India versus Thailand on Surrogacy

A slew of surrogacy scandals have lifted a lid on Thailand’s largely unregulated commercial surrogacy industry, which has been around for over a decade. Below are the few controversial cases that drew a large amount of flak and also led to Thai military government’s decision to draft a new law that is expected to outlaw the business of surrogacy.

Below are the three scandals that brought unregulated surrogacy sector of Thailand under scanner –

An Australian couple, who had hired a Thai surrogate to their twins, returned home with a healthy baby girl but left behind her twin brother with Down syndrome, in late July.

Shortly after, a new case of 24-year-old Japanese man who fathered at least 16 babies via Thai surrogates emerged.

A third case emerged when an Australian man charged with sexually abusing twin girls he fathered several years ago with a Thai surrogate. The man was charged in an Australian court last year for committing indecent acts with a child.

Surrogacy Laws in Thailand

Thailand has become a favorite destination for couples from Australia, Hong Kong, and Taiwan, and a low-cost alternative to the United States. However, Thailand is one of the few countries in Asia where commercial surrogacy is not specifically banned by law. Previously, the Medical Council of Thailand had a regulation stating that doctors cannot perform surrogacy for pay or risk losing their license. But that penalty has rarely been enforced and there are no rules covering surrogacy agencies or surrogate mothers, leaving room for commercial surrogacy to occur without oversight.

Thailand's New Draft Law on Surrogacy

In response to the recent global attention, Thailand’s military government has vowed to shut down the commercial surrogacy industry. A draft law expected to pass the junta-appointed legislature sometime this year prohibits commercial surrogacy and would penalize offenders with up to 10 years in prison. Agencies, advertisers, or recruiters of surrogate mothers will face up to five years in jail and a fine of up to 100,000 baht ($3,000). Experts say they fear the law will not end commercial surrogacy in Thailand and instead push it underground.

Surrogacy Laws in India

Indian Surrogacy Laws remained lose for years, while the medical council continued its attempt to regulate surrogacy sector for years. After 2002, Surrogacy Laws in India have undergone an immense change. The Union of India is taking steps to for legalizing surrogacy and making India a risk-free destination when it comes to international surrogacy arrangements. The Indian Government is implementing legal mechanisms to ensure that the child born out of surrogacy arrangement in India would have a safe passage back home. Though such measures have affected few nationals, it could be considered legally safe in the long run for surrogacy in India.

After rounds of discussion with various ministries, the Assisted Reproductive Technology (ART) Bill, 2013 has been cleared and will be presented before Union Cabinet during winter session of 2014, confirmed a senior health ministry official on September 22. The decision comes closely after the regularisation and legal framework of Surrogacy in India was debated. The undeniable fact about several illegal ART units cropping up across the country to shortchange the infertile couples gives a reason for the urgent need of passing the bill.

Indian Government has also chalked out certain guidelines on surrogacy to make the whole process transparent and allow to hitches. The Assisted Reproductive Technology (ART) Bill, 2013 seeks to address issues like number of pregnancies allowed to a surrogate mother, age limit and due compensation paid to the surrogates. A framework would be designed for foreigners to seek surrogacy help from India surrogate mothers. With this, the issues of consent and health of surrogate mother would also be resolved.

The Health Ministry has considered the fact that commercial surrogacy changes to biological ability of a woman to reproduce into a commercial activity when money transaction is involved and lack of proper legal framework further complicated the whole process. 

Therefore, an immediate need of strong legal provisions to safeguard the interest of the surrogate mother, commissioning parents and the child born through surrogacy process has been considered.

Dr Neeraj Pahlajani

Obstetrician & IVF Specialist

(MS, DNB, FMAS, DRM - Germany)

MBBS - Lady Harding Medical College - New Delhi

MS - Obstetrics and Gynecology (PGI - Rohtak)

DNB - Obstetrics and Gynecology

FMAS - World Association of Laparoscopic Surgeons

DRM - Diploma in Reproductive Medicine (Germany)

Fellow in IVF & Embryology – (USA)

For Low Cost IVF India, Raipur (Chhattisgarh - India),

Pahlajani Test Tube Baby Centre

(Mata Laxmi Nursing Home)

Anupam Nagar, Near T.V. Tower, Raipur (Chhattisgarh) India

Phone:  +91- 771- 4052967, +91- 771- 4053285 Mobile:  +91- 9770997645, +91- 9329630455

Email - contact@raipurivf.com

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How to deal with failed IVF

How to deal with failed IVF

The introduction of In Vitro Fertilization (IVF) more than 30 years ago has made parenthood possible for millions who otherwise would never have been able to conceive. When your body says no to in vitro, you at least have options like surrogacy to discover and still have child with your own genes.

It is understandable that an IVF procedure requires an enormous emotional commitment at each level of the program, whether or not IVF is successful. From a personal experience, it was observed when the couples were undergoing IVF in Raipur, failed IVF leaves broken heart.

What if experiencing the failure of your last IVF is the key that begins to end the misconceptions? What if spending time with your tender broken heart can not only help balance your hormones, but can help you heal every other failure you have yet to heal? 

Technical Truths

IVF patients need to be prepared for the fact that about 15-20% of pregnancies miscarry, and the risk of miscarriage after in vitro fertilization is probably the same as for natural conception. The reason the IVF miscarriage rate sometimes appears to be higher is that an IVF pregnancy is diagnosed long before it normally would be in the case of a natural pregnancy.

