The commonest reason is a woman who has no uterus. The uterus may be absent from birth (Mullerian agenesis, MRKH syndrome); or may have been removed surgically (hysterectomy for life-saving reasons, such as excessive bleeding during a caesarean). Other women who may wish to explore surrogacy include those whose uterus is irreparably damaged because of uterine tuberculosis or Ashermann's s syndrome.
Are there alternatives to Surrogacy?
When we analyze the medical histories of women who opt for surrogacy, we find that the vast majority of the time it is usually infertile couples who either :
have had multiple miscarriages; or
who have failed repeated IVF attempts for unexplained reasons.
While these can be reasonable indications for surrogacy, the fact is that it is often done because the patient is fed up and frustrated with repeated IVF treatment failures or miscarriages; and is looking for alternative options. In a market economy, supply rises to meet demand, and there are many clinics who are happy to oblige these desperate couples - for the right price, of course !
However, the fact is that many of these couples do not need surrogacy at all ! They have a perfectly normal uterus; and would be better of opting for donor eggs or donor embryos, rather than surrogacy.
Finding a reliable clinic, an honest surrogate and a good lawyer are extremely important.