Fertility/IVF/Surrogacy

IVF is the original ‘test-tube’ baby technique. In-vitro fertilization (IVF) is the process of fertilizing eggs with the sperm outside of the human body. In infertile couples, where women or/and men have problem in natural conception the technique of in-vitro fertilization (IVF) offers a chance at parenthood to couples .

In IVF, eggs are surgically removed from the ovary and mixed with sperm outside the body in a Petri dish. the eggs are examined to che1ck if they have been fertilized by the sperm and are dividing into cells. These fertilized eggs (embryos) are then placed in the uterus of the woman, thereby bypassing the fallopian tubes. Once fertilized, the resulting embryos are placed back in the woman’s uterus with the hope that a successful pregnancy will follow.

There are traditional surrogates. These are women who use their own egg and are artificially inseminated by the intended fathers or donor sperm. The surrogate mother carries the baby, delivers that baby and then gives that baby to the parents to raise. The traditional surrogate mother is the baby’s biological mother because it’s her egg that was fertilized by the intended father’s sperm.

Nowadays gestational surrogacy is used for most of the surrogacy cycles in the USA. This is a woman who carries a baby that has been conceived using the egg of the intended mother, or an egg donor, and sperm from the intended father or a sperm donor. A gestational surrogate mother has no genetic connection to the baby because it wasn’t the gestational surrogate’s egg that was used during the IVF cycle.

These cycles occur with the procedure called in vitro fertilization (IVF). A gestational surrogate is referred to as the birth mother because she carried the baby and in traditional surrogacy the surrogate mother is referred to as the biological mother because her egg was used.

In both situations the baby is carried to term and then the baby is released to the intended parents for them to raise as their child.
Everything you read now says that in the United States gestational surrogacy is not as complex legally, and while that might be true it’s still a complex process that requires lawyers and often a surrogacy agency to help intended parents navigate through uncharted waters.

Did you know about 1400 babies are born yearly through gestational surrogacy? Surrogacy is becoming more common for intended mothers who can’t carry a pregnancy herself due to uterine issues, or the intended mother may have undergone a hysterectomy, or other health issues that might make a pregnancy for the intended mother risky. Sometimes intended mothers use a surrogate when their infertility is unexplained, or they have endured several miscarriages and getting pregnant and carrying to term hasn’t been successful for them. Sometimes couples use a surrogate due to their ages, or their sexual orientation. Surrogates often help gay men create a family, and an egg donor is also required with gestational surrogacy.

When gay men choose traditional surrogacy one of the men uses his sperm to fertilize the surrogate mothers’ egg through artificial insemination (AI). The surrogate mother then carries the baby to term, has the baby and releases the baby to the couple. If a gay couple chooses an egg donor, the donated egg is fertilized in a lab, the embryo(s) are transferred back into the gestational surrogate, and the surrogate carries the baby to term, has the baby and releases the baby to the intended couple.

All different kinds of women choose to be surrogate mothers or gestational carriers. Some women are family members (mothers, sisters, aunts, cousins, or in-laws), that are asked to be a surrogate for them. Other women are friends. Because these kinds of arrangements are typically altruistic (no money exchanged and not commercial) the industry views them as somewhat controversial. The American Society for Reproductive Medicine (ASRM) supports and accepts specific family ties that are acceptable for surrogates. However, ASRM doesn’t support surrogacy if the baby would carry the same genes as a child born of incest between first-degree relatives.

There are also women who are commercial surrogates, which means they carry a baby for intended parents for a fee. The majority of surrogates are found through surrogacy agencies. The majority of intended parents seek out a surrogacy agency because these agencies arrange gestational surrogacy. The agency is the liaison between the gestational surrogate and the intended parent. The agency helps the intended parents find the right gestational surrogate for them, they make all the necessary arrangements, collect the monies needed for the cycle, disperse those monies, and manage the surrogacy cycle making sure the surrogate complies with her contract, as well as making sure the surrogate’s needs are met during the pregnancy while keeping the intended parents informed and in the loop along the way.

To date, there are no legal regulations that state who can and can’t be a surrogate mother. The industry has established standards and all experts agree on specific criteria in regards to who should be and who should not be a surrogate.

All surrogate mothers should be the minimum age of 21 years old and have already given birth to at least one healthy baby, and has at least one child under the age of 18 still living in the household. This is so the surrogate understands what pregnancy and childbirth are about, what it means to have a baby, and be a parent.

The surrogate must be deemed healthy, physically and mentally. Surrogates must always pass a psychological screening by a mental health professional. This is so a mental health professional can explore or uncover any sort of potential emotional issues the surrogate may have regarding releasing a baby to the intended parents after birth.

ASRM advocates that all surrogates have a complete medical evaluation as well as a pregnancy history to assess the likelihood of a healthy, full-term pregnancy. ASRM also recommends screening for infectious diseases such as syphilis, gonorrhea, chlamydia, HIV, cytomegalovirus, and hepatitis B and C along with being screened for immunity to measles and rubella and the chicken pox. Potential surrogate mothers will also undergo a GYN exam to ensure the uterus is normal to make sure that there’s potential to carry a pregnancy and also the surrogate has her own OBGYN, not the same physician as the intended mother.