Most women who conceive on their own do not test themselves for pregnancy until they have missed their period, whereas with IVF the diagnosis of pregnancy is made before the woman misses a period. One should remember, however, that a pregnancy is not confirmed until the presence of a gestational sac has been diagnosed by ultrasound. If this criterion is used to verify pregnancy, then the miscarriage rate with IVF is no greater than that of the population at large.

Ask yourself. You are not a quitter right?

But miscarriage can have a positive side, however. Painful as it is to the couple, the very fact that they conceived at all indicates they are likely to be able to do so again. It is reasonable to expect that although a successful pregnancy was not achieved on the first try, the fact that they could initiate a pregnancy means that their overall chances of having a baby will increase on subsequent IVF attempts.

A failed IVF or a canceled in vitro cycle can be the first step of real healing. Don’t blame it on assisted reproduction for the rest of your fertility journey.

The physical demands of IVF ranging from the annoyance of hormone shots and blood tests to the discomfort of egg retrieval for the woman and the need for the man to produce a semen specimen on demand, all add to the emotional stress associated with the process. 

So, be emotionally prepared and call for support from your family throughout the treatment cycle. It will help both partners cope more effectively with the physical demands on the woman.

Dr Neeraj Pahlajani

Website

http://www.raipurivf.com/

http://www.pahlajanipregnancycare.com/

http://lowcostivfindia.com/

Email

drpahlajaniraipur@gmail.com

Raipur - Steadily Emerging as Fertility Destination

How surrogacy became popular in Chhattisgarh? 

The journey of infertile couples end in Raipur to seek surrogacy assistance after Pahlajani Test Tube Baby Center provided services fertility assistance with in-house embryologist and IVF/ICSI services. With rare combination of state-of-the-art medical infrastructure and potential IVF and surrogacy options in Raipur, it has gradually fueled the international demand. Raipur can be termed as a bastion for couples wanting to ply their gametes at cheaper rates. With low traffic frequency rates, uber medicinal and infrastructural at hospitals, Raipur has become one of the favorite destinations for foreigners wanting to undergo fertility treatment.

Dedicated team of doctors and devoted surrogate mothers attracted more and more couples every year to Raipur for IVF. Slowly but steadily, Raipur has emerged as a destination for fertility tourism. It is among one of the rapidly developing cities in country, the burgeoning idea of medical tourism parallelly has caught the imagination fertility tourists living in geographically dispersed cities towards the state.

It was observed that medical tourists were more liberal than ever for undergoing treatment in Raipur, after several infertile couples from USA, Europe, Africa and even neighboring countries like Bangladesh and Afghanistan came here it to find the cure. Success stories of the IVF and surrogacy in Raipur has put the doubts of couples to rest, who are otherwise skeptical about the treatment because of the obvious complications associated to it. Also, the cheap IVF treatment offered in Raipur has warded off the discomfort of pocket burning fees demanded in the first world countries. Visit counts of tourists tripping Raipur has multiplied in past one decade, with most of them returning with assured pregnancy results. The city has won an international recognition after high ratio of infertile couples was blessed with children.

The day commercial surrogacy was declared legal in India it also opened the flood gates of all the inhibitions related to surrogacy and IVF in the country. After facing a tough rebound from less liberal countries, medical tourism has emerged as a successful intersection of inexpensive and medical infrastructure in Raipur. In years, the city has witnessed high influx of tourists seeking medical care willing to travel the tribal land. Skewed population distribution in metros, and commercialized health care has locomoted the infertile tourists towards Raipur. The infertility hospitals have been able to preserve their appeals for assuring best treatment to patients. A taboo associated with IVF and surrogacy is dying a fast death after Raipur was appended to the list of best known IVF and surrogacy destinations.

Fertility problems can have a devastating emotional impact on couples. Some couples will conceive naturally, in time, but for those who do not, the pain and loss can be immense, and have a sudden and significant negative impact on relationships. Infertility is a multi-layered and complex phenomenon, and a number of issues are involved for the people living with it, as it spans the biological, emotional, physical, social, financial and psychological aspects of lives and relationships. Couples going through the treatment journey can feel stigmatised because of their infertility, that it is still a taboo subject, which makes them feel somehow they have failed.

Their reasons for not having children are varied, often deeply personal – and sometimes, circumstantial. Around 20 per cent of pregnancies end in miscarriage – and yet most women never reveal they have had one. We find out how couples have tried to deal with their grief and meet a pioneering doctor who is looking for solutions to recurrent problems.

Pahlajani Test Tube Baby Center is committed to bring world-class services in assisted reproduction including IVF in Raipur and IVF for Odisha people and other adjoining states. For low cost IVF in Raipur, comparatively higher surrogacy rate Pahlajani IVF Center provides comprehensive services in IUI, IVF-ET, ICSI, Blastocyst, IVF treatment, egg donation, surrogate motherhood, male infertility treatment, semen banking, embryo freezing, sexual psychological problem, PCOS, MESA, PESA, TESA, Hormone Analysis, Laproscopic surgery, Hysteroscopy surgery, laser assisted hatching, and embryo biopsy.

Dr Neeraj Pahlajani

Website

http://www.raipurivf.com/

http://www.pahlajanipregnancycare.com/

http://lowcostivfindia.com/

Email

drpahlajaniraipur@gmail.com

Changes in Surrogacy Tourism in India and Raipur

Commercial surrogacy is a booming industry in India and in recent years ranks of childless foreign couples looking for a low-cost, legally simple route to parenthood have been joined by gay couples and singles.

