non Commercial Surrogacy (Altruistic Surrogacy): Countries like Australia, Canada, Greece, Israel, South Africa, and the United Kingdom. Countries like Israel, U.K., U.S.A. & Canada advocate rights for Surrogate/ Donors wherein they can keep the baby if he/she wishes to. Eg: Baby M case in USA, 1986: the Surrogate mother was deemed the legal parent, but the custody was given to the genetic parents. In South Africa, an Intended Parent can only enter into a Surrogacy Arrangement after Court's Approval, which may take a long time to be processed. New Zealand law recognizes Birth Mother as the only Mother and despite the Surrogacy Arrangement an Intended Parent needs to enter into an Altruistic Surrogacy Arrangement only and adopt a child through Court. Regulations with respect to ART Techniques. Countries in Europe, Middle East Asia have imposed regulations on various techniques of ART like number of Embryo's to be transferred, scheduling of Embryo Transfers etc., which may have a negative impact on outcome of the case. Swedes, Norwegians, and the Dutch travel to Denmark for sperm. These countries permit only known donors and prohibit anonymous donation. As a result women seeking semen donors from these countries travel to Denmark which permits anonymous donation. Similarly there are countries where there are restrictions imposed for Same Sex Couples and Single Parents and such these people travel to other countries for undergoing this process. Time Frame of the Process. Many big facilities in various countries have a waiting period due to various factors. In this scenario, the Intended Parents would not want to wait. Especially those whose biological clock would be ticking. Hence this factor is a major contributor to Reproductive Tourism. In fact, Sweden has almost a 2 year waiting list for sperm donation. Racial Diversity. Intended Parents opting for ART Techniques with either Sperm/ Egg Donation often like to look out for a Donors with different ethnicities and this leads to patients travelling. Britain prohibits payment to Donors, hence patients from Britain go to Spain and Romania for Donors. Clinics in countries like India, Romania & Spain cater to such patients seeking oocyte donors Local Dearth of Technology. In certain African, Middle-Eastern, Asian and a few Latin American countries, the ART Treatments are not as advanced as in other parts of the globe, this contributes for residents of such countries to look out for more advanced avenues. Cost of the process Costs for ART Treatments in various developed countries like USA, UK, Canada are higher by at least three times from the costs in countries like India, Thailand and hence not all people have access to these treatments. Most of the Government sponsored Health Insurance Schemes do not offer coverage to ART Treatments. Third Party Reproduction: oocytes, Sperm, or Wombs. Various reasons such as Government Regulations and Differences in Cost-of-Living have lead to compensation disparities among developed and developing countries in payment of Donors and Gestational Carriers, hence contributing to exodus of patients seeking such treatments to cheaper countries. Social Stigma & Secrecy Patients move to other horizons to maintain Secrecy. Certain societies, especially in Asia and the middle east, Infertility is considered as a Social Stigma and hence patients go to other countries for such processes. Factors contributing to Reproductive Tourism: Supply Side Services. With a growing Market for Surrogacy and fertility care Hospitals are coming up with innovative ideas to attract patients from across the globe: Cheaper Costs Integrated Services Tourism New modes of Communication via emails, Skype etc. Diagnostic Testing and Medical Protocols Integrated Legal services Costs Due to less costs of Medical Treatments and less cost of living, countries like Thailand, India, Cyprus, Romania are providing ART Treatments with costs at times which is equivalent to 1/5th of costs in developed countries. Main selling point of medical tourism is the attraction of 'First World' medical treatment at 'Third World' prices. Integrated Services Countries targeting patients for reproductive tourism are now coming up with innovative and comprehensive services. They are providing Non- Medical Services like Food, Accommodation, Travel, Tourism, Legal, etc. Patients do not need to look out for Donors or Gestational Carriers as Medical Facilities are tying up with different agencies which provide services of oocyte and semen Donors. Tourism As we know that almost all ART Treatments are minimally invasive and do not require admission for more than a day and do not require extended medical monitoring hence they include Tourism Options in the package to their patients The clinics have also tied up with Tourism Service Providers and also try to include holidays in their Medical Protocols New modes of Communication Internet has brought about a vast change in the mode of communication in Medicine too. Unlike as in the past, patients now using ART Treatments like Surrogacy do not need to spend extended periods of time in other countries, especially when opting for Oocyte donors. Now a days, all medical reports are sent to patients over email in real time. Legal In most countries offering surrogacy and other ART treatments, the laws are straight forward and clear-cut. Some medical providers offer free Legal services before beginning the process, so that the patients can make an informed choice. There by providing a sense of security. Conclusion Reproductive Tourism is a developing phenomenon and is here to stay. Facilities providing ART Treatments have to gain and garner the trust of international patients by continuously addressing their Medical, Legal & Logistical concerns, whilst simultaneously improving with the introduction of latest technology and complying with good clinical practices. According to Dr.Sekhar Till date, 1609 Patients from 24 different Nationalities(excluding India) have visited KIC for various Infertility Treatments. 836 International Intended Parents have enrolled with the Facility for Surrogacy, with 228 Births and 106 on going Pregnancies beyond 12 Weeks with 32% self-cycles and 67% using Donor Eggs, 1% using Donor Sperm. Overall 407 Births for International Patients by treatments including Surrogacy and IVF.

