Overview of Family Building Options – Surrogacy & Donors · US & Canadian surrogates typically...

Asia Seminar Oct 2019

Overview of Family Building Options –

Surrogacy & Donors

Sam EveringhamDirectorGrowing Families

Surrogacy Availability

USA, Canada,

Ukraine, Greece,

Georgia, Russia

Hong Kong

DIY Managed (legal framework)

Malaysia, Laos,

Thailand

Managed (no legal framework or illegal)

What to consider in choice of Country

• Who will be named on birth certificate?

Regulated surrogacy destinations (US, Canada, Georgia, Ukraine, Russia) provide just your name(s) on birth certificate

Unregulated destinations (Cyprus; Mexico; Kenya; Thailand; Africa) have Surrogate + IP on birth certificate

Note who is on BC doesn’t affect your eligibility for citizenship & passports

Your Budget

$915,000

$570,000 $570,000

$375,000 $300,000

$100,000

$200,000

$300,000

$400,000

$500,000

$600,000

$700,000

$800,000

$900,000

$1,000,000

USA Greece Russia Ukraine Georgia

Country Engaged In

KEY DECISIONS

Do you need an egg donor?

Friend/family member

from donor community (known)

from donor database (known or anonymous)

• 30-40% with eggs from 30 yr old

Success Rates Based on Egg Provider Age

What to consider in choice of Country

• Your comfort with known vs unknown donor

Country Donors

Greece Anonymous

Ukraine Anonymous

Georgia Known

US Known or anonymous

Canada Known or anonymous

• Think about the rights of your child to write to their donor

What to consider

• Altruistic vs agency –managed (compensated)• Altruistic comes with more risks of

• Surrogate dropping out /not continuing• Surrogate not following protocols/ getting pregnant with someone else

Some Countries Require Patience

Country Demand for surrogates

Supply of surrogates Wait times

Hong Kong Low Low ?

US High High 2 – 6 mths

Canada High Low 12 mths +

Altruistic (Hong Kong/Canada) means longer timelines

• Parents using altruistic often report

• Longer wait times to match with a surrogate (12- 18 mths)

• Surrogates dropping out

• Unsuccessful transfers / poor success rates

• spiralling timelines, costs & stress as surrogates and donors are changed

after repeated failure

Others are Quicker But Not all Eligible

Country Demand for surrogates

Supply of surrogates

Wait times Eligibility

Greece Low Low 1 - 2 mths Heterosexual couple, single women

Ukraine High High 1 - 2 mths Hetero married

Georgia High High 1 - 2 mths Heterosexual couple

Processes Differ

Country Process

Greece Up-front court case adds 3 mths

Ukraine Specific medical indication letter

Georgia Shipped embryos need significant paperwork

35 years experience

Best practice

Increased demand

Can be 6 mth wait for surrogate

Child awarded US citizenship

RUSSIA

• Legal framework allows foreigners• Accepts heterosexual couples and singles• Short time to match• Gay men need to go through additional court

case post birth

• Hugely Increased demand

• Number of providers quadrupled

• No shortage of surrogates

• Good screening & medical care

• Prices are rising significantly

UKRAINE

Altruistic

Heterosexual couples & single woman

Both parents on birth certificate

Only a handful of good providers

Anonymous egg donors

IVF clinic plays the role of surrogacy agency

GREECE

What type of surrogate relationship?

Prefer to be Close /supportive - US/Canada/Hong Kong

Prefer more removed - Ukraine/Russia

Should I use a ‘Guarantee’ Program?

• Only available for donor egg surrogacy

• Not available for Canada or US only surrogacy

• Only recommended if you want a capped program for peace of mind

• Otherwise, the costs of adding extra embryo transfers if required are not significant

What to consider in choosing an Agency

Payment stages• What % up-front?• Are payments milestone-based?• What milestones are used?

• Surrogate match• First embryo transfer• Confirmed pregnancy• Week 12• Week 24• Birth

Your funds• If you are not happy with service, what

refunds are available?

• Who holds your funds?• Agency or third-party escrow account

Surrogate Recruitment• Should provide a maximum time within which will recruit surrogate or

refund monies

• What is their recruitment strategy?

• Who handles their surrogate recruitment and screening?

• If surrogate falls through, what is their ‘replacement’ policy?

