Surrogacy and IVF

  Your journey begins with knowledge:

Fertility Facts Number of women who  experience infertility- 7.3 million or  12 % of all women of reproductive age read more

Do I need Surrogate? In general, when the couple ( or single parent) decide to use gestational carrier and donor's egg, the success rate is highest possible read more 

Do I need Egg Donor? It is pretty common that couples and individuals begin looking into Assisted Reproduction when they went through a number of failed IVF cycles. read more

Surrogacy Success Rate In some cases a women has trouble to conceive via IVF due to unknown implantation problems.read more

 

Ovarian Reserve Female age is very important in consideration of probability for conception because it is very much related to egg quality.  read more

IVF in Photos View the entire IVF process  read more

IVF Success Rate IVF success rate depends on age.  Currently, for women under 35, IVF success rate  is about 41%. read more


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What is Surrogacy?

Surrogacy – is an arrangement whereby a woman agrees to become pregnant for the purpose of gestating and giving birth to a child for others to raise. She may be the child's genetic mother (the more traditional form of surrogacy), or she may be implanted with someone else's fertilized egg (gestational surrogacy), as this trend started since the first artificial surrogate mothers in Europe or the U.S. back in the 1960s.

Surrogacy is a method of assisted reproduction. In some cases it is the only available option for a couple who wish to have a child that is biologically related to them. Changing attitudes towards illegitimacy have led to fewer women having to go through the difficulties of international adoption. The choices for childless couples were made easier by two men who joined forces in the early 1980's. An attorney named Noel Keane is generally recognized as the mastermind behind surrogate motherhood. However, it was not until he developed an association with a physician named Warren J. Ringold, MD in the city of Dearborn, Michigan that the program was suddenly perceived with much more legitimacy. Prior to the association of these two men, couples were doing their own artificial insemination procedures with items such as turkey basters. Dr. Ringold agreed to perform all of the artificial inseminations, and the clinic grew rapidly thus catching the eye of Morley Safer and "Sixty Minutes" in the early part of 1981. Even though Keane and Ringold took a great deal of criticism from the more conservative elements of the press and politicians, they eventually prevailed and were instrumental in the passage of laws that protected the entire concept of surrogate mothers. They went state by state seeking political acceptance. Now less then 25 years later, the idea of a surrogate mother is totally acceptable for most people. More importantly laws protecting the contractual relationships exist in almost every state. Although Mr. Keane died a few years ago, he and Ringold remained close friends and associates until the end and Dr. Ringold remains very proud of his role in advancing this very important area of reproductive science.

Research carried out by the Family and Child Psychology Research Centre at City University, London, UK in 2002 showed surrogate mothers rarely had difficulty relinquishing rights to a surrogate child and that the commissioning mothers showed greater warmth to the child than mothers conceiving naturally
(From Wikipedia)

What is Gestational Surrogacy?

Gestational Surrogacy is an Assisted Reproduction method when the embryo created using the sperm and ovum of a couple (or donor's ovum) is implanted in the uterus of the surrogate mother (gestational carrier), who carries the child and relingish it to the biological perents upon birth. A gestational carrier is a woman who carries a pregnancy for another woman. She does not provide a genetic contribution (ovum) to the pregnancy but provides strictly a pregnancy carrier service ("a rented womb") and hands the baby over to the genetical mother at the conclusion of the pregnancy. Thus, gestational carrying is a form of assisted reproductive technology Gestational carrier services may be needed in women who have normal ovarian function but have no uterus, be it the result of a congenital defect (i.e. Mullerian agenesis) or a hysterectomy at young age. Also, in some women, the uterus may be damaged from scarring (Asherman's Syndrome) or leiomyoma. In many cases, donated eggs are used because of growing number of single and married women of older age (over 38), and single males looking to achieve parenthood via Gestational Surrogacy.

Gestational Surrogacy always inolves using IVF (in-vitro fertilization). In the USA, high costs of IVF and lack of medical coverage for Assisted Reproduction prevent many families to seek surrogacy as family building options.

In the same time, the USA remains the country where gestational surrogacy arrangements are not illegal in mosts of its states.

Traditional Surrogacy:

The Traditional Surrogacy is an Assisted Reproduction method when the Surrogate Mother agrees to donate her eggs. The child that is concieved using IVF (in-vitro fertilization) or IUI (intra-uterus insemination) is biologically related to the Surrogate Mother. 

There is a common mistakes that the majority of couples make while pursuing Traditional Surrogacy. The try to use IUI rather than IVF. IUI method is very unefective with pregnancy chance of only 8-10% per attempt. In the same time, IVF gives 40% success rate per attempt for women under 35.

Traditional Surrogacy involves obious legal risk: the "traditional surrogate" carries her own biological child and may

experience emotional attachement to the child.
The infamous "Baby M" case involved traditional surrogacy. The Surrogate mother carried a biological child and later refused to relinquish her parental rights to the biological father. She fleed from New York to Florida trying to escaple the Judge's Order. Baby M. case attracted a lot of publicity and caused the changes of New York and New Jersey laws on surrogacy. New York still prohibits and criminalizes commercial surrogacy that represents complete ignorance of individual reproductive rights in this state.
Most attorneys do not recommend using Traditional Surrogacy for the couples and individuals seeking assisted

reproduction because of obsious legal risk invovled.   In the same time, there were hundreds, if not thousands, of

successful Traditional Surrogacy cases that caused no complications. 

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Surrogacy With Donor's Egg:

Surrogacy with donor's egg involves hiring an Egg Donor, if the couple cannot produce viable eggs. Since the

majority of couples who cannot concieve a child are in their late 30s or older, using Donor's Egg will increase their

chances of having a baby from "none" to "100%". 
The general rule is: if the couple (women) is younger than 35, her eggs are viable enough and surrogacy success

rate is 40-45% per IVF attempts. If the couple (women) older than 35, the success rate for surrogacy goes down

very dramatically, from 40-45% at the age of 35, to 8-10% at the age of 42. Male's fertility is not very important

factor, since ICSI procedure almost eliminates "male factor".

Unfortunately, hiring a Gestational Carrier who is under 35 does not increase a chance for healthy pregnancy. Egg quality that is translated into the "age factor" is the dominating factor for an IVF success.

If you are female over 40 years trying to pursue surrogacy arrangement, consider your chances for success prior to spending thousands of dollars on IVF treatment. It is not you, it is Mother Nature that limited human reproduction to very young age!

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Surrogacy Success Rate:

In other cases, a women has trouble to carry pregnancy. In all cases, a women may use Assisted Reproduction

techniques(ART) with a gestational carrier (surrogate). Gestational carriers were used i 0.8% of ART cycles using

fresh nondonor embryos in 2004 (710 cycles) In general, the success rate for gestational carriers is slightly higher,

than for the ART patients.
Women age <35: With Gestational Carrier - Live birth rate 46.7%
Women age <35: Without Gestational Carrier - Live birth rate 42.7%
Women age 35-37: With Gestational Carrier - Live birth rate 40.4%
Women age 35-37: Without Gestational Carrier - Live birth rate 35.5%
Women age 38-40: With Gestational Carrier- Live birth rate 31.5%
Women age 38-40: Without Gestational Carrier - Live birth rate 25.2%
Women age over 40: With Gestational Carrier - Live birth rate 18.6%
Women age over 40: Without Gestational Carrier - Live birth rate 11.9%

(Source: USA Department of Health Publications, Assisted Reproduction Technology Success Rate, 2004

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