Tuesday, 14 March 2017

How music gives IVF eggs good vibrations by making them more likely to get fertilised

Some of the colleagues of mine are attending the European Society of Human Reproduction and Embryology’s annual conference in London and told me about an interesting presentation by a group of spanish researchers that Playing music to an egg in a dish in an IVF lab increased the chances of it being fertilised by 5 per cent.
The Spanish researchers believe that the tiny vibrations produced by music give fertilisation a helping hand,They think the vibrations may ease the passage of nutrients into the egg and speed the removal of toxic waste, so increasing the odds of fertilisation taking place and the embryo surviving.



apparently Pop, classical and heavy metal were equally good,apparently these group of music lovers placed iPods in half the incubators and left them playing music including pop songs by Michael Jackson and Madonna, heavier tracks from Nirvana and Metallica and classical works by Bach, Mozart and Vivaldi.
When they checked the dishes, they found that fertilisation rates were higher in the incubators in which music had been played.
Embryos don’t develop the ability to hear for at least 14 weeks, so the Doctors think that the vibrations produced by the music are key.
at first the idea seemed bizarre to me but it could have some scientific basis.
after ICSI we keep the Embryos in a petri dish filled with culture media but after natural intercourse the embryos move down the fallopian tubes and then pass all the way to the uterus so maybe the vibrations from the music maybe mimicking this affect! well seriously i dont know! maybe more studies are needed but who would have thought!!

Monday, 13 March 2017

How three parent babies will be born through surrogacy in the future!!

How three parent babies will be born through surrogacy in the future!!

India and its Doctors has always been at the forefront of ground breaking medical procedures and research especially in the field of Assisted reproduction and Surrogacy.



"Genetic diseases are a group of hereditary abnormalities due to a mutation in the mother's mitochondria,these diseases can affect one part of the body or multiple parts including the brain, kidneys, muscles, heart, eyes, and ears”.
according to conservative estimates thousands of children across the world are born each year with a mitochondrial disorder including mental retardation, epilepsy, cardiovascular disease and muscular dystrophy etc,many unable to go past the first few months of infancy and succumbing to the genetic condition”.
what this relatively simple technique will do is to take only the healthy genetic material from the embryo of a woman with defective mitochondria and a second embryo is then stripped of its key DNA but still retains its healthy mitochondria. Finally, the fertilized embryo is placed in the womb of the mother. This is excellent news for families with mitochondrial disease. This will give women who carry these diseased genes more reproductive choices!earlier they had no choice but to opt for an egg donor.
 the notion that a child will be born with DNA matching three parents is incorrect as the donor egg that is left stripped of its DNA contains no genetic material that will influence the child's physical Traits”

of course this procedure needs to be Legislated in parliament and should be allowed to be practiced however  some orthodox groups have already called the practice unethical and risky and say it will lead to the birth of “designer babies” and With the growing popularity of IVF and surrogacy this debate is here to stay!!

Dr.Samit Sekhar

ivf and surrogacy program Director

Kiran infertility centre pvt.ltd.

