In the very first year of its IVF services, promoter institute Bavishi Fertility Institute offered IVF surrogacy treatment to a German couple. It was the first European couple to go to Asia for surrogacy treatment. Since then we have couples treated with IVF surrogacy from many countries including USA, UK, Finland etc.

Bavishi Fertility Institute has achieved one of the highest numbers of pregnancies with IVF surrogacy in India. This has become true thanks to our high IVF success rate, stringent surrogate mother selection and dedicated painstaking efforts of whole of our team.

The couple undergoes IVF + ICSI treatment in the usual way, at the same time surrogate mother also undergoes IVF treatment as a recipient. Surrogate mothers endometrium is prepared for receiving embryos with an appropriate drug treatment. In other words IVF treatment of intended parents and surrogate mother is properly synchronized. When embryos are ready, the best embryos are selected for transfer. The embryos are transferred into the uterus of a host – surrogate mother, rather than that of the female partner of the couple. Hundred percent genetic material will be from the couple i.e. the child will have 100 % genetic inheritance from the couple. The surrogate will act as host mother till the time of birth of the child. Immediately after birth she hands over the child to the couple.

Pre Treatment Evaluation for Surrogate

• Detailed history is taken.
• Detailed family history of genetic disorder and diseases is taken.
• Complete clinical examination and fitness evaluation is done.
• Surrogate is screened for routine blood tests, infective diseases like CBC, Blood group, hormone test, HIV, Hepatitis B, venereal diseases etc.
• She is given nutritional supplement for :
  - Iron replacement: To protect her against anemia and replenish the iron store in her body
  - Folic acid : To prevent folic acid deficiency and reduce the related problem in fetus e.g. neural tube defect
  - Vitamin B6 and B12: To prevent deficiency
  - High protein diet: For improving the overall health and prevent protein deficiency and build up good hemoglobin.
• Formal consents are taken for the treatment.

Actual Treatment of Surrogate Mother She may be put on oral contraceptive pills to prevent spontaneous pregnancy. The mother is down regulated

• To match her menstrual cycles and endometrial development with that of female partner ( genetic mother ).
• To achieve complete control of cycle and achieve optimum outcome.
• Her endometrium is prepared to receive embryos, with tablets of estrogen hormone.

When embryos of the couple are ready, they are transferred in the uterus of the surrogate mother.

The surrogate mother is given medicines, which help implantation of embryos and their development. Blood of surrogate is checked for presence of pregnancy on day 13 and 15 after embryo transfer to confirm whether she has conceived or not.

If pregnancy test is positive, pregnancy support drugs are continued. Surrogate mother is regularly observed and treated for pregnancy care.

If pregnancy is negative, the drugs are stopped. The surrogate mother gets her period.

Same attempt is repeated. The surrogate mother has to undergo a fresh embryo transfer attempt.