Archive for the ‘Surrogacy Texas’ Category

Surrogacy 101: The Medical Process

Posted on: July 25th, 2013 by Simple Surrogacy No Comments

This series continues our Surrogacy 101 process:

Surrogacy 101: Medical process

The following is one example of the medical protocol that your Reproductive Endocrinologist or IVF Physician may decide to utilize in the surrogacy process. Of course, a different protocol may be used instead of or in addition to the below, and this is just given as an average example.

Once the contracts are complete and testing has finished, the Surrogate and the Egg Donor (who can be the Intended Mother or a donor) synchronize their cycles. This is usually with birth control pills. About 14 days into the birth control pills, both Surrogate and Egg Donor will start Lupron.  Lupron is a subcutaneous (just under the skin) injection to shut down the body’s normal hormone production used to control the cycle and ensure the Surrogate’s uterus is ready to receive the embryos at the exact time for the best chance of success.

 

The Surrogate is usually about a week or so ahead of the Egg Donor to ensure her uterus will be ready when the eggs are retrieved and fertilized, and because they can keep the SM in a holding pattern for up to 2 weeks once her uterine lining is at optimum.

 

When the menstrual cycle starts while on Lupron, the Lupron dose is usually decreased by half and the Surrogate will start adding Estrogen replacement to the mix (in the form of pills, patches, or shots depending on the doctor). Some doctors have you take other medications as well (Dexamethasone to suppress male hormones to increase implantation, antibiotics to guard against any infection that might have gone undiagnosed, etc.)

 

The Egg Donor starts on injectable fertility hormones on her cycle day 3 to stimulate her ovaries to produce several eggs as opposed to just 1 or 2. Fertility hormones continue anywhere from 7 to 12 days depending on the Egg Donor’s response to the hormones. The Egg Donor is checked about 3 times a week via ultrasound and blood tests to determine her response to the drugs.

Once the follicles are the right size (about 18-20mm) she is given an HCG shot which induces an LH surge which also matures the eggs. Thirty-six hours after the HCG shot the egg retrieval is performed. Up until this time, the date/time of the transfer is flexible.

 

The eggs retrieved are fertilized with sperm from either the Intended Father or a sperm donor and incubated for 2-5 days. Lupron usually stops the day before egg retrieval in the Surrogate. Progesterone replacement (most often in the form of intramuscular injections, but sometimes with suppositories or Crinone gel) starts the day of the retrieval and continues until the 12th week of pregnancy or a negative pregnancy test. Estrogen replacement also continues until the 7th-12th  week of pregnancy (when the placenta takes over hormone production). Because the Surrogate was on Lupron and had natural hormones were suppressed, The Surrogate will need to take external sources of these very important hormones in order to maintain any pregnancy that occurs.

Free Spring Consultations!

Posted on: February 25th, 2013 by Simple Surrogacy No Comments

Are you interested in learning more about our Surrogacy and/or Egg Donation programs at Simple Surrogacy? If you have been thinking about having a consultation, now is the time to schedule! We are offering no-charge consultations by appointment only on March 28, 29 or 30  between 9 and 4 in our Dallas, TX office.

Please call our Executive Program Director, Stephanie Scott to schedule at 214-673-9321

We look forward to meeting with you!

Surrogacy 101: Pregnancy and Delivery

Posted on: March 9th, 2012 by Simple Surrogacy No Comments

Surrogacy 101: Pregnancy and Delivery

This article continues our series on informational articles about surrogacy.

After a successful pregnancy is achieved, the surrogate is released to her regular OB/GYN and fertility medications are discontinued gradually.

The first ultrasound usually happens between 6-8 weeks, and that is when you will find out how many babies your surrogate is carrying.

If your reproductive endocrinologist transferred more than two embryos of excellent quality, you should be prepared for the news that you are expecting twins! Twins frequently occur when two excellent quality embryos are transferred. If both embryos took, you would have fraternal twins. If only one egg took, but split, you would have identical twins. Many of our Gay couples choose to transfer one embryo inseminated by each father. We’ve had several sets of twins result from that procedure, one being related to each father!

Once the ultrasound confirms the number of babies, the remainder of the pregnancy will be like any other pregnancy. The Surrogate will go for checkups monthly, and the big ultrasound at 20 or so weeks will tell you the sex of the baby(s) if you want to find out.

