Treatment of Ovulation Disorders – Stimulation and Cycle Monitoring

Treatment of Ovulation Disorders - Stimulation and Cycle Monitoring

Timely release of an egg known as ovulation is an important part of successful fertility in women. Unsuccessful release of an egg by women is one of the major common causes of infertility. Although, there are many cause for ovulation disorders. The efficient development and release of an egg by ovary in a timely systematic way to become pregnant, ovulation induction therapy frequently requires different medications. Dr Shivani Sachdev Gour at SCI Healthcare and SCI IVF Hospital and Multispecialty Center is experts at ovulation induction therapy. With appropriate medications that matched to your specific cause of ovulation disorder, there is pretty high chance that ovulation induction therapy will play a major role in your life to become success in having a child and building your family.

The monitoring and stimulation of the ovulation cycle is an important part of ovulation induction therapy. This is basically done by regular monitoring with ultrasound blood tests. To monitor the effect of the applied medications and to help the doctor to predict when ovulation is most likely to happen, the size of the ovarian follicles and blood hormone levels are utilized. Ovulation induction therapy is generally achieved with an oral medication such as Femara, Clomid or with injectable gonadotropins. In order to ensure that the uterus will be properly prepared for implantation of a fertilized egg, the doctor may recommend progesterone supplemental medications in the second half of ovulation induction cycle.

Tracking of Ovulation induction

Tracking of Ovulation by ultrasound: Ultrasound testing is relatively effective and safe way of tracking ovulation induction. For the accurate measurement and count of follicles and the quantity of eggs which developing in the ovaries, a vaginal ultrasound is performed at specific stages of an ovulation induction cycle. To ensure the highest rate of success, this provide exact time frame for natural intercourse, egg retrieval used for the IVF procedure and for artificial insemination. The ultrasound process is very secure and results in nearly no discomfort and heath related issues. During ultrasound testing, doctor inserts a small transducer into the vagina. To confirm that the ovulation induction successfully occurred, both endocrine test and ultrasound perform a major role.

Measurement of Hormone Blood Levels: Luteinizing hormone (LH) and follicle stimulating hormone (FSH) are produced by the brain that directs the ovaries to function normally. Progesterone (P4) and estradiol (E2) are the hormones produced by the ovary that suggest the function of the ovary. Anti-mullerian hormone (AMH) is a special type of hormone that can evaluate the long term egg quantity. The test of these hormones assists the doctor in Ovulation Induction therapy. They help your doctor to decide how much and which type of fertility medication may results in best ovary response and outcome.

Please make an appointment with Dr. Shivani Sachdev Gour (gynecologist and fertility expert physicians) to learn more about your fertility problems and ovulation induction therapy and start building your happy and complete family using the best fertility treatment options available at SCI Healthcare and SCI IVF Hospital and Multispecialty Center.

Types of Ovulation Disorders

Ovulatory disorder is the most common infertility factor for women. Ovulatory disorders can be classified as below:

Class I Ovulation Disorders – Significantly low FSH and LH which obstruct the ovary to ovulate

Class I ovulatory disorders involve women with very low levels of the crucial fertility hormones known as follicle stimulating hormone (FSH) and luteinizing hormone (LH) which released by the pituitary gland that are responsible for the grow a follicle which ultimately release an egg. These types of patient can be treated effectively with the application of injectable fertility medications that contain FSH hormone. The required FSH hormone helps the normal ovary to release an egg.  The prospect for successfully pregnancy is very high.

Class II Ovulation Disorders – Polycystic Ovary Syndrome

This type of Ovulation Disorders also can be found in women with polycystic ovary syndrome (PCOS). PCOS is type of metabolism disorder and it is genetically based. It is particularly of sugar metabolism that spoils egg development and egg follicle as well as ovulation. In such conditions diet with high protein, low carbohydrate is recommended. Ovulation induction and metformin can be helpful in having children. These patients are generally treated with ovulation induction therapy with oral medications such as clomiphene citrate (Clomid), Letrozole (Femara) and generally in combination with gonadotropins containing FSH such as Bravelle, Follistim, Gonal-F and Menopur. Lupron or HCG (Ovidrel) can be used to either trigger the LH surge (Lupron) or mimic the LH surge (hCG).

IVF treatment may be applied to the patient if the patient still unable to conceive after having three ovulatory cycles, do not ovulate with the application of above listed medications or exhibit over-response with excessive number of lead follicles as it is a usual danger with PCOS.

