1. Who is considered to be parents of the child after its birth?
Kazakhstan is one of the few states where surrogacy is legal. All ART aspects are stipulated in the Order No. 627, №624 of the Interim Minister of Health of the Republic of Kazakhstan dated October 30, 2009 and Family Code. Commercial surrogacy and donation have been legalized in Kazakhstan. You will be the biological parents of the baby, not the surrogate. All these aspects, as well as other conditions, will be stated in the contract. You can get additional information on this matter from our attorneys.
2. What is the exact cost of surrogacy programs?
Program cost depends on many factors: on the donor involvement, the amount of surrogate compensation and individual requirements of intended parents. Our manager will calculate the price for the selected program once all nuances are clarified.
3. How can I make sure that the surrogate and the donor are healthy?
First of all, each of the candidates sends us a questionnaire from which we learn primary information about certain woman. After the initial selection, we invite women to our office for an interview (in some cases the interview is conducted by our representative in the region). During the interview, we clear up the information about the personality of the candidate. Women undergo tests for concentration, adequate perception of information, erudition, etc. We also evaluate her emotional state and the level of understanding of her mission.
After this, selected candidates undergo an examination and tests at the hospital. We look at lab results and test scores, and decide whether to sign the contract and to include the women in our surrogate and egg donor database.
4. Will the surrogate be mentioned in the birth certificate?
According to the law, only biological parents are recorded in the birth certificates. Surrogate has no genetic relation to the child.
5. Will anyone take care of the health of the surrogate?
The health of the surrogate and your child is monitored by several people including the supervisor from our agency, the doctor of the clinic, who oversees pregnancy, and the doctor in charge of the program.
6. Today online you can find many surrogates who are ready to deliver a baby. What is the difference between them and your candidates?
We include in our database only verified candidates who meet legislative requirements. Women offering surrogate services may not match you in many aspects. In addition, in many cases online candidates ask for prepayment and have fake test results. Our agency takes care of all issues and protects you from potential risks. Your only task will be to focus on the fact that in the nearest future you will become a parent and you will be able to hold such a long-awaited, your own child.
7. What is payment order? Can we pay in installments?
In most cases payment is performed in stages. However, it is convenient to pay at once to get an additional discount.
8. How much time do you need to select a donor or a surrogate?
We have our approved base of candidates. If you do not have any special requirements, the selection of candidates will take 1-2 weeks.
9. How many IVF cycles does it take before success?
Each case is individual. On average, it is necessary to perform 1-3 IVF to succeed. Sometimes we achieve a positive result after the first attempt, but some cases require more than 6 times.
10. What is in vitro fertilization?
In vitro fertilization is an assisted reproductive technology of stimulating fertilization in extrauterine conditions. In addition, IVF should be distinguished from donor pregnancy. In the first case, the wife’s egg and the husband’s sperm are used, not donor’s ones. The embryo, conceived through extrauterine fertilization, will not be genetically different from a child conceived by the same couple in natural conditions. This technique is recommended when the husband’s sperm and egg cells are healthy and physiologically mature, but they can’t conceive in the natural way for some reasons.
11. What is IVF duration?
There are several IVF schemes. The longest one presupposes the beginning of treatment during the week before the presumed menstruation. The duration of IVF in this case will be 3-4 weeks from egg retrieval to the transfer of embryos into the uterine cavity. In the shorter scheme, the treatment begins 2-3 days after the beginning of menstruation and lasts for 2-3 weeks. You choose the scheme after consultation with the attending physician and based on his recommendations.
12. When can we try again if the first attempt failed?
As a rule, we recommend to wait at least two full menstrual cycles. This period is required for the recovery of hormone and reproductive systems. In addition, a certain amount of time is required for medical tests and laboratory examinations.
13. What is IVF efficiency? What are the chances of getting pregnant?
IVF is one of most effective assisted reproductive techniques. The statistics says that 42.7% of infertile women undergoing IVF have become pregnant. However, this is averaged data. In each particular case, the probability is individual and depends on many factors: the age of a woman and a man, diagnosed infertility causes, the number of eggs obtained and spermogram results.
14. How dangerous is the IVF procedure? Are there any complications?
In vitro fertilization is one of the safest assisted reproductive techniques. It carries few risks, but their chances are small, and these complications are not listed as dangerous.
The most common complication is multiple pregnancy. The transfer of several embryos into the uterus significantly increases the chances of birth. Therefore, many mothers agree to such a risk. About 10% of all IVF procedures result in the birth of twins. Less than 1% pregnancies result in the birth of triplets.
The second commonest complication is the ovarian hyperstimulation syndrome (in mild and moderate forms). It occurs in 3-5% of patients.
Extrauterine pregnancy is a more dangerous complication, but it is also very rare (1-1,5% of cases).
In addition, ovarian puncture (egg retrieval for fertilization) can cause intra-abdominal bleeding. Its probability is less than 0,1%.