India was a popular destination for gay couples seeking children till the year 2011 when Indian decriminalised consensual sex between homosexuals.

However, in 2012, the rules were revised and reformulated for foreign couples. It said that foreign couples seeking to enter into a surrogacy arrangement in India must be a "man and woman (who) are duly married and the marriage should be sustained at least two years".

While the government has been pushing the country as a medical tourism destination, the issue of wealthy foreigners paying poor Indians to have babies has raised ethical concerns in many Indian minds. Hundreds of couples visit India every year to undergo IVF in Raipur.

More than 3,000 fertility clinics operate across India, and some can be quite flashy. Surrogacy Laws in India are also undergoing an immense change lately. The Union of India is taking steps to position India as a legally risk-free destination when it comes to international surrogacy arrangements. 

The Indian Government is implementing legal mechanisms to ensure that the child born out of surrogacy arrangement in India would have a safe passage back home. Though such measures have affected few nationals, it could be considered legally safe in the long run for surrogacy in India.

The measures, circulated to Indian missions abroad in late 2012, which only came to light in the Indian media on Friday, mark the first step to the regulation of "surrogacy tourism" in India.

The cost factor has made India a favourite destination for medical tourism, especially the quest for a child. The low cost surrogacy has attracted lot of infertile couples from globe to India. Surrogacy in India is an attractive option for couples who wish to have their names on the birth certificate; want to have a professional or limited relationship with their surrogate, but have the benefit of excellent healthcare. Surrogates in India have no parental rights and cannot change their mind about handing over a child to the intended parents.

Dr Neeraj Pahlajani

Website

http://www.raipurivf.com/

http://www.pahlajanipregnancycare.com/

http://lowcostivfindia.com/

Email

drpahlajaniraipur@gmail.com

Surrogacy and Singles in India

India has issued new rules barring foreign gay couples and single people from using surrogate mothers to become parents in the proposed Assisted Reproductive Technology (Regulation) Bill 2013 that aims to regulate surrogacy in India. The decision has drawn sharp criticism from gay rights advocates and fertility clinics in Raipur.

The Ministry of Home Affairs (MHA), according to the guidelines of July 9, 2012, restricted surrogacy to foreign nationals; i.e. a man and a woman married for at least two years would be required to take a medical visa for surrogacy in India. As of now, even though surrogacy is an administrative concern and in the domain of the MoHFW, it has been decided that till the enactment of a law on the ART Bill, 2013, the guidelines issued by the MHA will prevail till then. Hence, foreign single parent surrogacy is barren.

It was in 2012, when the home ministry debarred gay couples and single foreigners from having an Indian surrogate bear their child as only a foreign “man and woman” married at least two years will be granted visas.

Since then, IVF in Raipur and Surrogacy in Raipur is practiced according to the MHA guidelines.

In March 2014, departments and ministries of the Government of India reviewed the drafted Assisted Reproductive Technology (Regulation) Bill, 2013 (ART Bill).

After revision, the decision to restrict surrogacy in India to “infertile Indian married couples” only, was taken with a belief that it would prevent exploitation of Indian women who may be pushed to take the risk of surrogacy in the face of financial hardships.

This decision came after extensive public debate across the country involving all stake holders about the unregulated surrogacy sector in India. According to the guidelines of 2005, there was no legal bar for the use of Assisted Reproductive Technology (ART) by a single or an unmarried woman, and the child born would have legal rights on the woman or man concerned.

Thereafter, the draft ART Bills of 2008, 2010 and 2013, stated to be revised based on the recommendations of the Ministry of Law and Justice, have consistently proposed that ART in India.

The draft Bill 2013, an exhaustive document containing 100 sections addressing various issues relating to ART. The details are kept ‘secret’.

Restricting surrogacy to infertile Indian married couples only, and debarring all foreigners other than OCIs, PIOs and NRI married couples, is a turnaround in the thought process. The suggestion barring foreigners from commissioning surrogacy in India is stated to be subject to there being no conflict with other Indian laws applicable to foreigners, such as those for adoption. Many singles parents visit every year to Pahlajani IVF Clinic to undergo IVF in Raipur. 

The medical technology, advancement of science permitting free export of frozen embryos and other scientific methods have offered hopes to childless people. But attempts to shut out surrogacy for foreign nationalsand single persons, who have tied their hopes with India doctors and even to seek IVF in Raipur, may not be the ideal way to stamp out the hopes of persons wishing to be a parent.

Dr Neeraj Pahlajani

Websites 

http://www.raipurivf.com/

http://www.pahlajanipregnancycare.com/

http://lowcostivfindia.com/

Email – drpahlajaniraipur@gmail.com

Life of Surrogates at Pahlajani Test Tube Baby Center

Referring to one of the news publishing about social activists demanding to ban commercial surrogacy and to regularise it like egg donation. In the article, the data of three states are cited in reference to illiteracy, poverty and unemployment of women, who are mostly unaware of the contract terms and agree to become a surrogate mother mainly for funding the education of their children.

However, the scenario is different for women agreeing to assist infertile couples for surrogacy in Raipur. Although, Chhattisgarh has high women illiteracy rate but women who agree to become surrogate mothers for interfile couples at 

Pahlajani Test Tube Baby Center are given best understanding of the contract to ensure transparency and safeguard of the rights of both surrogate and infertile couple. 

