“surrogacy; · 2019-07-15 · embryoclinic ivf, greece “surrogacy; medical & psychological...
TRANSCRIPT
Dr Elias Tsakos MD, FRCOGChairman & Medical DirectorEmbryoClinic IVF, Greece
“SURROGACY;
Medical & Psychological issues
to improve success”
Dr Elias Tsakos
• UK trained Gynaecologist – Fertility Specialist
• Fellow of Royal College of Obstetricians &
Gynaecologists, London
• Member of BFS, ESHRE, ASRM
• Board member of Association of Greek Fertility
Specialists
CV & “conflicts of interest”
Fertility Tourism
• Care
• Success rates
• Short(er) waiting time
• Cost
• AVAILABILITY
• LEGISLATION
Why abroad
IVF Abroad
top tips for a safe & successful journey
Surrogacy
Travel abroad
Select a Clinic
“Choose” an Egg Donor
Do your Homework
• Internet - Blogs
• Support groups
• Reviews – testimonials
• Success rates
IVF Abroad
top tips for a safe & successful journey
SEEK RELIABLE INFO
• HFEA, www.hfea.gov.uk
• IN UK, www.infertilitynetworkuk.com
• ESHRE, www.eshre.eu
• GP
• Ask your local Gynaecologist / Fertility Specialist
• Ask your Fertility Sister
• Organisations eg Families through Surrogacy
Initial visit
• Meet the Gynaecologist who will be treating you
• Visit the operating theatre and the IVF
laboratories
• Meet the Embryologists
How to choose a Fertility Clinic
top tips for a safe & successful journey
Homework
• Learn the basics (ICSI, blastocyst culture,
time lapse, etc)
• Available treatments
• Level of information, communication,
coordination
• Cost (caution !)
• Success (caution !)
IVF Abroad
top tips for a safe & successful journey
Contact “potential” units (1-2 max)
• Complete forms
• Skype interview with treating Gynaecologist
Vs administrator / coordinator
• Assess : expertise, communication,
availability, honesty, respect
compassion / care
IVF Abroad
top tips for a safe & successful journey
Initial visit
• Meet the Gynaecologist(s)
• Visit the operating theatre and the IVF
laboratories (not just reception and exam room)
• Meet the Embryologists & Nurses
IVF Abroad
top tips for a safe & successful journey
Success rates
Success rates
• Read and compare statistics eg for your age group
• Logical explanation(s) for the high success rates ?
E.g.: level of Staff experience, intense diagnostics,
7 day / week operation,
senior scientific team,
infrastructure of lab,
success-boosting techniques,
intense cycle monitoring
IVF Abroad
top tips for a safe & successful journey
Top tips
• Do your homework
• Visit the potential IVF Clinic
• Meet the treating Team
• Take time to reflect
• Trust your instinct
IVF Abroad
top tips for a safe & successful journey
Important factors
in choosing an Egg Donor
1) Anonymity
2) Age (& other egg quality markers)
3) Compatibility
4) Cost
5) Other
Important factors
in choosing an Egg Donor
ANONYMOUS Vs OPEN DONOR
Altrouistic Anonymous Vs Open ? Commercial
Europe Vs United States
Impact of Open Donors on : availability
age
compatibilty
success
cost
future implications
Important factors
in choosing an Egg Donor
AGE (& other egg quality markers)
Age
Fertility record
Donation record
AMH
Important factors
in choosing an Egg Donor
COMPATIBILITY
Physical
Biological
Psychological
Personality
Educational / Professional
Genetic
Other (? Star Signs)
Important factors
in choosing an Egg Donor
COST
Full Donation
Mini Donation
Undefined Donation (?)
Egg Sharing
Basic Vs Extended Profiles (?)
Basic Vs Extended Screening
Important factors
in choosing an Egg Donor
OTHER
Fresh / Frozen Eggs
Fresh / Frozen Sperm
Fresh / Frozen Embryos
Local or Transported Eggs
• Anonymous & Altrouistic Egg Donation
• Surrogacy Legally permitted & protected
• Licensed & Regulated IVF Clinics
• Established Fertility Tourism Destination
• High success rates
• Affordable costs
• Easy Access
Greece
EmbryoClinic
IVF Greece