Have you ever wondered how clinics confidently promise a ‘Guaranteed Surrogacy’?

Behind the ‘Guaranteed Surrogacy in India’ program by the clinics, there is a series of complex processes with cutting-edge medical technology, Strict legal protocols, and the most personalized care. Screening the surrogates, carefully selecting the best possible healthy embryos, and genetic testing before embryo implantation, every step is carefully studied, evaluated & executed to increase the success rates. 

Here, in this article, we will learn and understand Guaranteed Surrogacy in India in detail. We will also learn about success rates and average costs in India. 

Understanding Surrogacy in India

Surrogacy is a type of Assisted Reproductive Method that can help infertility couples conceive the pregnancy to have a child. In Surrogacy, women known as a surrogate mother, carry a child in her womb for another couple or the intended couple who faces infertility issues and can’t conceive their own.

The surrogate mother in India should write her consent for the process as she will be emotionally & physically involved in the process for another couple, with the intent to help the couple to have a child. The surrogate mother is not biologically related to the child and she has to sign a legal agreement in order to pass the parental rights after delivering the child to the intended couple as they will have the legal parental rights after the surrogacy process. 

In India, the surrogacy process can be complex but it does help the couples to achieve parenthood. Only altruistic Surrogacy is supported whereas commercial type of surrogacy is banned in India after the Surrogacy (Regulation) Act, 2021. It means the surrogate cannot be compensated for the baby-carrying service, however, the government has regulated what to be compensated for the process to the surrogate mothers. We will read about it further in the article. 

Why People Choose for Surrogacy in India?

Surrogacy in India is for couples who cannot conceive or carry a pregnancy to term due to their complicated medical history or due to biological reasons. Here, we will learn about the reasons for opting for Guaranteed Surrogacy in India:

Genetic Disorders: Rare cases in which a woman with genetic disorders from her parents is advised to go for Surrogacy with a donor egg.

Absence of Uterus: Some women are born without a uterus or some are born with an underdeveloped uterus. This condition is called MRKH  (Mayer-Rokitansky-Küster-Hauser syndrome). They cannot carry a pregnancy so, surrogacy is their only option to have their biological child.

Hysterectomy: Women who had their uterus surgically removed due to conditions such as cancer, severe endometriosis, fibroids, etc.

Endometriosis: This is a condition in which the tissue similar to the lining of the uterus grows outside of the uterus, and can conceive but it does not result in a successful pregnancy.

Hydrosalpinx: This is a condition in which a fluid blockage occurs in the fallopian tubes, which makes it difficult to carry pregnancy.

Uterine Malformations: Some women may have their uterus with abnormal shapes that make it difficult to carry a pregnancy on their own.

Recurrent Pregnancy Loss (RPL): Women who have repeated pregnancy loss or miscarriage. 

Failed IVF Attempts: Couples who have had multiple attempts failed using IVF technology. 

What are the Types of Guaranteed Surrogacy in India?

There are mainly four types of surrogacy performed mainly in India:

1. Traditional Surrogacy – A type of surrogacy where a surrogate mother’s egg is used for fertilization. A surrogate mother is the biological mother of the child. This is no longer in practice. 
2. Gestational Surrogacy – A type of surrogacy where the intended couple’s gametes are used for fertilization. Intended couples are the biological parents of the child. 
3. Altruistic Surrogacy – A type of surrogacy where the surrogate mother is not compensated for baby-carrying service. 
4. Commercial Surrogacy – A type of surrogacy where the surrogate mother charges compensation for the baby-carrying service. 

What Types of Guaranteed Surrogacy Are Legal in India?

After the Surrogacy (Regulation) Act, of 2021, Only Altruistic Surrogacy is legal in India. Commercial surrogacy is no longer a legal practice in India. 

Altruistic Surrogacy: This type of surrogacy is completely a legal practice in India. It generally includes the type of gestational type of surrogacy, but no compensation to the surrogate mother for the baby-carrying service. 

In this form of surrogacy, the intended couple’s gametes i.e. eggs from a female partner or a donor egg, sperm from the male partner, or donor sperm are used for artificial insemination or Fertilization process. Then after the embryo formation and development, it transfers to the surrogate mother’s uterus. The surrogate will then carry the pregnancy for 9 months in her womb and deliver the child to the intended couple. The surrogate will then transfer the parental rights to the intended couple.

For this intended help of the surrogate, the surrogate will then be compensated for all the medical bills, pregnancy care & needs, insurance, etc by the intended couple. For this type of surrogacy, she must be a close relative of the intended couple and she must be willingly doing this, not for compensation or monetary purposes.

How Does Surrogacy Work at Select IVF?

Now, let’s take a closer look at how surrogacy works at Select IVF:

Initial Consultation: The journey begins with an initial consultation where the medical team assesses the individual or couple’s needs and provides guidance on the surrogacy process.

Egg Retrieval and Sperm Collection: If needed, eggs and sperm are collected from the intended parents or donors.

