The phrase “third-party reproduction” refers to the use of eggs, sperm, or embryos that have been donated by a third person (donor) to enable an infertile individual or couple (intended recipient) to become parents. It also includes traditional surrogacy and gestational carrier arrangements.
Oocyte or Egg donation is the process by which a woman donates eggs for purposes of assisted reproduction.
Egg donation typically involves the eggs being fertilized in the laboratory.
Sperm donation is a procedure in which a man donates semen to help an individual or a couple conceive a baby.
Donated sperm can be injected into a woman's reproductive organs (intrauterine insemination) or used to fertilize mature eggs in a lab (in vitro fertilization).
Embryo donation is a procedure by which surplus embryos remaining after one couple's in vitro fertilization are given to either another person or couple for implantation provided the couple has given a formal consent to this effect.
Now a days surrogacy solutions have gained popularity in India. Previously, Surrogacy in India was a bit different as well as complex from abroad, but now it has become simpler for childless parents bring back happiness in their lives. A surrogate mother in India is now given more importance and privacy as compared to their condition in the past. With the development of infertility treatment in India even the surrogacy India has gained popularity.
The Indian government’s Proposed Surrogacy Bill has made some changes such as banning commercial surrogacy, foreigners can't get Indian surrogate mothers, legalizing surrogacy only for infertile heterosexual married Indian couples who are married who are married for more than 5 years, a surrogate mother is India should not be paid, only a close relative can approached for surrogacy, you can’t try surrogacy if you already have a child and the last surrogacy is only allowed once in your lifetime.
The Indian government has also proposed to establish a National Surrogacy Board at the central level that can be led by the health minister, and State Surrogacy Boards and the appropriate authorities in the states as well as union territories. All these officials will take care of all cases of surrogacy and regulate hospitals and clinics that offer surrogacy solutions in India.
Our donors are of two kinds:
Donors from within the patient pool.
Some women are with us because their husbands have a severe male probem. Such women are potentially fertile since they do not have any problem them selves . These women are then counseled to become donors and are informed that they would be compensated for their eggs. In our centre, the recipient pays for the donors medication in lieu of her oocytes. The only disadvantage of such patients is that they are not of proven fertility.
Such donors are selected through ART banks or advertisements. If they are found suitable after screening, they enter our programme. The bank takes a charge for their services and also have to be paid for the medication.
There are two types of recipients and the protocol varies accordingly.
In both regimens, progesterone is started one day prior to the day the donor receives the HCG trigger. Inj.Gestone is started in a dose of 50 mg. I/M daily. Monitoring of the cycle may be done with U/S scan. We like to do blood flow studies of the endometrium and consider it to be receptive if the thickness is above 8mm. and texture is normal. Blood flow should be evident till the inner layer of the endometrium.