ERA ROPA Surrogacy
Steps Involved in IVF:
Procedure Description
ERA ROPA surrogacy, also known as "Reception of Oocytes from Partner," is an advanced assisted reproductive technology (ART) technique, providing a unique opportunity for female same-sex couples to share the experience of motherhood. The process involves two main roles: one partner donates her eggs, while the other carries the pregnancy, thereby allowing both to actively participate in the conception and pregnancy journey. This approach to surrogacy empowers couples to feel a deeper connection to their child's development and offers a solution for those who wish to be equally involved in the child's birth process.
The term "ERA" stands for "Endometrial Receptivity Array," a sophisticated diagnostic test used to determine the optimal timing for embryo transfer by assessing the endometrial lining's receptivity. This test enhances the success rates of embryo implantation by providing personalized insights into the window of implantation (WOI). The ERA test ensures that the embryo is transferred at the most receptive time, thereby improving the chances of successful implantation and reducing the risk of failed transfers or miscarriages.
In the ROPA procedure, the first step is ovarian stimulation of the egg-donating partner to encourage multiple egg development, which are then retrieved and fertilized with donor sperm through in vitro fertilization (IVF). The resulting embryos are monitored and, at the optimal moment indicated by the ERA test, transferred to the uterine partner, who will carry the pregnancy to term. This approach allows both partners to actively contribute to the pregnancy process, both genetically and physically.
Procedure Duration
The ERA ROPA surrogacy process is multifaceted, typically unfolding over several weeks to a few months. The duration depends on multiple phases, from hormonal stimulation to embryo transfer and pregnancy monitoring.
- Ovarian Stimulation & Egg Retrieval:The procedure begins with hormonal stimulation of the egg-providing partner, a process that usually takes 10-14 days. Hormones are administered to promote the maturation of multiple eggs, increasing the chances of obtaining viable embryos. Once the eggs are mature, a short outpatient procedure is performed to retrieve them.
- Fertilization & Embryo Culture:Once the eggs are retrieved, they are fertilized in a laboratory setting using donor sperm. The resulting embryos are cultured for around 3-5 days until they reach the blastocyst stage, which is optimal for transfer. During this time, the embryos are closely monitored for quality and development.
- ERA Test & Embryo Transfer:The receiving partner undergoes the ERA test to determine the best time for embryo transfer. The ERA test involves a biopsy of the endometrial tissue, analyzed to pinpoint the most receptive time for implantation. The results guide the timing of the embryo transfer, which is usually done within the same menstrual cycle or the following one. After transfer, a waiting period of about 10-14 days is required before a pregnancy test can confirm successful implantation. If the transfer is successful, the pregnancy continues to be monitored through standard prenatal care.
Benefits
- Shared Motherhood Experience: Both partners participate actively in the conception and pregnancy process, with one providing the eggs and the other carrying the pregnancy.
- Personalized Embryo Transfer: The ERA test enhances the likelihood of successful implantation by optimizing the timing of embryo transfer based on endometrial receptivity.
- Improved Success Rates: By aligning the embryo transfer with the WOI, there is a greater chance of successful pregnancy and reduced risk of failed attempts.
- Empowerment for Same-Sex Couples: The ROPA method offers female couples a more inclusive approach to family-building, allowing genetic and physical contributions from both partners.
- Reduced Chances of Miscarriage: The use of the ERA test reduces the likelihood of failed transfers and miscarriage, leading to a more secure pregnancy outcome.
Potential Destinations
- Spain Spain is considered one of the leaders in reproductive medicine, with a strong legal framework that supports same-sex couples and surrogacy arrangements like ERA ROPA. The country boasts some of the most advanced fertility clinics, offering cutting-edge ART technologies and experienced specialists.
- Greece With progressive surrogacy laws and a reputation for high-quality fertility treatments, Greece has become a popular destination for those seeking ROPA surrogacy. Its healthcare system is known for affordability and professionalism, making it an attractive choice for medical tourists.
- Portugal Portugal has become increasingly recognized for its supportive laws for same-sex couples and the provision of ROPA surrogacy. The country offers skilled medical practitioners and state-of-the-art fertility centers, ensuring a seamless process for international patients seeking the ERA ROPA procedure.
- Mexico Mexico is emerging as a cost-effective option for surrogacy and other ART treatments. Certain regions within the country are known for progressive fertility laws, making it a favorable destination for same-sex couples looking for accessible ERA ROPA surrogacy options.
- Argentina With recent advancements in reproductive rights, Argentina provides supportive legislation for same-sex couples undergoing ROPA surrogacy. High-quality clinics equipped with modern technology and experienced professionals make Argentina a destination of choice for many seeking comprehensive fertility treatments.
Risks & Considerations
- Hormonal Side Effects: The ovarian stimulation process involves hormone injections, which can cause side effects like bloating, mood swings, and mild discomfort.
- Multiple Embryo Transfers: If the first transfer is not successful, subsequent transfers might be required, which could extend the timeline and increase emotional and financial stress.
- Emotional Considerations: Both partners need to be emotionally prepared for the journey, as failed transfers, hormonal fluctuations, and the overall process can be stressful.
- Legal Considerations: The legal framework surrounding surrogacy varies by country, and potential parents must fully understand the rights, responsibilities, and potential legal hurdles.
- Financial Investment: The ERA ROPA surrogacy process can be a significant financial commitment. Costs vary by country and clinic, and patients should be aware of all expenses, including hormone treatments, fertility procedures, and legal fees.
How to Choose the Right Doctor and Hospital
When selecting a doctor or hospital for ERA ROPA surrogacy, thorough research is crucial. Look for fertility centers and doctors with proven experience and success rates in ERA ROPA surrogacy and other ART techniques. Check credentials, certifications, and accreditations, and consider scheduling an initial consultation to gauge comfort and confidence in the clinic’s approach.
Ensure that the hospital or clinic uses state-of-the-art technology, and inquire about the availability of the ERA test to guarantee the best chances of success. Additionally, discussing any concerns, expectations, and support services available throughout the process can help ensure a positive experience.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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