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What is Surrogacy?
Surrogacy is a method of assisted reproduction technique (ART) in which a surrogate i.e. a woman who is not biologically related to the child, carries the child and gives birth. Majorly, there are two types of options for surrogacy in India that one can opt for, the traditional surrogacy method and gestational surrogacy method.
Difference between test tube baby and surrogacy -
In the traditional way of surrogacy, the eggs of the surrogate mother are used for the conception of the child and the woman is genetically related to the child. This type of surrogacy process is done at the best IVF Centre in Banglore with the help of a procedure known as Intrauterine Insemination (IUI) or In-Vitro Fertilisation (IVF).
Therefore in the method of traditional surrogacy, the surrogate mother has a biological connection with the child and hence is also the biological mother of the child.
Whereas in the gestational way of surrogacy, the eggs that are used for conception is either retrieved from the intended mother or used from the egg donor. The surrogate mother is in no way, genetically related to the child that is born out of the surrogacy process.
In this type of process, the surrogate mother is inseminated with the help of IVF procedure. The eggs used for combining with the sperms (from the intended father or sperm donor) are of the potential mother or taken from the egg donor. The fertilised embryos are then transferred to the surrogate mother who bears the child.
Most of the parents, however, prefer going for the gestational procedure as there is no genetic link between the surrogate mother and child. This also gives a sense of security and assurance for the child to the parents.
Most couples opt for surrogacy when the natural methods of pregnancies have failed to bring any results and they have also tried other methods of assisted reproduction techniques (ART) like In-Vitro Fertilisation (IVF). At times, there are several medical conditions that limit the chances of pregnancy and necessitate the couple to opt for surrogacy. Some of these medical conditions are malformation or infection of the womb, recurring miscarriages, absence or removal of the womb due to some history of medical complications, repeated failure of IVF cycles and such other causes.
There are also times when the woman (intended mother) is suffering from severe medical conditions such as heart disease or other chronic conditions which make it risky or impossible for her to conceive and bear the child.
Surrogacy in India
Surrogacy in India is a pretty feasible option for couples who wish to fulfill their dream of parenthood but are unable to do so due to various infertility concerns.
Surrogacy as a birth option for couples who are unable to attain fertility has gained prominence in India since the early 2000 and has gained a reputation for itself for all kind of fertility treatments.
When it comes to treatments like surrogacy and IVF in India, couples from around the world select the country as a preferred treatment destination.
Commercial surrogacy in India was adopted in the year 2002 and since then it is among the few countries that allow it including Georgia, Thailand, Russia and Ukraine and few states of the U.S.
The experience and expertise of the Indian doctors along with the state-of-the-art infrastructure, medical advancements in technology and availability of surrogate mothers, makes the India a sought after destination to opt for surrogacy in India.
There are also several other important factors that urge most people from other locations across the world to travel and opt for surrogacy in India like the surrogacy cost in India which is far reasonable than other countries where it is performed.
Besides, the favorable legal environment of surrogacy in India is another reason that makes it a preferred destination. For most couple staying in western countries where commercial surrogacy is banned or only altruistic surrogacy is allowed, it is convenient to visit India since the legal framework is not that complex and surrogacy is still performed.
This means that couples who want to opt for surrogacy can go through the process in an easier way in India and avoid themselves from getting tied up in all the legal hassles as most of the surrogacy clinics in India arrange for the surrogate mothers and complete the legal arrangements and contract procedures.
Who should opt for surrogacy?
What is the Surrogacy procedure in India?
For any couple who want to go for surrogacy in India, should first make a summary of all the previous medical reports and send it to the clinic they chose for the procedure for a complete review. Information about the patient age, serum AMH or FSH levels (egg status), sperm, endometrial thickness and the number of IVF cycles previously opted for.
After a thorough review by the clinic, the intended couple will be given a detailed counselling session on the several aspects of the technique with information about the surrogate mother with regards to screening, selection, medical tests (CNC, Sugar, HIV, Hepatitis B & C, VDRL, Thalassemia or sickle cell anaemia) and any other medical examinations as required and applicable. The clinics will guide about the care of the surrogate mother, legal aspects, success rates and cost of surrogacy in India.
Choosing a surrogacy clinic in India:
Selecting a reputable surrogacy clinic in India is a crucial task and the couple planning to opt for it must ensure to get all the information about the clinic before finalizing it for the process. It is also essential to ask questions as much as possible and investigate in order to clarify the doubts.
The selected clinic must be able to assist the couple through the complete procedure and must have experience in working with international patients as well as have an ethical and reputable track record.
The clinic personnel will guide the couple step by step with the procedure and formalities and help you inch closer towards the dream of achieving parenthood through the surrogacy programs.
Although surrogacy is a time-consuming process, if it is carried through a reputed fertility treatment centre, it can bring successful results.