During pregnancy, you will discover what an amazing value you have in Simple Surrogacy. Not only do we provide excellent care as a surrogacy agency, we go above and beyond in helping our parents register for their baby registry, locate a provider or class to teach baby care and first aid, and we even help them register for a CPR class. We’re happy to provide those services as a courtesy to our clients, especially to single Ifs and couples who might have very little experience with baby care. Another factor to consider if you have the news of twins is the specialty care they can require. We are happy to recommend support groups for parents of twins, and also recommend special twins baby care classes.

Once your pregnancy is well underway and your escrow is funded, all that remains is for you to enjoy the pregnancy journey with your surrogate. Simple Surrogacy will take more of a back seat during this time, while still checking on your surrogate and you throughout the process. Once time for delivery nears, we’ll coordinate with the hospital to insure legal factors are considered when the baby is born.

At most hospitals, we’re able to coordinate a room so that the new parents can room in with their baby, space permitting. For International parents, we’ll coordinate the receipt of birth certificate and help facilitate the passports the baby will need to return home.

Simple Surrogacy Get Together

Posted on: September 25th, 2011 by Simple Surrogacy No Comments

Simple Surrogacy’s Annual Get Together

Simple Surrogacy and Simple Donations held their annual (and sometimes bi-annual) get together at Maggianos Little Italy at Northpark on September 17th. Simple Surrogacy likes to host these get-togethers from time to time so that we can catch up with our wonderful old clients and see their adorable children, and also so that we can introduce our new prospective clients to our staff and they can meet clients who have been through the program before them.

The chance for a potential IP to meet a client who has been through our program is priceless. For many potential clients, they feel like they are the only people they know who are going through the process, or they have done general research, but never actually spoken to someone who has gone through a surrogacy. It is extremely helpful for these potential clients to not only know and see Simple Surrogacy’s successful clients and their children, but to also see that even though the road to parenthood through surrogacy can be long, it is ultimately very rewarding to achieve it!

Another benefit to our get-togethers is Intended Parent’s opportunity to mingle with current and former surrogates, and see how they interact with their former and current IP’s. For many potential IPs, the surrogate’s reasons for being a surrogate are sometimes a challenge to understand. They also wonder about the relationships that will form between themselves and their surrogates, both during and after the surrogacy journey. Speaking with the surrogates helps relieve many of these worries, and in some cases, even facilitates future matches among our Surrogates and IP’s! We have had Intended Parents tell us that in speaking with a surrogate and seeing how family oriented, compassionate and generous they all are, they gained the confidence to undertake the surrogacy journey for themselves.

I speak for myself when I say that it was a great pleasure to meet both our Surrogates and Intended Parents in person, and get the chance to relax and dine together for a few hours. I already can’t wait for the next get-together which will be in the spring! I know we’ll welcome many more babies to the Simple Surrogacy family by then, and I will get the chance to cuddle with even more tiny bundles of joy! Thank you again to our wonderful staff, Surrogates and clients who were able to join us, we cherish each and every one of you!-Stephanie Scott

Surrogacy 101: Counseling and Cycle Suggestions

Posted on: September 9th, 2011 by Simple Surrogacy No Comments

This article continues our series on informational articles about surrogacy.
After the initial medical screening, the Surrogate and Intended parents will also have counseling and psychological screenings and evaluations.

Counseling and Psychological Evaluations
The role of counseling is to prepare all parties involved in the treatment and to consider all factors which may influence the outcome. Counseling ensures that everyone is confident and comfortable with their participation and trusts each other. Counseling also minimizes foreseeable risks, thereby avoiding the placement of unacceptable burdens on any of the parties, including the future child. Some clinics require that a Minnesota Multiphasic Personality Inventory (MMPI) be completed by the Gestational Surrogate and Egg Donor before entrance into their medical program. The MMPI is one of the most frequently used personality tests in the mental health fields. This assessment, or test, was designed to help identify personal, social, and behavioral problems in psychiatric patients. The test helps provide relevant information to aid in problem identification, diagnosis, and treatment planning for the patient. All Intended Parents, Surrogates and Donors participating in Simple Surrogacy’s Program are required to undergo a Psycho-Social Assessment before moving forward with the medical and legal process. These are provided by our program and are not an additional expense.

Gestational Surrogate/Intended Parent(s) Suggestions
During the treatment cycle both the Surrogate and Intended Parent(s) should:

·         Be open and honest regarding expectations and hopes throughout the process.
·         Refrain from smoking, drinking, and drug use.
·         Eat healthy food.
·         Take vitamin supplements.
·         Intended Fathers should refrain from taking hot showers or baths and sitting in Jacuzzi tubs within the week of their sperm donation to ensure their donation results in the best quality of sperm they have to offer.
·         Refrain from sexual intercourse during the cycling process.
·         Keep stress levels to a minimum.
·         Avoid overexertion .
·         Refrain from taking any additional medication other than that prescribed by the Reproductive Endocrinologist (RE) and/or your personal Physician.

