Frequently Asked Questions

Frequently Asked Questions

What does a surrogacy process involve?

Surrogacy is a solution addressing fertility issues. The process takes fertilized eggs from the biological mother (or an egg donor) and transfers them for gestation into the uterus of another woman, who is known as the surrogate. She carries the fetus in her womb for the full term of pregnancy, gives birth to the child or children, but has no legal claim to the newborn.

When does the surrogacy becomes viable option?

A surrogacy procedure is required when a woman is unable to conceive or carry a pregnancy for medical reasons, or when the intended parents are two men.

What are the main stages of surrogacy?

Surrogacy begins with counseling. Royal Surrogacy provides potential parents with detailed information and explanations of the various medical, legal, and bureaucratic aspects involved. This counseling session helps parents select their optimal choice.  The next step is a series of medical tests conducted at a clinic of their choice.

Once the tests are carefully reviewed and approved to ensure that the process can be carried out in Georgia, legal and medical forms and documents are signed. This essentially launches the surrogacy process, which may also include location of an egg donor as needed.

Ova and sperm are then transferred to a professional medical center where IVF is performed, the resulting embryos are introduced into the surrogate’s uterus. It is also possible to conduct fertilization in another laboratory which will send the frozen embryos.

When the surrogate’s pregnancy is confirmed, close oversight ensures that all relevant tests and treatments are conducted. The biological parents arrive shortly before the estimated due date to ensure they are present at the birth and can experience this uniquely joyous moment of the arrival of their newborn/s.

After the birth, we take the parents and baby to a furnished apartment specially prepared for them in advance. Royal Surrogacy meanwhile handles all relevant bureaucracy, including obtaining the newborn’s birth certificate and passport. We then coordinate the family’s return home.

Who can be a surrogate?

Surrogates are young women (19-35) who have already experienced at least one pregnancy and one normal birth. They are selected following thorough medical and psychological screenings which ensure their understanding of the process in entirety, and who are willing and able to adopt the responsibility.

Can surrogacy include egg and sperm donation simultaneously?

Depends on the destination country, usually at least one of the gametes (egg or sperm) must belong to the intended parent.

Is it possible to meet with an egg donor?

Depends on the country, for instance, based on Georgian and Argentinian regulations meeting with egg donors are not allowed. As an exception, coordinator may ask the egg donor and in case she agrees short meeting can be arranged.

Can several embryos be transferred in surrogate?

Transfer of one maximum 2 embryos is recommended based patient consent only. Note that multiple embryos transfer increase risk of multiple pregnancy and it further increase change of complications usually.

What happens to embryos that are not used?

Embryos are usually stored for up to 10 years, although it is possible to store them shorter or longer period of time than this. You will need to give your consent and to make clear how long they should be frozen for and the conditions under which they can be used (for yourself or for donation, you can also request to destroy them). Clinic will give you the consent forms and explain what your choices are before you complete them.

What kind of packages do you have in your agency?

Depends on the destination country but generally we offer Standard and guaranteed packages.

Is it possible to get my hormonal injections in my country and come only for retrieval?

Yes, it is possible, but close communication with the doctor managing the stimulation process is needed. Local medical team should ensure that process is managed and monitored carefully. Indented mother should arrive in the destination country at least 5-6 days prior to egg retrieval.

Do you have insurance for surrogate mothers?

Depends on the destination, Insurance is available in the USA and Argentina. Soon we launch insurance program in Georgia too.

Can I choose the gender of the embryo?

Depends on the destination country. For example, In the Georgia you cannot choose the sex of your baby but since we are offering to do PGT-A tests with this tests results you indirectly know the gender of your embryos., As for Argentina or the USA yes you can openly ask for the gender.

What is preimplantation genetic testing (PGT-A)?

Preimplantation genetic testing is a procedure used to identify genetic disorders or chromosomal abnormalities in embryos created during an IVF cycle. One or more cells are biopsied from each embryo and sent for testing. These procedures used to be referred to as preimplantation genetic screening (PGS) and preimplantation genetic diagnosis (PGD).

Does age affect the chances of pregnancy?

After the age of 40, chances of fertility, pregnancy and delivery will be lower. After the age of 45, the probability of a successful pregnancy can be as low as 1-5% even for women with an egg reserve. The pregnancy rates will decrease progressively with increasing age.

What does a surrogacy contract contain?

A surrogacy agreement is a detailed contract between the designated biological parents and the surrogate mother. The agreement regulates both sides’ mutual obligations, including the surrogate’s lack of parental rights or legal considerations vis-à-vis the newborn.

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Fifth clinic hospital, Tbilisi, Georgia
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