In Vitro Fertilization (IVF): Fertilization of the eggs with sperm is carried out in the lab to create embryos.

Selection of Surrogate: A suitable surrogate is chosen based on medical compatibility and legal agreements.

Embryo Transfer: The fertilized embryos are transferred into the surrogate’s uterus.

Prenatal Care: The surrogate receives prenatal care throughout the pregnancy to ensure a healthy and successful pregnancy.

Childbirth: The baby is born, and legal procedures are followed to establish the intended parents’ rights.

Why is Commercial Surrogacy Banned in India?

Before the Surrogacy (Regulation) Act, of 2021, India is a global hub for affordable surrogacy. Many foreigners have an eye on India for surrogacy at a reasonable and very affordable cost. This can be a good thing for medical tourism in India, but many types of illegal practices happening in the country.
Many cases and studies have revealed the exploitation of surrogate mothers, who are normally selected from small rural towns, uneducated and poor women. They are getting very little or no compensation from the agencies, getting exploited by them. Increasing cases of child trafficking for the surrogacy process in the country. This makes the government of India ban the commercial practice of surrogacy in India. 

Key Objectives of Surrogacy (Regulation) Act, 2021 in India?

According to Surrogacy (Regulation) Act, 2021 has some new law amendments to allow more people to access surrogacy in India, which are:

1. Commercial surrogacy is banned, only Altruistic type of surrogacy is legal.
2. Divorced or single women of ages between 35 to 45 can now opt for surrogacy. 
3. The intended couples and surrogates should have Indian nationality or NRI nationality. 
4. The use of donor eggs or sperm is only allowed if there is a medical need for it. 
5. Only ART Level 2 registered clinic are allowed to perform Guaranteed Surrogacy in India.
6. A single man is not eligible for surrogacy. 

• Eligibility of the Intended Couples 

According to the Surrogacy (Regulation) Act, 2021, there are certain eligibility criteria for the intended couples in order to proceed with Guaranteed Surrogacy in India. Here are:

1. The intended couple should have a legal married status of at least 5 years. 
2. The age of the couple should be:
   1. Female partner: 23-50 years old.
   2. Male Partner: 26-55 years old. 
3. They should have to provide proper documents for their infertility conditions or certain kinds of medical conditions for opting for surrogacy. 
4. The couple should not have a biological child with a prior marriage partner.
5. The couple does not have an adopted child. 

• Eligibility of the Surrogate

A surrogate will play an important role in the whole surrogacy process, her eligibility should be met in order to be involved in this process. Any infertility clinic will check these eligibility criteria and her physical & psychological examination will be done before proceeding. 

According to the Surrogacy (Regulation) Act, 2021, there are certain eligibility criteria for the intended couples in order to proceed with Guaranteed Surrogacy in India. Here are:

1. Age: Age should be between 23-35 years. 
2. Marriage & Child: She must be a married woman and should have a biological child. 
3. Close relative: She must be a close relative or friend of the intended couple. 
4. An intent of help: She must be doing the surrogacy process with the intent of helping the intended couple to have a child. 
5. Commercial compensation: She will be compensated for the medical bills, pregnancy care & needs, her insurance, delivery charges, etc. 
6. Self-Consent: She must provide her written consent and should have the intent of helping without any other party’s forced decision. 
7. Egg Donation: She cannot donate her egg gamete for the surrogacy process. 
8. History of Being a Surrogate: She must not have previous surrogacy participation. In India, a surrogate can only participate in surrogacy only once in her lifetime. 
9. Physiological & Mental Fitness: She must have to provide the physiological & psychological fitness test certification. 

General Health Requirements

• Normal Health Conditions i.e. physically and mentally
• Should have a healthy BMI (Body Mass Index)
• Should be non-smoker and non-alcoholic.
• Should not have any medical issues.
• Should pass psychological evaluation test.
• Should not have any sexually transmitted disease.

How is Guaranteed Surrogacy Performed in Delhi?

Surrogacy has a series of critical steps to follow in order to achieve success. These steps are very critical and must be followed sincerely either by the intended couple or the surrogate.
Here are the steps:

1. Pre-Medical and Psychological Examinations of Surrogate Mother

It starts with finding surrogates through fertility clinics, checking her eligibility and then the surrogate will go through medical examinations for compatibility with the intended couples for the process. The surrogate will be examined for psychological evaluations so that she’s mentally fit for the process.

2. Legal Agreement Between Both Party

A legal agreement will be signed between both the party i.e. intended couple and surrogate in order to have the clarity of the process. This contract includes key components of the agreement such as terms & conditions, rights & responsibilities of each party, insurance coverage of the surrogate and parental rights of the child after delivery. 

3. Artificial Fertilization using IVF Insemination

In this, the intended couple’s egg and sperm sample will be collected. It can be from donation as donor eggs and sperms are legal in India but it should meet some condition. 

After collected, artificial insemination or fertilizatio will be done by using the IVF technology. An embryo will be developed in the IVF labs or through ICSI method. 

