IVF (In Vitro Fertilization), as well as ICSI ( intracytoplasmic sperm injection), are two different types of assisted reproductive techniques. People going for fertility treatments are often confused between these two treatment procedures. They are not sure about the fact that which of these two treatment processes would be more beneficial for them. Here in this article, we have discussed both IVF and ICSI for your readers to understand better.
Let us go through each of these treatment procedures and discuss the differences between them.
Fundamental Difference
IVF was the first developed treatment for infertility. ICSI evolved from IVF and can be considered as a variation of the earlier technique. Both these procedures have an almost same diagnosis that involves the followings:
• Scans
• Blood tests
• Superovulation injections
• Egg retrieval
The Petri dish is utilized to fertilize the sperm and eggs in IVF. On the other hand, a micromanipulator is used to boost the sperm and fertilize it with the eggs.
Use of ICSI
The embryologist deposits the sperm into the egg in the process of ICSI. Under this method, good quality sperm is selected and injected directly into the egg. ICSI is used when:
• Sperm count is low
• Sperm has an abnormal shape
• Sperm motility is low
• Frozen sperm are used
• Embryo testing is done
• Failed attempts of IVF
• Poor rate of fertilization
Breaking the Myths between IVF and ICSI
In case the problem related to the childlessness of a couple is due to male infertility, ICSI is the only and best way to treat it. Nonetheless, people are sometimes confused about which procedure to go for when the sperm count in the man is normal, and yet infertile! This is when the comparison of IVF and ICSI is done. The following points discuss more this comparison:
1. Both IVF and ICSI have high success rates. This is because the rate of success in embryo implantation is almost similar in every case. The treatment procedure does not make any noticeable impact if the embryo is healthy and of good quality.
2. Many clinics tell the patients about variously assumed harms that ICSI can do to the egg. This myth is generally raised as the sperm is mechanically introduced into the egg under this procedure. As a matter of fact, there could be no harm to the egg if the embryologist is skilled and knows his job well. In case the embryologist is not skillful enough to perform this mechanism, the egg damage rate is only 2%.
3. In IVF procedure the embryologist chooses the best egg to be fertile with the sperm. They consider the embryo to grow healthy and normal if the egg chosen for the procedure is of good quality. However, ICSI has completely disapproved of this theory and has proven the potential of every egg retrieved for the procedure.
4. ICSI does not have any complaints of birth defects after the procedure. There is no increase in the risk of probably having a birth defect with this procedure. As a matter of fact, if a man has issues of azoospermia due to Y chromosomal microdeletions, he still will have male offspring with the same microdeletion if he goes for ICSI. Man, with normal chromosomes, will be the father of kids with normal chromosomes after ICSI. It is a well-established fact that ICSI procedure does not raise any possibilities of any type of genetic problems.
The success rate of both these procedures is almost same. At NewLife we prefer applying ICSI over IVF because of well-proven reasons.
Why ICSI is Better than IVF
The oocytes are uncovered before ICSI is performed. Thus, they could be carefully screened for greater detailed information. This procedure helps women conceiving at a later age. Women with poor ovarian reserves are also benefitted by this procedure.
In case of IVF, the fertilization procedure can be hugely a failure even when the sperm is normal. This will require to perform the procedure once over again. Even if the motility and sperm count are normal in a man, his fertilization might not be successful in an IVF procedure. The reasons behind such failures are mostly unexplained. In case there is no embryo present, there are no chances of a pregnancy. The couple must again attempt a new IVF cycle with ICSI. Introduction of ICSI in the process ensures fertilization. Routine ICSI prevents all these cases of the failed fertilization process.

