PPT on third party reproduction

1. 3rd party reproduction

2. ● Sperm donation
● Egg donation
● Uterus (Surrogacy)
● From the persons other than the couple involved.

3. Indications of oocyte donation
● Premature ovarian insufficiency
● Gonadal dysgenesis
● Autoimmune disorders.
● Previous ovarian surgeries like oophorectomy.
● Ovarian damage following chemotherapeutic agents.

4. ● Turner syndrome
● Natural Menopause - ÀRT bill states that no ART procedures should be carried out in women above 50
years of age.
● Diminished ovarian reserve -women with greatly reduced ovarian reserve as determined by ovarian
reserve markers–(AMH<0.5ng/ml, FSH>15 microunits/ml or previous poor response to stimulation or
advanced age)
● Repeated implantation failure due to poor quality oocytes
● Genetic disorders.

5. Donor selection and evaluation
● ART bank will determine the eligibility of the donor
● Bank shall obtain oocytes from females between 25-35 years of age.
● Donor can be anonymous, unrelated, unmarried, without children.
● Screening and Testing of donors only by Banks.HIV, HBSAG,VDRL,HCV.
● Bank shall obtain Name, age, Aadhar number, Address, other details as prescribed.

6. ● Banks shall obtain the sperm from males between 21-55 years of age.
● Banks shall not supply sperm/egg from a single Don to more than one couple.
● The gamete or embryo from a donor shall be stored for 10 years.
● Transfer or use of the gametes, zygotes, embryos within or outside India shall be prohibited except in
the case of transfer of own gametes and embryos for personal use with the permission of national
board.

7. Counselling of the donor
● Details of procedure, need for regular visits, possible complications due to ovarian stimulation like nausea,
headache, abdominal bloating, ovarian hyper stimulation.Consent of oocyte donor should be obtained in
local language or in presence of an interpreter if necessary and can be withdrawn at any time before
embryos are created.
● Consent of oocyte donor should be obtained in local language or in presence of an interpreter if necessary
and can be withdrawn at any time before embryos are created.

8. Various consent forms
IUI with donor semen -form8
Oocyte donor consent -form 13
Sperm donor consent -form 15

9. ● Factors predicting the success of donor program
● Donor factors
● Age
● Number of mature oocytes retrieved M2
● Recipient related factors
● Age
● Endometrial thickness
● Recipient diagnosis
● BMI body mass index
● Quality of embryo
● Fresh vs Frozen embryo transfer
● Preimplantation genetic testing

10. Surrogacy
Surrogacy means a practice where by one woman bears and gives birth to a child for an intending couple with
the intention of handing over such child to the intending couple after birth.

11. Altruistic Surrogacy means the Surrogacy in which no charges, expenses, fees,
remuneration or monetory incentive of whatever nature, except the medical expense and
such other prescribed expenses incurred on surrogate mother or her dependents or her
representative.
Commercial Surrogacy means commercialization of Surrogacy services or procedure or
its component procedures including selling or buying of human embryo or trading in the
sale or purchase of human embryo or gametes by way of giving payment, reward ,
benefit,fees, remuneration or monetary incentive in cash or kind, to the surrogate mother
or her dependents or her representatives , except the medical expenses and other
prescribed expenses on the Surrogate mother and the insurance coverage for the
Surrogate mother.

12. Intending couple means couple who have a medical indication necessitating gestational Surrogacy and who
intend to become parents through Surrogacy.

13. Regulation of Surrogacy clinics
No Surrogacy clinic, Gynecologist,Peadiacian, embryologist, registered medical
practitioner or any person shall conduct, offer, undertake, promote or associate with
commercial Surrogacy in any form.
No Surrogacy clinic, registered medical practitioner, Gynecological, Peadiacian,
embryologist, intending couple or any other person shall store a human embryo or
gametes for the purpose of Surrogacy.

14. ● Surrogacy procedures shall be conducted,undertaken, for the following purposes
● When an intending couple has a medical indication necessary gestational Surrogacy
● Couple should be indian origin and shall obtain a certificate of recommendation from the Board.
● When it is only for altruistic Surrogacy purposes
● When it is not for commercial purposes or for commercialization of Surrogacy procedures.
● When it is not for producing children for sale, prostitution or any other form of exploitation.
● Any other condition or disease as may be specified by regulations made by board.

15. A certificate of medical indication in favour of either or both members of the intending could or intending
woman necessitating gestational Surrogacy from the District Medical Board.
Insurance coverage of such amount in favour of Surrogate mother for a period of thirty six months covering
post partum delivery complications from an insurance company.

16. Eligibility criteria for surrogate mother
Married woman having a child of her own and between the age of 25-35 years on the day of implantation or help insurrogacy by
donating her egg or oocyte otherwise.
No woman shall act as surrogate mother by providing her own gametes.
No woman shall act as surrogate mother more than once in her lifetime.

17. Eligibility criteria for intending couple
The intending couple are married and between the age of 23-50 years for female and between 26-55 years for male on the day of certification.
The intending couple not had any surviving child biologically or through adoption or through Surrogacy earlier.
Surrogate mother shall undertake Surrogacy after explaining all known side effects after effects of procedure and written informed consent if the Surrogate mother
undergo such procedures in the language she understands.

18. The Surrogate mother shall have an option to withdraw her consent for Surrogacy before the implantation of
human embryo in her womb.
The intending couple or woman shall not abandon the child born out of a surrogacy procedure,for any reason,
any genetic defect, birth defect, or other medical condition, or developmental defects or sex of child, or
conception of more than one baby.

19. A child born out of Surrogacy procedure, shall be deemed to be a biological child of the intending couple or intending woman and child shall be
entitled to all the rights and previleges available to a natural child under any law.
The number of human embryos to be implanted in the uterus of the Surrogate mother for the purpose of Surrogacy shall be as prescribed (not more
than 2).
No person, organisation, surrogacy clinic, laboratory or clinical establishment of any kind shall force the Surrogate mother to abort at any stage of
Surrogacy except in such conditions prescribed.

20. Registration of Surrogacy clinics.
No Surrogacy clinic shall be registered under this act, unless the appropriate authority is satisfied that such clinic is in position to provide such
faciyand maintain such equipment and standards including specialised manpower, physical infrastructure and diagnostic facilities as may be
prescribed.
Every certificate of registration shall be valid for a period of three years and shall be renewed in such manner and on payment of such fees as may
be prescribed.

21. The central government shall constitute a Board to be known as the National Assisted Reproductive
Technology and surrogacy Board to exercise the powers and perform the functions conferred

22. Punishment for not following altruistic Surrogacy or for conducting surrogacy for commercial purposes shall
be punishable with imprisonment for term may extend to five years and with fine which may extend to five lakh
rupees for the first offence and for any subsequent offence with imprisonment which may extend to ten years
and with fine which may extend to ten lakh rupees.

23. Notwithstanding anything contained in the code of criminal procedure, 1973, every offence under this act shall
be cognizable, non-bailable and non compoundable.