DOCSLIB.ORG

Surrogacy in Russia No

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Surrogacy in Russia No Medical and law aspects of surrogacy in Russia Dr. Diana Obidniak, MD Affiliated professor at St. Petersburg State University Fertility Specialist, The Head of the International cooperation department “AVA-PETER” Clinics Ava-Peter Clinic The AVA-Peter Clinic is the oldest private fertility clinic in Russia and has offered its experience and expertise in fertility treatments both to residents as to foreign patients since 1996. ISA is the team of the most qualified lawyers with expertise in reproductive medicine and 15-year-experience Ava-Peter Clinic • In vitro fertilization (IVF-ICSI) – 6900 cycles per year • Expertise with older women: Every third patient is > 40 years • Strict external audit and internal audit • Own genetic lab Expertise implemented in routine practice • Individualized controlled ovarian stimulation • Moderate and double stimulation in “embryo banking” cycles • Priming for poor responders • “Freeze-all” cycles • PGD • Donor programs (eggs, sperm, embryos) • Integrated surrogacy programs Surrogacy program • The first surrogacy program in Russia was implemented in 1995 in Saint Petersburg • The general public opinion is surrogacy-friendly Indications for surrogacy in Russia • Medical • Social (i.e. single/gay men) Medical indications • MRKH • various diseases due to which child bearing is contraindicated • repeated unsuccessful IVF transfers using high quality embryos which does not result in pregnancy • deformation of alvus’s cavity or cervix • untreatable Adhesions inside uterine cavity Who is eligible to be a surrogate? • Women <35 years old with own healthy baby born naturally • Full information about her medical background, education is to be provided Surrogacy is regulated by the Family Code of Russia. Clause 4 of Art. 51 says: Persons who are married to each other and who have given their consent in written form to the implantation of an embryo in another woman for the purpose of bearing may be entered as parents of the child only with the consent of the woman who gave birth to the child (surrogate mother) Law features • No adoption nor court decision is required. • The surrogate’s name is never listed on the birth certificate • The surrogate irrevocably loses all rights to the child. • There is no requirement for the child to be genetically related to at least one of the commissioning parents as in the UK or in Ukraine. Law features • Children born to heterosexual couples who are not officially married or single intended parents through gestational surrogacy should be registered in accordance to analogy of jus (art. 5 of the Family Code). A court decision might be needed for that. • Commercial surrogacy is not prohibited No age limitation • The law in Russia doesn’t set any age limitation for Intended Parents. All ages are welcome. In 2015 a 87-years-old woman from Vladivostok became a mother of twins born in surrogacy program. She is considered to be a patient of the most advanced age all over the world, setting the Guinnes record. HIV and Hepatitis Patients infected with HIV, Hepatitis B & C can legally parent a child in Russia through MART incl. surrogacy given the following conditions: • Mininal/ not detectable virus load in blood; • Sperm wash; • Voluntary informed consent of the Surrogate to participate in a gestational surrogacy program with infected patient (s). Choosing AVA-PETER you can be sure in safety • The unique clinic with multidisciplinary teams • offering gynaecology, reproductive medicine, obstetric services and general medicine practice under one roof • Allows any obstetric problems to be detected and solved promptly Our results • In vitro fertilisation (IVF-ICSI) – 6900 cycles per year • Clinical pregnancy rate in conventional program IVF- 54,9% • Each third patient is over 40 years of age • The clinical pregnancy rate in surrogacy program – 70,4% • The clinical pregnancy rate in donor egg + surrogacy program – 78.3% • Close to 17.000 babies were born due to our efforts As we take on the toughest infertility cases, the effectiveness of assisted reproduction treatments varies depending on the technique chosen and the reproductive prognosis of the patients. At “AVA-Peter” group techniques such as PGT, egg donation, surrogacy give an accumulated pregnancy rate of close to 90% over three attempts. IVF with guarantee • Donor egg program +PGD of 4 embryos + 3 attempts of embryo transfer to surrogate mother • If there is no pregnancy after 3 embryo transfers – 50% refund Don’t waste your embryos • Shipping of embryos/ sperm is available •Import of cryopreserved gametes and embryos to Russia is legal: • Medical tests translated into Russian or English duly signed and stamped, verified; • Embryo vitrification protocol; Our mission Acting with honesty, compassion and kindness we do our best to make your way to have healthy baby safe and quick. Thank you for your attention Thank you for your attention.