To ensure that a surrogate does not feel exploited, a better understanding of her expectations from the process is taken. Considering that surrogacy is “commercial” in India, the balance in cost of surrogacy in India and remuneration to the surrogate mother is maintained.

At Pahlajani Surrogacy Care, the surrogates are kept under best medical care. They live in an environment of peace and sisterhood under the roof of Pahlajani Surrogacy Home, where they are given best medical assistance.

Indian surrogacy is often targeted about the authenticity of contract signed between commissioning parents and surrogates. The fact cannot be denied that there are several clinics which do not adhere to the provisions of remunerations. However, Pahlajani Surrogacy Care ensures that the rights of a surrogate, who is assisting a childless couple to complete their family.

Pahlajani Test Tube Baby Center is the only center in Chhattisgarh having an in-house embryologist and does not conduct IVF/ICSI in batches. With the number of successes in helping the childless couples in having their babies by providing best medical assistance to both surrogate and commissioning couple, we have climbed another step in the ladder of human connection. Knowing that giving birth for someone else is a job only a selfless human being with most giving heart can perform, Pahlajani Surrogacy Care derives its confidence from surrogates for showing their faith and performing commendable jobs for couples.

Along with the celebration of different festivals with the surrogates, we celebrate Mother’s Day, Women’s Day and even organise plantation drives for surrogates. Surrogates are made to feel like home in our surrogacy homes. The reports about the violation of laws and shortchanging the surrogates are baffling. Rights of surrogates should be safeguarded and they should be given best medical care.

Dr Neeraj Pahlajani

Your First Meeting With Surrogate - What You Need to Ask?

Your first meeting with a woman who would carry your baby for next nine months can be awkward. You might have spent meticulous efforts to form a massive checklist of questions, like:

“Do you smoke?”

“Are you sexually active?”

But these are not the right questions to be asked on first meeting. Don’t worry, your doubts would be cleared after the surrogate’s medical and psychological exams, and you’ll be made aware of them by a professional.

When you sit down face-to-face with a potential gestational carrier, try to empathize with what she’s going through. After a huge amount of deliberation and soul searching, she’s decided to do something incredibly generous, terrifically inconvenient, and more than a tiny bit risky, for a virtual stranger. She is also nervous about the meeting, you need to ease her.

1. Why did you become a surrogate?

Although her weak financial stability might be the reason, but it can never be the only reason. Yes, money is important but with all a surrogate goes through, she’s going to earn that cash, and it is a limited sum. No one’s getting rich as a gestational surrogate, so it’s a safe bet she has bigger motives.

2. What were your other pregnancies like?

You will know all the medical information about the surrogate and her previous pregnancies from her medical examination report. But by asking this question you show some curiosity and empathy towards her. It can be a good start to build a good relationship. By knowing small details about her cravings and small needs, you’ll know just what to put in her care package.

3. How do your friends and family feel about you being a surrogate?

Surrogate mother needs support as it is both physically and emotionally demanding. If you assure her of becoming a good support and appreciate what an amazing thing she’s doing, then she would be happy throughout her pregnancy.

4. Will you be comfortable if we assist you with doctor’s appointments and in delivery room?

Most surrogates will fully anticipate and welcome your participation in the process, but raising the issue in a polite and respectful manner will set the right tone for when those intimate moments inevitably arise.

5. What kind of communication would you like to maintain after the birth?

Some surrogates and intended parents want to stay in close touch. It’s important to reiterate that your surrogate will have no legal rights to your child. Once your baby is born, you are well within your rights to cut off all 

contact with the surrogate and never see her again.

Once your child is old enough to understand how he or she came into the world, they’ll likely be curious about who their surrogate was, so it helps if you’ve kept up the relationship.

6. What are your concerns about us or this process?

You never know what your surrogate may be thinking or how you may come across to her. She might have a special request that’s very important to her or a fear she’s working to get over.

Let her know that her concerns are important to you, and in case she does have a vastly different idea of how the birth should go, it’s better to find out now rather than a trimester or two into the pregnancy.

Dr Neeraj Pahlajani

Why Did Thailand Ban Commercial Surrogacy?

After the abandonment of a surrogate-born baby Gammy with Down’s syndrome by an Australian couple and as a case of nine surrogate babies allegedly with the same Japanese father hogged the limelight, Thailand banned commercial surrogacy on August 6.

Unregulated surrogacy industry flourished in Thailand without any resistance for years before discovery of the nine babies under the care of nannies in Bangkok soon after an Australian couple abandoned their surrogate-born boy with Down’s syndrome, while taking home their healthy twin sisters. For years, Thailand was a go-get destination for infertile couples in the highly unregulated market.

According to the draft, the new law would prohibit commercial surrogacy and those violating the law will face up to 10 years in prison and a fine of up to 200,000 baht ($6,200). Agencies, advertisers or recruiters of surrogate mothers will face up to five years in jail and a fine of up to 100,000 baht ($3,100).

The move came after surrogate-born baby Gammy, who is being raised by his surrogate mother in eastern Thailand. The surrogate woman’s allegation that his Australian biological parents took home their healthy daughter and abandoned the blond, brown-eyed boy with Down syndrome and a congenital heart condition sparked outrage worldwide. (Source: www.theguardian.com)

Another equally important snag with surrogacy industry in Thailand is Gender Section IVF. Gender selection is illegal in India, but a growing number of women are finding a way round the ban by going to Thailand where there are no laws against it. Doctors use preimplantation genetic diagnosis (PGD), a method that involves producing embryos through IVF and implanting only those of the desired gender into the womb.

