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
MD, FACOG, FACS, FACE
Mark P. Trolice is the Director of Fertility CARE – The IVF Center and Clinical Associate Professor in the Department of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine. He is Board-certified in REI and OB/GYN, and maintains annual recertification. His colleagues select him as Top Doctor in America® annually, one among the top 5% of doctors in the U.S.
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