Load more

Recommended publications
  • Fertility Service
    James Paget University Hospitals NHS Foundation Trust Fertility Service Information for Patients James Paget University Hospitals’ Fertility Service Index Introduction page 4 The Fertility Team 4 Referral to the Fertility Services 5 Your first appointment 5 Further appointments 6 General information on fertility 6 Preparation for pregnancy 6 For conception to occur 7 Causes of fertility problems 8 - 10 Fertility investigation and treatment 10 - 13 Treatment options available at JPUH 13 Drugs used in fertility treatment at JPUH 15 HFEA licensed infertility treatments via other service providers 16 Useful information 17 - 18 Welcome to the James Paget University Hospitals’ Fertility Service We are located within the Gynaecology Outpatient department which is on the ground floor of the hospital, on the Gynaecology right along the main entrance corridor Outpatients past the Cafe. The contact number is 01493 452366 Open for telephone enquiries: Monday to Thursday 8.30-4.30pm A messaging service is available out-of- hours or if staff are unavailable. Mission Statement The aim of the fertility service is to provide the best possible assessment and treatment for each individual couple and give them the best chance of achieving a pregnancy. We also aim to give as much support as possible to couples where the treatment proves unsuccessful. We welcome any suggestions that you may have to improve the care we provide, especially to reduce the inevitable stress that all couples feel during treatment. The Fertility Team Consultant Gynaecologists Registrar in Gynaecology: (in a rotational post) Fertility Sister Clinic Co-ordinator 4 Referral to the Fertility Service There are set criteria that need to be met for you to be eligible for assessment, and treatment related to fertility.
    [Show full text]
  • Understanding Illicit Insemination and Fertility Fraud from Patient Experience to Legal Reform
    Maurer School of Law: Indiana University Digital Repository @ Maurer Law Articles by Maurer Faculty Faculty Scholarship 2020 Understanding Illicit Insemination and Fertility Fraud from Patient Experience to Legal Reform Jody L. Madeira Indiana University Maurer School of Law, [email protected] Follow this and additional works at: https://www.repository.law.indiana.edu/facpub Part of the Intellectual Property Law Commons, Law and Gender Commons, and the Sexuality and the Law Commons Recommended Citation Madeira, Jody L., "Understanding Illicit Insemination and Fertility Fraud from Patient Experience to Legal Reform" (2020). Articles by Maurer Faculty. 2902. https://www.repository.law.indiana.edu/facpub/2902 This Article is brought to you for free and open access by the Faculty Scholarship at Digital Repository @ Maurer Law. It has been accepted for inclusion in Articles by Maurer Faculty by an authorized administrator of Digital Repository @ Maurer Law. For more information, please contact [email protected]. 110 COLUMBIA JOURNAL OF GENDER AND LAW 39.1 UNDERSTANDING ILLICIT INSEMINATION AND FERTILITY FRAUD, FROM PATIENT EXPERIENCE TO LEGAL REFORM JODY LYNEE MADEIRA Abstract Recently, several cases have been filed in North America and Europe alleging that fertility physicians inseminatedformer patients with their own sperm only to have this conduct come to light decades later when their unsuspecting adult children use direct-to- consumer genetic tests and learn that they are not biologically relatedto theirfathers and often that they have multiple half-siblings. For instance, DonaldCline of Indianapolis, Indiana, has over sixty doctor-conceivedchildren, with more continuing to come forward. Although these cases induce disgust, it has thusfar proven dificult to hold these physicians legally accountable because their conductfalls within gaps in existing civil and criminal laws.