Listed below are the best 10 surrogacy clinics in India:
1. Bloom Fertility Centre :
Bloom Fertility Centre is one of the largest single owned IVF group in the country which has many centres in Mumbai and Delhi NCR area that also provide surrogacy. Bloom Fertility Centre had been conducting gestational surrogacy (IVF surrogacy) since 2004. They rigorously follow the international guidelines while screening the egg donors and surrogates. They also offer air courier services to transport the frozen embryos of the patient to India for surrogacy. All this makes Bloom Fertility Centre one of the best surrogacy clinics in India.
2. Apollo Fertility
Apollo Fertility has multiple state-of-the-art IVF centres across India that caters to people who have difficulty in conceiving. Apollo Fertility is one of the most sought after centres for surrogacy in India as it provides assistance in the complete process of surrogacy starting from medical review to birth. They provide proper counseling sessions which help to prepare you for the procedure. The surrogacy cost at the clinic depends on an individual arrangement which will be informed by the specialist at your first consultation.
3. Max Healthcare
Max Healthcare has a network of several hospitals in the country which provides excellent medical infrastructure at a fraction of the international cost. Max Healthcare is one of the leading hospitals to provide surrogacy in India. They procure healthy and reliable surrogate from the Government recognized ART bank. At Max, they screen the surrogate according to international protocols for all the possible infections and disorders. Their success rate for having a baby with surrogacy is as high as 50%.
4. Mumbai Fertility Clinic & IVF Center
Mumbai Fertility Clinic & IVF Center is one of the best surrogacy clinics in India whose success rate for a positive outcome in surrogacy is quite high. The clinic helps and guides you at every step through this unique and sensitive procedure and provides assistance with legal contracts for surrogacy. All the surrogates are screened extensively for infectious diseases, medical fitness, and psychological disorder. Even their male partners are screened for STDs and drugs and alcohol abuse. The clinic handles all the parties involved in surrogacy with dignity, grace, and integrity and manages all the payment in a transparent way. They coordinate and help you with all the relevant paperwork after the delivery of the baby.
5. Dr. Padmaja Fertility (IVF) Centre
Dr. Padmaja Fertility Centre provides exclusive surrogacy services having a high success rate of 60% to 90%. The surrogate mothers are screened thoroughly before the procedure and they are provided accommodation next to the hospital so that they can be monitored constantly and their diet is planned accordingly. The clinic is equipped with the state-of-the-art infrastructure having cutting-edge ART lab and highly advanced technology. It has realized the dream of hundreds of couples making it the most sought after centre for surrogacy in India. The clinic also offers highly economical and affordable surrogacy cost in India without compromising on treatment.
6. Malpani Infertility Clinic
Malpani Infertility Clinic offers a variety of fertility treatment including surrogacy to infertile couples. The clinic is registered with the National Registry of ART Clinics in India of ICMR. They are one of the top surrogacy clinics in India providing high-quality surrogacy service like they help you choose a surrogate mother, negotiate the cost, help with the legal procedure and provide high-quality treatment. The clinic provides excellent treatment with a high success rate at affordable prices. Dr. Anjali Malpani and Dr. Aniruddha Malpani personally provide all the treatment without delegating any part of your treatment to anyone else.
Address: Malpani Infertility Clinic, Jamuna Sagar, Shahid Bhagat Singh Road, Colaba, Mumbai 400005, India
7. Virk Fertility Centre
Virk Fertility Centre is a certified ART centre and the first IVF centre in India to be accredited by NABH Safe-I for providing comprehensive infertility services including surrogacy in India. Gestational surrogacy is offered to infertile couples and the surrogates are screened for infectious disease, serological tests and for thalassemia. The centre is equipped with highly sophisticated IVF-ICSI labs and operation theaters designed and equipped in accordance with international standards.
8. Primus Super Specialty Hospital
Primus Super Specialty Hospital is an ultra-modern hospital having excellent doctors and latest technology to provide the best treatment with high success rate. It is a reputed and highly reliable hospital for surrogacy in India. The surrogacy program at the hospital is well-charted out and a program coordinator guides the intended parents through the entire duration of surrogacy. The hospital has their own in-house legal team that represents the intended parents and drafts all the relevant agreements. The hospital strives to provide a smooth and hassle-free journey for you and helps you achieve your dream to become a parent.
9. Akanksha Hospital & Research Institute
Akanksha Hospital & Research Institute is a renowned and reputed surrogacy clinic in India. The clinic strictly follows clinical protocol and has a team of highly experienced and trained specialists in reproductive medicines, andrologists, embryologists, ultrasonologists who provide optimum treatment with high success rates. They offer commercial surrogacy in India to national and international patients and has catered to patients from around 45 countries.
