Sunday, December 21, 2014

Surrogacy in Ukraine




With each year, surrogacy is increasingly more commonly used by couples to resolve problems arising from reproductive dysfunctions of different types, which lead to impossibility to conceive and give birth to a child in a natural way. It is not surprising that in today's day and age, progressive parents turn to science to help them build a family. Fortunately, Ukraine is a very liberal country in this regard. Below we analyze the current situation with surrogacy in Ukraine from both practical and legal viewpoints.
The first surrogate pregnancy took place in Ukraine in 1991, but detailed statistics reporting the number of children conceived artificially by surrogate mothers are practically unavailable. Clinics do not disclose this information, referring to medical confidentiality principle. The issues of legal support and protection of rights of children born to surrogate mothers are supervised by the Ukrainian Association of Reproductive Medicine. The largest medical institution for artificial insemination and additional medical care is the Kharkiv Center for Surrogate Motherhood. Similar centers of smaller scale are situated throughout the country, around 20 in number.
First, we must distinguish between two types of surrogate motherhood: the so-called"traditional" and extracorporeal insemination (in vitro). In the former case, the surrogate mother is a genetic mother of the child, insemination can be either natural or artificial, and the surrogate mother delivers the child to its genetic father and another woman, who lacks of some or all reproductive abilities. In contrast, extracorporeal insemination requires the use of genetic material of both future parents, insemination is carried out artificially, and the impregnated embryo is planted into the surrogate mother's body. This way, the surrogate mother will have no genetic relation to the child at all. Presently, only the second method is employed in Ukraine, and the following discussion will be based solely on it.
Immediately below we explore the legal background regulating the employment of artificial motherhood and related issues, such as rights and obligations of genetic parents, legal relations between the parents and the surrogate mother, as well as between the parents and the medical institution carrying out the procedure, defining the parental rights for the future child, and the right of all involved parties to confidentiality concerning the child's origin.
As a general rule, surrogate motherhood is legally permitted in Ukraine, and is commonly employed by foreign citizens. The founding legislative act in this sphere is the Family Code of Ukraine, which guarantees all citizens an unimpeded realization of their right to parenthood. In particular, Article 123 of the Code defines the principles according to which the State Bodies for Registration of Civil Status Acts decide who should be considered the child's parents in cases of artificial insemination and embryo implantation. Part 2 of the above Article clearly states that in case of embryo implantation into the body of another woman, the couple who provided the genetic material for the embryo is considered to be the child's parents. This means that surrogate mother has no legal claims against the lawful parents. Please note this is in sharp contrast with the laws of the Russian Federation and many other countries, which allow surrogate mother to keep the child after its birth, regardless of any previous agreements.
General procedure is provided by the Order #24 of the Ministry of Health Care"On Approval of Conditions and Order of Employment of Artificial Insemination and Implantation of Embryo(s), and Methods of Their Performance", dated February 4, 1997 ("Order"). Other legislative acts include the Orders of the Ministry of Health Care #489 "On Approval of Statistic Documentation on Issues of Ancillary Reproductive Technologies", dated December 10, 2001, and #579 "On Approval of Order of Assigning Women for Performance of the First Course of Infertility Treatment by Methods of Ancillary Reproductive Technologies on Absolute Grounds for Budget Costs".
Together, these laws outline detailed medical procedure of artificial insemination and embryo implantation. Its general provisions require artificial insemination to be carried out solely in specially accredited medical institutions in accordance with the methods approved by the Ministry of Health Care of Ukraine. It also defines the scope of information that should be provided by the doctor, who carries out the procedure, to the couple seeking medical assistance, namely: the details of the medical procedure of artificial insemination, medical and legal aspects of its consequences, and the results of medical examination of the future surrogate mother.
Below we summarize the key issues that need to be addressed in contracts with both the future surrogate mother and the medical institution, which will be responsible for insemination and further medical surveillance. First and foremost, in any agreement with the future surrogate mother, at a minimum the following issues should be specified:
(a) surrogate mother's health status, and her responsibility for providing valid data in this regard;
(b) medical institution where the procedure will be performed; 
(c) the amount of surrogate mother's remuneration for her services; 
(d) additional expenses, connected with impregnation, pregnancy, act of delivery and registration of child; 
(e) conditions which surrogate mother should observe for the pregnancy period (living conditions, health regime, nutrition);
(f) the procedure of child transfer and registration; 
(g) force majeure provisions (delivery of handicapped child, delivery of more than one child, delivery of dead child, complicated delivery resulting in surrogate mother's future infertility);
(h) confidentiality provisions (responsibility for disclosure of information to the child or any third party).
Second, the following provisions will apply to an agreement with the medical institution:
(a) institution's responsibility for choice of surrogate mother and her full medical examination;
(b) institution's responsibility for carrying out the procedure in accordance with the methods approved by the Ministry of Health Care, as well as with genetic parents' requirements; 
(c) terms and conditions of medical surveillance during the pregnancy; 
(d) confidentiality provisions (responsibility for disclosure of information to the child or any third party).
In most cases, medical institutions provide their draft agreements both for themselves and surrogate mothers. It is important to carefully review these drafts and insist on your amendments if the provided draft does not ensure genetic parents' rights to the full extent. For example, in agreement with a medical institution one can often find a provision that the parents agree not to submit any legal claims against the institution. This provision contradicts one of the basic principles of civil agreements, stated in Article 3 of the Civil Procedural Code of Ukraine, namely, waiving the right to protect your interests in court.

