Surrogacy in India has been practiced since times immemorial. There  are even mentions of it in epic books. Before the advent of assisted reproductive techniques (ART) in “natural” insemination with the husband’s sperm, in a fertile woman was used as a means of helping infertile women. The development as Assisted Reproductive Techniques and the use of artificial insemination made the surrogacy process more social acceptable. As the techniques became more sophisticated embryos created completely from the genetic material from both parents were transfers into the surrogate giving leaving very little room for social complications. IVF Surrogacy in India is highly successful and costs of surrogacy process are affordable too!

‘Gestational Surrogacy’ or otherwise also referred to as “IVF (In Vitro Fertilization) surrogacy” or “Full surrogacy” is defined as a treatment by which the gametes of the ‘genetic couple’, ‘commissioned couple’ or ‘intended parents’ in the surrogate arrangement are used to produce embryos and these embryos are subsequently transferred to a woman who agrees to act as a ‘host’ for these embryos.

The ‘surrogate host’ is therefore genetically unrelated to any offspring that is born of this arrangement. In ‘partial surrogacy’ or ‘natural surrogacy’ the women is inseminated with the semen of the husband and therefore is genetically related to the offspring.

Full surrogacy treatment is an accepted option in many countries for certain infertile women. The British Medical Council (BMA) states that surrogacy is an acceptable option of the last resort in cases where it is impossible or highly undesirable for medical reasons for the intended mother to carry the child herself. Medical tourism has demanded high values of surrogacy in India.

Indications for Surrogacy:

  • Hysterectomy after cancer
  • Congenital absence of the uterus
  • Hysterectomy from post partum hemorrhage
  • Repeated IVF failure
  • Recurrent Abortion
  • Hysterectomy for menorrhagia
  • Severe medical conditions incompatible with pregnancy

Needless to say the in-depth counseling is required for both the ‘genetic parents’ as well as the ‘Host’. The couple should be explained about the medical, physiological, the potential psychological problems and also the cost of surrogacy. The control of the genetic parent over the host, its limitations and also the risk of the child being born has to be explained.
The “host” on the other hand should also be counseled in depth as above and explained also about the physiological the risks of multiple pregnancy, the social implications, and the need to abstain from unprotected sexual intercourse during the course of pregnancy. Along with all this she should also me made to understand the sense of loss and guilt that she may feel after giving up the baby.

A reliable process of surrogacy in India is awaited!