Sunday 22 November 2015

How Much Does IVF Treatment Cost in India?



India has been a forerunner in the world of medical tourism, especially for infertility treatments. Patients as a rule pay less than half of what they would in their own countries and this is what draws so many reproductively-challenged medical tourists to the country.

IVF (In vitro fertilisation) treatments in India are extremely affordable, especially when compared to the rates in western countries. Let’s look at a list on why many reproductively-challenged couples choose India for IVF treatments. Read on to know about IVF Cost in India.

IVF Cost in India

What Infertility Disorders Can Be Treated In India?
The IVF centres in India treat all types of infertility disorders to help childless patients gain the chance to get pregnant. Some of the disorders treated are as follows:
• Fallopian tubes that is blocked or damaged.
• Disorders that involve ovulation.
• Low sperm count or other disorders that are sperm-related.
• Endometriosis

Patients who do not want to spend a fortune on treatments can visit India to get world-class treatment for infertility. The doctors in the country are well-known for the personal attention that they provide to each patient and the miles they go to make sure that the treatments provided are successful.

IVF Costs (In Vitro Fertilisation) Treatments in India:
How much does IVF Treatment Cost in India? Yes this is the second question comes to every patient’s mind after selecting an IVF centre. Here we have discussed a basic structure of the rates. Please note rates are subject to change as per hospitals, spread across the nation.
• Rates for Basic IVF Treatment:
For one IVF session, the average cost of treatment in India is approximately *** is not fixed, as it is possible that the rate can go up as high as *** for one cycle of the treatment.

• Rates for Any Advanced Treatments:
If a patient requires advanced technological assistance in IVF, the cost can go much higher. For instance, an ICSI treatment will require an additional *** to *** FET (Frozen Embryo Transfer) procedure will cost patients about *** apart from the IVF Cost in India.

Sunday 8 November 2015

Who is an Egg Donor?



Egg Donor is a woman of IVFGLOBAL, who is capable of producing healthy eggs. The Egg Donor would remain anonymous and cannot claim any rights over the child. She would not be meeting the intended parents for whom she is acting as an Egg Donor and would not the details of the child for whom she is acting as an Egg Donor.

Using Artificial Assisted Reproductive Technology, the egg could be retrieved outside the body of the female and could be fertilized, using the sperm of the Intended Father. The resultant embryo would then be placed into the womb of the lady, who wishes to carry the child. By this way, the Intending Mother can become pregnant with an embryo that was created with the egg from a donor and the sperm from her husband.


Conditions

The following conditions needs to be fulfilled for volunteering for being an Egg Donor.
(a)  Should be within the Age limit of 21-30
(b)  Should be married and should have completed her family
(c)  Should know to read and write at least in one language
(d)  Should be free of genetic diseases, such as, epilepsy, mental illness, etc.
(e)  Should be tested negative for venereal diseases, such as HIV
(f)   Must be height and weight proportionate
 (g)  Must be able to frequently visit the doctor during the process

Process

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The sourcing and selection of the Egg Donor have the following stages.  Each of the stages has been explained in detail in the later part of this document. 
(a)  Counseling and filling up application
(b)  Selection by Intended Parents
(c)  Medical counseling for donor
(d)  Medical screening

 (a)      Application Process
Any woman who satisfies the criterion specified above shall be eligible to donate her eggs.  The aspiring Egg Donor should contact Gift life Centre through phone for fixing an appointment for completing an Application Form.  The Applicant Egg Donor should be accompanied by her husband or any other member of the family at the time of attending the interview.  The applicant should bring two passport size photographs of herself and one family photograph consisting of herself, her spouse and her children.

At the time of interview, the applicant and her family shall be counseled on the basic information related to egg donation. A designated counselor shall help the applicant understand each of the questions contained in the application and shall assist the applicant in completing the application form.  The application would contain question related to contact information, marital life, education, basic medical information, work and hobbies. 

