Before you decide on surrogacy
Couples who are exploring surrogacy arrangements find themselves facing a wide range of questions: medical, ethical, emotional and economic, and plenty more. One of the most important questions, though, is what’s causing the underlying infertility that’s making them consider surrogacy in the first place, and whether there are other ways to achieve a healthy pregnancy.

One widely recognised cause of infertility is Asherman’s Syndrome, an acquired condition characterized by adhesions, or scarring, inside the uterus. Because of this scarring, often caused by an improperly performed dilation and curettage procedure following a miscarriage, the lining of the uterus is unable to form properly after menstruation.

Asherman’s Syndrome can manifest itself in various ways; one symptom is endometriosis, or growth of endometrial tissue – the tissue that makes up the uterine lining – outside the uterus. Women who have been diagnosed with endometriosis and who are at risk for Asherman’s Syndrome should investigate whether Asherman’s is in fact the underlying cause of the condition.

If Asherman’s Syndrome is in fact the reason for the endometriosis, and thus for infertility, couples considering surrogacy may want to consider treating the Asherman’s instead. While the standard procedure is surgery to repair the scarring, it’s a difficult, delicate operation that requires a highly specialised, knowledgeable practitioner.

As an alternative to surgery, ilaya offers an experimental procedure to treat Asherman’s Syndrome using stem cells from the patient’s own body (i.e. adult stem cells, not embryonic ones), to help regenerate the endometrium. (For more information on ilaya’s procedure, please click here.) ilaya’s medical specialists caution that the procedure is not suitable for all cases of Asherman’s, but they note that it has already helped a number of women to overcome the condition without surgery; several have gone on to achieve healthy pregnancies. If the stem-cell-based procedure is unsuccessful and the couple then decides to pursue a surrogacy arrangement with ilaya, we will deduct the amount paid for the treatment from the cost of the surrogacy programme.

In short, then, women considering surrogacy arrangements should first investigate the following questions:

  • Is the infertility caused by endometriosis, or by Asherman’s syndrome?
  • If the endometriosis is the reason, is Asherman’s the underlying cause?
  • If the diagnosis is Asherman’s, do I qualify for ilaya’s stem-cell-based treatment?

If the answers are yes, before committing to surrogacy it’s worth considering whether ilaya’s non-surgical procedure can allow you to achieve a healthy pregnancy with your partner.

For more information about ilaya’s treatment for Asherman’s Syndrome and our surrogacy programmes, please click here to contact us.