Surrogate Motherhood
What is surrogacy?
Surrogacy is the process of transferring the embryos belonging to the expectant mother to another woman, which is preferred in cases where the uterus of the expectant mother is not available for any reason, or where it is not possible to conceive due to the structure of the uterus and her health is not suitable for giving birth, and thus the woman who carries and gives birth to these embryos, which are genetically unrelated to her, is called a surrogate mother. In cases where the expectant parents cannot use their own reproductive cells in this process, they can add egg or sperm donation to their treatment.
The surrogacy process builds a strong bridge between carefully selected surrogate mothers and families, and every step is carried out within legal and ethical frameworks. Our program provides comprehensive and holistic support that takes into account the needs of families and surrogate mothers.
Thanks to the rapidly advancing reproductive technologies in medicine, becoming a mother or father is no longer impossible. Until recently, some of the desperate prospective parents found a solution by adoption, while those who did not have the chance to adopt suffered great frustration.
Babies/infants born carry the genetic characteristics of their biological parents and have no connection with the surrogate mother. The baby born by the surrogate mother is delivered to the biological or intended parents after birth according to the contract prepared in accordance with the surrogacy law. According to this official contract, the surrogate mother does not have any legal rights over the baby.
Surrogate Mother Treatment
IVF with a surrogate mother is no different from a normal IVF treatment. Only the embryos are transferred to the surrogate mother. The treatment process starts after approval from the Ministry of Health.
Synchronized (Mother-to-be and Surrogate at the same time) Treatment: If the expectant mother is menstruating, the eggs are enlarged with egg stimulating hormones starting on the 2nd or 3rd day of menstruation and lasting 10-14 days. The eggs collected at the appropriate time are combined with the sperm cells of the father-to-be, turned into embryos and transferred to the surrogate mother on the 5th day (blastocyst).
If the expectant mother does not menstruate (in those without a uterus), hormone tests are used to determine the time to start treatment. The surrogate mother’s menstrual cycle is adjusted accordingly and simultaneous treatment begins and then the process is completed with egg collection and transfer.
Sometimes it can be difficult to synchronize both sides at the same time and start treatment. Synchronizing the det cycles, the development of the eggs and the development of the surrogate mother’s uterus can make the treatment difficult. In this case, embryos are created and frozen in advance to make the treatment easier and to perform the procedure at the right time. The surrogate mother’s treatment is then planned and the chance of pregnancy is increased by avoiding the risks associated with synchronization. Because of its advantages, this type of treatment is highly preferred even in the absence of any problems.
If there are no conditions such as asynchronous egg development, cysts, etc. as a result of the examination, treatment is preferably started by performing hormone tests such as Estradiol-Lh-Progesterone. In the treatment, a treatment protocol is determined according to the age, weight and egg reserve of the expectant mother. The most preferred protocol is the antagonist protocol known as the short protocol. In this protocol, egg enlarging and multiplying hormone injections are started at the dose deemed appropriate. This treatment, which lasts approximately 9-14 days, is completed by performing ultrasound every 2-3 days and checking hormones according to the situation.
u It is also possible to have examinations in your country of residence. You can be under the control of your own doctor or a doctor we recommend.
When the eggs reach a sufficient number and size (18-20 mm), a hatching needle is given and egg collection is planned after 34-36 hours
.
The last needle of the trial is the hcg needle, known as the hatching needle. The day and time of the injection is very important and affects the success of the treatment. The time difference between countries should also be taken into consideration when determining the time of the injection. In cases where more than 20 follicles develop in the ovaries and the E2 (estrogen) hormone is 3000 or more, a special ligation needle is used to prevent the development of the complication known as OHSS. OHSS (Ovarian Hyperstimulation Syndrome) is a very serious complication in which the ovaries are overgrown and fluid outflows out of the veins. B In this case, the embryos are frozen and planned to be transferred in the following months.
Generally,
the journey to Cyprus is from the morning of the hatching injection, i.e. the day before the egg retrieval procedure
.
If there are no conditions such as asynchronous egg development, cysts, etc. as a result of the examination, hormone tests such as Estradiol-Lh-Progesterone are preferably performed and treatment is started. A treatment protocol is determined in accordance with the age, weight and egg reserve of the expectant mother. The most preferred protocol is the antagonist protocol known as the short protocol. In the protocol, egg enlarging and multiplying hormone injections are started at the dose deemed appropriate. This treatment, which lasts approximately 9-14 days, is completed by performing ultrasound every 2-3 days and checking hormones according to the situation.
It is also possible to have examinations in your country of residence. Va You
can be under the control of your own doctor or a doctor we will recommend.
When the eggs reach a sufficient number and size (18-20 mm), a hatching needle is given and egg collection is planned after 34-36 hours.