10. Go IVF Centre
Go IVF Surrogacy India is a highly reputed surrogacy clinic in India that has been attracting scores of people with its low-cost commercial surrogacy in India that reduces your worries and increases your success rate. The packages at the centre include all medical, logistical and legal activities up to the delivery of the child. The different type of surrogacy packages available here is one attempt or three attempt package or surrogacy guaranteed baby package. They also customize a package according to the needs of the patient.
Note: Please be informed that many clinics do not offer surrogacy to foreigners.
What is the surrogacy cost in India?
India has been a surrogacy friendly country and the cost of surrogacy in India as mentioned earlier is comparatively cheaper as compared to most of the western countries where it is performed.
The surrogacy cost in India generally varies from $25000 (1750000.00) to $35000 (2450000.00). Intended couples who wish to achieve parenthood by doing surrogacy in India can spend as much as 50% less than other countries like the U.S where the cost of surrogacy is almost double the surrogacy cost in India.
India has gained popularity in surrogacy because of the low cost of treatment and availability of women willing to be surrogate mothers for childless couples.
Most of the surrogacy clinics in India offer attractive packages that include consultation fees, medical review of reports, legal process fees, test and medications, IVF/ICSI procedure and other medical procedures.
The cost of surrogacy in India depends upon various services which are included in the packages offered by the surrogacy clinics in India. Some of these packages are 3 Cycle package, 2 Surrogate packages and Guaranteed baby delivery package and each of the packages might also include some additional costs also.
You may read about the packages in detail here:
Gestational Surrogacy with One Embryo Transfer Attempt: In this method, a single embryo is transferred into the surrogate mother for pregnancy. Embryo freezing cost is included in the package cost. Part payment options to pay the amount in stages are also given by various clinics during the 9 months of pregnancy.
Gestational Surrogacy with Three Embryo Transfer Attempt: In this type of method, total 3 attempts are made to achieve surrogate mother pregnancy. One attempt is made with the fresh embryo and two other attempts are made with a frozen embryo which is included in the package. Embryo freezing and semen freezing cost is included for one year in the package. As in the first method, part payment can be made during the surrogate pregnancy.
Gestational Surrogacy with Embryo Transfer in Two Surrogates in the firstattempt: The process involves IVF Surrogacy with self-eggs or egg donor. Fresh embryos are transferred in two surrogates simultaneously for increased chances of pregnancy. The embryos left can be frozen for the future cycle if needed. The cost of embryo freezing along with the cost of semen freezing is included in this package. As in the earlier packages, part payment can be made spanning over the 9 months of surrogate pregnancy.
Guaranteed Baby Delivery Package of Gestational Surrogacy with Indian Egg Donors: In this type of method, the couple has to select 3 premium Indian egg donors. There will be up to 7 embryo transfer (fresh and frozen) attempts in surrogates over a period of 18 months.
Surrogacy clinics in India offer various facilities to make the payment in parts and also refund the money to the couple in case pregnancy is not achieved due to some reasons. This overall reduce the cost of surrogacy in India.
Following are some of the Frequently Asked Questions (FAQs) for Surrogacy:
What is the process of choosing a surrogate mother in India?
Once you opt for the process, you will be provided with the surrogate by your clinic through some surrogate agencies that follow the norms under the National Guidelines for Accreditation, Supervision & Regulation of ART Clinics in India based on Indian Council of Medical Research (ICMR). The clinic will take care of your preferences while selecting the surrogate mother for you.
Which factors do couples look for while selecting a surrogate?
Couples consider many factors before finalizing a surrogate mother in India. While some may select a surrogate based on physical attributes, some may select based on intelligence. Whereas some factors are commonly looked out for in every surrogate by the couples like emotional and physical health, no major medical or psychological track record, has had a history of healthy deliveries in the past, maturity on part of the surrogate to be responsible to carry herself during pregnancy etc.
When is the embryo transfer procedure done to the surrogate?
The embryo transfer is usually done between 48 hours to 72 hours depending upon the selection process of the healthiest embryo which sometimes needs to be kept for observation.
What are the tests performed for a surrogate during pregnancy?
All the required tests for monitoring like periodical ultrasound, Hbg levels, Blood Pressure monitoring, medicines and essential vitamins etc.
What is the success rate of surrogacy in India?
The success rate of surrogacy in India depends upon various factors such as the age of the surrogate, the clinic has chosen for the treatment, the procedure adopted and other factors. The success rates are very high as 95%when the entire procedure of IVF and Surrogacy are taken into consideration together, once the surrogate has achieved conception. The live birth rate for gestational surrogacy is about 15% to 25 % per cycle while the live birth rate for traditional surrogacy per cycle is 5% to 15%. While using the IVF procedure for surrogate mothers who are under the age of 35, success rates are found to be higher.