Logistics & Costs
of Surrogacy in
IndiaBy Dr. Samit Sekhar
Kiran Infertility Centre Pvt. Ltd.Hyderabad/ Gurgaon/ Nepal
Planning a Child With help ofSurrogacy
Why India for americans
World Class Medical Expertise & Medical Facilities
Clearly Defined Laws and Guidelines and Minimal Legal Complications
Abundance of English Speaking Population
Good Connectivity from Across the Globe
Good Infrastructure
Cost Advantage, much much affordable.
Safe and Friendly Country and people
Costs
Surrogacy Self cycle 32,000 US $
Surrogacy Indian Donor 32,000 US $
Surrogacy Caucasian Donor 45,000 US
$
Who are eligibleMarried Couples (Heterosexual) married for more than 2 Years
Citizens of countries which recognize Surrogacy such as USA,Canada,UK,Brasil,Singapore Etc..
Initial enquiryEnquire through Internet, known successful parents, Forums about the hospitals providing services. Ensuring that the Hospital is registered with I.C.M.R. (Indian Council of Medical Research) for providing Surrogacy Services.Contacting Hospital in India through e-mail / phone/ SkypeNegotiate the terms and conditionsSign Contract, can be done over email
Initial enquiryEnquire through Internet, known successful parents, Forums about the hospitals providing services.
It is always better to be
double sure & best way is
word of mouth by other
successful parents in past
and visiting the facility
personally
Initial enquiryEnsuring that the Hospital is registered with I.C.M.R. (Indian Council of Medical Research) for providing Surrogacy Services.
Only hospitals registered with
I.C.M.R. are allowed to treat
patients of foreign origin.
Initial enquiry
Mostly costs range around 32 K US$ to 45kUS$ depending on the Services being offered.
Services offered include: 1) No of IVF and Embryo Transfer Attempts2) Donor
Type-Indian/Caucasian3) Food & Accommodation 4) Concierge5) Travel6) Legal Assistance7) Singleton or Twin Birth
Initial enquiryMove Ahead
Ready to Go
Discuss with clinic appropriate timelines according to medical conditions and plan your itinerary accordingly at-least a month in advance to proceed further.
It is granted only if following conditions are met•To a Foreign Man & Woman duly married to each other for more than 2 Years•A letter from Embassy of country of origin of Intended Parents in India or from their Foreign Office stating that they recognize Surrogacy and will accept the child/ Children born as the biological child of Intended Parents•Affidavit by Parents assuring to take care of Child Born•Surrogacy should be commissioned only in registered clinics in I.C.M.R.•Duly Notarized Tri Party Agreement involving the Intended Parent, Surrogate Mother, and Clinic•Agreement can be done over email or post
Logistics During Initial Visit
Surrogacy/ ART Visa
http://hyderabad.usconsulate.gov/surrogacyinfo.html
Treatment cycleInitial Stay & Logistics
•Your Initial Stay Duration depends on the genetic material you are intending to use.• in case of donor eggs the male partner is generally required to stay for not more than 4 days for Semen Extraction•In case you are using self eggs then you require to stay anywhere around 12-16 days per Egg Retrieval cycle depending upon the medical protocol prescribed by our doctor.•In case of Egg Donor, Intended Parents need only 4-5 days of initial stayThere is abundance of hotels providing world class stay and dining
facilities around in major cities, charges per day for a couple on an average will not be more than 100$ US.You need too register with FRRO, Foreigners regional registration officer which will require 1 daystay and FRRO Process is also a part of the package offered to you by KICThere are very rare indications of emergency situations in an IVF process, Almost all hospitals registered with ICMR are fully capable of handling such situations
Antagonist Protocol for In Vitro Fertilisation/ICSI
•1.Tablet Yasmin(or any other similar Oral Contraceptive pill) twice a day for
15 days
You will stop the pill 4 days before your departure for India and hence this
way when you arrive here it will be day 1/2/3 of your menstrual cycle and we
can begin treatment immediately
•2.Injection Recombinant FSH(300 units/day) or Highly Purified HMG from
day 2 of the Menstrual cycle to be injected Sub Cutaneous/Intra muscular
•3.On day 4 of Gonal F,the female partner will undergo Ultrasound to check
for size and number of follicles
•4.if 2 or more follicles are 10 mm or more in size then Injection
Cetrorelix(0.25 mg/day) will be added to the Gonal F on a daily basis
•5.Ultrasound will be repeated on day 6/8/10/12 to check for follicle growth
Antagonist Protocol for In Vitro Fertilisation/ICSI
•6.When 3 or more follicles reach a size of 18 mm or more ,Injection
HCG(Human Chorionic Gonadotropin) will be given to trigger ovulation
•7.Egg retrieval under general Anaesthesia or Sedation is performed 36
hours after HCG injection
•8.Sperm from Male partner is used to fertilise the eggs from the female
partner and embryos are cultured in the incubator for transfer on day
2/day3 or day 5
•9. Egg donor stimulation is also similar to the steps mentioned above, she
will also take the ovarian stimulation and Pills on the same dates as the
Genetic parent
•10.if Embryo transfer needs to be done for the Surrogate mother then the
Surrogate mother will also take medications on the same days as the egg
donor or Genetic Parent but she will take medications to improve her
Endometrial receptivity rather than medication to produce eggs
Time LinesA gist of timelines applicable in Surrogacy
•Surrogacy Visa: To be applied at-least 4 weeks before you plan your travel•Duration of Stay with regards to Semen Collection: 4 Days•Duration of Stay with regards to Egg Retrieval: 12-15 Days•Time between Egg Retrieval and Embryo Transfer: 6 Days•Result Post Embryo Transfer: 10 to 15 Days•Interval between 2 Transfers: Approx. 15-21 Days
precautions at BirthMedical Aspects
•In case of Singleton pregnancy the child may be required to be in Hospital for an average period of 3-4 Days•In case of Premature Delivery (Mostly applicable for Twin Births) the child is required to be Hospitalized for an average period of 7-14 Days
•Application for Citizenship and Passport for the child in US Consulate/ Embassy ( takes approx. 7-10 working days),our most recent case this weeek were issued passport without the DNA test in 3 days post birth.•US Consulate/ Embassy is available in all major cities across India including Hyderabad•Application in FRRO for Exit permit for Child -normally takes 3 days .•Costs involved in entire Legal Post Birth process included in package.
Legal Aspects
Do not wait for the last week, be ready to fly anytime after 34 weeksPre-order and ship DNA kits in advance to nearest US Consulate/ EmbassyPre-book your hotel in advance near the Pediatric Facility provided by your clinic to ensure easy access . in case the stay post birth is not included in your package)Pediatric Hospitalization costs are not covered in the packages offered by Hospitals and is Approx. 60-100 US$ per day per childLook out for a nanny for handling child (Important for 1st time to be parents).Keep a timeline of approx 15-20 days of stay in IndiaAll baby related items are available in India, you do not need to get it from abroad
To-do list
Paediatric / NICU Approx 100 to 200
US $
Stay If > 15 days
Eating Out
Sight seeing
AirFare
FRRO Exit for baby 100 US$
Costs Not Covered in Package
Thank yo
u
Dr. Samit SekharKiran Infertility Centre Pvt.
Ltd.Hyderabad/ Gurgaon/ Nepal