Egg donation is one of the most advanced technological milestones achieve in the field of surrogacy. Infertile couples struggling to have an embryo with their eggs can now borrow eggs from an equality donor and complete their cycle. This is a readily available procedure where you get to acquire eggs from a different female and use it to make embryos. Of course, the egg donors are properly screened before the procedure. There are egg donors with proven fertility and good family background, who work to serve you in your embryo development. As an intended parent, you can select from the list of egg donors working with the surrogacy agency that you are registered in. You have the choices of selecting the one as per your expectations and desires.
Artificial Insemination
The endometrium of the patient is prepared in this process and matched with the egg donor. The egg donor’s eggs are retrieved from the ovary after they are stimulated with injections. The eggs are fertilized with the male intended parent’s sperm artificially. This leads to the development of healthy embryos. The embryos are then introducing to the surrogate’s uterus to form the pregnancy.
Egg donors are required by intended parents where the woman has one or all the following symptoms:
• Low-quality eggs
• Diminished ovarian reserve
• High age
• Previous failed cycles with own eggs
• Risk of transmitting any genetic disease to the baby
Families who hope to have babies through the help of an egg donor sometimes might require a surrogate mother to carry the gestation. At times the intended mother’s womb is not sufficient to carry the gestation successfully. Couples, who have had miscarriages before usually hires gestational carrier in the form of a surrogate mother who carries the baby in her and delivers it for the intended parents. The surrogate is usually not related to the baby and only offers professional help to provide the baby with a secured shelter after IVF with another egg, which can be a donor egg.
Surrogacy for Women Suffering From infertility
Several women face issues with their uterus that prevent them from carrying their pregnancy safely and complete the term. The missing uterus can be one of the major reasons for this. This can also might happen due to other health difficulties. Some women face the problem of low-quality eggs due to genetic factors and sometimes due to poor ovarian health. Having an egg donor in such situations enable the woman to have healthy embryos. She can again go for hiring a gestational carrier to complete the pregnancy term successfully and get the baby delivered.
Surrogacy for Gay Males Couples
Male couples who want to have their babies can use an egg donor and a surrogate mother for their surrogacy procedure. This is for all those who find adoption to be a daunting process and wish to have a genetically connected baby. This gives them a chance to start a family.
Donor Eggs and Gestational Surrogate
If the intended couple wishes to go for a live egg donor, the procedure of surrogacy might get prolonged. They can go for frozen eggs for the IVF cycle to have to reduced time. The embryo formed of the donated egg is introduced to the surrogate mother’s womb to form the pregnancy. She carries the baby and shelters it throughout the time of gestation. She is responsible to take care of her and the baby as per the doctor’s guidance and instructions. Surrogate mothers are usually professionals in this field and they know the do’s and don’ts of their business. They are affectionate and at the same time practical in their approach.
Frozen Donor Eggs
Intended parents can have access to various donor egg banks and opt for frozen eggs. There are a lot of advantages when you use frozen eggs for your IVF procedure.
The screening and retrieval of the eggs are already done as you choose them from the bank. This is your time. You are also saved from a lot of worries that might have keep you occupied otherwise. You also save a lot on your expenses as you choose to select a frozen egg for your IVF procedure. The travel and legal expenses are saved as you do not have to incur such expenses on the egg donor.
Success Rate with Donated Eggs
Some people are under the misconception that donated egg cannot bring them the desired results. As a matter of fact, donated eggs are all screened and fine in quality. They bring you effective results. The success rate of surrogacy by using a donated egg is almost equal to the success rate of surrogacy with live eggs. The egg donors are carefully screened before their eggs are retrieved. The eggs are cryopreserved with immense care. There is no risk involved in using a donated egg. The rate of success is high and is almost up to 85% in using a donated egg for surrogacy program.

The surrogacy program can be roller coaster ride for the intended parents. They have already been part of a huge struggle as a childless couple. They have faced enough and experience a lot more than they deserve. Surrogacy procedure brings a hope in their childless lives. However, this is not the end of their struggle. As a matter of fact, surrogacy is a new journey of the struggle for them. They have been survivors in the previous battle as they have decided to go for a surrogacy. They must show even more enthusiasm in this journey come out as winners.
There are a lot of ups and downs associated with a surrogacy program. Intended couples can experience failure in transfers, stillbirth or even premature delivery. Unsuccessful surrogacy program will have required them to attend once over again. This involves a lot of money to be invested again in the program. Guaranteed surrogacy programs are new concepts where the intended parents are safe financially as well as emotionally.
These are attractive to intended parents as they get some relief from the emotional tension and uncertainty that they are going through. However, it requires a lot of attention and concentration of the intended parent you decide whether to go for a guaranteed surrogacy program or not.
These guaranteed programs assured multiple trials including egg donation and other required medical procedures. Remember that the Guaranteed program does guarantee a pregnancy and baby delivery. It ensures multiple trials at the same cost for the intended parents.
Guaranteed Surrogacy Program
Intended parents from all over the world knock the doors of fertility and surrogacy centers with a cherished dream of having their baby in their arms. They have been waiting for years for their baby to arrive. Their untiring and dedicated efforts have got them on the verge of mental frustration when they face repeated failures in the surrogacy process. The agony of being a childless couple make them withdraw themselves from the society. They desperately look for solutions to combat the infertility issue. They go for repeated trials even after knowing that they have to Income expenses for each of these trials.
Guaranteed surrogacy program is for all those warriors who have been attempting trials to have a baby. This program is to fulfill their desires through egg donation and every other requirement in the surrogacy program. Such programs ensure repeated trials with no extra cost. You cannot get such assurance in other infertility treatment programs. Under this proposal, the intended parent must only pay once until their baby is delivered to them.
This is a great way to free yourself from the stress of failed surrogacy transfers or miscarriages. Intended couples do not have to worry about the expenses involved in the next trials. They can concentrate on the medical procedure and remain positive about it. However, the surrogacy agencies have eligibility criteria for guaranteed surrogacy programs for intended couples. The intended couples must fulfill all the criteria to register themselves for guaranteed surrogacy program.
Advantages of Guaranteed Surrogacy Program
There are a lot of advantages for the intended parents in a guaranteed surrogacy program. These are:
1. The intended parents can remain stress-free regarding the financial expenses of the repeated surrogacy trials. They only must pay once for the process and enjoy multiple attempts at the same charges.
2. They can concentrate on other medical aspects of the surrogacy program.
3. They can avail multiple egg and sperm donation required for their successful embryo transfer and pregnancy.
4. They get a lot of utility for their money.
5. Guaranteed surrogacy program assures them with a healthy baby at the end of successful gestation and delivery.
Guaranteed Surrogacy with Egg Donation Program Envisages the Following:
1. Unlimited IVF/ICSI procedures
2. Unlimited coverage of involved medical services fees
3. Unlimited number of new egg donors if required
4. Planning the program with the possibility to choose an Egg Donor
5. Coverage of New IVF and Egg Donation program expenses and all involved costs, in case of miscarriage, until pregnancy is achieved.
Intended parents find Guaranteed Surrogacy to be helpful in regards of allocating their fund peaceful mind. They are assured of the fact that they will be given several tries until the time they get a favorable outcome.

