In which cases should you use a surrogate to have a baby?

In general, the two reasons for the use of surrogacy are the absence or abnormality of the uterus or a medical contraindication.

Cases of absent/abnormal uterus:

• MRKH syndrome. Mayer-Rokitansky-Küster-Hauser syndrome is a disorder where the female is born with an underdeveloped or absent uterus and vagina.
• History of hysterectomy – a surgery to remove the uterus
• Multiple fibroid tumors of the uterus that cannot resolved by a surgery
• Severe intrauterine scarring (Asherman’s syndrome) irreparable
• A single male or gay male couple
• Unexplained recurrent pregnancy loss or unsuccessful embryo implantations
• Inability to develop the uterine lining (endometrium)

Cases of medical contraindications (relative and absolute):

• A serious medical condition that worsens with pregnancy posing risk to mother and fetus
• Pulmonary hypertension
• Turner’s syndrome
• Uterine cancer