What is Surrogacy?

Surrogacy is one of the alternative ways to get your tiny human in your arms. If none of the fertility treatments (like IVF, ICSI) works, you could opt for this procedure. In this process, a pregnant woman called the surrogate delivers the child only to give away the child to someone else, i.e., the couple seeking an offspring. The couple hopes to get an offspring through Surrogacy can be called the intended couple or commissioning couple.

Surrogacy Treatment Options - From Dr. Biplab Deb

Surrogacy can be classified into two categories –

Traditional Surrogacy:
In Traditional Surrogacy, the sperm of the intended father is used to impregnate the surrogate mother using the eggs of the surrogate mother itself. Traditional Surrogacy is done by Artificial Insemination through which the surrogate mother gets pregnant. However, this method is no longer practised since the child becomes genetically linked to the surrogate mother. Hence, traditional Surrogacy is now an outdated practice. However,
Gestational Surrogacy:
In Gestational Surrogacy, a more advanced and calculated procedure is followed as the embryo is an amalgamation of the commissioning parents. Sometimes, Gestational Surrogacy is also addressed as IVF Surrogacy or Host Surrogacy. The process involves obtaining the sperm and egg of the commissioning couple and fertilizing it in a controlled environment, i.e., in the laboratory. The fertilized egg is then transferred to the surrogate mother's uterus, thus establishing no genetic link with the surrogate mother.

Who Can Benefit from Gestational Surrogacy? - Dr. Biplab Deb's Recommendations

When couples encounter significant infertility challenges, the expertise of a surrogacy specialist becomes invaluable. Here are some medical conditions that necessitate the expertise of a surrogacy specialist:

Women with obstetric difficulties like having ruptured or no uterus, which is a result of postpartum haemorrhage.
Recurrent miscarriages
MRKH Syndrome where a woman experiences a congenital disorder bearing no uterus.
Severe medical conditions like heart and renal disease. Getting pregnant under these conditions could be fatal.
Hysterectomy where the uterus is removed from the body to fight cancer.
Recurrent IVF failures even after retrieving superior grade embryos.
Women who are bearing a thin endometrium lining on repeated occasions.
Uterine Synechiae is also known as Asherman Syndrome. In this condition, injuries caused to the endometrium result in intrauterine adhesions, which hinder pregnancy and causes infertility.
Severe risks of rupturing the uterus, for example, women who have undergone multiple c-sections.
Adenomyosis or a condition where the uterus enlarges and thickens. In this condition, tissues develop in the muscular exterior walls of the uterus, which are called the myometrium.
Women who are experiencing Auto-Immune Disorders or Factor V Leiden (blood clotting tendency).
Note that single men could also opt for Surrogacy if they want to bear children of his own.

Surrogacy- A Step By Step Guide By Dr. Biplab Deb

Step 1: Search for a Surrogate
This process involves contacting several surrogates via advertisement or other methods and checking out their family history.
Step 2: Select a Surrogate
You should select the one aged between 20 to 35 years. Also, make sure the surrogate should be married and have one biological child of her own. As per current law surrogate should be a relative of intended parents.
Step 3: Counsel the Surrogate
This step involves educating the surrogate mother on the lines of the IVF process, the benefits, and the risks. Also, ideally there should not be a transactional relationship with surrogate mother.
Step 4: Investigate the Surrogate
Check out the medical background of the surrogate by pursuing her to undergo medical examinations, blood tests, urine tests, USG, etc.

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