We see many intended parents in a dilemma when it comes to choosing between adoption and surrogacy. As a matter of fact, choosing between adoption and surrogacy can be a little time taking for an intended parent. Here, we have presented a sincere and forthright comparison for you to take the correct decision while planning to build your family.
Prospective parents see both surrogacy and adoption as rewarding options to build their families. Each of these two processes is unique and has its own sets of challenges. Every family thinks differently when it comes to considering parenthood through an unconventional method.
Surrogacy Vs. Adoption
In adoption, the intended parents are not genetically connected to the child they bring to the home. The birth mother is the one whose genes are connected to the baby. Intended parents must go through legal and emotional implications to bring the baby home. On the other hand, in a surrogacy process intended parents are genetically connected to the baby. They can choose to serve as egg or sperm donors in the IVF procedure followed by surrogacy. Thus, they are more biologically connected to the baby.
Apart from that, the intended parents get the chance to be with the surrogate mother throughout the gestational period. Hence, they can be more connected to the baby, which would otherwise be not possible in an adoption procedure.
Cost and Compensation
We cannot deny the fact that both surrogacy and adoption procedures involve professional fees, medical expenditure, legal fees, agency fees and many other miscellaneous expenditures of the program. Expenses related to surrogacy like doctor’s consultation, laboratory fees, IVF expenditure, surrogate compensation and other tax expenditure involved in it are much affordable and satisfactory than paying for an adoption. In adoption procedures, you must pay to the agency and the biological mother might not get a good share of it. On the other hand, in surrogacy, the surrogate mother gets all her expenses reimbursed and is entirely taken care of during her gestational period.
Satisfactory Matching Process
In adoption procedures, intended parents do not get a chance to choose their baby. They must remain open to all races, medical history, and substance exposure. On the other hand, in surrogacy, the intended parents can choose from profiles of prospective surrogates. They can select the surrogate after knowing each other and understanding each other well.
Prenatal Care of The Baby
Babies born out of surrogacy receive much better prenatal care than others. The surrogate mother goes through all medical tests and remains away from drugs and alcohol during this time. Since she is into a medical contract, she professionally abstains herself from being exposed to any harmful substances in her utero. These provisions are included in the contract signed between the surrogate mother and the intended parents. These assurances cannot be there in adoption. You barely have any choice to select a baby as per your desire. Adoption agencies do not provide such options to intended parents.
Medical Procedure Involved in The Process
Surrogacy passes through complex medical procedures. These steps are not included in adoption. Such medical actions assure the health of the baby. Thus, going for a surrogacy procedure always gives you a better assurance of having a healthy baby connected to your genes.
Being with The Baby During the Gestation
If you have chosen surrogacy for your baby to welcome home, you have gifted yourself the entire period of gestation that you can enjoy as your baby grows in the surrogate’s womb. You, thus, get a chance to connect with the baby more. In adoption process, you miss the opportunity to see the baby growing in the womb. Surrogacy offers you a chance to witness the baby’s delivery that you would not get in an adoption procedure.
Assurance and Reliability
To be honest, adoption always has a chance of disruption in the middle. On the other hand, there remains no trace of uncertainty in a surrogacy agreement. The surrogate mother is under legal bindings and she knows from the very beginning that the baby she is carrying is going to be handed over to the intended parents after the successful completion of gestation followed by delivery.
Relationship of The Biological Mother with The Child
Intended parents might not like the idea of the biological mother to be in touch with the baby afterward. They, however, do not have a choice of that in adoption, as the adoption laws always give room to the biological mother to be in contact with the baby even after the adoption procedure. On the other hand, surrogate mothers are professionals and they have legal clauses signed that doesn’t allow them to be in touch with the baby in future.
Are you considering surrogacy to bring your bundle of joy home? If you want to know more in details about the procedure, you can always contact us for a detailed conversation.

