Logistics &

Costs
of Surrogacy
in
By
India
Dr. Samit Sekha

Kiran Infertility Centre Pvt. Ltd

Hyderabad/ Gurgaon/ Nep

Planning a Child
With help of
Surrogacy

Why India for americans

World Class Medical Expertise & Medical
Facilities
Clearly Defined Laws and Guidelines and
Minimal Legal Complications
Abundance of English Speaking Population
Good Connectivity from Across the Globe
Good Infrastructure
Cost Advantage, much much affordable.
Safe and Friendly Country and people

Costs
32,000

Surrogacy

Self cycle

Surrogacy

Indian Donor

Surrogacy

Caucasian Donor

US

32,000 US $
45,000 US

Who are eligible

Married Couples
(Heterosexual) married for
more than 2 Years
Citizens of countries which
recognize Surrogacy such as
USA,Canada,UK,Brasil,Singa
pore Etc..

Initial enquiry
Enquire through Internet, known
successful parents, Forums about
the hospitals providing services.
Ensuring that the Hospital is
registered with I.C.M.R. (Indian
Council of Medical Research) for
providing Surrogacy Services.
Contacting Hospital in India
through e-mail / phone/ Skype
Negotiate the terms and
conditions
Sign Contract, can be done over
email

Initial enquiry
Enquire through
Internet, known
successful parents,
Forums about the
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Initial enquiry
Ensuring that the
Hospital is registered with
I.C.M.R. (Indian Council of
Medical Research) for
providing Surrogacy
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Initial enquiry
Mostly costs range around 32 K US$ to 45kUS$
depending on the Services being offered.
Services offered include:
1) No of IVF and Embryo
Transfer Attempts
2) Donor Type-Indian/Caucasian
3) Food & Accommodation
4) Concierge
5) Travel
6) Legal Assistance
7) Singleton or Twin Birth

Initial enquiry
Move Ahead
Ready to Go
Discuss with clinic
appropriate timelines
according to medical
conditions and plan your
itinerary accordingly at-least
a month in advance to
proceed further.

Logistics During Initial

Visit
It is granted
Surrogacy/
only if following
ART conditions
Visa
To a
are
met
Foreign

Man & Woman duly married to each

other for more than 2 Years
A letter from Embassy of
country of origin of
Intended Parents in India or from their Foreign Office
stating that they recognize Surrogacy and will accept
the child/ Children born as the biological child of
Intended Parents
Affidavit by Parents assuring to take care of Child
Born
Surrogacy should be commissioned only in registered
clinics in I.C.M.R.
Duly Notarized Tri Party Agreement involving the
Intended Parent, Surrogate Mother, and Clinic
Agreement can be done over email or post

http://hyderabad.usconsulate.gov/surrogacyinfo.html

Treatment cycle
Initial Stay & Logistics
Your Initial Stay Duration depends on the genetic material you are
intending to use.
in case of donor eggs the male partner is generally required to stay for
not more than 4 days for Semen Extraction
In case you are using self eggs then you require to stay anywhere around
12-16 days per Egg Retrieval cycle depending upon the medical protocol
prescribed by our doctor.
In case of Egg Donor, Intended Parents need only 4-5 days of initial stay
There is abundance of hotels providing world class stay and dining
facilities around in major cities, charges per day for a couple on an
average will not be more than 100$ US.
You need too register with FRRO, Foreigners regional registration
officer which will require 1 day
stay and FRRO Process is also a part of the package offered to you by
KIC
There are very rare indications of emergency situations in an IVF
process, Almost all hospitals registered with ICMR are fully capable of
handling such situations

Antagonist Protocol for

In Vitro Fertilisation/ICSI
1.Tablet Yasmin(or any other similar Oral Contraceptive pill) twice a day for
15 days
You will stop the pill 4 days before your departure for India and hence this
way when you arrive here it will be day 1/2/3 of your menstrual cycle and we
can begin treatment immediately
2.Injection Recombinant FSH(300 units/day) or Highly Purified HMG from
day 2 of the Menstrual cycle to be injected Sub Cutaneous/Intra muscular
3.On day 4 of Gonal F,the female partner will undergo Ultrasound to check
for size and number of follicles
4.if 2 or more follicles are 10 mm or more in size then

Injection

Cetrorelix(0.25 mg/day) will be added to the Gonal F on a daily basis

5.Ultrasound will be repeated on day 6/8/10/12 to check for follicle growth

Antagonist Protocol for

In Vitro Fertilisation/ICSI
6.When 3 or more follicles reach a size of 18 mm or more ,Injection
HCG(Human Chorionic Gonadotropin) will be given to trigger ovulation
7.Egg retrieval under general Anaesthesia or Sedation is performed 36
hours after HCG injection
8.Sperm from Male partner is used to fertilise the eggs from the female
partner and embryos are cultured in the incubator for transfer on day
2/day3 or day 5
9. Egg donor stimulation is also similar to the steps mentioned above, she
will also take the ovarian stimulation and Pills on the same dates as the
Genetic parent
10.if Embryo transfer needs to be done for the Surrogate mother then the
Surrogate mother will also take medications on the same days as the egg
donor or Genetic Parent but she will take medications to improve her
Endometrial receptivity rather than medication to produce eggs

Time Lines
A gist of timelines applicable in Surrogacy
Surrogacy Visa: To be applied at-least 4 weeks before you
plan your travel
Duration of Stay with regards to Semen Collection: 4 Days
Duration of Stay with regards to Egg Retrieval: 12-15 Days
Time between Egg Retrieval and Embryo Transfer: 6 Days
Result Post Embryo Transfer: 10 to 15 Days
Interval between 2 Transfers: Approx. 15-21 Days

precautions at Birth
Medical Aspects
In case of Singleton pregnancy the child may be required to be in
Hospital for an average period of 3-4 Days
In case of Premature Delivery (Mostly applicable for Twin Births) the
child is required to be Hospitalized for an average period of 7-14 Days

Legal Aspects
Application for Citizenship and Passport for the child in US
Consulate/ Embassy ( takes approx. 7-10 working days),our most
recent case this weeek were issued passport without the DNA test
in 3 days post birth.
US Consulate/ Embassy is available in all major cities across India
including Hyderabad
Application in FRRO for Exit permit for Child -normally takes 3 days
.
Costs involved in entire Legal Post Birth process included in
package.

To-do list
Do not wait for the last week, be ready to fly anytime after 34
weeks
Pre-order and ship DNA kits in advance to nearest US Consulate/
Embassy
Pre-book your hotel in advance near the Pediatric Facility
provided by your clinic to ensure easy access . in case the stay
post birth is not included in your package)
Pediatric Hospitalization costs are not covered in the packages
offered by Hospitals and is Approx. 60-100 US$ per day per child
Look out for a nanny for handling child (Important for 1st time to
be parents).
Keep a timeline of approx 15-20 days of stay in India
All baby related items are available in India, you do not need to
get it from abroad

Costs Not Covered in Package

Paediatric / NICU

Approx

100 to 200

US $
Stay If

> 15 days

Eating Out
Sight seeing
AirFare
FRRO

Exit for baby

100 US$

a
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Dr. Samit Sekhar

Kiran Infertility Centre Pvt.
Ltd.
Hyderabad/ Gurgaon/ Nepal