Surrogacy is an arraignment that is made between a couple and a women with the help of a legal agreement. This is option that is provided to couples who cannot conceive a child naturally due to various reasons. In this sort of arrangement, a woman agrees to bare the child of the couple for the entire 9 months. Once the baby is delivered, the child/children is/are handed over to the couple willingly.
Surrogacy is one of the most popular options that many couples opt for when there is no other option/ treatment left to help them get a child. This is also an option that is considered in case there is a potential risk to a woman’s life or if a single man or gay couple wish to have a child. Most of the time, a monetary compensation is given to the women who bares the child. While opting for this option, there are certain legal obligations that has to be followed.
Intrauterine insemination (IUI)
The IUI or Intrauterine insemination is a procedure that helps the woman conceive a child. IUI is often recommended when the man has infertility issues like low sperm count or in cases when the man suffers from a medical condition which affects the quality of the sperm. Through IUI, the woman carries her child in her own womb for the entire nine months and is the biological mother of the child.
Another reason why a couple may opt for an IUI is when the women’s body does not accept the partner’s sperm due to various reasons. It can also be due to cervical scarring or blockages wherein it becomes very difficult for the woman to conceive given the fact that the sperm has to pass through the cervical. The IUI is a very short procedure and does not require any kind of hospitalization. One of the biggest challenges of IUI is the timing and one has to insure that it fertilization is done within the speculated time frame.
Intracytoplasmic sperm injection (ICSI)
The ICSI or Intracytoplasmic sperm injection is another IVF procedure wherein a single sperm cell is injected directly into the egg’s cytoplasm. Although the ICSI procedure is similar to the IVF, however the major difference is that in ICSI only one sperm cell is needed while IVF requires 50-100 thousands sperm.
While opting for ICSI, the sperm and eggs are collected the same day. They are then sent to the lab to check and ensure that the sperm is present. In case there is no sperm, then the doctors will extract the sperm form the testicle or the epididymis and through a microscope; they will fertilize the egg.
Gamete intrafallopian transfer (GIFT)
GIFT or Gamete Intrafallopian transfer is another form of assisted reproductive technology that helps couple to conceive a child. In this from of assisted reproduction, the eggs are removed from the ovaries of the to be mother along with the sperms of the father and placed into the fallopian tube. Although GIFT is similar to IVF however, the biggest difference here is that a laparoscopy is not needed to put the egg back into the mother’s womb. This is very similar to the natural way of conceiving a child and generally takes 4-6 weeks to complete a GIFT cycle. The doctor will keep a watchful eye to monitor the ovarian follicles growth to ensure that they are matured enough for the procedure. For this procedure, hCG or human chorionic gonadotrophin injections are given to the women to help the eggs harvest properly.
Zygote intrafallopian transfer (ZIFT)
Another form of infertility treatment, ZIFT or Zygote intrafallopian transfer is an assisted reproduction procedure that couples can opt for. ZIFT is recommended when there are blockages in the fallopian tubes which prevents the egg and sperm to bind. In this form of assisted reproduction, the egg is removed from the ovaries and the fertilized accordingly.
This procedure takes 4-6 weeks as the woman would need to take certain medications to help in the fertility process and stimulation of the productions of eggs. Once the eggs are matured enough, they are then removed and fertilized in the laboratory after which the egg is placed into the womb of the mother to be.
Gestational surrogacy is also known as a full or host surrogacy wherein the embryo is created and implanted into a surrogate with the help of IVF or intro vitro fertilization. Through this procedure, the father’s sperm and the mother’s egg is fertilized outside the womb and then implanted into the surrogate’s womb.
In some cases, a donor may be needed for the sperm or egg in case there is an infertility issue in the man or woman. There are various forms of gestational surrogacy; however, the end motive is to ensure that the couple gets a biological child of both or either the man or woman. Sometimes couple travel to a different country to get a surrogate due to the legal restrictions in their home country or because of the reduced or low rates of surrogacy that is offered by developing or low income countries.
Assisted hatching is an option that is provided to couples who have tried various forms of implantation but have failed to have a successful pregnancy. Through this procedure, a hole is created in the zona pellucida with the help of a micromanipulator.
Also known as Assisted Zona Hatching or AZH, this is one of the latest procedures that is available to help increase the chances of a multiple or clinical pregnancy in women. Through AZH, the doctor can use frozen or fresh embryos and then transfer them into the womb of the would-be mother.