Treatments Details

Surrogacy is a method of assisted reproduction. The word surrogate originates from Latin word surrogatus (substitution), which means “to act in the place of”. The term surrogacy is used when a woman who is unable to carry her child during the nine months of pregnancy and give birth to her baby, takes the help of another woman and hires her womb (uterus) to carry her child and deliver it.

Surrogacy is gaining popularity as this may be the only method for a couple to have their own genetic child. Also sometimes the procedure of adopting a baby may be very long and drawn out, because of which some couples use surrogacy as an option of treatment.

Surrogacy is a method of assisted reproduction.

The word surrogate originates from Latin word surrogatus (substitution), which means “to act in the place of”.

The term surrogacy is used when a woman who is unable to carry her child during the nine months of pregnancy and give birth to her baby, takes the help of another woman and hires her womb (uterus) to carry her child and deliver it.

Surrogacy is gaining popularity as this may be the only method for a couple to have their own genetic child. Also sometimes the procedure of adopting a baby may be very long and drawn out, because of which some couples use surrogacy as an option of treatment.

IVF / Gestational surrogacy – This is more common form of surrogacy. This is where a woman carries a pregnancy created by the egg and sperm of the genetic couple. The egg of the wife is fertilized in vitro by husband’s sperms by IVF/ICSI procedure. The embryo formed is the genetic child of the infertile couple. This is then transferred into the surrogate’s uterus. The surrogate carries the pregnancy for nine months and delivers the baby. On birth of the baby, the child is handed over to the legal parents (genetic parents).

The child is not genetically linked to the surrogate.

Traditional / Natural surrogate – This is where the surrogate is inseminated or IVF/ICSI procedure is performed with sperms from the male partner of an infertile couple and using eggs of the surogate. The child that results is genetically related to the surrogate and to the male partner but not to the infertile female partner (who is the legal mother).

IVF or Gestational Surrogacy is advised in the following conditions:
  • Most commonly it is indicated in women whose ovaries are producing eggs but they do not have a uterus. Some of the common reasons are as follows:
  • - Congenital absence of uterus (Mullerian ageneris)

    - Surgical removal of uterus (hysterectomy) due to cancer, severe hemorrhage in previous Cesarean section or Rupture uterus.

  • A woman whose uterus is malformed (unicornuate uterus, T shaped uterus, bicornuate uterus with rudimentary horn) or damaged uterus (Tuberculosis of the endometrium leading to severe adhesions and loss of normal endometrium, severe Asherman’s Syndrome).
  • Women at a high risk of rupture of uterus due to previous uterine surgeries for rupture uterus or fibroid uterus and hence is unable to carry pregnancy to term.
  • Women who have repeated miscarriages or have repeated failed IVF cycles may be advised IVF surrogacy in view of unexplained factors which could be responsible for failed implantation and early pregnancy wastage.
  • Women who suffer from medical problems like diabetes, heart or kidney diseases like chronic nephritis, whose long term prospect for health is good but pregnancy would be life threatening.
  • Woman with Rh incompatibility (One partner may have a positive blood rhesus factor/ blood group and the other negative, leading to repeated miscarriages).