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Syd/Mel/Auckland February 2020
Preparing for Egg Donation & Surrogacy
Olivia Santa
Growing Families
Syd/Mel/Auckland February 2020
Overview
• Donor availability
• Surrogate availability
• NZ or OS surrogacy?
• Differences By Country
• Budgetting & ways to control costs
• Tips on Choosing Providers
• Medical & psychological preparation
• Ethical considerations
• Embryo creation & shipping
Syd/Mel/Auckland February 2020
Key Fact
Surrogacy, IVF and Egg Donation are emotionally and financially stressful
Syd/Mel/Auckland February 2020
Egg Donor Options – New Zealand
friend or family member
Self-recruited/ Known
community forums
(requires signif legwork)
OS Donor Providers
not allowed
Syd/Mel/Auckland February 2020
Egg Donor Options - Overseas
Many OS clinics maintain ‘pre-
screened’ donor databases
friend or family member
Surrogacy Agencies
Self-recruited/ Known IVF Clinic
(more limited choices)
Wide range
Donor Agencies
Some have donor
databases
(If want specific characteristics or
‘fly-in donor )Travel to OS clinic
Syd/Mel/Auckland February 2020
Surrogacy Availability
USA, Canada,
Ukraine, Greece,
Colombia Georgia,
Russia
New Zealand
Self-managed Managed (legal framework)
Cyprus, Mexico,
Czech Republic,
Kenya Philippines
Managed (no legal framework)
Syd/Mel/Auckland February 2020
DO I ENGAGE AT HOME OR OVERSEAS?
Syd/Mel/Auckland February 2020
NEW ZEALAND
• Altruistic
• Far longer process to find surrogate and achieve approval
• Need to welcome surrogate and her family into yours
• Significant time commitment in getting to know and supporting surrogate
• long-term relationship
• needs patience & resilience
Syd/Mel/Auckland February 2020
Look Seriously at Australia if….
• You can wait a few years to have a first/subsequent child
and /or
• You have someone who has offered to carry
• You have patience
• You are prepared to use donor eggs if you are >35 years• You are prepared to put significant time into the process (get to know surrogate,
counselling, cook meals, attend appointments, child care)
Syd/Mel/Auckland February 2020
Look Seriously at International if….
• You are an older IP (>40 years)
• You would prefer to have a child within 12-18 months
• You don’t have time/interest to invest into relationship building
• You want a tightly screened surrogate
• You want to maximise success rates
Syd/Mel/Auckland February 2020
Differences By CountryCountry Eligibility On Birth Cert Binding
contractGuarantee Programs?
Surrogate match time
New Zealand All Both IPs x x 12 mths +
US All Both IPs Ö 1 4 – 6 mths
Canada All Both IPs Ö x 12 mths +
Greece Hetero couple, single women
Both IPs Ö x 1 mth
Ukraine Hetero married Both IPs Ö Ö 1 - 2 mths
Georgia Hetero couple Both IPs Ö Ö 1 - 2 mths
Cyprus All Male IP x Ö 1 mth
Colombia Gay single/ couple Male IP Ö Ö 6 mths
Syd/Mel/Auckland February 2020
35 years experience
Strict surrogate screening
IVF clinic success rates are audited www.sart.orgUsually need to engage with a• Surrogacy agency• IVF clinic• Lawyer (for you and surrogate)
Open to allChild receives US passportQuick exit time post birth
USA
Syd/Mel/Auckland February 2020
CANADA
CONsHuge influx last 4 years from foreignersA dire shortage of medically & psychologically suitable donors & surrogatesLong wait times to matchhigh surrogate drop-out/ poor success rates
PROsAltruistic modelGood IVF clinicsWelcoming legal frameworkGood surrogate support
Syd/Mel/Auckland February 2020
• Egg donors must be anonymous
• Hugely Increased demand
• Number of providers quadrupled
• Specific medical indication letter
• Good screening & medical care
• Prices rising significantly
UKRAINE
Syd/Mel/Auckland February 2020
ProsEgg donors must be knownGood IVF success ratesStable protective lawsGood surrogate availabilityLow costsGuarantee programs
GEORGIA
Cons• Open only to heterosexual
couples• Shipped embryos need
significant paperwork• Six week exit time post birth
Syd/Mel/Auckland February 2020
PROs• Gay friendly• Guarantee program is standard• English spoken well everywhere• Full insurance included for surrogate
