Monetary remuneration may or may not be always associated with this process. A Gestational Surrogate may be a mom, sister or other relatives including friends. Due to high cost of GS, international locations such as India, Hong Kong, and other are becoming economical choices for international gestational surrogacy.
There are several indications for traditional GS, including woman without a uterus (after a hysterectomy) or congenital absent or malformed uterus (infantile uterus) which is not suitable for carrying a pregnancy. Additionally certain obstetrical and medical conditions like repeat miscarriages, poor uterine endometrial development to sustain implantation and medical conditions that may make expectant mother at higher risk for complications during pregnancy are considerations for GS.
In recent years, Gestational Surrogacy has become a popular choice for same sex couples, where male partners need to recruit a GS in order to carry a pregnancy created from either partner’s sperm and a donor egg. In other instances, two female partners may choose to utilize the eggs of one partner and the uterus of another to carry the child.
Recently, we have had several couples go through gestational surrogacy for different reasons. One case involves a young woman whose endometrial lining (endometrial thickness) remained thin on several treatment regimens. A less than optimal endometrial thickness is less conducive to implantation and pregnancy. Another young woman, an insulin-dependent diabetic since age 16, developed a severe form of morning sickness associated with pregnancy (hyperemesis gravidarum). In both instances, medically indicated pregnancy loss occurred which further proved the need for GS.
In another case, a patient with congenital absent uterus (mullerian agenesis), but with ovarian presence was able to pursue a pregnancy with GS. She is currently undergoing treatment.
A congenital or acquired anatomical uterine condition, hormonal, or immunological disorders may preclude a normal and healthy pregnancy, with risks both for intending mom and her expected child. GS provides these couples with an opportunity to have a child. Determining if this is the right option and/or finding a Gestational Surrogate, whether through a local or national agency, can be done by contacting our offices.
Nasir Rana, M.D., MPH has devoted more than 30 years of his professional life to academic medicine and the clinical practice Reproductive Health Care for Women. Dr. Rana is Founding Partner of Reproductive Medicine Institute. He is board certified in both Reproductive Endocrinology and Infertility (REI) and Obstetrics and Gynecology (OB/GYN). He also holds a Master’s Degree in Public Health (MPH) with emphasis on Women’s Health Care. Dr Rana is also a retired USAF officer and a veteran.