How is the surrogacy process going in Ukraine
− After you have been examined, a surrogate has been chosen, and all the tests necessary for her participation have been performed, the medication period begins. There is no one treatment regimen that fits all. Doctors will develop an individual regimen that gives the best chance of getting pregnant.
− For some patients, treatment may include a preparatory phase, meaning a series of ultrasound and / or taking medications for 1-2 months, aimed at improving the results of the upcoming in-vitro fertilization. At the same time, the surrogate will begin taking medications to prepare the uterus for future pregnancy. Sometimes two or even three surrogate mothers are involved in the program simultaneously.
− The immediate start of the IVF program is the start of taking medications that affect the ovaries (this is always a combination of injections and other types of medications). A program will include at least 7-14 days of daily intramuscular or subcutaneous injections, which can be done at home.
− Their purpose is to mature more oocytes in the ovaries, not just one. The administration of drugs will be accompanied by regular ultrasound and blood tests to adjust the dose of medication. Using this data in the final stage of the medication, will be assigned a day for taking (receiving) oocytes from the ovaries.
− The ovarian puncture is a simple invasive ultrasound-guided procedure. It is not a surgical procedure, but you will be given a mild intravenous anesthetic to avoid any discomfort. You will be able to leave the clinic 30 minutes to an hour after the procedure.
− On the same day, sperm is obtained from the man. If he is not able to be in the clinic on that day, he will have his sperm cryopreserved in advance. The effectiveness of treatment will not suffer from this. Unfortunately, the exact date of puncture becomes known only 2-3 days in advance, so pre-cryopreservation is a good choice for men who have difficulty planning a visit to the clinic on a specific day.
− After receiving the oocytes and sperm, the insemination is performed on the same day in the laboratory (hence another name — in-vitro fertilization). A doctors use the ICSI/IMSI technique, as the most effective fertilization method.
− After 2 to 6 days the embryos will be transferred to the uterus (embryotransfer) of the surrogate depending on the quantity and quality of the embryos. This is a quick and painless procedure under ultrasound control, comparable to a gynecological exam.
− Before the procedure, you should discuss with your physician the number of embryos that will be transferred into the uterus to optimize chances of getting pregnant. If not all embryos have been transferred, the remaining embryos can be frozen for future use.
When the pregnancy occurs:
− After embryo transfer, the surrogate mother will be provided with medications for the next 2 weeks to maintain the necessary hormonal levels to promote pregnancy. A pregnancy test is usually done after 12-14 days with a blood test in the clinic setting.
− Ultrasound monitoring of early pregnancy is recommended after the onset of pregnancy. This algorithm should ensure the most favorable course of pregnancy and exclude or simplify complicated situations (multiple pregnancies, ectopic pregnancies, as well as their combination, the occurrence of which is also possible).
− If a pregnancy occurs, invasive prenatal diagnosis can be performed to determine the chromosome set of the fetus.
− From the 12th week of pregnancy, according to the recommendations of the Ministry of Health, monitoring of pregnant women is carried out, including surrogate mothers.
And then after 9 months of pleasant waiting, the baby is born, and the clinic’s or agency’s lawyers help with the paperwork.