Releasing one follicle is considered far better than no egg. Your doctors will always suggest and help you to avoid any chance multiple gestations as it is considered not a good situation to become pregnant with two or more babies and expected to deliver at same time.

Class III Ovulatory Disorders – Diminished Ovarian Reserve

Female who have abnormally high levels of the essential fertility hormones such as luteinizing hormone (LH) and follicle stimulating hormone (FSH) released from the pituitary gland exhibit this type of ovulatory disorders. To adjust women’s fertility potential and declining function of ovaries and the eggs within them FSH and LH releasing rate is generally high. The Class III disorders includes women having premature ovarian failure with age less than 40 years, older women in perimenopause and women with advanced stages of endometriosis and  past surgery involving at least one ovary. There is a very less chance to have a healthy baby with this type of patient even with use of their own eggs. The doctor may suggest other more aggressive ovulation induction treatment with IVF therapy. The donor egg may be considered for IVF therapy which may results in rather higher pregnancy rates. These types of disorders seen in women with low thyroid hormone levels (hypothyroidism) and high levels of prolactin (the milk secretion hormone). The pituitary gland in the brain release relatively low FSH hormone.

You may contact Dr Shivani Sachdev Gour for your all questions related to Delayed Frozen Embryo Transfer. She is recognized as one of the best gynecologists and infertility specialist based in Delhi.

Methods of Assisted Hatching (AH)

Assisted Hatching is an assisted reproductive technology that can be sometimes done along with in vitro fertilization (IVF) treatment. It is usually recommended to the women who are facing unexplained IVF failure or for women with a poor prognosis. But Assisted Hatching is not recommended by the American Society of Reproductive Medicine (ASRM) as it hasn’t been shown to improve live birth rates and there are also additional costs and risks associated with this technology. There are many different methods available for Assisted Hatching that works differently. Each method involves their own pros and cons and the skill of the technician always matters a lot.

Mechanical hatching:

This method is also known as Partial Zona dissection.With the help of a pipette, the embryologist keeps the embryo steady. A micro-need is used to puncture through the zona pellucida to reach the shell for a bit and then come out the other end. After that, the space between the two punctures is softly rubbed until a small tear take place. But with this method, the control the size of the opening is bit difficult.

Chemical hatching:

This technique involves using mouth controlled acid which is Tyrode on the external surface. Very small amounts of acid are applied to the zona pellucida until the shell is broken. Then the embryo is quickly washed to avoid the harmful effects of acid exposure.

Laser Hatching:

Laser-assisted hatching offers more control on the size of the hole created than mechanical hatching with a needle. In this method, the Zona is pierced by using non-contact mode controlled by a computer. The special designed computer software enables more focus and measurement of embryos and find out a suitable position of embryos. For better performance three different laser intensities – low, medium and high are used.

Drilling:

This technique uses another technology something known as Piezo technology. It this technique vibratory movements are used to create a conical opening.

Assisted hatching by Pronase thinning of Zona pellucid:

In this technique, diluted solution of Pronase is used. The process is starts by transferring of embryos to Pronase diluted solution in the G2 medium. The main goal of this technique is to make thin ZP without removing it completely.

Of all the hatching methods, laser-assisted hatching may be considered as the safest and most effective. A Laser-assisted Hatching is more superior to chemical and manual hatching as it is a safe and gentle way to thin and weaken a small section of the zona pellucida which allow the embryo to hatch.It also offers many advantages including least handling of the embryo and giving fast and exact control over the entrance procedure. But chemical hatching is more commonly used hatching methods. The skill and experience level of the embryologist is an important factor responsible for the success of any methods.

You may Contact Dr Shivani Sachdev Gour for your all Assisted Hatching related questions. She is recognized as one of the best gynecologists and infertility specialist based in Delhi.