In conclusion, due to the balanced combination of legal acceptability, high qualification of medical staff, comparatively low prices and unparalleled qualities of Ukrainian women, who are ready to assist others in their search of personal happiness, Ukraine provides unique possibilities for couples from all over the world to realize their parental rights. To take advantage of all this, however, one needs to take certain minimum precaution measures, in co-operation with a reliable local lawyer, who is aware of the pitfalls.
((http://familylaw.com.ua/))

How just four pints of lager a week harms male fertility


Just four pints of lager a week could harm a man’s chances of having a family, research suggests.
A study of healthy young men found that drinking just a little more than three pints a week, or half a pint a day, can reduce sperm quality.
The researchers found the effects occurred when more than 7.5 units of alcohol a week - with the average pint of beer containing around 2.3 units.
However, many popular lagers are stronger than this.
For instance, a pint of Stella Artois lager contains 2.7 units – meaning that fewer than three pints a week may be harmful.
The study also found that the more a man drinks, the greater the toll on sperm.
The Danish researchers said that given the large amounts of alcohol drunk by young men, their finding is a public health concern.
Around one in seven couples in the UK has trouble starting a family and male infertility is to blame in almost half of cases.
Some will remain childless, despite spending thousands of pounds on IVF.
The study, published in the BMJ Open journal, involved 1,200 military recruits aged between 18 and 28.
They were asked about their drinking habits and gave blood and sperm samples.
They had drunk 16 units on average the previous week and more than half had binged on booze or been drunk more than twice in the past month.
Boozing was linked to changes in reproductive hormones – and to the health of the men’s sperm.
The researchers found that for men who habitually drank heavily there was a clear link between alcohol intake and quality of sperm.
The more a man drunk, the less sperm he made and the more abnormal it was in shape and size.
Importantly, the effect was apparent after just 7.5 units a week - although it was particularly strong after 37.5 units a week.
The NHS advises that men don’t regularly consume more than 21 to 28 units of alcohol a week.
The University of Southern Denmark researchers said that they can’t be sure that alcohol is causing the damage.
For instance, it may be simply be that men with poor sperm are more likely to drink.
But they warned that even ‘modest’ amounts of booze may be harmful – and advised against ‘high habitual intake’.
However, going tee-total may not be the answer. The analysis also found that men who didn’t drink at all had poorer sperm than those who had a small amount. More research is needed to explain this.
Chris Barratt, professor of reproductive medicine at the University of Dundee, said: ‘I think the main message of this paper is clear - high levels of alcohol intake do appear to be associated with changes in sperm and semen that may affect fertility.’
Professor Sheena Lewis, of Queen’s University Belfast, described the results as ‘compelling’.
But Dr Allan Pacey, a male fertility expert at the University of Sheffield, said his own study of infertile men had failed to link boozing with sperm quality.
However, he said that binge drinking may be more harmful than consuming the same amount of alcohol over a longer period of time.

((http://www.dailymail.co.uk/))

Friday, December 19, 2014

BioTexComis Your Best Choice

Frequently we face the situations when seriously ill people seek for a suitable donor of blood or internal organs around the world to get the hope of life. As well as infertile couples (about 53 million) relying on assisted methods of reproductive medicine in order to solve own problem of infertility. Donation of oocytes is among such methods. It is the most effective treatment of female infertility when the ovaries do not produce own eggs. Legislation of most European countries prohibits such procedures as egg donation, basing on religious or ethical aspects. But there are also states where such donation is very popular in reproductive medicine. These states are Ukraine, Russia, America, Canada, Kazakhstan, Romania, Belgium and Spain. Ukraine has carries the palm in egg donation area. In comparison with European clinics that use assisted reproductive technologies, in particular oocyte donation, Ukrainian Center of Reproductive Medicine BioTexCom sets all records in success performance of such programs.