Surrogate Contact• Should be able to meet surrogate up-front (at least online)

What to beware in choosing an Agency

Parent Referees • Most providers can find at least one parent who will say good

things about them• Need to look at a range of reviews

Law firms who operate their own surrogacy agency• Contracts often favour the agency• Risk not getting truly independent legal advice

What to beware in choosing an IVF Clinic

IVF Success ratesNeed to look at live birth rates (not pregnancy rates)For US clinics can research audited data www.sart.org

For other countries Success data is un-audited

Online AgentsWill sell vulnerable intended parents into high-risk, illegal programseg Thai surrogacy with births in China

Malaysian surrogacy

Multiple Embryo transferUS & Canadian surrogates typically refuse to undertake a double embryo

transfer given the great difficulties in carrying multiples

IVF clinics outside the US & Canada will routinely transfer 2+ embryos

poses a far greater chance of pregnancy complications, miscarriage, very pre-term birth and long-term health issues, additional costs & stress

You need to be firm with your IVF clinic if you don’t want this risk

Unsuccessful embryo transfersCan increase by

Using egg donor <30 yearsUsing proven donorPGD testing embryos where eggs are from 35+ yr oldThorough testing of IPs prior to embryo creation

MiscarriageA risk in ANY pregnancyEnsure you have a support network

Customised Support

Help you decide on a country/ provider

More hand-holding/concierge style service

Reliable, proven providers to meet your budget

Wide range of options

One hour or complete journey support

Email sam@growingfamilies.org or visit www.growingfamilies.org/customised-support/

Overview of Family Building Options – Surrogacy & Donors · US & Canadian surrogates typically...

Documents

Transcript of Overview of Family Building Options – Surrogacy & Donors · US & Canadian surrogates typically...

Note Setting Norms: Protections for Surrogates in ...minnjil.org/wp-content/uploads/2016/05/6-Tang-macro-FINAL.pdf · are two types of surrogacy: traditional, where the surrogate’s

rpatfaith.weebly.com · Web viewSACE Registration Number: 211890G Research Project Outcome “ How would an Australian national surrogacy act benefit intended parents, surrogates

Surrogacy Overseas Contents

Paper 1 the surrogates

High Dimensional Surrogacy: A Joint Modeling Approach · 3 High Dimensional Surrogacy and Biomarker Detection Single Surrogacy for High Dimensional Data Different Surrogacy Measures

What Is the Moral Authority of Family Members to …...ticular surrogacy practice; but because there are important independent moral reasons for families to serve as surrogates, those

BUILDING FAMILIES THROUGH SURROGACY: A NEW LAW€¦ · surrogacy are the Surrogacy Arrangements Act 1985 and the Human Fertilisation and Embryology Act 2008. The Surrogacy Arrangements

Justice Legislation Amendment (Succession and Surrogacy ... Web viewJustice Legislation Amendment (Succession and Surrogacy) ... Justice Legislation Amendment (Succession and Surrogacy)

Report of the Surrogacy UK Working Group on Surrogacy Law ... · surrogacy and/or where surrogacy arrangements take place differ considerably by source in relation to how many people

Stationarization via Surrogates

The Surrogacy Pathway - Biodiritto · Before entering into a surrogacy arrangement you need to be aware of the legal position. Surrogacy is legal in the UK, although surrogacy arrangements

Surrogacy - NC Family Policy Council · 35,000 children have been born through surrogacy.7 Commercial Surrogacy While marketed as simply a gift of parenthood, surrogacy, in most cases,

The psychological wellbeing of surrogates and their …...Sample •Current study: follow-up study of 34 surrogates seen 1 year after birth of surrogacy child. (Jadva, Murray, Lycett,

Surrogacy Bill 2016

Status of Adaptive Surrogates within the RAVEN framework Safety Margin Characterization... · Status of Adaptive Surrogates within the RAVEN framework ... Status of Adaptive Surrogates

Program Overview for Surrogates - Simple Surrogacy · Program Overview for Surrogates ... Simple Surrogacy. You have just completed the first step to becoming a Surrogate through

Commercial Surrogacy

Transnational Commercial Gestational Surrogacy: Cultural ... · Surrogacy has brought about a number of types of arrangements—artificial insemination surrogacy, in vitro fertilization

THE SURROGACY (REGULATION) BILL, 2019 · THE SURROGACY (REGULATION) BILL, 2019 A BILL to constitute National Surrogacy Board, State Surrogacy Boards and appointment of appropriate

Paper: Module: M19 - SURROGACY IGHTS AND OMEN IGHTS OF … · IVF technology is used on surrogates as well, in the case of non-sexual surrogacy. What Are The Different Types of Surrogacy?