4. Embryo Transfer in the Surrogate Uterus

At the blastocyst stage of embryo development, the selected good quality embryo will be then placed in the surrogate’s uterus through a simple and safe procedure. 

5. Pregnancy Conceiving and Child Birth

The transferred embryos will later leads to pregnancy in the surrogate’s body and then the child will develop inside her womb for 9 months, and will be monitored regularly until the birth of the child. After the birth of the child, the intended parents became the legal parents of their child.

Surrogacy Success Rate Guaranteed at 85%

The average success rate of Guaranteed Surrogacy in India is 70-80% when the couple uses their own gametes for the process. However, success rates depend on many factors such as the couple’s age & infertility complexity, surrogacy agency, infertility specialist, hospital or clinic, etc.

Surrogacy Cost in India

Surrogacy in India is quite affordable option for the infertility couples as compared to other western countries with such medical advancements and experienced fertiltiy experts with proven success rates.

India had been seen as a affordable option for the infertility couples from all over the world.
The average surrogacy cost in India is between 15-25 lakhs per IVF cycles. It can be possible that some couples may need more than one cycles due to severe medical complications.

Breakdown of Guaranteed Surrogacy Costs in India

There are several key components that makes up the overall Guaranteed surrogacy cost in India. Here, is the breakdown of the overall cost:

• Fertility Treatments such as egg retrieval, sperm preparation, embryo creation, and implantation in the surrogate.
• Surrogate Compensation includes medical expenses, insurance coverage, and other essential expenses for the surrogate.
• Legal Fees include the cost of agreements, contract signing, and other legal formalities.
• Surrogacy Agency or Clinic Fees comprise charges of coordination, surrogate recruitment, screening, and administrative charges.
• Medical Tests and Monitoring includes medical check-ups, blood tests, scans, and regular monitoring during pregnancy.
• Other Costs include the delivery cost, care, etc.

Why to Choose Select IVF for Surrogacy?

Select IVF has been a major player in the field of providing fertility treatment. Select IVF has the mission of empowering families to achieve successful parenthood, who are facing hopelessness with their infertility conditions with their professionalism utmost care effective treatments.

They have been working to provide the best assisted reproductive technology such as advanced infertility treatments such as Surrogacy, IVF, ICSI, IUI, Egg & Sperm Freezing, etc in more than 10 countries worldwide. 

Here, are the considering factors for choosing Select IVF for guaranteed Surrogacy in India:

1. Providing effective treatment for both Male & Female infertility. 
2. Surrogacy, IVF, IUI, ICSI, egg & sperm freezing, egg donor, etc at reasonable costs.
3. 24 hours for all 7 days service, caters to emergency services also.
4. A huge team of infertility specialists specializes in major infertility conditions
5. Patient-centric effective treatment with ethical practices.

You can read more on our website https://selectivf.com/ or consult on call +91-8447592299 or email your query to [email protected]

The Journey of Surrogacy

The surrogacy process at Select IVF typically follows these steps:

• Initial Consultation: Prospective parents meet with the clinic’s team to discuss their goals and understand the surrogacy process. All queries and concerns are addressed.
• Surrogate Selection: The clinic assists in selecting a suitable surrogate mother based on the intended parents’ preferences and medical compatibility.
• Medical and Legal Procedures: Medical tests and legal agreements are conducted to ensure the health and legal aspects of the surrogacy process are in order.
• In Vitro Fertilization (IVF): In this step, the embryo is created from the genetic material of the intended parents or donors and transferred to the surrogate mother’s uterus.
• Pregnancy and Monitoring: The surrogate mother’s pregnancy is closely monitored, and all necessary medical care is provided.
• Birth and Legal Formalities: After the birth of the child, legal formalities are completed to ensure that the intended parents have legal custody.
• Bringing the Baby Home: The child is handed over to the intended parents, who can then bring their baby home and start their journey as parents.

Ethics and Regulation

Surrogacy, while offering hope and joy, also raises ethical and legal questions. Select IVF ensures that all surrogacy procedures are conducted in accordance with the Indian Council of Medical Research (ICMR) guidelines and the Assisted Reproductive Technology (ART) Bill, when it becomes law.

The ICMR guidelines outline important ethical considerations and legal safeguards to protect the rights and interests of all parties involved, including the surrogate mother, intended parents, and the child. Select IVF strictly adheres to these guidelines to maintain transparency and ethical standards in surrogacy.

Conclusion

With the growing acceptance of the surrogacy process, infertility couples have shown interest in understanding the process and making an informed decision for themselves. 

Guaranteed Surrogacy in India is a type of Assisted Reproductive Technology that already makes the journey of parenthood to millions of infertility couples around the world. 

Good Fertility clinics have also started to focus on guidance throughout the process so that the infertility couple can understand and make an informed decision and achieve their parenthood. 

It’s so good to hear from the people who have already had a child through the process. First start to understand and make an informed decision on this. People have accepted it and you should also. mplifies the boundless possibilities of modern medical science and human compassion.

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