Q. What are the types of surrogacy ?
Surrogates can be divided into natural surrogates and IVF surrogates.
IVF Surrogacy (Gestational Carrier) – Full Surrogate
This is where a woman carries a pregnancy created by the egg and sperm of genetic couple. The carrier is not genetically related to the child.
Natural Surrogacy (Traditional/Straight Surrogate)
Here, the surrogate is inseminated with sperm from the male partner’s of an infertile couple. The child that results is genetically related to the surrogate and to the male partner but not to the commissioning female partner.
Q. To whom surrogacy is advised?
There are several groups of patients that natural and IVF surrogacy may be advised to.
- Women whose ovaries are producing eggs but they do not have uterus this could be because they have had a hysterectomy (removal of uterus) performed due to cancer, severe hemorrhage or ruptured womb, or they were born without a uterus. This is by far the most common indication for IVF surrogacy.
- Women who suffer from medical problems such as diabetes, heart and kidney diseases and in whom a pregnancy would be life threatening. However, their long term prospect for health is good.
- Repeated miscarriages where the causes of miscarriage have been fully investigated, may also suggest IVF surrogacy treatment.
- Women who have no functioning ovaries due to premature menopause ( some may argue that the best option for these patients is egg donation).
- A woman who is at risk of passing on a genetic disease to her offspring, may opt for traditional surrogacy.
- As with IVF surrogacy, women who suffer from medical problems such as diabetes, heart and kidney diseases and in whom a pregnancy would be life threatening may select traditional surrogacy if their long term prospect for health is good.