15. Who is a surrogate?
A surrogate is a woman who voluntarily agrees to carry, to deliver and to give the child to genetic parents. As a rule, she does it for a reward. Surrogate services are used by married couples in which a woman cannot bear the child due to medical reasons.
Genetic material is taken from future parents in a medical clinic. Then the egg fertilized by the sperm under in vitro conditions is implanted in the uterus of the surrogate. After the delivery, genetic parents acquire legal rights to the child.
In Kazakhstan, only mentally and physically healthy woman aged 20–35 years, who already gave birth to her own child, can become a surrogate.
16. In what cases is a donor egg required?
A donor egg is required for women who want to have a baby, but their own genetic material cannot be used for the following reasons:
– Lack of her own eggs (menopause, primary ovarian insufficiency).
– Genetic diseases.
– Unsuccessful IVF attempts combined with weak ovarian response to hormonal stimulation.
– Non-viable embryos obtained during IVF.
– Repeated death of the fetus at early or late stages when attempting to conceive and bear the child independently.
17. How many medical examinations required for participation in the program? Is it possible to undergo tests before arrival in Kazakhstan?
In each particular case, the number and types of examinations are individual and they are determined by medical specialists.
Standard tests and examinations to be done by each of the spouses include:
blood test for syphilis, HIV, hepatitis B and C (results are valid for 3 months);
blood group test and rhesus factor test.
full blood count test (the result is valid during 1 month);
clinical urine test (the result is valid during 1 month);
blood test for toxoplasmosis (the result is valid during 1 month);
coagulogram (the result is valid during 1 month);
urogenital smear (smear bacterioscopy, the result is valid during 1 month);
chlamydia, mycoplasmas and ureaplasma tests (the result is valid during 3 months);
cytological test of uterine cervix smears (the result is valid during 1 year).
spermogram (we recommend to do it in our clinic when making an application);
antisperm antibodies in the sperm (MAR-test);
often, an andrologist opinion is also required.
18. Is it possible to conduct an embryo test for genetic abnormalities and serious illnesses?
Yes, it is possible. This procedure is called prenatal diagnostics (PD). It is a set of therapeutic measures and diagnostic methods aimed at identifying morphological, structural, functional or molecular disorders of human fetal development. The PD reveals the presence of hereditary illnesses, abnormalities of fetus development, general condition of the baby and baby’s sex.
19. Can we choose baby’s sex during IVF?
Yes, you can choose the sex of the child. You can do this during prenatal diagnosis of the embryo.
20. Do you check the genetic health of the surrogate?
The child is not genetically related to the surrogate. It carries only the genes of the parents and / or the donor. Therefore, there is no need to check her genetic health. However, if necessary, we can perform a DNA test.
21. What is the difference between traditional and gestational surrogacy?
In traditional surrogacy, the surrogate is genetically related to the child she bears, i.e. she is an egg donor and, accordingly, a biological mother of the child. Such a type of surrogacy is prohibited by laws of the Kazakh Republic.
In gestational surrogate, the surrogate has no genetic relation to the child she carries. In this case the child has a genetic relation to the intended parents (or one of them and, respectively, the egg or the sperm donor). This type of surrogacy is legal in Kazakhstan.
22. What if the surrogate decides not to give the child to her biological parents? Is it possible to influence her?
According to the legislation of Kazakhstan, the surrogate has no rights to the child. If she decides not to give the child, her actions will be considered illegal and she can be brought to justice. According to the contract that intended parents must sign with the surrogate prior to the program, she may lose the right for compensation, and will be also required to pay a fine.
23. My husband and I are Swiss citizens. We are going to participate in surrogacy program in Kazakhstan. After the birth, we must go through a complicated process of the transfer of legal parentage in our country. How much time does it take to obtain a birth certificate in Kazakhstan, as well as other documents for embassy? Do you help after we return home?
Issuing departure documents takes approximately 60 days. Our agency can help you with the registration of parental rights in Switzerland through our partner company.
24. How long does it usually take to get the exit visa for the baby after a surrogacy program?
Everything depends on the embassy of the country you will apply. Usually it takes about 1-5 weeks.
25. Will the surrogate have the right to take care of the child after the birth, in particular to breastfeed it?
Of course not. However, in some cases biological parents ask the surrogate to take care of their child, as well as to breastfeed it.
26. Does the surrogate have the right to visit the child?
No. After registering the child in the Civil Registry Office, the surrogate has no longer any relation to the child, both de jure and de facto.
27. How long should we stay in Kazakhstan to undergo necessary medical procedures in case we use our own eggs?
Examination and stimulation may take two or three weeks. You can also start the protocol in the country of permanent residence, and then arrive at the clinic for 8-10 days after the start of the monthly cycle. Consequently, in this case, the period of stay in Kazakhstan may be limited just to one week. This is very individual and requires additional consultation with the doctor in each particular case.