The last needle of the vine is the hcg needle, known as the hatching needle. The day and time of the injection is very important and affects the success of the treatment. The time difference between countries should also be taken into consideration when determining the time. Yum If more than 20 follicles develop in the follicles and the E2 (estrogen) hormone is 3000 and above, a special ligation needle is used to prevent the development of the complication known as OHSS. OHS Ovarian Hyperstimulation Syndrome (OHSS) is a very serious complication in which the ovaries overgrow and fluid exits out of the veins. In this case, embryos are frozen and transfer is planned in the following months.
The journey to Cyprus is usually from the morning of the hatching injection, i.e. the day before the egg collection.
Treatment Process of Surrogacy in Cyprus
Day 0
Since it will be convenient for you to come to Cyprus 1 day before the egg collection process, your travel is planned with the organization carried out by our transportation team. At the end of your journey, which starts under the control of our team, you will be welcomed with our private vehicle when you land at Cyprus Ercan Airport. After you are transferred to your preferred hotel in Kyrenia or Nicosia, you can spend your day resting. During your journey in Cyprus, you will notice that the traffic is on the left lane and the steering wheel is on the right side. For this reason, crossing rules are also different and you need to be careful when crossing the road. Our team will call you or send you an information message to remind you about the points you need to pay attention to before the transaction. In particular, it is the most important issue that you should be hungry and thirsty 8 hours before your transaction time so that your transaction is not delayed or canceled. It is usually requested to fast after 00.00 (you should not eat or drink anything, just like fasting). After egg collection, you can return to your country of residence if you wish. The rest of the procedures and organization will be done by our team in the best way and you will be informed.
Day 1
You will be transported from the hotel to our clinic with our private car at the time we tell you. Due to the importance we attach to information security, all transactions are carried out with great care and confidentiality. After the interview with our doctor, you will be examined according to the situation. After the preliminary preparation (insertion of an IV drip, wearing a gown, signing information and consent forms), your egg collection (OPU- oocyte pick up) takes place in 10-15 minutes under anesthesia. The sperm sample taken from the father-to-be and the eggs are combined with the microinjection (ICSI) method by our expert embryologists in our laboratory.
Day 2
The egg and sperm cells are combined in the laboratory by microinjection and it is checked whether they are fertilized or not, or if so, how many of them are fertilized. We call the cell formed from this combination an “embryo”. Your phone should be on during the day as you will be informed by our embryologists after the controls.
Day 3
Day 2 of your embryos. While you enjoy your vacation in the unique nature and beautiful sea of Cyprus, your embryos will be safely monitored by our expert embryologists.
Day 4
Your embryos will be transferred on the 3rd day and their quality and number will be evaluated. In some special cases, transfer can be planned on the 3rd day of embryos. If you do not have a transfer, you do not need to come to the hospital, you can enjoy your vacation or rest.
Again, you will be informed by our embryologists.
Day 5
It is the 4th day of your embryos and you do not need to come to the clinic again.
Our nurses will inform you about the transfer time of your surrogate mother and the issues to be considered before the transfer.
Day 6
Transfer day To achieve high success and reduce the risk of multiple pregnancy or increase the chance of multiple pregnancy, embryo transfer is usually done on day 5. We call this blastocyst embryo transfer. On the day of transfer, your emotions such as excitement and anxiety may peak. Our team is always with you in this process. In order for the embryo transfer to take place more easily, your surrogate mother-to-be needs to urinate more frequently and for this reason, she is asked to drink about 1 liter of water 1 hour before the transfer. After the pre-transfer preparations are completed, you will be informed about your embryos and the transfer will be completed. The embryo transfer process will take 10 minutes in total, and after 30 minutes of bed rest, the surrogate mother is informed about the continuation of the treatment and the issues to be considered after the transfer.
If you have remaining embryos, freezing is applied after the information.
In this way, if there is any negative situation, you will have the chance to try again at a lower cost.
Day 7
Now it’s time to return, hoping that your transaction went well. Our private car will pick you up from your hotel and transfer you to the airport in comfort.
The Process After Surrogacy Treatment
We hear so often that 12 days is worth 12 years. We are as excited as you are and we sincerely hope that this process will be successful. If your surrogate mother’s pregnancy test is positive, we recommend that you make an ultrasound appointment 10 days later. Depending on the result, a repeat pregnancy test may sometimes be requested after 2 days. If the pregnancy test is negative, the medication will be discontinued and a repeat test may sometimes be requested.
When your surrogate mother becomes pregnant:
First of all, we congratulate you for your struggle and patience in this difficult process. We are honored that you are getting closer to your dream step by step and that we are a part of this success.
If you have benefited from our surrogacy packages, our legal advisors will always be in touch with you. You will be informed by our medical team about your surrogate’s treatment, examinations and your baby’s development.
After the birth, our legal advisors will provide information about the registration of the baby, birth report and passport.