For women born without a uterus or those who have undergone hysterectomy due to medical conditions, the dream of biological motherhood may seem challenging. However, medical advancements and ethical reproductive options have made parenthood possible through altruistic surrogacy. In India, altruistic surrogacy is a legally approved and regulated pathway that allows women without a uterus to have a genetically related child.
What is Altruistic Surrogacy?
Altruistic surrogacy is a process in which a woman (the
surrogate mother) carries a pregnancy for intended parents without receiving
financial compensation, except for essential medical expenses and insurance
coverage. This model focuses on compassion and ethical responsibility, ensuring
the dignity and safety of the surrogate while helping intended parents achieve
parenthood.
How Altruistic Surrogacy Helps Women Without a Uterus
Women without a uterus may still produce healthy eggs if
their ovaries are functional. Through in vitro fertilization (IVF), eggs
are retrieved from the intended mother and fertilized with the partner’s sperm
(or donor sperm, where legally permitted). The resulting embryo is then
transferred to the surrogate’s uterus, allowing the intended parents to have a
biological connection with the child.
Eligibility and Medical Evaluation
Before proceeding, both the intended parents and the
surrogate must undergo thorough medical assessments. These evaluations confirm
the woman’s inability to carry a pregnancy, assess ovarian health, and ensure
the surrogate is physically and mentally fit for pregnancy. Counseling is also
provided to prepare all parties emotionally and ethically for the journey.
Legal Framework in India
India permits only altruistic surrogacy under strict legal
guidelines. The law ensures that the surrogate is not exploited and that the
process remains transparent and ethical. Legal documentation, consent from all
parties, and approvals from appropriate authorities are mandatory before
starting treatment.
Emotional and Ethical Considerations
Altruistic
surrogacy is not just a medical process but an emotional journey. For women
without a uterus, it offers hope, empowerment, and the possibility of genetic
motherhood. At the same time, ethical safeguards protect the surrogate’s
rights, health, and well-being throughout the pregnancy.
Conclusion
Altruistic surrogacy provides a safe, ethical, and legally supported solution for women without a uterus who wish to become mothers. With proper medical care, legal guidance, and emotional support, this pathway enables families to realize their dream of parenthood while upholding compassion and responsibility.

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