and child• 15 years IVF experience w
surrogacy• Gender selection available
CYPRUS
CONs• IVF clinics are in Turkish Republic of
Northern Cyprus, • A defacto state recognised only by
Turkey• No surrogacy laws• Surrogates are not from Cyprus
Syd/Mel/Auckland February 2020
PROs• Altruistic surrogacy laws• Gay friendly• Guarantee program is standard• Full insurance included for
surrogate and child
• Colombian passport granted
COLOMBIA
CONs• New
• No NZ births to date• No feedback from completed
parents• Egg Donors anonymous• Surrogate is on birth certificate (can
be removed later)• Only one known surrogacy provider
Syd/Mel/Auckland February 2020
BUDGETING & COST CONTAINMENT
Syd/Mel/Auckland February 2020
$24,500 $30,000 $22,000$11,000 $15,000 $11,000
$48,740$16,000
$16,000$20,000 $12,500 $11,500
$13,000
$2,600 $9,500$12,000
$2,600 $4,100
$46,750
$30,000$19,000
$18,000
$9,600
$9,500$9,300
$20,000 $8,300$1,650
$4,000
$4,000
$4,000
$350
$2,000
$6,000
$6,500
$6,500
$5,500$5,500
$4,700
$20,000
$7,000
$3,000
$13,000
$8,000
$11,000
$17,000$8,600
$5,300
$0
$20,000
$40,000
$60,000
$80,000
$100,000
$120,000
$140,000
$160,000
$180,000
$200,000
USA NorthernCyprus
Colombia Canada Ukraine Georgia
Min
imum
spen
d
Country
Egg Donor costs
Surrogate & newborninsurance
Hospital & post-birthcosts
Screening/Counselling
Surro expenses
Surrogate compensation
Legal costs
IVF costs
Surrogacy Agency
Egg Donor Surrogacy Costs (AU)
These are estimated costs. As the variation bars show, these costs can be significantly higher. Costs can be lower when you have embryos already
Syd/Mel/Auckland February 2020
Cost Considerations
Compare to others• Obtain quotes from different providers
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
Syd/Mel/Auckland February 2020
CHOOSING A PROVIDER
Syd/Mel/Auckland February 2020
Key Tips
• Compare costs with other providers in that country
• How transparent are they about their partners and fees
• Talk to parents who have completed with that provider
• Beware providers who want you to transfer two embryos at a time
• Beware paying significant amounts before being matched with a surrogate
• If in a non-English country, do they provide translators and translated medical reports?
Syd/Mel/Auckland February 2020
Choosing Overseas ProvidersSurrogates
Ensure you can meet your surrogate upfront
Understand
• how your provider conducts screening and what % are approved
• how often you can have surrogate contact
• what your surrogate will be paid and when
Service Provision
• What rights do you have if you or your surrogate are unhappy with service provision?
• what support is provided after the birth?
Syd/Mel/Auckland February 2020
Medical, Logistical & Psychological Prep
Syd/Mel/Auckland February 2020
How Can we Prepare?
GAY Singles/Couples
• Review Egg donor options
HETERO Couples
• Consider fertility counselling to deal with grief/loss issues
• If have embryos• Understand IVF clinic release
process• Obtain embryology reports
• Consider friend/family member as egg donor or surrogate
• Get semen analysis done
• Save money
Syd/Mel/Auckland February 2020
Ethical Considerations
Donors
• Understand the differences between known, identity-release and anonymous donors
Children
• Talk about your attitudes to medical disability & termination
• Be prepared for age-appropriate disclosure to your child about how they were created
Surrogates
• Insist on surrogate details (age, number of children, where she comes from, where she will live)
• Understand your surrogate’s motivations
Syd/Mel/Auckland February 2020
Embryo Creation & Shipping
• Embryos can be shipped offshore if • you have made embryos but cant locate NZ surrogate• You want to make embryos with local egg donor but not sure if you
will locate NZ surrogate
• Aim to ship at least 3 Day 5 blastocysts
• Need to engage reputable Cryoshipper
• Shipping costs vary AU$3300 - $3900• May be less if shared shipment
Syd/Mel/Auckland February 2020
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 [email protected] or visit www.growingfamilies.org/customised-support/