#IVF

Surrogacy with Self Egg - Complete information from a patient's perspective

1. What is surrogacy with one's own egg ?

In this process, the eggs of the intended mother (who wants to have the baby) and the sperm of her husband are used to create an embryo, which is then implanted into the uterus of the surrogate mother. which is then implanted into the uterus of the surrogate mother. this means that the baby is biologically that of the parents.

2.How long does the process take ?

Usually, it takes 12-24 months, 3-6 moths for mailing, 1-2 months for legal and medical preparations, and then the remaining timer including pregnancy.

Which patients is this procedure suitable for ?

1. Those who do not have a uterus or have it removed

2. Repeated miscarriages have occurred.

3. There can be serious health conditions associated with pregnancy (such as high blood pressure, heart problems

4.Those whose embryos are formed in IVF but do not implant

5.There is no major issue in the structure of the uterus.

How does the process happen ?

1. Fertility test and counseling

First, both the women and man undergo medical examinations to determine whether the eggs and sperm are healthy or not.

2. IVF process (In Vitro Fertilization)

The woman is stimulated by medication to produce eggs. Subsequently, the eggs are retrieved through OPU (egg retrieval) and an embryo is created in the laboratory usingh the man's sperm.

3. Selection of a surrogate mother

A surrogate mother is selected based on medical and psychological evaluations. She is given hormone medication so that her uterus can accept the embryo.

4. Embryo transfer

The prepared embryo is transferred into the surrogate mother's womb.

5. Pregnancy and Delivery

The surrogate mother's pregnancy is regularly monitored. After birth, the baby is handed over to the intended parents.

What should be kept in mind ?

1. Legal process:

According to the surrogacy law of 2021 in india, only altruistic surrogacy is permitted.

2. Selection of a surrogate mother:

Do it very carefully; consider the medical, mental, and social aspects.

3. Selection of IVF center:

Give priority to centers with good reputation and experienced doctors.

Benefits

1. Biological relationship:

If one uses the mother's own eggs the child is genetically related to the parents.

2. High success rate:

If the woman's eggs are healthy , the chance of success are greater.

3. No risk of pregnancy:

The intended mother does not have to conceive herself, which helps to avoid medical risks.

Potential risks

1. Side effects from hormonal medications

When the process of surrogacy begins with the 3women's own eggs, hormonal medications are administered to stimulate the common and other serious side effects

Common side effects:

(a) Nausea and Headache:

The medications cause hormonal changes in the body, which can lead to a feeling of heaviness in the head or a similar sensation of slight nausea.

(b) Bloating or heaviness in the stomach:

There may be some swelling or pressure felt while the oocytes are being formed in the ovaries.

(c) Mood swings

An increase in hormone levels can cause changes in emotions - sometimes sudden anger, sometimes sadness.

Serious (occasionally) side effects:

(a) OHSS (Ovarian Hyperstimulation syndrome):

Sometimes medications can over-stimulate the ovaries, which can lead to fluid accumulation in the abdomen, cause breathing difficulties, and may even require a hospital stay.

(b) Risk of clot formation (Blood clot):

Hormonal medications can increase the tendency to form blood clots in the body, which can cause problems in the heart or lungs.

Therefore, monitoring by the doctor at every step and the correct dosage is extremely important.

2.The possibility of failure during IVF

IVF is a very advanced technique, but it is not 100% successful. IVF can fail for the following reasons

Possible reasons:

(a) Low quality eggs or embryos:

If the quality of the egg or sperm is not good, the embryo cannot develop properly.

(b) Failure of embryo implantation:

Sometimes, despite the fetus developing well, it fails to attach to the surrogate mother's womb.

(c) The effect of age:

If a woman's age is over 35, it affects the quality of the eggs.

(d) Lifestyle-related reasons:

Smoking, being overweight, thyroid or hormonal problems can also affect the success of IVF.

Generally, 2-3 IVF cycles may be needed . it is important to mentally accept this.

3. Medical or legal disputes related to surrogate mothers

In the process of surrogacy, the surrogate mother plays an importent role. The challenges associated with it include

Medical issues:

(a) The surrogate mother may face serious complications during the pregnancy, such as preeclampsia, high blood pressure, or premature birth

(b) If a surrogate mother is infected with an infaction (such as HIV, hepatitis), this can also affect the child. Therefore, medical examination is very importent

Legal dispute:

(a) If the surrogate later refuses to return the baby (which is not legally permissible in India, but can cause complications in practice).

(b) If the surrogacy contract is not clear, it can lead to complications in the future, such as the rights of the child, identity issues, delays in hospital discharge, etc.

According to the Surrogacy Law of 2021 in India, only 'altruistic surrogacy' (without payment, only through a family member or a close woman) is allowed. However, it is importent to comply with all regulations, to obtain an agreement through a lawyer, and to secure medical approval.

Conclusion

If a woman's eggs are healthy but she cannot become pregnant herself, the autotransfer of eggs is a very effective and safe option. This not only allows for having a biologically related child but also fulfills the dream of becoming parents.