Ectopic Pregnancy: Diagnosis and Treatment

Ectopic pregnancies are diagnosed by your doctor, who performed a pelvic exam to locate tenderness, pain or a mass in the abdomen. Your doctor will recommend an ultrasound examination to determine developing fetus in the uterus or elsewhere. The ultrasound can be performed using a wand-like device in your vagina early in pregnancy.It uses sound waves to create images of your fallopian tubes and uterus ovaries. A transvaginal ultrasound images allows your doctor to identify the exact location of your pregnancy. Abdominal ultrasound may also be used to confirm your problems with your pregnancy or evaluate for internal bleeding. The measurement of HCG (human chorionic gonadotropin) levels also plays an important role. The lower level of an hCG than expected is one of the primary reasons to suspect an Ectopic pregnancy. If your doctor confirms that you have an Ectopic pregnancy, she will recommend you about the best available treatment based on future plans for pregnancy and your present medical condition. Low levels of progesterone in your body could be a sign of an Ectopic pregnancy, so your doctor may also test your progesterone levels for diagnosing an Ectopic pregnancy. Apart from progesterone levels tests, your doctor may perform a culdocentesis, which is a process in which a needle is inserted into a space at the top of the vagina, in front of the rectum and behind the uterus. The sign of blood in this area may suggest bleeding from a ruptured fallopian tube.

Treatment of an Ectopic pregnancy depends on the physical health conditions of the woman and the size and location of the Ectopic pregnancy. The injection of methotrexate could be a treatment against early Ectopic pregnancy case as it stops the growth of the embryo.If the pregnancy is farther along, the fertilization of egg can’t able to develop and survive outside of the uterus. In such conditions the patient immediately needs a surgery to remove the abnormal pregnancy so the tissue has to be removed successfully to safe the patient having serious complications. Few years ago, this complication requires a major operation and requiring a large incision across the pelvic area. But this can still be necessary in cases of extensive internal injury or emergency. Your doctor can apply an injection of methotrexate (Trexall) if your pregnancy hasn’t progressed very far and fallopian tube hasn’t ruptured. It stops the cells from further growth and your body can be able to absorb them. Early detection of Ectopic pregnancies can be treated with methotrexate.If the condition worst and severe a surgery is required. The most common surgery is laparoscopy. In this surgery a very small incisions in your lower abdomen has been done and a thin, flexible instrument (laparoscope) has been inserted to remove the Ectopic pregnancy. If the condition of the fallopian tube is bad, the doctor recommends removing it as well. You might need an immediate emergency surgery with a larger incision, if you’re bleeding to a great extent or your doctor suspects your fallopian tube is ruptured. This condition is called laparotomy.

Pregnancy after Miscarriage

Pregnancy after miscarriage can be very confusing and stressful and it is rather very common to feel nervous about getting pregnant after the incident. Some woman want to take a break who gone through the nightmare of miscarriage to overcome their emotional stagnation and then try to get pregnant again. Nevertheless, some wish to get pregnant immediately after a miscarriage. The feelings and desires are different for different woman, but it is important to know what will right steps for you. So that you can take the right path for considering pregnancy after miscarriage. However, it is highly recommended to wait to attempt again until you are emotionally as well as physically ready. Understanding pregnancy after miscarriage is important to avoid such incident in future again. Below steps will help you to promote a healthy pregnancy after miscarriage.

Reasons for miscarriage: Miscarriage is the sudden loss of a pregnancy before the 20th week. The primary reason for this is the abnormal development of fetus. About 50 percent of early pregnancy loss occurred due to the problems associated with the baby’s chromosomes. These chromosome problems occur by chance as the embryo grows and divides, however it is more common as women age. In many cases, health related problems such as a uterine problem or poorly controlled diabetes might lead to miscarriage. Often, the exact cause of this isn’t known.

Best suitable time for pregnancy after miscarriage: Miscarriage can cause intense feelings of sadness, anxiety or guilt. Some woman might also experience intense feelings of loss due to miscarriage. Don’t let the grieving process to dominate you. To prevent any further infection, typically sexual intercourse isn’t recommended for two weeks after a miscarriage. Your body can able to ovulate and become pregnant as soon as two weeks after a miscarriage. Follow the doctor guidance and advice, whenever you feel physically and emotionally ready for pregnancy after miscarriage. There is no need to wait to conceive after a single miscarriage. Your health care provider may suggest few tests if you gone through two or more such incidence.

How to improve chances of healthy pregnancy after a miscarriage: It is rather hard to avoid miscarriage. If you are suffering from any particular health issues, like ovarian cysts, your doctor will first treat that problem and then advise you to go for planning a baby. In such case, your chances to conceive automatically improve after the treatment. Some women suffering from uterine fibroids must need to go for surgically removal before getting pregnant. If you don’t have any health problems, then all you need to do is change your present lifestyle to improve the chances of a healthy pregnancy after miscarriage. Miscarriage is an unavoidable event and you must try to retain your hope for successful pregnancy even after event of multiple incidents. There are many incidents where a woman faced several miscarriages have delivered healthy babies.

