Tuesday, June 16, 2015

How Does Surrogacy Work?

Surrogacy is an option that is used to help in building a family when a woman is unable to successfully carry a pregnancy herself. A surrogate will then carry the pregnancy- the intention is that the baby will then be given to the couple who has commissioned the surrogate. Typically, the intended parents will be listed on the child’s birth certificate.

Types of Surrogacy

We run a very successful surrogacy program at our clinic and over the years have helped a number of couples get the child they want. We provide all the guidance, connections, as well as all the legal help required to   complete the process. 

There were two main types of surrogacy:

•    Traditional Surrogacy- Where the surrogate’s eggs were used , and the treatment needed was a simple insemination. However, this is illegal in India.
•    Gestational Surrogacy- The surrogate isn’t genetically-related to the baby. In this:

    The intended parents could be the child’s  genetic parents
    In some cases an egg or sperm donor may be  used with the  gametes  of one of the intended  parents

There are a number of reasons why a woman may not be able to carry a pregnancy, including:

    No uterus- on account of a congenital defect called müllerian agenesis or Mayer Rokitansky Kuster Hauser syndrome ( MRKH)
    Prior hysterectomy
    Malformations of the uterus-  these prevent embryo implantation/cause repeated miscarriage
    Unexplained repeated miscarriages- these have not been resolved by any other treatment
    Untreatable Asherman's syndrome (uterine adhesions)
    Repeated failure  of embryo implantation during IVF treatment
    Medical conditions which could make pregnancy life-threatening to the mother/ baby. This includes severe heart disease, history of breast cancer, lupus, severe kidney disease, severe diabetes, cystic fibrosis, or history of severe pre-eclampsia (with HELLP syndrome)

Some Misconceptions

Some people are under the impression that women opt for surrogacy to protect themselves from the after-effects & physical burdens of pregnancy. In my opinion, this is not the case. Even though the woman doesn’t really carry the pregnancy herself, the entire process still involves a great deal of emotional & financial investment, and is hardly a first choice for an infertile couple, even though it makes for interesting cocktail party conversation.

Surrogacy is not really something that women would do to avoid developing a few stretch marks. It’s also important to understand that no ethically-conscious doctor will suggest that a woman opt for surrogacy, unless she is medically unable to have a child.

Choosing a Surrogate

Globally, a surrogate can be a family member or friend or a stranger who has been chosen via an agency or clinic. There are some pros and cons to choosing a person you know, for the surrogacy arrangement:

    The advantage is that the surrogate  will be able to  continue  maintaining a relationship with the child (if it’s what  you want)
    The possible  disadvantage is that there is always the possibility  of parental arguments arising

In India, you need to select a gestational surrogate you don’t know, and the IVF clinic should be able to help you with the entire process.

Why Choose India for Surrogacy?

Increasingly, India is becoming the preferred destination for people looking for surrogates. There are a number of reasons that make India an ideal country for surrogacy:

    Lower costs
    Technology and expertise of world-class standards
    Easy availability of surrogates
    No legal hassles. since the framework is well defined

Keep in mind that surrogacy can be very complex and it’s full of emotional and legal challenges.  Some people opt to look for a surrogate independently, but it’s   much better to go through a registered agency or the IVF clinic that is going to provide the treatment.

Need more information? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you better!

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