    [Show full text]
  • Are Egg Donors Liable for Latent Genetic Disease Suriya E.P
    American University Law Review Volume 58 | Issue 2 Article 4 2008 Guarantors of Our Genes: Are Egg Donors Liable for Latent Genetic Disease Suriya E.P. Jayanti The American University Washington College of Law, [email protected] Follow this and additional works at: http://digitalcommons.wcl.american.edu/aulr Part of the Family Law Commons, and the Torts Commons Recommended Citation Jayanti, Suriya E.P. "Guarantors of Our Genes: Are Egg Donors Liable for Latent Genetic Disease?" American University Law Review 58, no. 2 (December 2008): 405-457. This Comment is brought to you for free and open access by the Washington College of Law Journals & Law Reviews at Digital Commons @ American University Washington College of Law. It has been accepted for inclusion in American University Law Review by an authorized administrator of Digital Commons @ American University Washington College of Law. For more information, please contact [email protected]. Guarantors of Our Genes: Are Egg Donors Liable for Latent Genetic Disease Abstract Assisted reproductive technology ("ART"), including egg donation, is changing the topography of the American family. Heated debates and legislative battles over cloning and stem cell research reveal the complexity of the moral, scientific, nda legal implications of emerging alternative reproductive methods. In fact, the field of reproductive medicine is the "Wild West" of the healthcare world where technological development is testing the boundaries of science and ethics. The legal and ethical issues intrinsic to the evolution of the egg donation industry are poised to become central topics of public debate as we, as a culture, reevaluate who and what constitutes a "parent" or "child," whether a human egg is a commodity, and what privacy and medical confidentiality mean relative to the right to know one's genetic make-up.
    [Show full text]
  • Issues Surrounding the Use and Handling of Cryopreserved Genetic Material
    Legal Aspects of Third Party Reproduction: Issues Surrounding the Use and Handling of Cryopreserved Genetic Material Gary A. Debele Attorney at Law Walling, Berg & Debele, P.A. 121 South Eighth Street, Suite 1100 Minneapolis, Minnesota 55402 (612) 335-4288 [email protected] www.wbdlaw.com A. Embryos in the news: 1. Amy Eisinger, “Biological clock ticking? What you need to know about freezing your eggs.” The Washington Post, July 27, 2015. 2. ABC News website: “Divorced Couple’s Embryo Feud Could Affect How Fertility Clinics Do Business.” July 14, 2015. 3. Debra Bruno, “Why You Need a Prenup for all of Your Relationships,” Washingtonian, August 12, 2015. 4. Houston.com News, “Program matches families willing to donate embryos to those who want children.” January 15, 2015. 5. Michael Sullivan, “Outside the Womb,” www.lifeofthelaw.org, July 14, 2015. 6. Nick Loeb, “Sofia Vergara’s Ex-Fiancé: Our Frozen Embryos Have a Right to Live,” The New York Times, April 29, 2015. 7. Tamar Lewin, “Chicago Court Gives Woman Frozen Embryos Despite Ex-Boyfriend’s Objections,” The New York Times, June 12, 2015. 8. Maura Dolan, “Divorced couple fighting in court over frozen embryos,” L.A. Times, July 13, 2015. 9. Tamar Lewin, Industry’s Growth Leads to Leftover Embryos, and Painful Choices,” The New York Times, June 17, 2015. 10. Angela Pittenger, “Building families through embryo adoption,” tucson.com, July 4, 2015. 11. Ellen McCarthy, “Fertility medicine brings babies -- and tough decisions.” The Washington Post, May 18, 2015; reprinted as “What to do with a leftover embryo?” in Minneapolis Star Tribune, June 8, 2015.
