Surrogacy Yes or no

Rene Frydman, M.D.

Volume 105, Issue 6, Page 1445


Why is surrogacy so highly debated as a pertinent solution for women with infertility caused by uterine factors? Surrogacy implies that a woman becomes pregnant and gives birth to a child with the intention of giving away this child to another person or couple who intends to raise the child.

  • Daniel J. Kaser, MD

    Dear Dr. Frydman,
    Thanks for this charged perspective on gestational surrogacy. As you urge readers to “think about surrogacy in the same way we thought about slavery or child labor,” I’d be curious to hear how you counsel patients with absolute uterine factor infertility (e.g., MRKH) in your practice. Is uterine transplantation a viable option for them, or are they encouraged to either remain childless or adopt? Is the transplant option, even if theoretical, a more suitable balance of risks and benefits in your opinion? Similarly, for gay men wanting to parent, where does this position leave them?

    • Rene Frydman

      As you know 50 per cent of couples who begin a first ivf procedure will be unsuccessful at the end of theirs attemps. That mean that we, as doctors and they, as patients must accept the limitation of our Tecnical possibility . Even if uterus transfert become more routine we will never give satisfaction to all the potential recipient. In others hands there are many limitations of this kind of project sometimes is the difficulty of technical answers it can be also for ethical reasons specially when the risk of alienation of a other human being is existing . Thanks for your comment

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