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November 2017 Seminar Series
Surrogacy Options- The Current Landscape
Neil McDonagh
Families Through Surrogacy
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November 2017 Seminar Series
What is FTS?
www.familiesthrusurrogacy.com
Not-for-profit organisation
Global events
Australia
UK
Ireland
Scandinavia
US
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November 2017 Seminar Series
What is FTS?
Best-practice conferences & seminars for intended parents
Events run by parents & surrogates
Focus on education & best practice
Website resources
Consultancy to assist intended parents
www.familiesthrusurrogacy.com
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November 2017 Seminar Series
Surrogacy - What You Will Need
• Financial resources
• Project Management skills
• Patience/ Commitment
• Ability to put trust in others
• Flexibility
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November 2017 Seminar Series
Types of Surrogacy
Traditional Surrogacy – Surrogate uses own eggs, no IVF may be required (home-based)
- 20% of Australian arrangements
- allowed in QLD, NSW, VIC, TAS, NT
Gestational Surrogacy – intended parent or donor eggs used
- 80% of Australian arrangements
- allowed in all states
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November 2017 Seminar Series
Surrogacy Service Providers
Surrogacy Agency
IVF Clinic
Law firm Egg Donor
BirthHospital
NICU
Cryoshipper
Genetic testing
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November 2017 Seminar Series
Level of Engagement
Independent/ Domestic Surrogacy
• DIY model
• high level of emotional engagement
• high level of personal effort
• Very regular communication & negotiation
with your surrogate
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November 2017 Seminar Series
Level of Engagement
Agency-Managed Surrogacy
• US/Canada: You choose level of
engagement
• Other: Low level of engagement with
surrogate
• Surrogacy Agency acts as intermediary
• Regular contact at your discretion
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November 2017 Seminar Series
Key Issues to Consider
• Few countries allow foreigners to access surrogacy legally
• Even fewer provide legal access to singles and gay couples
• You are better protected if you engage in countries with surrogacy-specific laws
• Understand what rights you and your surrogate have in the country you engage in
• Surrogacy is often a two year journey
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November 2017 Seminar Series
Using Own Eggs if >37 yrs has Low Success
47.5
39.6
28
15.7
6.93
0
10
20
30
40
50
60
70
80
90
100
<35 years 35-37 years 38-40 years 41-42 years 43-44 years >44 years
% o
f tr
ansfe
rs leadin
g t
o liv
e b
irth
Age of Mother
Success Rates By Age of Egg Provider
% fresh transfers
Many Australian women spend $40,000 -$80,000 on IVF before even considering
donor eggs or surrogacy
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November 2017 Seminar Series
SURROGACY TRENDS
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November 2017 Seminar Series
Developing Markets Close
2015
Thailand, Nepal &
India close
2016
Cambodia closes
2014
Baby Gammy
scandal
2013
India closes to
LGBTI
2010
India boom
starts
20111990s 1985 2000s
Thailand/Nep
al boom
Greece opens
to foreigners
IPs engaging in USA & UK
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November 2017 Seminar Series
New Developing Markets
2015
Thailand, Nepal &
India close
2016
Cambodia closes
2014
Baby Gammy
scandal
2013
India closes to
LGBTI
2010 20111990s
IPs engaging in USA & UK
2000s
Thailand/Nep
al boom
Greece opens
to foreigners
Laos & Kenya
open
Ukraine booms
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November 2017 Seminar Series
Impact of Market Closures
• Greater pressure on US, Canada, Ukraine & UK surrogacy
• Increasing wait times to locate surrogate
• IPs engaging without sufficient groundwork
• Lower cost US options
• Growth of hybrid programs
• Eg US surrogate + lower cost Cyprus IVF
• US IVF + Canadian surrogate
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November 2017 Seminar Series
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November 2017 Seminar Series
Differences By Country
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November 2017 Seminar Series
£15,397
£5,375 £4,460 £9,560
£24,150
£13,000 £7,600
£8,000
£8,940
£6,644
£6,245 £2,000
£23,000
£8,000
£11,000
£14,000
£16,950 £3,160
£2,930
£2,114 £6,250
£2,500
£6,457
£2,050 £8,000
£2,094
£5,960
£300
£-
£-
£12,000
£8,456 £1,800
£1,150
£0
£10,000
£20,000
£30,000
£40,000
£50,000
£60,000
£70,000
£80,000
£90,000
£100,000
£110,000
£120,000
USA Canada Greece Ukraine
Pounds
Country Engaged In
Egg Donor
Surrogate & newborninsurance
Hospital & post-birthcosts
Screening/Counselling
Surro expenses
Surrogatecompensation
Legal costs
IVF & antenatal
Agency fee
Comparative Baseline Costs
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November 2017 Seminar Series
Comparative Baseline Costs
Final Costs often 50% higher than baseline
Due to
• Travel & accommodation
• Failed IVF cycles
• Failed implantations/miscarriages
• Need to switch to donor eggs
• Need to switch surrogates
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November 2017 Seminar Series
Further Advice
• There are a multitude of ways to control costs and make surrogacy work in your destination
of choice which fits your budget
• Families Through Surrogacy can provide customised advice
• a Skype consult followed by a step-by-step 12-18 page guide customised to your situation.
• designed to provide specific guidance for a safe, legal route to surrogacy in a country which
fits your budget, relationship status & risk profile.