Mandakini Fertility & IVF Centre
Surrogacy Services
A surrogate mother is the woman who is pregnant with the child and intends to relinquish it after birth. The intended parent(s) is the individual or couple who intends to bear the child after its birth. The term surrogacy is used when a woman carries a pregnancy and gives birth to a baby for another woman.

Surrogacy is a method of reproduction whereby a woman agrees to become pregnant and deliver a child for a contracted party. She may be the child's genetic mother (the more traditional form of surrogacy), or she may, as a gestational carrier , carry the pregnancy to delivery after having been implanted with an embryo.

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.

Commercial surrogacy is a form of surrogacy in which a gestational carrier is paid to carry a child to maturity in her womb and is usually resorted to by higher income infertile couples who can afford the cost involved or people who save and borrow in order to complete their dream of being parents. This procedure is legal in several countries including in India where due to high international demand and ready availability of poor surrogates it is reaching industry proportions. Commercial surrogacy is sometimes referred to by the emotionally charged and potentially offensive terms "wombs for rent", "outsourced pregnancies" or "baby farms".

Surrogates may be relatives, friends, or previous strangers. Our surrogate arrangements are made through agencies that help match up intended parents with women who want to be surrogates for a fee. The agencies often help manage the complex medical and legal aspects involved. Surrogacy arrangements can also be made independently. Careful screening is needed to assure their health as the gestational carrier incurs potential obstetrical risks.

There are several groups of patients that natural and IVF surrogacy may be advised to.
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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 surrogacy.
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A woman whose uterus is malformed or damaged and is incapable of carrying a pregnancy to term.
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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.
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Patients where all other treatments such as ovulation induction with intra uterine insemination have failed
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Repeated miscarriages where the causes of miscarriage have been fully investigated.
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Women who have no functioning ovaries due to premature menopause (some may argue that the best option for these patients is egg donation).
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A woman who is at risk of passing on a genetic disease to her offspring.

The ideal surrogate should be married or in a stable relationship and relatively young, less than 38 years old to minimize the obstetric risk to the host and her family. It is also preferable if the surrogate has at least one previous live birth without complications.

In addition, it is important that potential surrogates do not have habits of smoking, alcohol, illicit drug use, or a history of medical disorders such as diabetes or Rhesus (Rh) antibodies that could jeopardize the health of the fetus.

In order to ensure the above criteria are met, the patient's medical history is reviewed, physical and internal examinations are performed, and the surrogates uterus is evaluated by ultrasound scan or hysteroscopy . Furthermore, a psychological evaluation is usually carried out.
Procedures/Surrogacy services