    [Show full text]
  • Serum Human Chorionic Gonadotropin Level After Ovulation Triggering Is Influenced by the Patient’S Body Mass Index and the Number of Larger Follicles
    REPRODUCTIVE ENDOCRINOLOGY Serum human chorionic gonadotropin level after ovulation triggering is influenced by the patient’s body mass index and the number of larger follicles Laura Detti, M.D., Mohamed F. M. Mitwally, M.D., Anuradha Rode, M.D., Frank D. Yelian, M.D., Ph.D., Michael Kruger, M.A., Michael P. Diamond, M.D., and Elizabeth E. Puscheck, M.D. Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, and the University Women’s Center, Wayne State University School of Medicine, Detroit, Michigan Objective: To identify determinants of the serum concentration of hCG levels after triggering of ovulation with exogenous hCG during controlled ovarian stimulation cycles for in vitro fertilization with or without intracytoplasmic sperm injection. Design: Retrospective cohort study. Setting: University Medical Center. Patient(s): One hundred-fifteen women who underwent conventional in vitro fertilization/intracytoplasmic sperm injection cycles from March 2003 to March 2005. Intervention(s): All patients underwent ovarian hyperstimulation with gonadotropins and GnRH-antagonist for pituitary downregulation. Patients were started on oral contraceptives 1 month before the stimulation. Gonado- tropins were administered from stimulation day 1 until the day of the hCG trigger, and GnRH-antagonist was added from the day when at least one follicle reached 14 mm in diameter and continued until hCG administration. The hCG was administered in 5,000-IU, 10,000-IU, or 15,000-IU doses on the day of ovulation triggering. Main Outcome Measure(s): We performed a stepwise multiple regression analysis to predict which variable would influence the serum concentration of hCG when measured the day after the administration of exogenous hCG.
    [Show full text]
  • Donor Eggs for the Treatment of Infertility
    CLINICAL Caitlin Dunne, MD, FRCSC Donor eggs for the treatment of infertility Using donated eggs can be a remarkably successful fertility treatment in the right circumstances. Though donor egg pregnancies may carry some increased obstetrical risks, the risks are manageable and can offer women a chance at pregnancy when there is no other option. ABSTRACT: Egg donation is a common treatment the right time to recover the resulting embryo, Columbia has the highest age of first birth in for infertility. It is most often used for women with which was transferred into the intended moth- Canada at 30.5 years versus 30.3 years in On- premature menopause, advanced reproductive er’s uterus.2,3 tario.10 According to Statistics Canada, 2010 age, or a history of unsuccessful in vitro fertilization In the early 1980s, assisted reproductive marked the first time that more women in their attempts. Because egg donors are generally in their technology was developing rapidly in Canada 30s were having children compared to women 20s, pregnancy success rates are high. In many cas- and around the world.4 Fertility pioneers used in their 20s.11 es, donor eggs give women a chance at pregnancy laparoscopy to retrieve donor eggs for fertiliza- The possible consequences of delaying child- when there would be no other option. Donor egg tion in vitro.3,5,6 These early “third-party repro- bearing are infertility, embryo aneuploidy, and pregnancies may carry some increased obstetrical duction” techniques were groundbreaking at miscarriage. These are largely attributed to aging risks related to preeclampsia and advanced mater- the time, given that the world’s first IVF baby, oocytes with failing meiotic spindles and other nal age.
    [Show full text]
  • Embryo Adoption Faqs Why Choose the Snowflakes® Program? Snowflakes Embryo Adoption Is Uniquely Child-Centered
    Embryo Adoption FAQs Why Choose the Snowflakes® Program? Snowflakes Embryo Adoption is uniquely child-centered. Open Adoption Encouraged We are a child-centered adoption agency and we believe in open adoption when placing kids for adoption. One important lesson our society has learned over the last century is that open adoption is healthier for the children. Adoption professionals agree that children for adoption should know the identity of their biological parents, and should have information regarding their heritage. Nightlight extends this invaluable lesson to our Snowflakes Embryo Adoption program, and provides a safe environment for both the donor and adopting families. Some embryo donation/adoption programs require anonymity, or charge additional fees for services enabling open adoption. Because Nightlight believes strongly in advocating and facilitating open adoption, there is no additional fee. Donated Embryos are not Disbursed Among Multiple Families We are child-centered, and we do our best to keep siblings together. Adoption professionals agree that keeping siblings together is a paramount value. Whether children are adopted from another country, through foster care, or domestic placement, we always work diligently to place all siblings into one adopting family. Nightlight extends this family value to embryo child adoption. Our Snowflakes team provides matching services that take into consideration the preferences of both the donor and the adopting families and then places all of the donor's embryos into that adoptive family's care. Since our program encourages open adoption, communication between matched families will be mutually agreed upon between them. Clearly, limiting the number of families in which full genetic siblings exist is a benefit to all.