BioTexCom specializes in programs of egg donation and surrogate motherhood (using only fresh oocytes!). Day after day medical specialists of Ukrainian clinic achieve incredible results in this area! And it concerns patients of all age groups. Almost all records of late pregnancies (after 60) were fixed in BioTexCom clinic.

What do medical center BioTexCom use to achieve such a great results? Foremost, specialists of the center work only with fresh genetic material and do not welcome cryopreservation. It automatically multiplies the chances of successful fertilization. Secondly, highly skilled embryologists of this clinic conduct not only spermogram but the analysis of sperm’s apoptosis as well. These methods give BioTexCom a great opportunity to determine the presence and quantity of harmful cells failed to perform successful conception, and can also cause damage of DNA. In the case of low-quality cells, doctors prescribe appropriate treatment (special drugs improve the quality of problematic cells) after that retest and successfully fertilize an egg.
Starting to work with infertile couple, doctors of the BioTexCom clinic use only individual approach to each case. First of all, doctors conduct a detailed diagnosis of patients in order to clearly identify the cause of infertility or reasons of unsuccessful IVF attempts. There are no identical protocols as each individual patient is tested and prescribed a single treatment. BioTexCom team does not work in the traces because the positive and successful outcome of the program is the main goal of doctors.
Working with programs of egg donation and surrogacy doctors of BioTexCom center also know how to calculate and determine the ideal "window of implantation". It means the most opportune moment for the embryo transfer without disturbing the structure and integration of the endometrium.
Basing on all advantages that were mentioned above, BioTexCom clinic offers unique conditions. It is the only center of reproductive medicine in the world which will return the client full cost of the program in the case of its failure. But it is rather hard to meet such precedents here. Patients from all over the world go to Ukraine to visit BioTexCom clinic. And they find here so long-awaited happiness of motherhood / fatherhood even after ten unsuccessful attempts of IVF in different European countries. Coming to hands of BioTexCom specialists clients who have already lost faith become parents from one maximum two attempts.

There is no absolute infertility! BioTexCom knows it for sure and continues to improve its methods amazing the whole world with incredible results.

Adoption or surrogacy


As of today about 2.5 million children - orphans and children deprived of parental care are registered in Europe. More than half of them have different kinds of disabilities. Very often couples who faced with the problem of infertility and can not have children of their own due to medical reasons adopt children from orphanages. Many foreign couples adopt children from Ukrainian or Russian orphanages as abroad the adoption procedure is rather complex and long-running. Citizens of Spain, Italy, Israel, France and the United States most often adopt Ukrainian children.
People who have hunkered down to such an important step as adoption usually cause a great respect and support of the community unlike surrogate motherhood, which stick pins and hot debates and is considered to be rather  immoral decision. So, for example, according to statistics, each year about 700 Italian couples leave the territory of Ukraine with children born by a surrogate mother. The figures are not less concerning infertile families of other European countries. Contacting appropriate authorities in their home country to obtain a needed certificate for the child parents face with the censures and reproaches that surrogacy is contraries to ethical, moral and religious norms and concepts. As a result at home people who have used services of surrogate mother receive the so-called stigma and family falls under the watchful eye of special state agencies. Another thing is adoption of a child who has lost parental love and care and even more so if he is a toddler with special needs.
Adopting, for example, a child with heart defect, cerebral palsy, HIV positive, or a child with one leg, hand (there are more than a half of such children in orphanages) you give him a chance to develop in real family, with all its components, sometimes even saving his life. In addition, in such way you make a significant contribution to the solution of a large-scale social problem of child parentlessness. Married couples who express a desire to adopt a child with disabilities are given certain privileges and such adoption process goes on much faster than in the case of a healthy child.
Today, surrogacy is the main alternative to adoption. Despite the worldwide condemnation surrogacy and "test-tube babies" procedures gain serious speed and are rather hot among infertile couples all over the world.
In the case of surrogacy when strange woman bears a child after his birth she immediately writes an official rejection and gives biological parents a baby. And in this situation you have a job to make all things correctly. You are alone with a newborn baby who cries all the time and you can not understand why, child needs hourly feeding, changing of diapers, etc. While adopting a child you have an opportunity to take an older child. Of course he can be from a difficult family (usually child’s parents are drug, alcohol addicted, carriers of the AIDS virus or various genetic diseases) with a negative heredity and bad habits. But you have a good grip on the situation: re-education, teaching, familiarity with the new civilized world, etc.
Surrogate child who is genetically yours will make you go through all the stages of development that has a lot of pros and cons. Yes, you will easily prepare all necessary documents in which black and white will be written that you are the biological parents of a child, he has your last name and you can choose his own name. But in addition you will have to bravely survive facing the society’s opposition. Although, as one writer said: "Each of us has his own difficulties, its measure and methods to overcome. Unnecessary comparisons are not needed”.