Avoid the risk of future miscarriage: Generally repeated miscarriage is exception, only percent of couples experience two or more miscarriages in a row. Consult your doctor and take appropriate measures to reduce your risk for future miscarriage.

Egg Freezing | Dr Shivani Sachdev Gour

Egg freezing, also known as mature oocyte cryopreservation, is a new technique in Assisted Reproductive Technology (ART) in which the eggs of a woman are frozen and stored for to save women’s ability to get pregnant in the future. Fresh Eggs harvested from your ovaries are frozen further in unfertilized form and stored for later use. A frozen egg can be unfrozen and combined with sperm in a lab and implanted in your uterus for vitro fertilization process. This technique is helping number of women to preserve and control their fertility for various reasons and help them to have children at a later period of time. Some women opt eggs freeze due to their medical condition or their undergoing treatment that affects their fertility. It is very helpful for the women who aren’t ready or able to have children and want to become mother in the future. A woman’s chances of conceiving naturally fall gradually as per their age because the number and quality of her eggs drops significantly.

Egg freezing is an option if you’re not ready to become pregnant now but wish to make sure you can get pregnant later. Egg freezing doesn’t need sperm because the eggs aren’t fertilized before they’re frozen, unlike with fertilized egg freezing known as embryo cryopreservation. Similar to embryo freezing you will require using fertility drugs to make you ovulate so that you will produce multiple eggs for retrieval purpose. You should consider egg freezing for below reasons:

  • If you have some health condition or circumstance that that affect your health of your fertility. These might include autoimmune diseases such as lupus, sickle cell anemia or gender diversity, such as being transgender.
  • You need to go for in vitro fertilization (IVF). Before undergoing in vitro fertilization, some people prefer egg freezing to embryo freezing for many reasons like ethical or religious reasons or you are worried about your fertility and think it is declining but at the same time you are not ready to have a child or you haven’t found the right partner, this is also called ‘elective egg freezing’.
  • You require treatment against some illness or need treatment for cancer that can affect your ability to conceive baby. Few medical treatments like radiation or chemotherapy can harm your fertility power at greater extent. Egg freezing before treatment will possibly increase your chances to have biological children later.
  • You wish to preserve your healthy and younger eggs now for future use. Freezing eggs at a younger age might help you to increase pregnant chances in your later life,or you are at high risk of injury or death (for example, you are employed in the armed forces who is being deployed to a war zone and are at high risk).
  • In increase the chances for become mother in future and reduced emotional risks. Egg freezing can provide hope for a future pregnancy but still there is no guarantee of success.
  • You are a female transitioning to a male and want to conserve your fertility before undergoing any reconstructive surgery.

Infertility Counseling: Helping to Deal with Infertility

Infertility can be either in male, female, or in both. Dealing with the fact that either of the partner is struggling with infertility, is a difficult task to do. Infertility counselling helps those couples to feel comfortable, accept the fact, and move on with new hope. It help intended parents to understand infertility reasons, further methods to tackle this situation, and finally to become parents.

Infertility counselling is done by professional counsellors who are experienced with people in infertility situation and know how to address the emotional difficulties a patient going through.

Types of Infertility Counselling

Depending on the stage of infertility process, where a patient currently is, there are following types of counselling.

  • Initial Counselling: In this counselling, an infertility counsellor, usually an infertility doctor, observes the couples’ state of mind and their attitude towards their infertility problem. Sometimes, partner blames each other for this condition and their opinion for treatment options are different. It is the responsibility of fertility counsellor to make them understand that this can be happen with any one, regardless the gender. Once couple got a clear picture about infertility problem, a counsellor further helps them to choose a best option for treatment and its details.
  • Counseling for Confidence Building:If a couple has understood the infertility problem but not sure about the suggested option for infertility treatment, they require confidence building sessions. In this, a counsellor tries to find out the reasons that makes couples unsure about treatment. Usually reason behind this lack of confidence is unknown fear, social aspects, and lack of family support. Counsellor makes couple to understand that this decision is totally of the intendent parents and tries to build their confidence on the doctor who is going to treat them.
  • Psychological Counseling: This counselling is used in some intense situation, where a couple show case an extreme sign of depression. Depression may occur due to marital issues between partners, bad experience of earlier treatments, or any other psychological issues.

When a couple starts infertility counselling, the process may be a combination of different stages.

How an Expert Helps Couple in Infertility Counselling?