Intended parents research a lot before registering themselves for a surrogacy program. It is a crucial decision for them to for a surrogacy program, and even more crucial to find the best of it. They explore every option available to them depending on their fertility status. IVF treatment has developed a lot in the past decade. It has gained multiple dimensions with the implementation of cryopreservation and egg/sperm donation. Intended parents now have a wider range of options available for them to choose the best suitable program for their requirement. NewLife helps childless couples to navigate through these developments of surrogacy and assists couples to make the best choice.

We stand firmly with every intended parent right from the beginning of test trials till handing over the birth certificates to them. Our services include protecting their rights of parenthood and securing an appropriate birth order for them to receive a proper legitimate birth certificate. The legal documentation does not only include the surrogacy contract but the child’s birth certificate that has the mentions the intended parent’s name as the biological parents of the child.

Types of Surrogacy

There are primarily two types of surrogacy programs. These are:

  1. Gestational Surrogacy
  2. Traditional Surrogacy

Gestational surrogacy is when the intended parents use their egg and sperm for the In-Vitro-Fertilisation process and create an embryo out of it. The embryo is next introduced to the surrogate mother’s womb, to initiate the pregnancy. Successful pregnancy is followed by careful completion of the gestational period and ultimately completes it into a healthy delivery. Intended parents can use egg or sperm donors based on their fertility status. They can also go for frozen eggs or sperm and use them for their IVF trials. There are options even for using cryopreserved embryos that save both money and time.


Traditional surrogacy, on the other hand, uses the surrogate mother’s eggs for the purpose of fertilization. The process uses the surrogate’s eggs and the intended father’s sperm. In case the intended father’s sperm is not fertile enough, IVF consultants go for sperm donation where they avail sperm from a fertile donor. Irrespective of the fact that who owns the sperm, it’s the surrogate mother herself who supplies eggs for the traditional surrogacy procedure. She provides her ova in the fertilization process that uses the sperm of the intended father or a sperm donor. The procedure can be done through artificial insemination or In-Vitro-Fertilisation.

Legitimations Included In Traditional Surrogacy

It is utmost important for the surrogate mother and the intended parents to agree on the rights of the surrogate as well as the intended parents. Since the intended father gives his sperm to the procedure, he becomes the father of the child-to-be-born both biologically and legally. His name is mentioned on the birth certificate as the father.

Disadvantages of Traditional Surrogacy

The basic disadvantages related to traditional surrogacy are emotional and legal. At some stage of the surrogacy program, the agreements signed by both the parties may not be enforceable. In case of ant conflict raised in a matter of traditional surrogacy, judiciary system is always in the favour of the surrogate mother. The child born out of traditional surrogacy is genetically connected to the surrogate mother and laws are in every favour to it. The intended mother can only become the legal mother once she completes the step-parent adoption process with the surrogate mother’s consent.

At times some traditional surrogates feel difficult to hand over the baby to the intended parents. As she carries the baby in her womb for the entire period of gestation, she gradually connects emotionally to the child. We cannot even deny the fact that she has used her eggs for the purpose and, hence, feels a genetic connection with the child. Some surrogate mothers change their minds in the middle of the surrogacy program and take legal battles with the intended parents to gain the custody of the child. Such battles can be lengthy and painful. Hence, traditional surrogacy is a less chosen program for many intended couples. In case the intended parent wishes to go for a traditional surrogacy, they should go for someone with good track report. First timers in the surrogacy services often are fewer professionals and more emotional towards the baby. Experienced surrogates, who have delivered children out of surrogacy before, are more reliable as they take their service professionally. They involve themselves with a more professional attitude.

NewLife works with attorneys, who are specialised in this field to draft legal documents and design contracts between the two parties. A strong contract always offers lesser chances of legal conflicts. However, there remain chances of legal proceedings if the surrogate changes her mind in any way.

Intended Parents Reluctant To Go For Traditional Surrogacy

If we study deeply into the reason behind the intended parent’s reluctances in going for a traditional surrogacy program, we will come across the following struggles:

  1. Intended parents have faced pain and social stigma related to their childlessness. It is not an easy pain to for them to tolerate. They choose to go for fertility treatment once they decide to move out of such depression and give IVF a try.
  2. Intended parents have had already experienced much of a struggle in their fertility treatment. They spend much of their time and money on such treatment and finally decide to go for a surrogacy program.
  3. After such a long struggle to have a baby, they do not anymore wish to take any risk involved in traditional surrogacy. Any legal hassle for them would be too much to tackle since they have already faced a good amount of struggle to reach this far. They would definitely not want any legal flaw in their surrogacy program that might invite court cases for them to contest in order to take their child home. They want a stress-free surrogacy that would promise them a healthy child with all legal formalities done in place. So, they tend to avoid traditional surrogacy and look forward to gestational surrogacy for more assured happiness.


We have come to a scenario in the modern day life where we have to accept many things which were not clearly spoken about previously. Today’s generation is more open towards accepting the other sexual orientations. Gays and lesbians have been successful in achieving their rights in the present day. They have come forward to lead a life on their own terms. They choose to have a partner of their own choice and often choose not be with any partner unless they have found the right one for themselves.

