What is surrogacy? Cases in which this procedure should be resorted to

Gestación subrogada

Surrogacy, also known as gestational surrogacy or misnamed “surrogate motherhood”, is a reproductive arrangement in which a woman (the gestational carrier) carries a pregnancy to term for another person or couple (the intended parents), who will become the legal parents of the child at birth. The gestational carrier has no genetic link to the baby, as the embryo is created using the eggs and sperm of the intended parents or donors.

Cases in which surrogacy is the alternative

Surrogacy is considered an option when a woman is unable to gestate a pregnancy for a variety of reasons, including:

  • Absent uterus: women who have been born without a uterus (Rokitansky Syndrome) or who have had a uterus surgically removed (hysterectomy) due to diseases such as cancer or uterine fibroids.
  • Uterine malformations: conditions that prevent implantation or normal development of pregnancy, such as bicornuate or septate uterus.
  • Diseases that prevent gestation: certain chronic diseases, such as severe heart disease or autoimmune diseases, can make pregnancy high-risk or even impossible for the woman.
  • Repeated implantation failure: when several unsuccessful IVF cycles have been performed and it is suspected that the problem lies in the capacity of the uterus to receive the embryo.
  • Recurrent miscarriages: in cases of recurrent miscarriages with no apparent cause, surrogacy may be an option to achieve a full-term pregnancy.
  • Risk to the woman’s health: when the pregnancy represents a serious risk to the woman’s health or life.

Legal and ethical aspects of surrogacy

Surrogacy is a complex issue with legal and ethical implications that vary significantly between countries. In some countries it is legal and regulated, while in others it is illegal or in a legal vacuum. It is essential to be informed about the specific legislation in the country where the process is taking place.

If you are considering surrogacy, it is crucial to seek specialized legal and medical advice. A lawyer specializing in assisted reproduction will inform you about the legal aspects of the process, while a fertility specialist will guide you on the medical aspects. 

Surrogacy can be a viable option for starting a family, but it is important to make an informed and responsible decision, taking into account all aspects involved.

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