Why is the cost of surrogacy in Kenya higher than in India?
The cost of IVF treatment per se in Kenya is relatively higher compared to even places like India. The reason for that is there aren't too many IVF clinics in Kenya, and everything practically is imported into the country. Therefore until there are larger number of clinics are open up eventually, the cost of IVF and the treatment associated with fertility and the drugs etc would remain relatively high. To give you an example even simple medication such as paracetamol is actually imported from India into Nairobi. You can imagine that the cost of imported drugs in Africa is very high.

Where do you plan to deliver babies?
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What is the proportion of overseas clients at your clinic?

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What checks and criteria do you make on any surrogate entering your program?
She must have her own children and be under 35/36 years of age. The surrogates we recruit undergo a thorough and strict screening process which includes a hormonal screen as well as an infectious disease screen along with a psychological screen and an IQ test done by a qualified psychologist. They are also counselled at the clinic along with their husbands regards the entire process prior to taking them up into the program. We have social workers allocated for each surrogate who take care of them. Their nutrition and diet is controlled by us and we have a staff nurse visiting them daily.

How are Surrogates found?

We source our surrogates straight from the clinic and we pay the doctor to select / screen and prepare the surrogate and donor.

Do you use single surrogate mother or married ?
We generally work with single mothers in Kenya.  Alot of the times they do marry but they don't register their marriage. It can help our patients if their surrogates are mot married.

How safe is my money?

We have negotiated a payment plan with the surrogate and the surrogate caretakers. This way we ensure that the surrogate gets paid on an instalment basis. All these things are detailed in our easy to understand contract papers that you can go through before you decide to go with us.

We are aware that some clinics will make sure that you fail your first attempt to maximize on profits. With your clinic, what are the success rates for surrogates conceiving first time with a frozen transfer?
Our success rates with frozen embryo transfers is close to our fresh embryo transfer rates and is over 50% per attempted cycle.

Will new patients have off-the-shelf surrogates ready and willing or will there be a waiting period?

Once you decide to work with us you'd be asked to sign a contract and a disclaimer with us, after which we will instigate the next step. Normally the wait time from the time we advertise interview/screen an egg donor/surrogate could take anything from 4-5 weeks. And yes, we will look after everything right from locating the surrogate, locating the Egg donor and assist you with the paperwork till you take the newborn back with you.

Is your male specimen room in fully working order? Will male patients be given 'materials' to work perhaps  a glossy mag and working dvd player and instructed how to operate as in the clinic in India?

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Can you provide information on your new laboratory and equipment?
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What is the chance of having twins? 

Our rate is 1 in 5

Will the surrogate mother be listed as the birth mother on the child's Birth Certificate?
Yes, the name of the Surrogate mother and the father goes on the birth certificate as in the UK surrogacy model.   ( we do use a single mother for safety and legal reasons) and by using a Kenyan lawyer a re-issue birth certificate in your names will be given.

As there is no legal basis to stop a surrogate from keeping the baby, what are the guarantees of being able to leave the country with the child?
No, all the contracts we sign with the surrogate. Australia/UK/US grant automatic citizenship by descent to your child. Of course there are other arrangements that need to be in place for that to happen. You will have to apply for the birthing order in your home country. From Kenya we will provide you with all necessary paperwork, certificates to take your baby back home with you. You can discuss this at length with our company lawyer. Each couple would have a different approach and strategy to exit the country.

Could you advise of the success rate of the procedure?
Kenyan clinics pretty much follow the same trend as clinics from the west.  And to ensure that we have a high success rate we ensure that the egg donor is below 30 years of age, the surrogate is in the healthy age range of 22-30,  the Egg donor is a proven Egg Donor as well as the surrogate already have their own children. Our success rate has been around 70% with a fresh embryo transfer. And around 45% with a Frozen Embryo Transfer. http://www.surrogacyforall.com/IVF-success-rates.html

Do the couple and the surrogate meet and if so, at what stages?
Yes they can, right at the beginning, and at the end of the journey as well. Of course with the surrogate's permission we can arrange for more frequent meetings.

We don't seek a donor. All I want is my eggs implanted on your surrogate. How long will I need to be in Kenya?
The female will need to be here for two weeks starting from day 1/2 of your menses so that we can start your stimulation here. The male can be here for minimum one day to give his semen.

How long is the process when using an egg donor? (fresh and not frozen)
You are required to stay a minimum of one day to give your semen sample(s). If you plan to get your own egg donor, the donor will be required to stay in Kenya for approx. 15 days starting from day 1/2 of her menses and if time is a constraint, then she can begin the injections in the west and reach Kenya by day 6/7 so that we can monitor her further here.

When would parents need to come to Kenya, and how long would parents need to be there for ?
The male can travel to Kenya for a minimum of one day whenever you like and freeze your sperm sample, we will then coordinate your Egg Donor's trip. If using your own eggs then the female would need to be in Kenya 15 days..
Obviously the second time around would be to pick up your new born. And budget length of time for the baby's paperwork and consulate matters to enable exit from Kenya.

Using my frozen embryo, it should take less than 2 weeks to complete the whole surrogacy treatment process. Exactly how long?
A minimum of one day but best 4/5 days.

What is the best day of my cycle to book my first appointment. As I don't wish to stay any longer than necessary. Is this the same for donor surrogacy as well as standard surrogacy?

The best day for the initial appointment with a short stay will be day 1/2 of menses in case of a self cycle and 1-2 days prior to the donor's Ovum Pick-up in case of a donor egg cycle. (If you can understand this you're a better person than I am! Both instances use a surrogate, first instance is if you use your own egg and the other instance is when a donor is used. Unless ... oh forget it!)