How Does Co-Parenting Work?

Co-parenting is an important aspect of homosexuals and singles. This is an ideology where individuals with no romantic connection within each other decide to make a child together and raise it. Often same-sex couples or single individuals choose this philosophy of co-parenting. Well, we all have to accept the fact that most couples find content only when they bear a child and raise them. Things are similar to single individuals also as they might not be able to find the right person in their lives yet but are eager to have a kid to fulfill their parental desire. Co-parenting sheds of the stress of being in a romantic relationship and offers to share the responsibility of the child. Isn’t it wonderful? This concept is highly accepted by gay men in order to form a family and find happiness in their lives.

Same-Sex Co-Parenting

Same-sex co-parenting involves a gay couple and a lesbian couple. It can also form between same-sex couples with another single individual. The concept suits best for same-sex couples who desire to have a baby but do not want to go down the route of an egg or sperm donor or even a surrogate sometimes. This enables the couple equally divide the responsibility with another. The same-sex couple shares the child between two households where both couples provide equal parenting. They take care of the finances and all other responsibility together. The couple shares the custody of the child as well.

Gay men have recently shown much interest in such concept and moved towards co-parenting. Surrogacy is one important means for them to give birth to a baby through IVF. They coordinate the egg and sperm for the surrogacy purpose and hire a gestational carrier to make their baby.

Modern-Day Co-Parenting

Couples these days choose Non-romantic co-parenting that includes two single individuals, both of who wish to have a child but not desire to enter any ties to a romantic relationship. The co-parents share equal responsibilities their child. This includes all the finances related to education and child custody. They take care of all other aspects related to the child’s proper upbringing. The child also gets a chance to grow up in two different households. In many cases, the platonic couple chooses to share a common house to make the child’s life more seamless.

Having a Child with a Stranger

Choosing a co-parent is a gradual process. It does not happen overnight.  As a gay person decides to have someone to go for co-parenting, he looks for somebody who shares same values and similar goals of parenting. Their parenting outlook has to be similar to bring a child into the world. Thus, they do not have a child with a stranger by any means.  The main aim of co-parenting is to know one another before going for the program. It is utmost important to be friends first or form a personal relationship based on your parenting. All these are important before the two of them decides to bring the child into the world. Once the two of them starts spending quality time with each other and then decide to go for the procedures of insemination, pregnancy and child upbringing, they form successful co-parenting partnerships amongst each other.

Co-Parents VS ‘Known Donor’

A co-parent is the one who shares all your parenting responsibilities. He takes care of the finances, education, custody, and religion. On the other hand, a known donor is somebody who only donates sperm or an egg to the IVF procedure to help you to have a child. The person is a part of the upbringing of the child at all. The known donor is, of course, somebody who you know. You might meet the donor later in your parenting days. But that at all does not mean that the person has any rights to your child. They have a spate contract for such donations and are totally not responsible for any expenses of the child later. On the other hand co-parenting gives the other person all equal rights on the child. Gay men usually go for co-parenting in order to have a baby with their partners. This practice is more extensive in countries where gay marriage is still prohibited. Gay men enter into co-parenting to have a baby and complete their relationship with one another. Well, nothing could have stopped the gay men to remain in a relationship with the person of his choice. Similarly, no law should take away the right of being parents from him only at the ground of his sexual orientation.

Legal Parents

The legal parent of the child raised in co-parenting can be any of the parents depending on the arrangement and preferences. The United States has made it legal for up to three parents to be named as legal parents of a child raised in a co-parenting setup. Authorities issue birth certificates with at the most three names mentioned in it when the child is born in the co-parenting program.

Being Gay Parents

It is an utmost happy moment for any gay to be a legal parent of a child. His desires to nurture a child and raise it are fulfilled by co-parenting and surrogacy. Several IVF agencies offer such assistance to gay persons to find a suitable partner for them who shares the same ideology of having and raising a child together. This is a relatively new advancement in the IVF and surrogacy field for the gays to have a happy and complete family.


Every couple wants to have their child who they can raise with all their heart. It is a wonderful experience to have in your life. Having a kid in the family fills the home with happiness and positivity. 20% of today’s population suffer from infertility. Rapid changes in the modern lifestyle are the main reason behind such infertility. Childless couples and singles, those who were unable to conceive naturally before were denied such happiness in their lives.  Surrogacy has opened new doors of hope for all these childless intended parents, irrespective of their gender or sexual orientation.

International surrogacy is one of the most important ways for a childless couple or singles to have a genetically connected child. There are a lot of complications related to any surrogacy program. It requires a lot of research and considerations before registering for any surrogacy arrangement. People have different reasons for entering any IVF treatment.

Infertility or any other health issues are prime reasons for people to be unable to have a child naturally. There are social issues related to sexual identity, marital status and sexual orientation that hinder a person’s dream to become a parent. In vitro fertilization followed by surrogacy has broken all these barriers for people suffering from childlessness due to various reasons.