Infertility counsellor is not only one who supports an infertile couple in phycological issues but also on medical issues. When a couple decide to use an infertility treatment to become parents, they may not have any experience regarding treatment and may not be fully prepared. Thus, infertility counseling is necessary to make sure that the couple get awareness about requirements of each step of treatment and be prepared for further journey.

An expert can help couples to eliminate their fears and build a trust on treatment procedures. The following are key responsibilities of counselor.

  • Understanding view point of couples, and making both partners to understand each other’s expectations and ambitions throughout the treatment journey.
  • Providing assistance to couples to tackle emotional situations that may occurs in any stage of treatment.
  • Making partners believe in medical treatment, doctors handling the case, and on each other.
  • Counsellor should make couples so much comfortable that they can trust on counsellor and express each difficulty.

How to Choose Your Infertility Care Centre and Expert? http://drshivanisachdevgour.co.in/blog/how-to-choose-your-infertility-care-centre-and-expert/

Is IVF Painful?

is ivf Painful

IVF (In Vitro Fertilization) is a process that involves some steps to treat fertility or genetic problems and leads to conceive a child. During IVF, mature eggs are collected from ovaries and fertilized by sperm in a lab. Then the fertilized egg or eggs are implanted in uterus of female.

As this process consists of many medical examinations, techniques through surgical instruments; it may be considered a painful treatment. But experience of each women going through this process is different. On one hand, some women may feel cramps and stomachache during the process; while some do not face such issues.

For more details on IVF, contact to fertility specialists ‘Dr. Shivani Sachdev Gour’ in SCI International Hospital, Greater Kailash Part 1, Kailash Colony, Noida Sector 63, Delhi.

Generally, anaesthesia is given during operation, so pain in avoided. But one can feel some discomfort during the following process. 

Injecting Medications

Before starting the IVF treatment, IVF specialist recommends various fertility medications. Some medicines are taken through injection near the area of stomach. But this process only involves nominal and bearable pain. Some IVF medicines may also cause some adverse effects such as stomach ache, tiredness, or various skin problems that various person to person.

Egg Retrieval

This is a difficult process for infertility expert as well as for patients. Patients are worried about this process because of eggs are extracted from woman’s ovary that requires to induce some surgical instruments in body. These instruments contain needle and inserted from vagina to stimulate egg follicles. Because of the intensity of procedure, doctors keep patients in half-conscious state to make process less uneasiness. A very less amount of anaesthesia is given in this process. But some women may feel stomach ache and awkwardness after the affect of anaesthesia is over.

Transferof Embryo

In this process a developed embryo is inserted into the uterus. This process has less intensity as compare to the Egg Retrieval process. Doctors use the transfer catheter and ultrasound screen to insert the embryo. This process involves minor pain, but doctor advice to take some sedative pills before the transfer process. These sedative pills allow the woman’s body to be calm and sooth.

How to Tackle Uneasiness during the IVF Process?

IVF process contains various steps, instruments, medications, and restricted time routines that may cause an uneasiness in body. To tackle this situation, generally anesthesia and sedative pills are given by doctors. But patients also can take some measures before and after each step of procedure. Dr Shivani Sachdev Gour suggested some points to avoid discomfort and nervousness during this process.

  • Follow healthy diet as suggested by doctors. Healthy diet provides you energy during the whole process and escape from side-effects.
  • Try to get relax before and after any step of IVF procedure.
  • The best way to relax yourself is to perform some light yoga or breathing exercise.
  • Don’t get nervous by seeing any instruments; these are only to help you, not to scare.
  • Little uneasiness is normal; follow doctors’ instructions to tackle this uneasiness.

 

Fertility Preservation

fertility preservation
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Fertility preservation is a greatest option for those people who are diagnosed with cancer or other health issues. Family planning has fundamentally changed as compared to generation ago.

Progressively, women are postponing childbearing for non-medical reasons. For example, pursuing a career, unstable relationship, and financial deliberations. As a result, over the past 40 years, the age of a woman’s first pregnancy has been gradually rising.

When a woman should freeze her eggs?

If woman who is not ready to have a child now but wants to conceive later by her preserved eggs, should keep in her mind about right time of freezing her eggs. The best time for a woman to freeze her eggs is under the age of 30. The number of mature eggs frozen allows for the best prediction of ultimate pregnancy. For example, with ten frozen eggs the chances of a live-birth is twice as high for women under age 35 and under than for those over the age of 35.

When a man should freeze his sperms?

