When would surrogacy be professionally recommended to women?

The uterus is an indispensable organ for pregnancy. If it is absent due to congenital or acquired factors, or if it can no longer function normally, natural conception becomes impossible. Such conditions include:

Total hysterectomy (e.g., due to uterine cancer or severe bleeding)

Congenital absence of the uterus (MRKH syndrome)

Severe uterine damage, fibrosis, or atrophy

Under such circumstances, even with normal ovarian function and successful egg retrieval, pregnancy can only be achieved through IVF with a surrogate mother.

II. Poor Uterine Conditions, Recurrent Miscarriage, or Implantation Failure

Some women possess a uterus, yet its environment is unsuitable for embryo development, leading to repeated failures. Common causes include:

Multiple or large uterine fibroids affecting the uterine cavity

Thin endometrium or poor blood flow

Recurrent pregnancy loss (RPL) or multiple IVF implantation failures

Fragile uterine structure following multiple uterine surgeries

If the embryo itself is normal, physicians often attribute the issue to the uterus. Surrogacy effectively bypasses unfavorable uterine factors, thereby increasing live birth rates.

III. Immunological, Coagulation, or Chronic Diseases with High Pregnancy Risks

Certain diseases may be well-managed but they can also be triggered with severe complications during pregnancy. Including:

Antiphospholipid Syndrome (APS)

Systemic Lupus Erythematosus (SLE)

Those requiring long-term immunosuppressive or anticoagulant medications

Severe heart disease, pulmonary hypertension, renal failure

Post-organ transplantation or post-cancer treatment where pregnancy is not recommended

In these circumstances, attempting pregnancy carries not only low success rates but also irreversible harm to the mother. Surrogacy then can be a promising choice.

IV. Women of advanced age or with medical conditions who still want children

Some women have previously frozen their eggs or embryos, but as they age or their health changes, they may no longer be able to carry the baby. Examples include:

 Advanced age combined with chronic diseases

 Higher pregnancy risks assessed by physician

Through surrogacy, they can still use their own eggs or embryos to fulfill their dream of building a family with genetic heritage.

At RSMC, Safety First as Always

Surrogacy is never the last option but rather the most responsible decision when medical science clearly indicates pregnancy itself is no longer safe or feasible. At Reproductive Sciences Medical Center (RSMC) in the United States, we believe every fertility plan should be grounded in science, risk assessment, and long-term outcomes.

Our team of reproductive specialists possesses extensive experience in high-risk fertility and surrogacy evaluations. We conduct personalized assessments for each woman, including ovarian function, embryo quality, uterine conditions, and overall health:

Whether she is suitable for pregnancy on her own

Whether she should consider surrogacy in advance

And which offers the best balance between safety and success rates

Because what truly matters isn't just “whether she can get pregnant,” but how to safely welcome a child and ensure this journey leaves no regrets.