Preimplantation genetic diagnosis (PGD) enables the identification of genetic diseases in the embryo before pregnancy is established, and eliminates the need for possible pregnancy termination after prenatal diagnosis of a genetically affected fetus. Determining the sex of the embryo to avoid X-linked disorders remains a common indication for PGD, and the vast majority of such cases are carried out using fluorescence in-situ hybridization (FISH) with DNA probes derived from the X and Y chromosomes.

Couples from around the world flock to Thailand for cheap, reliable gender selection treatment. But while half of them from the UK, Australia, Europe and the US are looking to have girls to balance their families, Indian couples have only one motivation as they want male heirs. 

Thailand has 42 clinics and medical institutes and 240 doctors licensed to use assisted reproductive technology. After tightening laws on commercial surrogacy, the gender identification is the major stumbling block to control unregulated surrogacy sector.

Dr Neeraj Pahlajani 

Life of Surrogates in India

India is emerging as a leader in international surrogacy. Indian surrogates are becoming increasingly popular with couples from all over the world because surrogacy in India is much simpler as well as less costly. Few particular reasons are low cost surrogacy assistance, detachment of Indian females from drug and alcohol activities. 

Also, Indian IVF Clinics are becoming more competitive in low cost surrogacy assistance and hiring of Indian females as surrogates. Gestational surrogacy is very popular choice of infertile couples from abroad. A number of couples fly to India to get a baby of their own genes.

In India surrogacy was legalized in 2002, considering that it would be helpful for those women who are naturally not in a position to become a mother. At the same time, this practice helps those families with lack of financial stability and those families which are having the problem of lack of peace due to absence of child. Women in India, generally, become surrogates with dual aim, to assist the infertile couple and also to assist her family and children. Such women dream to give proper education to their children.

However, even after 12 years since the surrogacy was legalized, surrogate mothers face certain levels of social stigma and ostracism. As a practice surrogacy involves the bodies of poor women, which in India’s socially conservative culture, is cause enough for derision.

Butthe point is what the ethical issues are as to commercial surrogacy. Many argue that surrogate arrangements depersonalize reproduction and create a separation of genetic, gestational, and social parenthood. Others argue that there is a change in motives for creating children. According to them children are not conceived for their own sakes, but for another’s benefit.

Surrogates in India are bound around certain limitations. Few of those are no woman may act as a surrogate more than thrice in her lifetime, she and her husband has had no extramarital relationship in the last six months to ensure that the person would not come up with symptoms of HIV infection during the period of surrogacy, no drug abuse, and not undergo blood transfusion excepting of blood obtained through a certified blood bank.

Thus, commercial surrogacy continues to be highly stigmatized in India. Surrogates are spending the term of their pregnancy in surrogate homes in India and try to keep it a secret because reproduction is regarded as acceptable only within marriage; taken outside the domestic sphere of family, childbearing for economic achievement may be seen as ‘dirty work,’ ‘baby-selling’ or ‘womb-renting.’

People should know that the right to reproduce is a fundamental human right and surrogacy helps to conquer both biological and social infertility. It provides medically infertile couples to have a child of their own. Legalization of gestational surrogacy aims to protect the surrogate’s interests as well as those of the intended parents and the baby born after the surrogacy.

Dr Neeraj Pahlajani 

IVF for Surrogacy and Egg Donation

For assisted reproduction purposes, egg donation typically involves the process of in vitro fertilization as the eggs are fertilized in the laboratory; more rarely, unfertilized eggs are frozen and stored for later use by the intended parents. Egg donation is part of the process of third party reproduction as part of ART (Assisted Reproductive Technology).

After egg donation, In vitro fertilization (IVF) is performed for gestational surrogacy. In the process, eggs are removed from an egg donor or from the intended mother and fertilized with sperm in a lab to create embryos. The resulting embryos are grown in laboratory conditions for 3-5 days. In a surrogacy arrangement, these embryos are then implanted into the uterus of a gestational surrogate. In an egg donation arrangement, they are transferred into the intended mother.

For the IVF procedure, surrogates and egg donors undergo medical treatments. An egg donor will be injected medications to stimulate the production of eggs. A surrogate takes medications to prepare her body for the embryo implantation.

Intended parents need to make a variety of choices in conjunction with the medical team at your IVF clinic. These decisions directly affect not only the success of the procedure, but also the number, health, and the biological makeup of the prospective children. The quality of the resulting embryos may affect the number that is recommended to be implanted. You may also have legal agreements in place that stipulate the number of embryos that can be transferred. You will also need to determine what to do with any remaining frozen embryos following the procedure.

The egg retrieval and IVF procedures are brief. Following the embryo transfer, your surrogate will require a period of bed rest. At any point in the process, you should feel free to reach out to your IVF clinic for any medical questions or to Circle with any questions about your contract, travel, or any other related issues.

Dr Neeraj Pahlajani

How to Communicate with Your Surrogate

For fostering a good relationship with a surrogate, communication needs to be strong. It can be through emails, phone calls, even video calling, but you need to be in regular touch with the surrogate. Communication would ease the tension and also help both surrogate and intended parents to understand each other’s concerns. For establishing a good communication, you need to be direct and allow each other to open up.