Is there a chance that you might mix up the eggs - have you ever had this before? I have heard stories of this happening.
Please note that such a thing does not happen as we follow very strict quality norms wherein patient labeling begins from semen jars to even syringes and needles as wells a all plates with the embryos.  The delicate dishes are handled only by a well trained embryologist and we all know the ISO norms and follow the same and our clinic will also obtain certificate for the same.

My friend got a Donor and a Surrogate about 5 years ago and later on (after doing a dna test) he discovered that the baby is NOT HIS! How do I ensure that after all has been done that:
A)The donor is the same that was first presented to me.
B)My sperm was the one that was actually used and not some random guy .

You can be present in the clinic at the time of the Ovum (egg) Pick-up of the donor.
You can do a DNA test later to confirm.

Can I be there at the exact time as the Egg Donor on egg collection day so that I can clearly see who the donor looks like (discreetly) just to alay fears? Being that I have to be there for my sperm sample which happens on same day.
Yes. This can be done. However, since she is not aware to whom she is donating, she will not recognize you and will need to stay that way.

Can you tell me in regards to Indian egg donors the difference between wheatish and fair. Which is lighter skin colour?

Fair is a lighter skin colour.

I'm thinking whether to use the eggs of my wife whose age is 42 or an egg donor.

In light of your wife's advanced age, we will recommend her to get her S.FSH level done on day 1/2/3 of her next menses. An FSH level of more than 10 mIU/ml but less than 14 mIU/ml is suggestive of Incipient Ovarian Failure and that above 14 mIU/ml suggests Established Ovarian Failure. In such a case Donor Egg IVF will be the best option for you.(the less the number the better)

Will we meet the clinic's egg donors before treatment?

No. I'm sorry, as this is an anonymous egg donation programme this would not be possible.

The screening test on our own found Egg Donor will take how long before results.

Best to do this in your country before embarking on surrogacy in Kenya. However we can do this in Kenya beforehand and the entire profile could be done on one day ie. ( Day 1 or 2 or 3 ) of the donor's menses and we would get the reports within 3 days.

Do some surrogates of yours donate their own eggs to the cause?

Our egg donor and surrogates are separate. However, our surrogate could be an egg donor separately.

Is it possible to place multiple eggs in the surrogate mother's womb in order to have twins?

We'll have to implant 3 grade 1 embryos to increase our chancesand hire a surrogate who is capable. Discuss with the doctor.

A male Gay couple (or single gay bloke) wishes to be a father. He seeks a surrogate and egg donor. Do you cater for single gay male or a male gay couple?
Please note that we cater for two men and even one man :)

What pretests and checkups does the intended parent need to perform in the west before sanctioning treatment?
Baseline Profile (To be done on day 2/3 of your menstrual cycle if using your own eggs)

[] Serum FSH
[] Serum LH
[] Serum TSH
[] Serum Prolactin

Fertility Screen

[] Complete Blood Count
[] Fasting & PP Sugar
[] Blood Grouping & Rh typing
[] Bleeding Time & Clotting Time
[] Routine Urine
[] Test for HbsAg
[] Test for HCV
[] Test for VDRL
[] HIV (1+2) Antibody
[] Test for Chlamydial Antibodies (IgM + IgG)
[] Endometrium for TMA-TB & TB Culture
[] Test for Antiphospholipid Antibodies (IgG + IgM)

Male Tests
[] Routine Semen Analysis
[] Antisperm Antibodies (Husband/Wife)
[] Semen Culture ABST
[] Test for HbsAg
[] HIV (1+2) Antibody
[] Blood Grouping Rh typing
[] Detailed Sperm Morphological Profile(Modified Kruger's Criteria)

These tests can be done in Kenya. To do these tests just prior to commencing surrogacy is possible. The outcome does have a bearing on the surrogacy program. You will need to arrive a week earlier. Best to confirm all this with the clinic.

What scans/tests do you do during the course of the pregancy?
Scans are done approx. every monthly for the surrogates. In addition, Nuchal scan is done at 13 weeks, anomaly scan at 20 weeks and 3D/4D scan at approx. 28-30 weeks.
Complete screening of all infectious diseases is done at the time of recruitment, again at three months and seven months of pregnancy.
Triple Marker tests are done in the first and second trimester.
Monthly updates for the surrogates is given to the indented parents every monthly till seventh month followed by fortnightly in the eighth month and weekly in the ninth month.

Down syndrome test?
We do the Nuchal Translucency scan at 11-13 weeks for this and we do the Triple Marker Test for Down's syndrome at the same time.

Amniocentesis test?
This is not done routinely. It is done only if Triple Marker is abnormal or NT scan is abnormal.

Biophysical profile?

We do 3D/4D scan at 30 weeks.

Could I ask to stop the pregnancy if the baby appears abnormal conditions?

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Do you offer test of genetics DNA for the egg donor in order to avoid genetic and heritable disease risks?

We do not do this routinely for all our donors, but we can do it for the donor you choose at an additional fee to you.

The male giving his semen sample. This assumes he only needs to arrive for a day to give his sample. Do you not need to check his semen/blood for HIV/AIDS etc and if so hows that done in one day?
Please note that we will recommend the male patient to get his screening test for HIV done in his own country. However, we will get an HIV-PCR done upon his arrival here before we inseminate the eggs with his sperms.

Are you fed up with answering our questions?
No, not at all :)

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