CAUSES OF INFERTILITY

Unexplained Male
30% 30%

Both
10%
Female
30%
What is IUI – How is it different from IVF
WHO NEEDS IVF ?
Who needs IVF
WHAT IS IVF ?
In Vitro Fertilization
What is IVF
HOW IS IVF DONE ?
How is IVF Done
DIFFERENCE ?
IVF Vs ICSI
Difference between IVF & ICSI

In Vitro Fertilization (IVF) Intra Cytoplasmic Sperm Injection (ICSI)

PHASES OF IVF CYCLE
Phases of IVF - Phase 1 Stimulation
Phase 2 – bHCG Trigger
Phase 3 – OPU (Ovum Pick Up)
Phase 4 – Embryo Transfer
WHY IS IVF EXPENSIVE ?
Cost Contributing Factors
Cost Contributing Factors

Drugs
Lab Instruments for
IVF & ICSI

Operation Theatre
Cryopreservation &
Anaesthasia
SUCCESS RATE OF IVF ?
Typical Success Rate of IVF Cycle

40

35
35
PREGNANCY RATE PER TRANSFER

30
30
25
25
20

15

10
10
5

0
Under 35 Years 35 to 37 38 & 39 40 and Above

FRESH IVF CYCLE PREGNANCY PER EMBRYO TRANSFER

Under 35 Years 35 to 37 38 & 39 40 and Above

HOW DOES MULTIPLE
IVF CYCLE HELP ?
How does multiple IVF Cycle Help
OPTIONS AFTER IVF

FAILURE
IVF with Donor Eggs

Sperms

Embryo
Eggs

Donor Husband Wife

Blastocyst
Surrogacy
Eggs Sperms

Embryo

Surrogate Wife Husband

Blastocyst
Types of Surrogacy - Traditional
Types of Surrogacy - Gestational
Eggs Sperms

Embryo

Surrogate Wife Husband

Blastocyst
ICMR Guidelines for Surrogacy

Traditional Surrogacy is not Legal in

India
Who can opt for Surrogacy ?
Patients with Recurrent Miscarriage

Health condition making pregnancy and childbirth dangerous to

Mother

Absent or Abnormal Uterus

Multiple Failed IVF Cycles

ICMR Guidelines for Surrogacy
Surrogate should be citizen and resident of India
Surrogate Mother should be between 21 to 35 years in age
A surrogate mother shall not act as an oocyte donor for the couple
or individual
A ART Clinic should NOT consider conception by surrogacy for
patients for whom it would normally be possible to carry a baby to
term.
No woman shall act as a surrogate for more than 5 successful live
births in her life, including her own children.
If married needs to have consent of her husband
ICMR Guidelines for Surrogacy….. Cont
No surrogate mother shall undergo embryo transfer more than
three times for the same couple.
Birth certificate of a baby born through surrogacy should bear name
of the commissioning parents
Commissioning Parents shall be legally bound to accept the custody
of the child / children born through surrogacy irrespective of any
abnormality that the child / children may have, and the refusal to do
so shall constitute an offence under this Act.
ICMR Guidelines for Surrogacy….. Cont
In the case of a relative acting as a surrogate, the relative should
belong to the same generation as the women desiring the
Surrogate.

A couple or an individual shall not have the service of more than

one surrogate at any given time.

A couple shall not have simultaneous Transfer of embryos in the

woman and in a surrogate.
Selection Criteria for Surrogate Mother’s
If married needs to have consent of her husband

A surrogate mother shall be medically tested for such diseases, sexually

transmitted and all other communicable diseases which may endanger the
health of the child

She must declare in writing that she has not received a blood transfusion or a
blood product in the last six months
Typical Breakup of Payout to Surrogate
• 1st instalment which will not be less than 5%
• 2nd instalment which will not be less than 5%, when she becomes
pregnant.
• 3rd instalment of 5% at the end of first trimester.
• 4th instalment of 10% at the end of the second trimester.
• 5th instalment of 75% just after delivery.

The above charges are for the first embryo transfer for the patient. If that does
not succeed, for each subsequent embryo transfer within six months of the
first embryo transfer, the surrogate will receive (in addition to the payment
already made) 50% of the total price agreed to initially, in a similar fashion as
above.
Legal Formalities in Surrogacy

Contract Between Contract Between Contract Between

Commissioning Parents ART Bank Commissioning Parents
& & &
ART Bank Surrogate Surrogate
 Thank You
Indore Infertility Clinic
For Appointment Contact: 96444 44066
www.indoreinfertilityclinic.com