The journey of surrogacy for intended parents is to create a family for them. Commercial increased in the recent years like anything. Many countries have IVF centre and surrogacy setups for childless intended parents. There are many of such institutions and go-betweens that operate to exploit the hopes, of course, childless intended parents. Several dishonest clinics have tied up with attorneys, to operate to fulfil legitimate objectives.

Issues Faced by Intended Parents

There have been many cases where intended parents are subjected to overcharging on the cost of surrogacy and other expenditures involved in the process. They are even subjected to fraud and are denied basic information. It is very important for an intended parent to know about every bit and pieces of details about their surrogacy arrangement. They are supposed to know thoroughly about their fertility status and involvement of any required donor. Surrogacy Agencies should give the detailed breakup of the cost involved in conducting the surrogacy program.

One of the major concerns of the intended parents is about the particular laws of a country related to surrogacy. They need to know all the legal determinations of a country for the best interest of the child. Intended parents are always advised to go for clear surrogacy agreements to avoid any legal hazard related to the citizenship of the child and its custody. It required extensive administrative paperwork to have everything on the place for an intended parent to get a clearance on the child’s birth certificate and documents related to it returning home.

There are many other issues related to international surrogacy. Some of these are:

Intended parents often are worried about the huge sum they have to pay for IVF and surrogacy program with no guarantee of success. IVF agencies assure to provide the best of results but never guarantee the success. It may require several attempts for an intended parent to get success in a trial.

There are many IVF clinics that do not provide all information regarding the donors or gestational mothers. The communication process with them is not two way and hence creates confusion for the intended parents. Such agencies do not let the intended parents know about the donor’s payment or even the surrogate mother’s payment.

Working With Intermediaries or Middleman

It is not at all reliable to work with intermediaries on middleman who acts as a bridge between the surrogacy agencies and intended parents. We can be a reason of absolute heartbreak of the intended parents in reaching their goal of having a child.

However, there are some intermediaries who genuinely work family in between the two parties. They are responsible for providing all the information of international commercial surrogacy to the people in general. They work on a commercial relationship with the surrogacy agency but remain committed towards work ethics.

At times it is misleading for the intermediaries to provide false information to the intended parents to enrol them in a surrogacy program by any means. It is not possible to get a clear picture related to finances or human right issues from them. They are more focused on registering maximum intended parents for their International surrogacy programs.

Legal Factors to Be Considered

Gestational surrogacy contract needs to be written by a legal consultant. An attorney working in this field can be the right person to protect all the parties interest involved in it. The three parties, namely, the surrogate mother, the intended parents and the surrogacy agency require agreeing to the agreement to proceed with the surrogacy arrangement. It requires a special mention of a sperm or egg Donor, In case the surrogacy arrangement involves them.

The legal aspects should cover the insurance agreement of the surrogate mothers Healthcare as well as her monetary compensations. It is always better to have everything mentioned in the contract before entering into the arrangement.

The legal contract should include the breach clauses. This part will explain the consequences both the parties have to face in case any of them fail to perform as per our agreement. Determination of selective reduction of the pregnancy should be discussed clearly in the legal document. The intended parents should be in full agreement with the clauses that cover the surrogate mother’s interests.

Legal documentation includes preparation of a complete work plan that would mention about everything related to the pregnancy and delivery. This portion discusses the implementation of anaesthesia or other pain management therapies for the surrogate during delivery. It requires maintaining a balance between the health and comfort of both the surrogate mother and the baby. Apart from having a detailed part plan, intended parents are supposed to have every right on their child. The legal documents should secure their parental rights and give them the license of taking their child to their homeland.

General overview

Infertility treatment scenario varies from one country to another. It may differ in terms of quality treatment and general attitude of the social and cultural bodies towards these clinical solutions. The government support also plays a major role in improving the quality of infertility treatment in a country and more importantly making it accessible to all irrespective of ethnic or cultural background. It is observed that:
– Sometimes the high treatment cost might make a huge difference between countries attracting various customer segments making rich couples flock together hoping for a solution no matter how high the treatment cost is.
– It may be prohibitive to those belonging to the lower economic bracket. High priced infertility treatment is a luxury for them.
– Although IVF was first started in the United Kingdom, the cost of this kind of treatment over here is too high forcing many childless Brits seeking this service elsewhere at a far lower price.
– In some countries, the legislative requirements and regulatory issues are so rigid that infertility treatment in those countries would heap loads of hardships on the intending parents. These factors might force them to hunt for legal experts’ opinion to handle the situation at an extra cost.

