The word ‘surrogate’ has originated from the Latin term ‘surrogatus’ which means ‘a substitute’. Surrogacy is an ART measure to have genetic children through a process of in-vitro fertilisation (IVF) and embryo transfer in a surrogate woman, who carries the pregnancy and subsequently delivers the baby.

Before proceeding with the medical procedure of surrogacy, there is a legal contract made through a lawyer, between the commissioning parents (biological parents) and surrogate & her husband. The contract includes the consent of the commissioning parents(biological parents), surrogate and her husband; along with government approved identity proofs.

Who Needs Surrogacy?

  1. Couple with medical problems
  2. Women with absence of uterus
  3. Recurrent abortions
  4. Repeated IVF failure
  5. Women with a history of cancer (uterus)
  6. Poor endometrium lining
  7. Single parent

Steps of Surrogacy

    1. Counselling of both the parties regarding the procedure and the legalities
    2. Selection of the surrogate mother- The surrogate is screened and investigated to rule out any medical conditions as well as infections.

Selection Criteria of Surrogate mother

    • Preferred Age- Less then 30years.
    • Reproductive Background- at least delivered one healthy child.
    • Healthy weight range.
    • All blood investigations should be normal.(Viral markers, thalassemia, diabetes, thyroid, Liver function test, kidney function test).
    • Normal uterus and ovaries with lining of uterus being more then 8mm.
    • No family history of diabetes and hypertension.
    • No history of any major surgery.
    • Surrogate must not have any addiction of smoking and alcohol.
    • Surrogate should be physically and psychologically fit.
    • No history of any complication in previous pregnancy.
    • No history of genetic disorder.
    • No history of diabetes, thyroid, hypertension and tuberculosis.
  1. Egg Retrivel, Fertilization and Embryo Transfer
    • The commissioning (biological) mother undergoes standard IVF procedure (controlled ovarian hyperstimulation followed by egg retrieval or eggs may be of a donor). The eggs are then fertilized through IVF with sperms of the commissioning (biological) father and embryos are formed and frozen.
    • The cycle of the surrogate is monitored to prepare endometrial lining for implantation.
    • Once the lining is ready, the embryos are transferred in the surrogate mother’s uterus.

Frequently asked questions

Q.1 What is surrogacy?

Ans:- Surrogacy is an assisted reproductive technology (ART) procedure that involves in-vitro fertilisation (IVF) and embryo transfer into a surrogate woman, who then carries the pregnancy and delivers the baby.

Q2. How long does surrogacy take?

Ans:- A) Donor Surrogacy programme- 1 month to prepare a donor for ovum pickup and then embryos are freezed.
B) Surrogate needs to visit atleast 4-5 times to the clinic for ultrasounds to monitor uterus lining.
C) These treatments are menstrual cycle dependent so, total time taken is 1-3months.

Q3. What is the success rate of Surrogacy?

Ans:- 80-90% per cycle

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