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Surrogacy & Egg Donation - What You Should Know

Sam Everingham. Director. Families Through Surrogacy. Surrogacy & Egg Donation - What You Should Know. Overview. Ingredients Needed for success Egg Donor availability How have the options changed? Where are Irish citizens engaging? What are the emerging destinations?

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Surrogacy & Egg Donation - What You Should Know

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  1. Sam Everingham • Director • Families Through Surrogacy Surrogacy & Egg Donation - What You Should Know

  2. Overview Ingredients Needed for success Egg Donor availability How have the options changed? Where are Irish citizens engaging? What are the emerging destinations? Six Crucial Considerations Key Problems & Customised Support

  3. Ingredients Needed • Goodwill • Professional expertise & experienced providers • Support • Trust • Good planning • Luck

  4. Egg Donor Availability Popularly used Also available UK, South Africa, USA, Spain, Cyprus, Ukraine Canada, Georgia, Russia, Thailand Greece, Mexico, Czech republic, Iceland

  5. Surrogacy Availability - Historic For own citizens only For citizens + foreigners (legal framework) For foreigners (no laws) India, Thailand, Nepal, Cambodia Australia, Israel, South Africa, New Zealand, Netherlands, UK, Czech Republic, Greece USA, Canada, Ukraine, Georgia, Russia, Mexico

  6. Surrogacy Availability Now Regulated For citizens + foreigners Unregulated ror citizens & foreigners (no laws) For own citizens only Australia, Israel, South Africa, New Zealand, Netherlands, India, Thailand, UK, Czech Republic Kenya, Nigeria, Cyprus, Mexico, Albania, Columbia USA, Canada, Ukraine, Greece,Georgia, Russia, Brazil

  7. 30 years experience Best practice Increased demand Often excellent surrogacy screening Surrogate match times can be 6 -12 mths Some lower cost hybrid options USA

  8. Canada Huge influx last 4 years from foreigners Altruistic & no advertising poorer surrogate & donor screening Now a shortage of suitable donors & surrogates Long wait times to match (12 months) Reports of high surrogate drop-out/ poor success rates DEMAND NOW FAR EXCEEDS SUPPLY

  9. Canadian Surrogacy Engage only with providers who provide realistic timelines (7 -12 mths) Don’t introduce you/charge you until surrogates are medically /psychologically screened

  10. Hugely Increased demand Number of providers quadrupled No shortage of surrogates Good screening & medical care Prices are rising significantly 3-4 week exit process for Irish, 4 months for UK citizens Strict eligibility criteria Heterosexual married couples only Ukraine

  11. GREECE Altruistic Transfer of parentage before 1st embryo transfer Heterosexual couples & single woman Both parents on birth certificate Only a handful of good providers Anonymous egg donors IVF clinic plays the role of surrogacy agency Lesser Known But Increasingly Popular

  12. GEORGIA Heterosexual couples Both parents on birth certificate Known egg donors Well priced Improved IVF success rates Stable protective laws Lesser Known But Increasingly Popular

  13. Key decisions for getting started

  14. 1. Do you need an egg donor? • Friend/family member • from donor community (known) • from donor database (known or anonymous)

  15. 30-40% with eggs from 30 yr old 20-25% with eggs from 35 yr old 8-15% with eggs from 40 yr old 3-5% with eggs from 42 yr old Egg Provider Age A Key Factor in Success

  16. 2. Create embryos at home or offshore? • Some will have embryos already created here • Yes you can ship embryos from Ireland using a cryoshipper company • You can do all sperm analysis at home prior to engaging

  17. 3. What is your timeline? • Altruistic (ie Canada) tends to take far longer than commercial surrogacy

  18. 4. What type of surrogate relationship? • Prefer to be Close buddies/supportive - US/ Canada • Prefer more removed - non-English speaking nations • What impact will your surrogate relationship have on your child as they grow up?

  19. 5. Comparative Baseline Costs

  20. Cost Containment Costs can typically increase over ‘baseline’ costs failed transfers Early miscarriages Switching from own to donor eggs Pregnancy complications Surrogate needing additional time off work

  21. 6. Should I use a ‘Guarantee’ Program? Only available for donor egg surrogacy Not available for Canada or US only surrogacy Only recommended for US-hybrid programs or you want a (higher priced) capped program for peace of mind Otherwise, the costs of adding extra embryo transfers if required are not significant

  22. PROBLEMS

  23. Hyperstimulation of Egg Donors Reports partic in Ukraine Donors given too high doses of stimulating meds Causes sickness & other health risks Talk to your Irish fertility specialist about appropriate stimulation levels

  24. Twin Pregnancies A High Risk Scenario Increasingly surrogates will not accept double embryo transfer, as its harder on their bodies Twin pregnancies come with far higher medical risks US & Canada don’t provide neonate insurance for twins

  25. FTS Customised Support Help you decide on a country/ provider More hand-holding/concierge style service Reliable, proven providers to meet your budget Wide range of options One hour or complete journey support Email sam@familiesthrusurrogacy.com or visit https://www.familiesthrusurrogacy.com/customised-support/

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