Countries where fertility tourism is at its best
If we talk about fertility tourism, we need to consider a plethora of services that are intimately connected with infertility treatment. These services are not to be ignored and how well they are organized and available to the customers would determine the success of infertility treatment in a particular country. Let us take some concrete examples:
– In Spain, Britain, Canada and Belgium embryo freezing and preservation don’t have any legal reservations. Neither these countries slap a ban on sperm, egg donation and embryo screening. These facilities are enough for a customer to select these countries as their next infertility treatment destination.
– Surprisingly, some countries which are not considered in mainstream medical tourism do appreciably well in infertility treatment. Normally, these countries offer lowest treatment price keeping the quality satisfactory. Some these countries are Ukraine, Lithuania, Hungary, Turkey, Spain, Greece and Czech Republic.
– However, choosing the right country for infertility treatment extends beyond mere price consideration so far as the treatment is concerned. Travel expenses and accommodation prices also become decisive factors.
– It is a matter of great interest that the size of the country doesn’t always decide the quality of infertility treatment available to intending parents. Even a small country like Barbados provides top grade IVF care to customers flocking in from other countries. It is the attitude which is important. The government and society in Barbados are supportive towards infertility treatment.

Countries that are going to disappoint you in fertility tourism
If you are looking for an egg donation service in Germany and Italy, you may be discontented with the restrictive policies prevailing in those countries because of the following reasons:
– Germany and Italy are too prohibitive about the number of eggs that can be fertilized in one cycle.
– These countries even impose a limitation on the number of embryos that can be used for implantation or cryopreservation.
– Egg donation service is illegal in Austria, and if you are seeking the same with the guidance of an Austrian clinic you might probably be setting your foot in an infertility tourism trap.
– If you are seeking gender selection (a part of ART), then UK would certainly disappoint you. This is because Pre-implantation genetic diagnosis (PGD), which is an extended procedure of IVF used for screening the embryos for sexual preference, is banned here. However, if you use the same technique over here for locating genetic diseases your endeavor is welcome.

The social, legal and cultural attitude makes all the difference
How the society and the local culture are going to accept infertility treatment philosophy is what really matters. Depending upon the social demand for otherwise the government is going to frame legal views which would either support infertility treatment or go against it. Where the attitude of the government is positive, the infertility tourism to that country would flourish. Where the attitude is negative it will perish.

Fertility tourism covers a range of services, which are highly sophisticated demanding a very high level of medical precision. The objective is to have a successful pregnancy through a surrogate mother leading to the birth of a healthy baby. All these services are custom designed and case sensitive. An infertility service required by a particular couple may not be required by another pair. It all depends upon the type of infertility issue suffered by the couple. The couples may be incapable of producing healthy eggs and/or sperms in which case they would require the service of a high potential egg and/or sperm donor. A couple may be capable of producing healthy eggs and/or sperms but the female partner in incapable of conceiving.  At times, the process of fertilization could only be achieved in a highly controlled laboratory environment if the mother’s womb fails to provide the right ambiance.

The core infertility treatment services in fertility tourism include Assisted Reproductive Services (ART), which again encompasses In-vitro fertilization technology (IVF) and ICSI. Again, we have the highly advanced PGD (Pre-implantation genetic diagnosis service) to locate genetic disorders and the donor services which include the egg and sperm donor hiring. Last but not the least and, in fact, the final stage of infertility treatment process is the service available from the surrogate mother who would carry the pregnancy leading to the birth of a healthy baby. Apart from the medical services, the non medical wing has a very significant role to play. The legal and administrative professionals on the staff roll of an infertility treatment clinic handle all the legal and social issues connected with an infertility solution and surrogacy birth.

We may explore the nature of each of the infertility treatment services in sequential order:

  1. A) Assisted reproductive technology (ART):
    This is an umbrella term used for a number of infertility treatment services offered to the intending parents which include IVF (In-vitro fertilization technology), ICSI (Intra-cytoplasmic sperm injection), fertility medication, artificial insemination, surrogacy and cryopreservation. ART also includes the application of PGD (Pre implantation genetic diagnosis) for locating and eliminating genetic disorders and communicable diseases that the embryo may inherit from the fusion of male and female gametes carrying these irregularities. Basically, in ART the process of natural sexual intercourse is substituted by artificial insemination or fertilization of eggs by sperms outside the female’s body in a laboratory environment.


  1. B) In-vitro fertilization technology (IVF):
    This highly specialized medical procedure involves fertilization of eggs by sperms in a laboratory. The fertilized eggs are now cultivated in an ambient medium for further growth for 2 to 6 days and then implanted in the surrogate mother’s uterus for pregnancy. IVF is not available in many countries by local regulations. This necessitates intending parents moving out of their own country seeking this service elsewhere giving rise to fertility tourism.
  2. C) Egg and sperm donors:
    When the female partner fails to produce enough healthy ova capable of getting fertilized, the service of an egg donor is needed. Similarly, if the male partner fails to produce enough sperms of the required potential to fertilize eggs, the service of a sperm donor is called for. Infertility treatment clinics have a direct access to these donors from an extensive and comprehensive database they maintain. In order to qualify for entry into the database, the egg and sperm donors are screened through a series of demanding medical, physical and psychological tests. Records of their family and medical history, habits, level of education, addictions if any are preserved for reference.
  3. D) Intra-cytoplasmic sperm injection:
    This is a service where a single sperm is injected into an egg to overcome male infertility issue when the sperms are not capable enough to penetrate the eggs by them. The process involves a glass needle that pierces the oocyte, and the sperm with its tail snapped and immobilized is released into the oocyte for fertilization.


