Gestational carrier is increasingly used as a treatment option for infertile women who do not have a uterus, who have a history of poor pregnancy outcomes, who are advised not to carry a pregnancy, or for same sex couples or for single men. Numerous medical, ethical, legal, and social issues are involved in gestational carrier cycles, particularly in instances when the commissioning couple and the carrier live in different countries and when use of donor gametes is also involved. Treatment involves appropriate counseling of all concerned parties regarding the entire process, including their rights, duties, and potential complications, thorough medical screening, signing of all consent forms, ensuring legal compliance, signing of detailed contracts between the parties, ovarian stimulation of the genetic mother, medical preparation of the carrier, ovulation induction, oocyte retrieval and embryo transfer, care of the carrier during pregnancy and at delivery, and handing over the child after birth with genetic finger printing if desired.
Embryo Transfer Oocyte Retrieval Donor Oocyte Donor Gamete Estradiol Valerate
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Ber R. Theoretical Medicine and Bioethics. Ethical Issues in Gestational Surrogacy. Theor Med Bioeth. 2000;21:153–69.PubMedCrossRefGoogle Scholar
Jones HW, Cooke I, Kempers R, Brinsden P, Saunders D. International Federation of Fertility Societies Surveillance 2010: preface. Fertil Steril. 2010;95:491–6.CrossRefGoogle Scholar
Ethics Committee of the American Society for Reproductive Medicine. Access to fertility treatment by gays, lesbians, and unmarried persons. Fertil Steril. 2009;92:1190–3.CrossRefGoogle Scholar
Shenfield G, Pennings G, Cohen J, Devroey P, de Wert G, Tarlatzis B. ESHRE Task Force on Ethics and Law. Hum Reprod. 2005;20:2705–7.PubMedCrossRefGoogle Scholar
Indian Council of Medical Research. National Guidelines for Accreditation, Supervision and Regulation of ART Clinics in India. Code of practice and ethical considerations and legal issues. New Delhi, India. National Academy of Medical Sciences (India). 2005, 68-69.Google Scholar
Indian Council of Medical Research. The Assisted Reproductive Technologies (Regulation) Bill. 2010;25–29.Google Scholar
Cotton K. Surrogacy should pay Br Med J. 2000;320:928–9.Google Scholar
Boivin J, Appleton TC, Baetens P, Baron J, Bitzer J, Corrigan E, et al. Guidelines for counseling in infertility: outline version. Hum Reprod. 2001;16:1301–4.PubMedCrossRefGoogle Scholar
Van Den Ekker OB. Psychosocial aspects of surrogate motherhood. Hum Reprod Update. 2007;13:53–62.Google Scholar
Parliament by the Secretary of State for Health. Donor recruitment, assessment and screening; Surrogacy. Code of Practice for clinics licensed by the Human Fertilisation and Embryology Authority, 8th Edition. London 2011.Google Scholar
Jadva V, Murray C, Lycett E, MacCallum F, Golombok S. Surrogacy: the experiences of surrogate mothers. Hum Reprod. 2003;18:2196–204.PubMedCrossRefGoogle Scholar
MacCallum F, Lycett E, Murray C, Jadva V, Golombok S. Surrogacy: the experience of commissioning couples. Hum Reprod. 2003;18:1334–42.PubMedCrossRefGoogle Scholar
Schenker JG. Assisted reproduction practice in Europe: legal and ethical aspects. Hum Reprod. 1997;3:173–84.CrossRefGoogle Scholar
Utian WH, Sheean L, Goldfarb JM, Kiwi R. Successful pregnancy after in vitro fertilization and embryo transfer from an infertile woman to a surrogate. N Engl J Med. 1985;313:1351.PubMedGoogle Scholar
Utian WH, Goldfarb JM, Kiwi R, et al. Preliminary experience with in vitro fertilization-surrogate gestational pregnancy. Fertil Steril. 1989;52:633.PubMedGoogle Scholar