Various studies have now revealed that a man’s sperm production and quality declines with age and male fertility appears to wane after the age of 40 – 45. Due to their ability of continuously producing sperms throughout their lives, there are less apparent guidelines for men on non-cancer/non-medical fertility preservation, but under the age of 40 is a reasonable time.

How to Make a Decision of Preserving Fertility?

This is an extremely difficult question and one that requires consultation with an infertility specialist as well as a reproductive health counselor such as Dr Shivani Sachdev Gour. The pursuit of fertility is a physical, emotional, and financial investment with all three of these factors carrying equal weight and importance. People should decide very carefully before the preservation. Dr. Shivani discusses some issues that people must keep in mind before fertility preservation:

  • Financial Constraint: Fertility Preservation is an expensive process as it requires some medical tests and sperm/egg preserving labs. People have to pay for the time duration they need to keep their sperms preserved in these labs. Thus, they must be sure about preservation of fertility and make decision according to their financial condition.
  • Health Issue: Some people who want to become parents but they are cancer patients or surviving from any other disease where they cannot conceive, must think and decide very carefully about preservation of fertility. Anxiety is common in risky condition of health therefore a great patience is necessary during decision making by the suffering people.
  • Emotional Issue: People keep them emotionally strong for preservation of fertility.Because some of the people worry a lot about success rate of procedure. They keep thinking about future that whether they able to conceive using preserved egg/sperm in future or not. This is also an issue which can affect their decision of fertility preservation.
  • Unstable Relationship: Some couples have not stable relationship. It is very big issue for them to decide whether preserve their fertility or not. They should be ready for the future preservation about fertility after a deep discussion between both of the partners.

While advances in technology today allow for immediate and effective fertility preservation for men and women, in spite of that it is necessary never to pursue a pregnancy until peoples are physically, emotionally, financially prepared, and in a stable relationship, if applicable.

How to Select Surrogate Mother?

Doctors usually suggest surrogacy as last resort to multiple IUI and IVF failures or in cases of extreme medical conditions like Cancer or extreme cases of PCOS and PCOD. It can also be opted by single parents or same sex couples or by those females who have uterus abnormalities or cases of unexplained infertility.

Treating PCOS with IVF

Surrogate Mother: One who carries the child of a couple for nine-month term under a legal contract is known as surrogate mother. It is always important to make sure that the surrogate mother knows all the regulations and laws under which she has agreed to bear the child in her womb. Surrogate mother is compensated for their entire pregnancy duration by the intended parents.There is always a risk involved when directly dealing with the surrogate. So, it is required to go for surrogacy from either surrogacy clinic or agency. This will help you save your time as well as cost. Surrogacy clinics are the best choice as these are reliable and compliance legally during the entire procedure of surrogacy.

Surrogacy might not be the pathway that has been decided, but it is the road chosen when there is no option left after trying multiple fertility treatments to conceive a baby. Surrogate mother parts the most important role during surrogacy because she is the one who carries a baby for the entire nine-month duration. Surrogacy clinics or agencies are the ways to find an eligible surrogate mother.

What Should Be the Qualities of A Surrogate Mother Before Her Selection For Surrogacy Procedure?

A woman must eligible to be a surrogate mother if she fulfills the below-mentioned parameters. Always check these parameters before finalizing a surrogate mother.

  • Female who is a non-smoker and non-alcoholic proves to be the best surrogate mother.
  • Female between 21-35 years of age is best suited for the role of surrogate mother.
  • Female with the regular menstrual cycle.
  • Female with a valid identity.
  • Female with accurate BMI.
  • No other medical history.
  • Must have given birth to a child in the past.
  • A responsible female with a normal lifestyle.
  • No older history of criminal offense.
  • There are various surrogacy clinics, which provide surrogate mother through mutual and monetary consent in a legal manner.

What Questions to ask from surrogate before signing the contract?

Before signing the legal contract with the surrogate, you can ask her a few questions to make sure that you have chosen the best surrogate mother who can fulfill all your requirements. Go through the list of the common questions that are asked by the intended parents to the surrogate occasionally.

  • What is the reason behind becoming a surrogate?
  • How many successful pregnancies without complications she has been through?
  • Does she enjoy pregnancy time?
  • Is there strong support to help during pregnancy?
  • Is she agree to become surrogate for you?
  • Does she have any problem, with you and your partner?

The questions and interrogation will help you in communicating your concerns and needs directly to the surrogate mother. Plan appropriately and go for the best selections of a surrogate mother.