  1. E) PGD (Pre-implantation genetic diagnosis):
    This service helps locating genetic disorders or diseases in embryos created through IVF and done before the embryos are implanted in the surrogate mother’s uterus. The idea is to prevent these disorders to pass into the baby.


F) Surrogacy:
The service of a surrogate mother is sought when the biological mother is incapable of pregnancy. Surrogate mother substitutes for the biological mother who carries the baby in her womb and gives birth to the child. Infertility clinics have a rapport with young and healthy surrogate mothers through their database and help the intending parents to avail this service.

Fertility tourism can rob you of your bank balance if not planned properly. The cost of fertility treatments and medications are important factors of concern. They are often so unimaginably high that leaves many couples plagued with infertility worrisome. Even the insurance coverage plans for fertility treatment are very confusing. What is promised by the policy agents look much like a marketing hype. What the insurer actually gets and what was originally promised in the plan turn out way different. There are a lot of expenses associated with fertility tourism. It is prudent to realize all the interconnected costs and give a proper deliberation on them so that you can budget your fertility treatment trip on appropriate lines.

The average cost for In-vitro fertilization technology (IVF) in the US would be around 14000 USD. This is, however, a specialized fertility treatment requiring service of experts and laboratory costs. Common infertility treatments such as ovarian stimulation and intrauterine insemination are less expensive comparatively. Consequently, the results are not as great in these treatments as in IVF. Owing to a cut throat competition among clinics for providing infertility treatment services in a limited area, the costs naturally vary from one clinic to other.

Let us have a look at the nature of fertility treatment services and the average cost associated with them:
– The first visit to a fertility specialist – 200USD to 400 USD.
-Pelvic ultrasound – 150 USD to 500 USD.
-Fertility related blood test – 200USD to 400USD.
-Semen analysis – 50 USD to 300 USD.
-HSG dye test – 800 USD to 3000 USD.
-IUI – 300 USD to 1000 USD.
– Monitored injectable FSH cycle – 1500 USD to 6000 USD.
-IVF + ICSI – Over 14000 USD

Third party service Cost

Expenses related to hiring third part for surrogacy or egg and sperm donation should be calculated accurately going through the contract details thoroughly to avoid future dispute while settling the payment with the party.

You need to frame a comprehensive budget for your fertility tourism depending upon a realistic database collected from reliable sources. The advantages of budgeting can be put in a nutshell as hereunder:

A feasible budget will help reduce the pressure of having to pay unnecessary costs associated with unwise planning leading to cancellation of programs that don’t ultimately match up to your schedule.

Most of the fertility tourists are unaware of the hidden costs that add quite a substantial amount to the total expenses for the trip. They focus only on treatment, accommodation and travel expenses. There are lots of medical/non-medical costs that contribute largely to lighten the wallet. The expenses associated with hiring the services of a facilitator, for example, is quite substantial. They make up a big chunk of the total outlay that you have to incur. Some hidden costs can be as follows:

-Does the treatment include medication costs? Or you need to pay separately?

-In many clinics, you need to pay separately in case you need the support of a special medical equipment like pulse oximeter.

– Fertility treatment involves lots of medical tests. Often, one time test may not reveal the true picture. Does the package include one-time medical tests or 2/3 tests are included in it as per the situational demand?

-Do you need to pay extra for post treatment checkups?

-In case of extended stay in the clinic, do you need to pay extra?

-If you opt for embryo/egg/sperm freezing, know the detailed costs involved.

-Airfare while traveling abroad can be budgeted. What about other transportation costs to be incurred while visiting the clinic?

-Unexpected legal issues may crop up and you may need to pay extra apart from the scheduled legal and administrative fees.

– Unexpected extension of the duration of your trip abroad would mount your accommodation charges as well.

-Miscellaneous costs related to shopping or short term site seeing can be quite substantial.

The exchange rate is crucial. The possible fluctuations in the currency rates during your stay will certainly have a bearing on your real expenses. You need to factor in this element to draw up a realistic budget.

Take a look at your overall budget from a collective perspective and breakdown each element into smaller bits for giving a close focus on each of these cost elements. Smaller the cost elements, easier would be for you to manage them. One area where you can save your cost is by cutting the requirement for a prolonged stay.

Maintain a clear cut communication and fix up your appointment with the fertility treatment specialist in such a manner that not a single day is wasted. Ensure to meet your specialist as per prescheduled appointment. There shouldn’t be any cancellation due to any miscommunication from your side. A cancellation would mean you are unnecessarily stranded in the hotel shooting the accommodation and food bills.