The applicant would also be counseled on the legal implications of being an Egg Donor, which shall also be covered in this booklet.  The applicant can specify the sum that is expected for her services.

(b)       SCREENING AND CODING:
After the applications have been completed, the applications shall be screened to verify if the applications satisfies all pre-requisites specified above. After being preliminarily screened, the applications shall be fed into the system with a profile code number. The profile code shall be used for all further references to the application.

In the process of coding, all contact information shall be removed from the application. Each application shall then have a profile with a code number for reference. The profile shall not contain any contact information of the applicant to maintain the confidentiality of the applicant. The profile would contain only the non-identifying information such as height, weight, skin color etc.

(c)       SELECTION
The Intended Parents who have sought the services of an egg-donor shall be provided with the profiles of the Egg Donors. The Intended Parents shall chose a candidate based on the non-identifying information such as height, weight, skin color etc. The Intended Parents would also learn from the profiles the compensation to be paid to the Egg Donor. Candidate who has been chosen by the intended parent would move further in the application process.

(d)       MEDICAL SCREENING
The Egg Donor profiles that have been chosen by Intended Parents shall be contacted by their case manager and asked to undergo medical screening with the authorized physician. The medical screening shall consist of some basic medical tests that the applicants would be required to undertake.  The tests would contain the basic fitness of the Egg Donor, testing them venereal diseases and other basic tests which would ascertain if the candidate is fit enough to be an Egg Donor.  If the applicant has cleared all the medical screening successfully, then the applicant would be taken up for the Egg Donation Program with the hospital.


After the applicant has completed the medical screening, the application procedure for the Egg Donor is complete. The applicant can then continue with the medications for being prepared for egg donation.

Medical Procedure

 

Woman would normally release one egg from their ovaries to the uterus every month. However, to maximize the chances of an egg donation program, the qualified physician from the authorized hospital would prescribe medications for producing more eggs (4 or 5 eggs) in a single month. This process is called stimulation.

STIMULATION:
The applicant has to report to the concerned IVF Centre on the first or the second day of her menstrual bleeding. The Egg Donor shall be given medication for up to 12-15 days to stimulate multiple egg production in the ovaries.  After the physician is satisfied that the Egg Donor has been sufficiently stimulated for the procedure, a day shall be fixed for egg retrieval procedure. 

 OOCYTE RETRIEVAL PROCEDURE:
 On the day of the procedure, the Egg Donor shall be administered sedatives and the eggs shall be retrieved by transvaginal ultrasound.  After the retrieval is complete, the egg donation is complete.

Legal Information

The following legal information would be very important for the knowledge of the Egg Donor.
(a)  The information provided by the Egg Donor at the time of completing of the application form and at other times must be to the best of her knowledge.  Any information provided by the applicant and that is contrary to truth would amount to misappropriation and is legally actionable.
(b)  All eggs that have been produced and retrieved pursuant to the egg donation arrangement shall be construed to be the sole property of the Intended Parents.
(c)  The Intended Parents shall have all rights over the gametes that have been sourced through the Egg Donor arrangement.
(d)  The Intended Parents may use the eggs retrieved out of the Egg Donor to impregnate themselves for having a child or achieve parenthood through a surrogacy arrangement.
(e)  The Egg Donor shall have no rights over the egg, after the eggs have been retrieved through this process or the child that may be born.
(f)   The identity of the Egg Donor shall be kept anonymous at all times and the Intended Parents shall have no information about the Egg Donor, except such non-identifying information that may be disclosed through the Egg Donor profile.
(g)  The Egg Donor shall have no information on the identity of the Intended Parents or the child that maybe born out of this process.  All information pertaining to the Intended Parents and child would be kept confidential at all times
(h)  The Egg Donor shall make no attempt to obtain information on the Intended Parents or the child or children that may be born out of this process.
(i)    Egg Donor understands that Gift life and Indian Surrogacy Law Centre are only an ART Bank and that ART Bank shall have no responsibility towards any medical care that may be provided to the Egg Donor.
(j)    Egg Donor would not under any circumstance hold Gift life and ISLC of any responsibility that may have been caused due to a medical malpractice
(k)  Egg Donor knows that there is a medical risk of becoming infertile after the egg donation procedure.

