The sort of questions your average Joe or Joginder would ask, but was afraid to ask.
Answered by Dr Kadam.
Q1: Where do you plan to deliver babies?
Q2: Is your new premises cheaper to lease than Bandra and is this one main reason of your lower charges?
Q3: What is the proportion of oversea clients in your clinic?
Q4: 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?
Q5: Will new patients have off-the-shelf surrogates ready and willing or will there be a waiting period?
Q6: Is your male specimen room in fully working order? Will male patients be given 'materials' to work with including a working dvd player and instructed how to operate?
I left some Playboy magazines and xxx VCD with the clinic, inform us if it’s not available.
Q7: What pretests and checkups does the intended parent need to perform in the west before sanctioning treatment?
 Serum FSH
 Serum LH
 Serum TSH
 Serum Prolactin
 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)
 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 India. 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.
Q8: What scans/tests do you do during the course of the pregancy?
HIV tests are done monthly.
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.
Q9: Down syndrome test?
Q10: Amniocentesis test?
Q11: Biophysical profile?
Q12: Could I ask to stop the pregnancy if the baby appears abnormal conditions?
Q13: What checks and criteria do you make on any surrogate entering your program?
Q14: Can you provide information on your new laboratory and equipment?
There are two incubators, both large ones for culturing our embryos and which act as a back up for each other. The ICSI machine is from Research Instruments, UK and is the most stable micro manipulator to work on. We also have facility for Assisted Hatching and doing blastocyst cultures. There are also the large Nitrogen tanks for storage of the embryos and facilities are there for vitrification method of freezing.
Q15: How many embryos can be implanted in the surrogate?
Q16: 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?
Q17: I am white. We don't seek a donor. All I want is my eggs implanted on your surrogate. How long will I need to be in india?
Q18: Using my frozen embryo, it should take less than 2 weeks to complete the whole surrogacy process. Exactly how long?
Q19: I am white. We don't seek a surrogate or donor. All I want is IVF done on myself.
Q20: 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?
Q21: Can we send our own found surrogate to your clinic to perform the blood tests etc alone. Can we prepay the fees for this?
Q22: The accuracy of period is never known in advance so can our own found surrogate go to the clinic when she's on the first day or does an appointment have to be made? Can she turn up unannounced and still perform tests?
Q23: So using our own frozen embryo that we brought along can we expect a reduction in price of surrogacy since we won't be needing any large scale medication. The total cost of surrogacy in this case will be ....?
Q24: If decided to proceed with surrogacy, do we come to your clinic to leave sperm/eggs or can we do it at a clinic at home and have it frozen and sent to your clinic?
Q25: Should I bring along or fax over to you anything regarding our past medical history?
Q26: Could I send some vitamins & nutriment to my surrogate mother regularly if she gets pregnant?
Q27: How long is the process when using an egg donor? (fresh and not frozen)
If you plan to get your own egg donor or a donor from an agency, she will be required to stay in Mumbai 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 India by day 6/7 so that we can monitor her further here.
Q28: Do you offer test of genetics DNA for the egg donor in order to avoid genetic and heredable disease risks?
Q29: Is there a chance that you might mix up the eggs – have you ever had this before? I have heard stories of this happening.
Q30: 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 do a DNA test later to confirm.
Q31: Can you tell me in regards to Indian egg donors the difference between wheatish and fair. Which is lighter skin colour?
Q32: I'm thinking whether to use the eggs of my wife whose age is 42 or an egg donor.
Q33: Can I see and choose an Egg Donor from her picture before flying to India?
(Prompt them every month for the newest batch of donors for viewing)
Q34: The bill for the procedure of using our own found egg donor over the clinic's donor should be less as there's no donor expenses involved. Is that true? i.e. remove the donor's wage from our bill!
Q35: Will we meet the clinic's egg donors before treatment?
Q36: 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.
Q37: The screening test on our own found Egg Donor will take how long before results?
Q38: Do some surrogates of yours donate their own eggs to the cause?
Q39: Is it possible to place multiple eggs in the surrogate mother's womb in order to have twins, if so what would the price for this be?
Q40: What are the options to choose egg donor, in terms of ethnicity, hair and eye-color, height, apperance etc in order to resemble the wife?
Q41: What happens if the surrogate mother miscarries, do we still pay her?
Q42: Are surrogacy contracts signed in clinics?
Q43: How much for freezing semen?
Q44: How much for freezing eggs/embryos?
Q45: Can we pay by card?
Q46: 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?
A recent ban has come in force requiring all patients to be married to an opposite sex for a minimum of two years before any surrogacy treatment can be conducted