Intended parents should encourage weekly exchange of emails or texts to know about each other’s well being. Regardless of how often you and your surrogate talk during the pregnancy, it is suggested that intended parents should increase communication before the birth of child. It is recommended that during the surrogate’s pregnancy, talking and exchange of ideas should be ensured. It will help to safeguard everyone’s expectations.

What Should the Intended Parents Talk?

1. Ask about surrogate’s well being

2. Ask if she needs anything

3. Ask if she is willing to pump breast milk

4. Talk about your relationship with surrogate after birth of child

Staying connected after the baby is born is also an important part of the surrogacy journey. At Pahlajani Surrogacy Care, we ensure that intended parents and their surrogates develop strong ties. The friendship between the recipient mother and surrogate even continues after she delivers your baby. 

We encourage intended parents and surrogates to discuss about the baby to eliminate confusion and the potential for disappointment. Communication helps the surrogate to keep that strength and helps intended parents to know about the journey of their child inside surrogate’s womb. A lack of effective communication can often lead to misunderstandings, in turn leading to feelings of dishonesty or distrust. 

Maintaining open and steady communication between the agency and the intended parents enables each party to feel more comfortable and at ease 

during the process.

It is important for the intended parents to identify how involved they want to be during and after the pregnancy.  With that in mind, it is essential that the needs of the intended parents be matched with those of the surrogate.  Most couples prefer an open relationship with their surrogate

Dr Neeraj Pahlajani

Pahlajani Surrogacy India offers Very Low & Affordable Cost Surrogacy in India

A surrogacy in India is termed as an arrangement in which one woman agrees to bear a child for the intended parents and surrender it at birth. This provides an opportunity or a blessing for those who are unable to carry a child themselves to overcome their childlessness and regain happiness in their lives.

Surrogates may carry the pregnancy to delivery after having implanting embryo, to which she has no genetic relationship at all, transferred to her uterus. If the pregnant woman received compensation for carrying and delivering the child (besides medical and other reasonable expenses) the arrangement is called a commercial surrogacy, otherwise the arrangement is sometimes referred to as an altruistic surrogacy. Surrogacy is without a doubt observing a clear surge all this can be due to the possibility that a lot of the patients experiencing the methodology have already been taken care of efficiently. This kind of which has recently been a superb success of research that has had managed to make it achievable for childless married couples to enjoy their little one.

There are many those who certainly desire to start a family, nevertheless for health related reasons are certainly not capable to accomplish that aspiration. Many individuals exploring surrogacy are generally astonished at the associated fee to endure the method. Specifically thinking of there's no assurance that the surrogacy method will probably be productive at the first try. Often it requires plenty of endeavors just before a couple can attain parenthood by means of surrogacy.

The government of India is also trying very hard to make advancements in the fertility clinics of India. The system of healthcare in India is very affordable as well as advanced. This sounds very surprising and a skilled team of surrogacy specialists has been found. The latest technologies of treatment are offered at very affordable prices. It is very surprising to note down that there are thousands of such couples in India who seek Surrogacy in India. They have been highly impressed by the levels of professionalism shown by the surrogacy clinics in India. If a person is going by the records, low cost surrogacy will be offered. However, care is also taken for ensuring that the procedures are carried properly and systematically. The best fertility clinics are available in India. Therefore, thousands of couple's visit and return back to their countries with a smile on their face and a child of their own in their arms.

Surrogacy, along with other parts of India's medical tourism trade, has grown dramatically in recent years with physicians here overseeing an estimated 2000 surrogacy births for domestic and overseas couples in year 2010, a 50% jump in two years. The specialty is a tiny part of a fertility treatment business, including in vitro fertilization, hormone treatment and egg and sperm donation.

You all are aware of the fact that the price of Canada, USA, Australia, Ireland, France, and UK is so high. It might not be affordable for mediocre couples, singles to afford it. But if you compare the prices for surrogacy in India you will find that they are much lower than what it is taken in your country. This is the first and the most important reason why one should choose India for affordable surrogates.

Also Single Parent Gestational surrogacy, Single Parent Surrogacy India, single men, single women surrogacy, and Donor egg with surrogacy, self eggs and donor sperms with Surrogacy, sperm bank all has an option. Affordable Surrogacy in India or gestational surrogacy, its flexibility, relative affordability, Surrogacy Success Rate and minimal regulation have made India attractive.

Pahlajani Surrogacy India having the industries most elaborate and exclusive Patient Care and Clinical Coordination teams, we provide you the smoothest and seamless care ever imagined. 

Pahlajani Surrogacy India: Very Low Cost Surrogacy and Surrogate Mother

Each year, an estimated 25,000 foreign couples visit India for surrogacy services, resulting in more than 2,000 births. Surrogacy is a negotiate in India  running anywhere from $15,000 to $20,000, the service is roughly a one fourth of the U.S. price and the traditionally lax regulations surrounding the industry have made it a popular destination for couples from countries where surrogacy is not legal, including several European nations and most of Australia. The combination of excellent medical facilities and attractive cost brings couples from all over the world to India.

Infertility is not about being unable to conceive, it is the trauma that an individual or the couple passes through. Surrogacy is a method of assisted reproduction. Surrogacy, sometimes dubbed "rent-a-womb” is a procedure by which a woman carries another women's fertilized egg to term, usually in cases where the biological mother is unable to carry the pregnancy. Many couples that cannot bear children are increasingly turning to surrogacy as a possibility to fulfill their parenthood dreams.