    [Show full text]
  • Reproductive Dreams and Nightmares: Sperm Donation in the Age of At-Home Genetic Testing
    Loyola University Chicago Law Journal Volume 51 Issue 3 Spring 2020 Article 5 2020 Reproductive Dreams and Nightmares: Sperm Donation in the Age of At-Home Genetic Testing Nofar Yakovi Gan-Or Follow this and additional works at: https://lawecommons.luc.edu/luclj Part of the Law Commons Recommended Citation Nofar Yakovi Gan-Or, Reproductive Dreams and Nightmares: Sperm Donation in the Age of At-Home Genetic Testing, 51 Loy. U. Chi. L. J. 791 (). Available at: https://lawecommons.luc.edu/luclj/vol51/iss3/5 This Article is brought to you for free and open access by LAW eCommons. It has been accepted for inclusion in Loyola University Chicago Law Journal by an authorized editor of LAW eCommons. For more information, please contact [email protected]. Reproductive Dreams and Nightmares: Sperm Donation in the Age of At-Home Genetic Testing Nofar Yakovi Gan-Or* Recent technological developments surrounding genetic testing pose new challenges to well-established reproductive practices. One current example is the fertility industry’s struggle to maintain gamete donor anonymity against the growing use of direct-to-consumer DNA tests. Consider the widely covered story of Danielle Teuscher, who in 2019 accidentally discovered the identity of her daughter’s anonymous sperm donor after using a 23andMe DNA test. Danielle’s attempt to reach out to the newfound family member was followed by a cease and desist letter from the sperm bank for violating their agreement. In addition, the sperm bank refused to give Danielle the four vials of sperm from the same donor, which she had reserved for future use, thus thwarting her reproductive plans to have genetic siblings for her daughter.
    [Show full text]
  • Medications Used in Fertility Treatment
    Making Family Real This fact sheet provides an overview of the medications that may be prescribed during fertility or IVF treatment, including an explanation of how and why they are used and some of the potential side effects. THE FACTS ABOUT: Medications used in fertility treatment ANTI-OESTROGENS • Breast tenderness Clomiphene Citrate (Clomid), • Abdominal pain Letrozole and Tamoxifen (Seraphene) • Headaches If you have ovulation problems you may be prescribed one • Blurred vision of these drugs to help regulate or induce ovulation. They • Fatigue increase production of the egg containing follicles. They are all widely used. • Depression Administration • Weight gain These agents are taken orally, usually on days 2-6 of the • Ovarian cysts menstrual cycle and work by sending a message to the pituitary gland, telling it that it needs to start secreting, or to secrete There is no link between ovarian cancer and anti-oestrogens. more, follicle stimulating hormone (FSH). With higher levels of FSH in the body, egg production and ovulation are improved. GnRH Agonist (Synarel/Lucrin/ While Clomiphene Citrate and Letrozole can be prescribed for Decapeptyl) as many as six cycles, most experts agree that, if you have not During IVF and IUI treatments, we need the woman to ovulate become pregnant after three cycles, treatment using these at a specified time to have the best chance of positive results. drugs alone will probably not help you. Most women will GnRH (Gonadotrophin Releasing Hormone) agonists are drugs respond to anti-oestrogens and ovulate within the first three that can help to stop premature ovulation and increase the to four cycles.
