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    Who Needs Surrogacy and Why? Understanding Your Options

    Dr. Peter Platteau
    Dr. Peter PlatteauReproductive Medicine Consultant
    January 28, 2026
    7 min read
    Who Needs Surrogacy and Why? Understanding Your Options

    Who Needs Surrogacy and Why?

    Surrogacy — where another woman carries and delivers a baby for intended parents — is an option that brings hope to people who otherwise could not have biological children.

    Who May Benefit from Surrogacy?

    Women without a uterus: Either born without one (Mayer-Rokitansky-Küster-Hauser syndrome) or after a hysterectomy.

    Repeated IVF failure: When embryos are healthy but implantation repeatedly fails despite multiple attempts.

    Medical conditions: Severe heart disease, kidney disease, or other conditions that make pregnancy medically dangerous.

    Recurrent pregnancy loss: After thorough investigation and failed treatments.

    Uterine abnormalities: Severe Asherman's syndrome (intrauterine adhesions) or significant uterine malformations that cannot be corrected.

    Types of Surrogacy

    Gestational surrogacy: The surrogate carries an embryo created from the intended parents' egg and sperm (or donors). The surrogate has no genetic connection to the baby.

    Traditional surrogacy: The surrogate uses her own egg, making her the genetic mother. This is less common and raises additional legal and emotional considerations.

    The Surrogacy Process

    1. Medical evaluation: Both the intended parents and surrogate undergo thorough screening
    2. Legal framework: Establishing rights and responsibilities before treatment begins
    3. IVF cycle: Creating embryos from intended parents' or donors' gametes
    4. Embryo transfer: Transferring an embryo to the prepared surrogate
    5. Pregnancy monitoring: Regular check-ups throughout the pregnancy
    6. Birth and legal transfer: The baby is born and legal parentage is established

    Emotional Considerations

    Surrogacy involves profound emotional journeys for everyone involved. We recommend:

    • Psychological counselling for all parties
    • Clear communication throughout the process
    • Support groups for intended parents
    • Professional mediation for any concerns

    Ethical Principles

    At our hospital, we believe surrogacy should be:

    • Voluntary and fully informed
    • Medically indicated
    • Conducted with legal protections for all parties
    • Supportive of the surrogate's wellbeing

    Is Surrogacy Right for You?

    This is a deeply personal decision. We encourage anyone considering surrogacy to schedule a comprehensive consultation to discuss your specific situation, the medical process, and what to expect emotionally and practically.

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