Surrogacy 101: Screening Process

Posted on: August 6th, 2011 by Simple Surrogacy No Comments

This article continues our series on informational articles about surrogacy.

As the next step in the process begins, the Surrogate has just decided to match with her Intended Parent couple, who may be a traditional couple,  a gay or same-sex couple, or single Intended Mother or Father. The next step is for the Surrogate to go to the Intended Parent’s clinic of choice to begin her medical screening.

Your clinic of choice will screen the Carrier using the guidelines provided by The American Society for Reproductive Medicine. The screening encompasses a review of their detailed medical history, a physical exam, comprehensive laboratory testing, psychological assessment and medical screening. Multidisciplinary consultations with internists and specialists, psychologists and/or counselors, geneticists may also be required.

If there has been no previous work-up or if the testing is outdated, the Traditional or Gestational Surrogate’s work-up may include:

Gestational Surrogate Medical Screening

· Initial consultation with a Reproductive Endocrinologist

· Physical examination

· Gynecological Exam

· Blood count and chemistry

· Blood type and RH

· Drug toxicology (drugs, alcohol, and nicotine)

· Screening for rubella, cytomegalovirus, , toxoplasmosis

· HIV Antibody

· Hepatitis A, B and C Surface Antigen

· RPR for Syphilis

· Cytomegalovirus (CMV)

· Cervical Cultures for Gonorrhea, Chlamydia, Ureaplasma, and Mycoplasma.

· Genetic Testing for Cystic Fibrosis, Tay Sachs Disease, Sickle Cell Disease, and Thalassemia.

· FSH – cycle day 2 or 3

· Group B Strep

· Hysterosalpingogram or Sono-hysterosalpingogram

· Consultation with the IVF nurse coordinator regarding the treatment protocol,
medication and teaching of injections. Review and sign the consent forms.

The Intended Parents will also undergo a screening process, which we will detail later in this series. Once all parties have been screened, and they have passed, then everyone is cleared to begin Counseling, Psych Evaluations and Legal Contracts.

Surrogacy Texas: When should you use a surrogacy agency?

Posted on: April 29th, 2011 by Simple Surrogacy No Comments

Sarah and Jim had been trying to conceive for over 4 years. They had tried several options in their goal to conceive a child. Like most women when they decide to try to conceive, Sarah had changed her diet and exercise habits, she measured her basal body temperature and tracked her ovulation cycles. When that didn’t work after 9 months, her doctor ran some tests and diagnosed her with PCOS (polycystic ovarian syndrome) and put her on Metformin and Clomid. That combination had statistically helped a lot of women with her symptoms to conceive. But it didn’t work for Sarah. She had a miscarriage. Those two steps in her fertility journey took over 2 years.

Then Sarah and Jim decided to try IVF. After 2 rounds of IVF that didn’t work, they were really frustrated, disappointed, and tired. Trying to conceive had been their focus for so long that they weren’t sure what to do next. Sarah didn’t want to continue taking hormones when it felt like the chances of her conceiving were slim to none. But they knew in their bones that they wanted to bring a child into their world. Sarah and Jim felt that having a child of their own was an important part of their life and that they would regret giving up that dream.

Because Sarah and Jim wanted a baby with their genes, they decided to look into surrogacy. Texas laws regarding surrogacy rights for Intended Parents felt like the best fit for them. Sarah and Jim choose to work with a professional surrogacy agency to manage the process because they knew that they were entering unknown territory and wanted guidance through the legal and emotional journey.

The greatest benefit to Sarah, Jim and their surrogate mother was the freedom of not having to communicate directly about the business side of the arrangement including finances and legal issues. At Simple Surrogacy, we handle all the details, so that intended parents like Jim and Sarah can relax and enjoy the process. They know that their surrogate mother will have the care she needs because their Surrogacy agency is managing the all legal, financial, and medical details.

If you are wondering if surrogacy is the right option for you to build your family, it would be our pleasure to serve you. Contact us today at 214-673-9321 or 1-866-41-SURRO.

Simple Surrogacy is a Dallas, TX based surrogacy agency that manages egg donations and surrogacies for our clients. Http://www.simplesurrogacy.com