Tagged: cycle synchronization, egg donor, gestational surrogacy, gestational surrogate, infertility, intended parents, IVF, Mayer-Rokitansky-Kuster-Hauser syndrome, ovarian stimulation, ovulation induction, pregnancy, prenatal screening
- October 12, 2017 at 10:32 #3550Parents LifeKeymaster
The first successful pregnancy using a gestational surrogate was registered in Ukraine in 1992. That time, a 46-year-old woman, a mother of a patient suﬀering from infertility because of Mayer-Rokitansky-Kuster-Hauser syndrome, gave birth to a baby girl.
There are two groups of patients that are the candidates for a gestational surrogacy in Ukraine: women with no functioning uterus or those whose pregnancy would seriously exacerbate a clinical condition. You should note that only IVF with a gestational surrogacy is allowed in Ukraine by law. Within a gestational surrogacy IVF cycle, a gestational surrogate is not considered as a genetic mother because she does not provide her oocytes. At Parents Life, we do not accept traditional surrogacy arrangements.
Prescreening & Counseling
At Parents Life, a minimum acceptable age of gestational surrogates is about 23 years, with an upper limit of 35 at the initiation of the IVF cycle. All gestational surrogates must have delivered at least one healthy child and ideally have completed their own families. Just like egg donors and recipients, both the intended mothers and gestational surrogates undergo prenatal screening as recommended by the guidelines of the Ministry of Healthcare (MOH) of Ukraine. Before the ovarian stimulation, we discuss the following issues with the intended parents and a gestational surrogate: selective reduction for multiple gestations in excess of twins, chorionic villus sampling, amniocentesis, risks of a gestational surrogacy arrangement, and methods of delivery. All intended parents and gestational surrogates undergo psychological and legal counseling, including appropriate legal contracts. Surrogacy agreements should be done with a notary focusing on surrogacy arrangements. It is crucial that the intended parents and their gestational surrogate have separate representation.
Cycle Synchronization & Ovulation Induction
Cycle synchronization between the intended parents and a gestational surrogate is possible with hormonal contraceptives. The ovulation induction protocol for the intended mother can be individualized. Estrogen replacement for a gestational surrogate (both oral and transdermal) and progesterone replacement are ongoing until 12 weeks estimated gestational age.
Regulations of the Ministry of Health (MOH) of Ukraine
Both intended parents are considered as “gamete donors” based on the Order №787 of the Ministry of Health (MOH) of Ukraine. The intended mother must therefore be screened for the similar tests as an oocyte donor prior the egg retrieval and the intended father must be screened for the required tests before the egg retrieval.
- You must be logged in to reply to this topic.