Thursday, 9 March 2017

6 Months Baby Boy

Hello Dr.  Samit,

We wanted to send you Colton's six month picture.  We are so great full for
him and thank you for all you did for us.  We hope you are doing well.




Chad, Jaime & Colton

Some Facts about the Ovum Donation in ivf and Surrogacy at kiran infertility centre

Why egg donors or oocyte donors?



Egg donors are an essential part of Assisted Reproduction as about 30% of women suffer from infertility because of decreased or absent ovarian reserve.
Some women may have a specific genetic condition such as cystic fibrosis or fragile x syndrome because of which they cannot have their genetically related babies.


Where do we get egg donors from?



Majority of the egg donors at Kiran Infertility Centre are through word of mouth and from information over the internet


Do you provide egg donors or do I have contact a third party egg donation agency?



KIC has a strong database of more than 300 Indian, Caucasian, Thai and African American egg donors. KIC does not work with third party agencies.


Is egg donation affordable? What are the costs involved if need an egg donor?



Yes, egg donation is affordable but fees for egg donors vary based on their education and other qualities.


Do you have Caucasian egg donors?



Yes, we have more than 100 caucasian egg donors in our database.


Do you have Indian egg donors?



Yes, we have more than 100 indian egg donors in our database.


Do you have African egg donors?



Yes, we have African as well as African American egg donors as well.


Do you have Asian egg donors or Oriental egg donors or Thai egg donors?



Yes


How do I go about IVF with egg donation?



Usually, if the female undergoing this kind of a treatment undergoes what is known as a Down regulated cycle.this is to match the patient’s cycle with the Donor cycle.


How do I go about Surrogacy with egg donation?



The process is similar to the IVF process with egg donation. The only difference is that the embryo is transferred into a surrogate mother instead.


What is the medical process involved in egg donation?



Controlled Ovarian Hyper-Stimulation (COH) to cause super-ovulation. For more information write to one of our Doctors at info@kiranivfgenetic.com


What tests are done on egg donors?



The tests include:
Fertility testing by hormonal assays and ultrasound
  • STD testing
  • Routine and advanced pathology
  • Genetic and chromosomal testing
  • Psychological screening and testing


What are the success rates with egg donation?



Success rates vary from cycle to cycle based on the number and quality of embryos transferred, cumulative(5 cycles) pregnancy rates in IVF are 83% and surrogacy 94%


How can I be an egg donor?



You have to send in your profile and you may write to us at info@kiranivfgenetic.com


How much do I get paid to be an egg donor?



The fees offered is confidential and may vary depending on your profile. You can write to us at info@kiranivfgenetic.com


Sources of Oocyte donation



  • Volunteers
  • Relatives
  • Professional Donors
  • Egg Sharing (Patients Needing IVF/ICSI who cannot afford entire ART Cycle)


Donor Selection



  • Age less than 30 years
  • No Genetics / Infectious history
  • Counseling and informed consent


Preparation OF Endometrium in THE Recipient



  • Estradiol Vale rate 6mg / day
  • Micronized Progesterone 600mg/day


Day 14 serum beta hCG



Ist Trimester Support


  • 6-8mg of Estradiol Vale rate orally per day - 10-12 wks
  • 600 mg Micronized Progesterone - 14-16 wks
  • Folic Acid 5mg / day


II nd Trimester monitoring


  • Weight & BP Recording
  • USG Monthly
  • Hemoglobin, RBS, CUE
  • Iron and Calcium Supplementation


III rd Trimester monitoring


  • Doppler at 28 wks
  • NST after 30 - 32 wks /OPTIONAL
  • BPP Monthly
  • Prophylactic Dexamethasone IM weekly

Friday, 21 October 2016

baby girl through surrogacy for bengaluru couple

Surrogacy in India.
Congratulations to Karthik and Anu on the birth of their Daughter, weighing 2.6 kilos she is healthy and doing well!!

 

Baby Girl for Chennai Couple!!

Surrogacy in India.
Congratulations to Dhinesh and his wife on the birth of their baby girl!!
born a few days ago she weighed 3.1 kilos at the time of birth and is healthy and doing well
we wish them the very best!!

TEAM KIC