In general, couples first investigate surrogacy in their home country.  Some couples find that either the cost, or their country's legal environment, makes it very difficult to pursue surrogacy and then start investigating options for surrogacy abroad.  The most common overseas option is surrogacy in India. The high cost of surrogacy in Europe and the US means many Western women are outsourcing pregnancy abroad.

Commercial surrogacy is a booming industry in India with legions of childless foreign couples looking for a low-cost, legally simple route to parenthood. It is estimated that the industry now generates more than $2 billion in revenues annually with an estimated 2000 surrogacy births in year 2010, up to 50% in two years. Part of the demand is financial, in the USA; the cost of surrogacy is around 100 thousand dollars. In India, it is about half- and that includes all medical expenses.

Aspiring parents for whom surrogacy is not an option in their home countries can easily find a surrogate mother for hire in India to expand their family. In many countries around the world, surrogacy is either too expensive, illegal, or not available to certain demographics. Surrogacy in India is available to all. Surrogacy costs for a single successful round typically range from $15,000 to $20,000 with success rates as high as 50% depending on the age of the woman providing the eggs. 

Once the journey of surrogacy is decided then the question arises next is the selection of surrogate mother. If the couple has decided to go for surrogacy abroad in India then they are at advantage. Same like the surrogacy treatment the cost of surrogate mother is also cheaper in India. Prospective parents can expect to spend 50% less on a surrogate mother for hire in India than they would in a developed country. The low cost of surrogacy in India may surprise you. The factors responsible for low cost of surrogates in India includes

   A.The biggest factor responsible for such low prices is the cost of living in India which is significantly cheaper than in the Western countries.

     B. Healthcare facilities available are cheaper in India. In fact, India is a very popular destination for medical tourists seeking great deals on everything from cosmetic surgery to dentistry to heart surgery.

     C. Many surrogacy clinics in India offer attractive packages that includes facilities like fees of doctors, fees of surrogate mother, legal fees, other medical necessities like tests and medications, Visa /Passport for Parents and New-Born, IVF / ICSI procedure including Embryo Freezing, Medications and other expenses for the surrogate, hotel accommodation and site seeing for intended parents. This makes it very advantageous for the foreigners.

Surrogacy arrangements currently costs from $15,000 to $20,000 approximately in India, most out of which actually goes to the surrogate. How much money goes to the surrogate mother depends, just like in any profession, on the experience of surrogate mother. For the surrogate mothers who are starting first time the amount paid is less then compared to the amount paid to the experienced surrogate. But normally about one-fourth of the package price goes to surrogate mother.

Normally surrogate mothers in India come from lower middle-class families. Surrogate mothers do it to enhance their family's financial condition. Many do it to pay their debts, to buy their own house or get their children a good education.

Pahlajani Surrogacy India is getting on a quiet revolution regarding a secure, permissible, affordable, and frustration-free journey to parenthood. The center has all the facilities required to deliver a full range of services to couples requiring assistance conceiving.

Pahlajani Surrogacy India’s services offered at the Infertility Clinic includes basic work-up of the infertile couple, One Stop Fertility Diagnostic Services including IUI, IVF , ICSI, Egg Donor, embryo Adoption, Sperm Donation , Sperm Banking hormonal testing, Diagnostic Laparoscopy & Hysteroscopy, Recurrent Pregnancy Loss Clinic, Reproductive Endoscopic Surgery, Fallopian Tube Recanalization, Minimally Invasive Ultrasound, Uterine Artificial Insemination, Semen Cryopreservation, Semen processing, Ovulation Induction & Monitoring, Evaluation of male patient, Gonadotropin Cycles, Embryo Freezing, Oocyte Donor Program, Surrogacy, Assisted Hatching, Surgical Sperm Retrieval. Over the 21 years of experience in Infertility treatment since its inception.

Travelling on a Tourist visa to India

To travel to India every foreigner needs to have a Visa Approval from the Indian High Commission in the respective country.  

Tourist Visa to India

You can directly go the Indian Embassy and apply for your Indian Visa.Nowdays the Indian Embassy has also started outsourcing the Indian visa application process to private processing agencies in many countries to make it more efficient. In the United States, Indian visas are issued by Travisa Outsourcing. In most other countries, VSF Global has the responsibility for issuing Indian visas, including in the United Kingdom, Australia, Thailand, China, Sri Lanka and France. 

When applying for an Indian Visa, you’ll need to obtain a visa application form from the Indian Embassy in your country, or complete an on-line application form on the website of one of the visa processing agencies where possible. 

Along with your application and fee, for an Indian Tourist Visa you’ll need to submit your passport that’s valid for a least six months and has at least two blank pages, a recent passport sized photo, and details of your itinerary. In some countries, proof of residential address may also be required. Your visa application form may have the space for Indian referees, but this section usually isn't required to be completed for tourist visas. 

Tourist VISA Requirements:

1. Passport Requirements: Original, signed passport valid for 6 months from day of application, and with at least two blank visa pages preferably back to back. Amendment pages are not acceptable for visa stamps.

2. Indian Visa Application Form: One visa application form per applicant completed on-line, printed and signed. Only on-line applications are accepted. Signature must be original on each application. Improperly completed forms may delay the processing of your visa.

3. Photo Requirements: Two recent 2 x 2 passport type photographs, in color, front view and with a plain/light background.

San Francisco and Washington DC jurisdictions: no glasses may be worn in these photos; photos should not be stapled to the application.

