Medical Indication to Surrogate Motherhood Services

If you tried in the past to apply a variety of infertility treatment methods but, regretfully, failed to attain favorable results, you are invited to make use of the surrogate motherhood method.

Pursuant to Law of Ukraine «Procedure of Application of Attendant Reproductive Technologies”, there exists an extensive range of medical indications to fulfill a surrogacy program:

  • either inborn or acquired absence of uterus;
  • uterine body length is below 35 mm;
  • deformation of uterine cavity or neck under conditions of congenital malformation or surgical interference;
  • benign tumor of uterus;
  • malignant formations of any localization;
  • structural-morphological or anatomical changes in endometrium;
  • uterine cavity adhesions, which do not answer to treatment;
  • severe somatic diseases;
  • unsuccessful repeated IVF attempts (4 and more attempts) where high-quality embryos were cultivated more than once, which transfer did not result in the onset of pregnancy.

To become entitled to a surrogacy program, the following conditions should be met:

  • existence of above-mentioned medical indications;
  • availability of essential documents that must be provided;
  • a surrogate mother must have no direct genetic relationship with a child whom she carries;
  • a family couple (or one of the would-be parents of such family couple) in whose interests the program is fulfilled must be genetically related to a child to be born.

List of documents that must be provided:

  • application of patient/patients for the use of the attendant reproductive  technology (ART);
  • photocopies of passports;
  • copy of marriage certificate;
  • notarized copy of a general written contract between the surrogate mother and family couple.

List of essential medical tests

For women:

1) obligatory tests:

  • therapist’s conclusion as regards health condition;
  • identification of blood group and rhesus-factor;
  • clinical blood analysis;
  • coagulogram (coagulability);
  • blood test for syphilis, AIDS, hepatitis B and C;
  • blood tests (IgM, IgG) for toxoplasmosis, clamydia, cytomegalovirus and rubella;
  • bacterioscopic tests of discharges from vagina, urethra and cervical channel;
  • cytological examination of cervical smears;
  • general gynecological examination;
  • ultrasonic scanning of small-pelvis organs;
  • blood test for anti-Mullerian hormone (AMH), prolactin, (Prl), follitropin  (FSH), lutropin (LH), progesterone (P), estradiol (E2)

2) according to extra medical indications, the following tests can be possible:

  • examination of uterus and uterine tubes (hysterosalpingography, sonosalpingoscopy, laporoscopy, hysteroscopy);
  • colposcopy;
  • endometrium biopsy;
  • blood test for testosterone (T), cortisol (C), thyroxin (T3), triiodothyronine (T4), thyrotropin (TTH), somatotropin (STH);
  • determination of blood glucose level;
  • test for anti-spermal bodies and anti-phospholipid antibodies;
  • test for antibodies to thyreoglobulin, thyreoperoxidase and anti-microsomal antibodies;
  • test for symptoms of anti-phospholipidic syndrome and other immune system disorders;
  • tests for urinogenitalia and TORCH-infections;
  • karyotyping. medical-genetic consultation, as well as other molecular-genetic examinations;
  • fluorography;
  • ultrasonic scanning of internal organs and thyroid gland;
  • ultrasonic testing of mammary glands for women not older than 40 and mammography for women older than 40;
  • biochemical blood test: kidney sampling, liver sampling, common bilirubin, protein fractions, glucose.

For men:

1) obligatory tests:

  • identification of blood group and rhesus-factor;
  • blood test for syphilis, AIDS, hepatitis B and C;
  • spermogram;
  • fluorography

2) according to extra medical indications, the following tests can be possible:

  • andrologist’s consultation;
  • karyotyping. medical-genetic consultation, as well as other molecular-genetic examinations;
  • tests for TORCH-infections;
  • blood test for follitropin  (FSH), lutropin (LH), testosterone (T), prolactin (Prl),  thyroxin (T3), triiodothyronine (T4), thyrotropin (TTH);
  • MAR-test