IVF with PGD

PGD is generally used to detect anomalies in the number or structure of the chromosomes of embryos.

Genetic screening is one of the latest and most sophisticated techniques used to test for genetic disorders by direct examination of the DNA itself.
The method of genetic screening used in In-Vitro Fertilisation (IVF) is Pre-Implantation Genetic Diagnosis (PGD).
PGD is generally used to detect anomalies in the number or structure of the chromosomes of embryos. When embryos have abnormal chromosomes, this may prevent implantation to the uterine lining, lead to pregnancy loss, or result in the birth of a child with physical and/or mental disabilities. PGD may help prevent these adverse outcomes by identifying affected embryos as they are developing in the laboratory before being transferred back to the patient’s uterus during the IVF Cycle.
Two options are available for PGD of embryos. The PGD team of doctors, geneticists and embryologists will decide which procedure to use.


 Polar Body Biopsy
The maturing egg produces two small cells, known as the polar bodies, which degenerate after fertilisation. The chromosomal content of these cells allows us to infer the chromosomal content of the egg. To test the polar body, an opening is made in the shell (zona pellucida) of the egg. The polar body is carefully removed and analyzed while the egg is kept in culture in an incubator.

Analysis of polar bodies provides information only from the mother. Chromosome abnormalities that may occur after fertilisation, when the sperm meets the egg, will not be detected via polar body biopsy.

Embryo or Blastomere Biopsy
To test an embryo, some blastomeric or embryonic cells are removed via a microscopic opening made in the outer shell of the embryo during its fifth day of development (blast cyst stage). The embryo is then frozen and kept in storage while the cells are analyzed by PGD

Regulation on Surrogacy in India



India’s government has instructed fertility clinics not to allow foreigners to use local surrogate mothers to bear children as it seeks to impose tighter limits on a growing industry that has raised concerns about the exploitation of women.
In a letter dated Tuesday, the Indian Council of Medical Research, a government body, said surrogacy services could be provided only to married Indian couples. The letter didn’t address the issue of babies now being carried by Surrogate Mothers for foreign clients.
The directive, which the council’s chief scientist said had been sent at the behest of the Health Ministry, follows the release of draft legislation by the ministry that would prohibit foreigners, except for those with family origins in India, from employing Indian surrogates.
A Health Ministry spokeswoman didn’t immediately respond to requests for comment.


Laws on surrogacy differ around the world. In some places, including Germany and France, surrogacy is banned outright. Other countries prohibit payments to surrogates that go beyond compensation for medical expenses. In the U.S., laws on surrogacy vary from state to state.
Thailand, another developing country where surrogacy services had become a growth business, earlier this year passed a law banning commercial surrogacy.
India has become a popular destination for people looking to have children using surrogate mothers, in part because the costs, about *** are relatively low. That compares with about *** in the U.S., according to The Lancet, a medical journal.
In India, a surrogate mother earns about *** in the U.S.A surrogate receives around *** according to The Lancet.
India has increasingly restricted surrogacy. In *** the Home Ministry barred gay couples and single people from using Indian surrogates to have children, saying that only heterosexual couples married for more than two years would be given the visas required to do so.
Tuesday’s letter from the medical research council’s head scientist, Radhey Sharma, told fertility clinics “not to entertain any foreigners for availing surrogacy services in India.”
Mr. Sharma declined to say whether couples awaiting the birth of babies via surrogates would be affected by the directive.
On Thursday, the U.S Embassy in New Delhi issued a notice warning Americans to exercise caution if pursuing Surrogacy Services in India.
After the Home Ministry declared that gay couples and single people couldn’t use surrogates in India, people whose embryos were already in gestation were permitted to continue with the process.
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