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PGT-A, surrogacy and fertility questions—answered clearly

Use these general answers to prepare for a consultation. They cannot replace evaluation of your individual health, genetic question, legal eligibility or treatment history.

When should we see a fertility specialist?

Consider evaluation after 12 months of regular unprotected intercourse when the female partner is under 35, or after 6 months when 35 or older. Seek earlier advice for absent or irregular periods, known endometriosis, pelvic infection, prior reproductive surgery, cancer treatment, a semen concern or another relevant history.

Should both partners attend the first appointment?

When possible, yes. Fertility is a couple-level question and male and female factors may coexist. Parallel assessment can reduce delay and support a more relevant plan.

What reports should we bring?

Bring available ultrasound, hormone, semen, surgical and prior treatment records. Do not repeat older tests before the specialist reviews whether they are still relevant.

Is IVF always needed for infertility?

No. Depending on age, duration, diagnosis and preferences, advice may include continued trying, health care, ovulation treatment, surgery, IUI, IVF, ICSI, preservation or another pathway.

What is the difference between IUI and IVF?

IUI places prepared sperm in the uterus and relies on fertilisation inside the body. IVF retrieves eggs and brings eggs and sperm together in a laboratory before an embryo may be transferred.

When is ICSI considered?

ICSI may be considered for significant sperm findings, surgically retrieved sperm, prior fertilisation difficulty or selected laboratory indications. It is a fertilisation method within IVF and is not automatically needed in every cycle.

Does AMH tell me my egg quality?

No. AMH helps estimate ovarian reserve and possible response to stimulation. It does not directly measure egg quality, prove fertility or predict pregnancy by itself.

Can IVF outcome be guaranteed?

No. Response, egg retrieval, maturity, fertilisation, embryo development, implantation and pregnancy all involve uncertainty. Age and many individual factors influence outcomes.

Why do IVF costs vary?

Medicine dose, monitoring, fertilisation method, anaesthesia, embryo culture, freezing, storage and later transfer needs differ. Compare written estimates using the same list of inclusions and exclusions.

Does egg freezing guarantee a baby later?

No. Not every egg survives warming, fertilises, develops or implants. Age at freezing, egg number and future clinical factors matter.

What does PGT-A screen for?

PGT-A screens sampled embryo cells for selected chromosome-number abnormalities. It is not a complete genetic diagnosis, cannot guarantee implantation and does not test every inherited condition.

How are PGT-A, PGT-M and PGT-SR different?

PGT-A screens selected chromosome-number abnormalities. PGT-M is a case-specific pathway for a known single-gene condition, while PGT-SR concerns particular structural chromosome rearrangements. Genetic counselling is needed to identify which test, if any, answers the medical question.

Is PGT-A recommended for every IVF patient?

No. Current professional guidance does not support routine PGT-A for every IVF patient. Its possible value and trade-offs depend on age, treatment history, the embryos available, the medical indication and which decision a result would change.

Does PGT-A replace testing during pregnancy?

No. PGT-A examines a limited sample from an embryo and is a screening test. If pregnancy occurs, the obstetric and genetics team may still discuss appropriate prenatal screening or diagnostic options.

Does Umeed IVF offer lawful surrogacy guidance?

Guidance is limited to altruistic surrogacy for eligible Indian intending couples under prevailing Indian law. Eligibility requires independent legal and medical review and statutory approvals; the clinic does not arrange paid matching.

Is a certified medical condition required before a surrogacy pathway?

Yes. The National ART and Surrogacy Portal states that a medical condition certified by the District Medical Board is required. General online information, prior IVF history or a clinic conversation cannot replace the prescribed certification process.

Must a proposed surrogate be a close relative?

The National ART and Surrogacy Portal’s current FAQ says that a close-relative relationship is not mandatory. Every other applicable eligibility, health, consent, insurance, certificate and approval condition still requires current independent review.

Does Umeed IVF find or match surrogates?

No. Umeed IVF does not offer brokers, paid matching or unlawful arrangements. It provides educational and medical pathway guidance only where eligibility and required legal approvals have been independently established.

How is my website enquiry used?

The details you submit are used to respond to your request and manage lead follow-up as explained in the Privacy Policy. Share only the minimum needed and do not upload or enter medical documents.

Can I request a second opinion?

Yes. Bring treatment summaries, medicine protocols, laboratory and embryo information, scans and relevant test results. A second opinion may confirm the plan or identify questions; it cannot promise a different outcome.

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