4. Other Forms: Proof of residential address in the United States: Clear copy of applicant's driver’s license, utility bill or phone bill. Address on the document must match address on the visa application form. Copy of Birth Certificate: A photocopy of the applicant’s birth certificate. Any birth certificates that do not originate from the US or India must be translated into English and must be notarized. Please note: You should not send the original birth certificate; Travisa cannot be responsible for original documents.

5. Minors: The visa application must be signed by both parents and a copy of both parents' signed passports must be submitted. A copy of a parent's driver's license or utility bill can be used for proof of residential address in the US.

6. Other Requirements: Indian visas allow multiple entries into the country, however, there must be a gap of at least 2 months between two visits to the country on a Tourist Visa. No Permit is needed if the visa holder is traveling to multiple countries on the same itinerary and the trip follows the itinerary exactly. The visa holder must carry a copy of the itinerary to show the Immigration Officer. All other applicants seeking permission to enter India multiple times within two months must submit the following:

Letter of Request: A letter addressed to the appropriate Indian Consulate seeking permission and highlighting the urgency of the visit. The letter should also provide a detailed explanation of the reason for visiting more than once within two months, the purpose of journey and the expected dates of travel. The specific purpose of visit must be clearly indicated, for example: for recreation/sight seeing, casual visit to meet friends and relatives/others (to be specified), and not for engagement in business activities, employment or pursuing studies, research, etc.

Fee: The Indian Consulate charges an additional fee of $25 with all re-entry requests. This fee is non-refundable even when re-entry permission is not granted. Please Note: Re-entry permission is granted on only very rare, urgent cases.

7. Special Instructions: All persons of Indian origin as well as accompanying spouse and dependent family members must apply for an Entry Visa (not Tourist Visa).

India Visa Validity: Visas are usually valid for multiple entries for a period of 6 months or 5 years based on consular fee paid. 10 year visas are issued at the discretion of the Indian Consulate. Multiple entry visas allow re-entry to India only after a period of two months between visits. Important: Travelers must leave India on or before the expiration of their visa. Travelers who remain in India beyond the validity of their visa could face detention and significant penalties. If your intended length of stay in India exceeds the validity of your existing visa, you must apply for a new visa. If re-entry permission is granted, travelers intending to return to India for a second visit within two months must register at the Foreigners Regional Registration Office (FRRO) within 14 days of arrival in India 

Indian Visa Processing Time: Visas are usually processed in 5 business days. Rush processing may be available for additional fees. Please visit our Consular Fees page for details. Rush service is defined as any attempt made by Travisa to retrieve the visa in less time than the amount required by the embassy to process the visa. In order to ensure that visa applications for most embassies/consulates are submitted on the day that we receive them, they should be shipped to us via FedEx Priority Overnight (not First Overnight or Standard Overnight). Non-refundable tickets or reservations should not be purchased until all visas and passports are secured and in your possession.

Medical Visa to India 

Mentioned below are the conditions and procedures to apply for an Indian Medical Visa.

Conditions

A medical category visa may be issued with the following conditions:

a. The Indian Missions/Posts abroad may scrutinize the medical documents very carefully and satisfy themselves about the bonafide purpose for which medical treatment visa is being requested.

b. Mission may satisfy that the applicant has sought preliminary medical advice from his country of origin/country of residence and he has been advised to go for specialized medical treatment. In case the foreign national desires to go for treatment under the Indian system of Medicines, his case may also be considered.

c. This type of visa should be granted for seeking medical attendance only in reputed / recognized specialized hospitals/ treatment centers in the country. Although non exhaustive, following illustrative list of ailments would be of primary consideration; serious ailments like neuro-surgery; ophthalmic disorders; heart related problems; reneal disorders; organ transplantations; plastic surgery; joint replacement etc.. The basic idea would be that the mission may satisfy about the need of the foreign national to come to India for medical treatment/ health enhancements.

Validity of visa and extension of visa

The initial period for such a visa may be upto a period of one year or the period of treatment whichever less, which can be extended for a further period upto one year be the State Government/ FRROs on the production of medical certificate/ advice from the reputed/ recognized/ specialized hospitals in the country. Any further extension will be granted by the Ministry of Home Affairs only on the recommendations of the State Government/ FRROs supported by appropriate Medical documents. Such visa will be valid for maximum three entries during one year. State Government/ FRROs may permit one additional entry in emergent situation if required.

Registration

Foreigners coming on ‘M visa’ will be required to get themselves registered mandatory well within the period of 14 days of arrival with the concerned FRROs/ FROs

Visa to attendant/ family members

Attendant/family members of the patient coming to India for medical treatment shall be granted miscellaneous visa co-terminus with the ‘M Visa’ of the patient. Such visa may be granted the spouse/ children or those who have blood relations with the patient. However, not more than two attendants may be allowed at a time for grant of miscellaneous visa. Such visa will be called ‘MX visa’. Such foreigners are also required to get themselves registered with the local FRROs/ FROs well within 14 days from the date of arrival.

Registration for Pak and Bangladeshi National

It may be clarified that ‘Medical Visa’ will be available to all the foreign nationals including China, Pakistan, Bangladesh, Sri Lanka. However Registration formalities for Pakistani and Bangladeshi nationals will be as per the provisions contained in para 106 in respect of Bangladeshi national and para 118 of the visa manual in respect of Pakistani nationals. Similarly entry and departure of these foreign nationals will also be governed as per the existing policy in respect o these nationals.

These are the conditions and rules as mentioned in the document issued by the Government of India.