    [Show full text]
  • Services Provided by the Agency Surrogacy Program
    SERVICES PROVIDED BY THE AGENCY SURROGACY PROGRAM 2. LEGAL SUPPORT: a. Assistance with negotiations between Clients and gestational surrogate(s) and their respective attorneys, if any, regarding the Gestational Carrier Agreement. b. Implementation of the drafting and execution of the Surrogacy Agreement between clients and the surrogate. c. Ongoing communication with the Clients to facilitate any and all legal proceedings necessary in the United States before and after the birth of any child(ren), to assure Clients’ registration as the child(ren)’s sole parents. 3 INSURANCE SUPPORT: a. Initial review, analysis, and summary of the gestational surrogate’s existing health insurance policy. b. Assistance in obtaining alternate coverage subject to the same limitations if there is an express and known exclusion for surrogacy in the gestational carrier’s insurance policy. c. Coordination of communications between the gestational surrogate(s) and their medical insurance representative(s). d. Assistance with finding a term life insurance policy for the gestational surrogate during the pregnancy. THE AGENCY IS NOT AN INSURANCE COMPANY, AGENT OR BROKER AND DOES NOT PROVIDE OR GUARANTEE ANY INSURANCE COVERAGE . 5. FINANCIAL SERVICES: a. Establishment of an expense account (Expense Account) in order to coordinate payment of gestational surrogate program expenses. b. Payment of invoices related to the surrogacy program out of Expense Account funds. c. Reconciliation of all payments made from the Expense Account and .
    [Show full text]
  • Family Law—Egg Donation and Stem Cell Research—Eggs for Sale: the Scrambled State of Legislation in the Human Egg Market
    University of Arkansas at Little Rock Law Review Volume 35 Issue 1 Article 7 2012 Family Law—Egg Donation and Stem Cell Research—Eggs for Sale: The Scrambled State of Legislation in the Human Egg Market Kitty L. Cone Follow this and additional works at: https://lawrepository.ualr.edu/lawreview Part of the Family Law Commons, Health Law and Policy Commons, and the Science and Technology Law Commons Recommended Citation Kitty L. Cone, Family Law—Egg Donation and Stem Cell Research—Eggs for Sale: The Scrambled State of Legislation in the Human Egg Market, 35 U. ARK. LITTLE ROCK L. REV. 189 (2012). Available at: https://lawrepository.ualr.edu/lawreview/vol35/iss1/7 This Note is brought to you for free and open access by Bowen Law Repository: Scholarship & Archives. It has been accepted for inclusion in University of Arkansas at Little Rock Law Review by an authorized editor of Bowen Law Repository: Scholarship & Archives. For more information, please contact [email protected]. FAMILY LAW—EGG DONATION AND STEM CELL RESEARCH—EGGS FOR SALE: THE SCRAMBLED STATE OF LEGISLATION IN THE HUMAN EGG MARKET I. INTRODUCTION The world has seen the rapid rise of numerous medical technologies that were outside the realm of possibility just a few decades ago.1 These developing technologies, although generally providing incredible enhance- ment to our lives, have also created an equally incredible legal tangle.2 Cou- ples who would never have had children in earlier times are now able to reproduce with the help of science—and a host of doctors, donors, and
    [Show full text]
  • Women and Fertility Test Important ?
    Why is the time of the hormone Women and Fertility test important ? It is very important that hormone tests are performed at the right Your stamp time. For example, some hormone tests planned in the morning s / Photos : bioMérieux will not give the same result if performed in the afternoon. For this reason, you should strictly respect the appointments you are given. Why is it important to use a good hormone test ? The quality of the hormone test used contributes to the outcome of treatment - the more accurate the test, the more chance of having a child. Your fertility clinic uses high-precision hormone tests to offer you References: every possible chance of success. • Taylor A. ABC of subfertility: Making a Diagnosis. BJM 2003; 327:494-497. • Anckaert E., Mees M., Schiettecatte J., Smitz J. Clinical validation of a fully automated 17beta-Estradiol and progesterone assay (VIDAS) for use in monitoring assisted reproduction treatment. Clin Chem Lab Med 2002; 40(8):824-831. • Loumaye E., Engrand P., Howles C.M., O’Dea L. Assessment of the role of serum luteinizing hormone and estradiol response to follicle-stimulating hormone on in vitro fertilization treatment outcome. Fertility and Sterility 1997; 67:889-899. ce / BIOMERIEUX and the blue logo are registered and/or pending trademarks belonging to bioMérieux sa or one of its subsidiarie HORMONE TESTS Ask your doctor to explain more about Putting all the chances on your side the importance of hormone testing. / RCS Lyon B 398 160 242 160 B 398 / RCS Lyon bioMérieux sa 69280 Marcy l’Etoile TL McCANN Santé Lyon France Tel.
    [Show full text]