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Donor and Gestational Carrier

Reproductive surgery in bangalore >> Third-Party Reproduction

When you are unable to conceive, a basic or an advanced treatment can help you become pregnant. However, in certain rare cases, diagnosis may reveal that either the male partner's sperm or the female partner's eggs are not suitable to be used for the treatment. This need not be a cause of worry, as there is hope in the form of third-party reproduction.

In a third-party reproduction, sperm, eggs and/or embryos that have been donated by a third party, also called 'donor' are used to enable the infertile individual or couple to conceive. Another aspect of third-party reproduction is gestational carriers where a woman carries and delivers a baby for someone else. This is also known as gestational surrogacy.

Going for a third-party reproduction isn't an easy choice to make. But our Mathrutva team is there with you at every step, to help you both medically as well as emotionally. We want you to know that there is always a way and a treatment available. We are there to support you in making these difficult choices by providing care and unlimited support. We are committed to helping you become a parent through whichever treatment plan works best for you.

Donor Sperm

If you are experiencing infertility due to lack of sperm, you can still achieve pregnancy using sperm taken by a donor. You can arrange for sperm through any of the nationally certified sperm banks, where donors are screened and the donated sperm is quarantined.

Following are a few certified sperm banks in the country:

Donor Egg

In a donor egg treatment, a woman uses another woman's eggs (donor's eggs) rather than her own eggs. This type of treatment is usually needed when:

1. A woman is unable to use her own eggs for conception but she can still carry a child in her uterus.

2. A woman has premature ovarian failure, decreased ovarian function or genetic abnormalities

Donor egg treatment offers a high chance of pregnancy where other infertility treatments may not be very successful.

Donor egg treatment has traditional been considered unaffordable by a vast majority of patients. However at Mathrutva, our focus is to help you become pregnant by eliminating any hurdles that may come in the way. With our help, many patients are now able to pursue donor egg treatment.

Shared Donor Egg

Mathrutva's innovative shared donor egg program helps more patients in accessing donor egg treatment. Sharing eggs from one donor with one or two other recipients helps patients save almost 50 percent on donor egg treatment. Data shows that donors can produce 18-21 eggs on average. This means that recipients can share the eggs from a single donor.

What you can expect

The shared donor egg treatment program is very similar to that of a traditional, non-shared, donor egg program.

Selecting a donor

Once you decide if you will or will not share a donor, you can select a donor. With Mathrutva fertility centre, you can gain access to our database of egg donors who have already undergone medical, genetic and psychological screening. Once the screening is complete, the egg donor is identified as a candidate for either the non-shared program (1:1) or a shared program (1:2 or 1:3). You can obtain the details of the donor from the egg donor database.

Once you have selected a shared donor, you must wait for other recipients to choose their desired donor. If a donor is listed as a 1:2 cycle (which means two recipients), the cycle will move forward only after both recipients have selected that donor. Once a match is made, it takes about 8 weeks from that day to the embryo transfer.

On rare occasions, an egg donor may not produce as many eggs as predicted. In this case, only one or two of the recipients will receive eggs. Your care team will coordinate with you regarding the next steps on such occasions.

Success rate

A common doubt that may crop up in a patient's mind is that sharing donated eggs with another couple may decrease their chance of conceiving a child. However, rest assured!! We assure you that the success rate of this program is very similar to that of a traditional donor egg treatment.hiii

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  • Gestational Carrier

    When it comes to a gestational carrier, the woman carrying a child is not at all related to it genetically or biologically. The woman just provides a nurturing environment in her uterus for the child during the gestational period, which is usually about 40 weeks. A gestational carrier is different from a traditional surrogate. A traditional surrogate donates her egg and then subsequently carries the child, whereas a gestational carrier carries the eggs from the intended mother or an egg donor in her uterus.

    Who needs gestational carrier?

    A gestational carrier is needed by couple in which, the woman cannot carry the pregnancy. This is because the woman's uterus cannot carry the child which may be due to different reasons. One reason may be that the woman's uterus may not be able to carry the pregnancy to its full term. Another reason could be that her uterus is surgically removed. Certain medical conditions such as severe diabetes too may be a reason for taking help of a gestational carrier.

    Gestational carrier - Autologous

    In this case, the intended mother uses her own eggs. The recipient couple undergoes screening via the usual infertility diagnosis. Mathrutva then treats the intended mother as a traditional in vitro fertilization (IVF) patient, and collects the eggs at the end of her cycle. Her egg and the intended father's sperm is then fertilized in the lab. A physician eventually transfers the embryo to the gestational carrier.

    Gestational carrier with donor egg

    This type of treatment is done, if the intended mother is unable to conceive using her own eggs. Here, the treatment makes use of donor eggs. A physician then transfers the embryo to the gestational carrier.

    Intended Parent

    The intended mother undergoes an IVF cycle if she uses her own eggs. In case she is using a donor's eggs, the donor will undergo an IVF cycle. The intended mother will be next monitored at our centre with transvaginal ultrasound frequently in order to measure the size of the developing follicles until they reach a size of 18 to 20 mm. She will also undergo a blood test to check for estradiol levels. Once the lead follicles reach the required size of 18 to 20 mm, she will be given an intramuscular injection to "trigger" egg maturity. In 36 hours, our physician will retrieve her eggs transvaginally.

    Her eggs will be then brought into the lab. We will unfreeze the frozen intended father's sperm. Our embryologist will inject a normal appearing sperm into each mature egg. This procedure is called intracytoplasmic sperm injection (ICSI). The resulting embryos will be then allowed to grow in the lab. Our physician will transfer a specific number of embryos into the gestational carrier. The number of embryos transferred depends on their quality and age of the intended parent or egg donor.

    Gestational carrier

    While the intended mother is undergoing the IVF cycle, the gestational carrier will be given estrogen as well as progesterone in sequential fashion through intramuscular injections. This is done in order to prepare the carrier's uterine lining for implantation. Before we begin this preparatory step, the carrier will come in to be sure that her uterine lining is thin and her ovaries have no cysts. Once this is confirmed, the carrier will start the estrogen. About two weeks later, the carrier will be called for another transvaginal ultrasound and blood test to make sure that the lining is developing adequately. Once this is confirmed, the carrier will start the progesterone as instructed by our nurse.

    In order to be sure that the gestational carrier responds adequately and develop a lining that is ready to support a developing embryo, the carrier will undergo a practice cycle first. This cycle involves injections of estrogen, and then a mid-cycle uterine evaluation to make sure that the endometrial thickness is appropriate. If the lining is unfavourable, adjustments are made for the fresh cycle. Once the test cycle is complete, and all of the pre-screening blood tests and psychological screening are complete, we begin the real cycle.

    The time taken between the first consultation of the intended parent and the gestational carrier, and the completion of pre-screening and fresh cycle is approximately 4 to 8 months.

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