Mohammad Mehdi Akhondi Corresponding Author
- Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran
Zohreh Behjati Ardakani
- Avicenna Infertility Clinic, Avicenna Research Institute (ACECR), Tehran, Iran

Received: 4/1/2008 Accepted: 4/1/2008 - Publisher : Avicenna Research Institute

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Introduction: Upon birth of the first IVF baby, the possibility of having a baby by couples who were infertile due to major problems in the reproductive system was materialized. Development of IVF tech-niques has yielded the opportunity to apply surrogacy and gamete or embryo donation procedures in the form of third party reproduction for couples suffering from the lack a major reproductive element. Surro-gacy seems indispensable for the couples who possess all the factors involved in pregnancy but due to lack of functional uterus, they are deprived from having a child. IVF/ICSI has provided the opportunity for such couples to form healthy embryos in laboratories and transfer it to the third party uterus in due time. Surrogacy agreement will be settled whenever a woman announces her readiness for bearing the couple's embryo and undertakes to relinquish the baby to the embryo owners upon delivery. Materials & Methods: Based on the source of ovum in embryo formation, surrogacy will fall into two principal groups, including gestational and conventional surrogacies. However, surrogacy is also classified into various types in terms of third party’s semen or ovum application. The use of these methods with third party interference in the formation and birth of the baby requires significant juridical, legal, ethical and cultural (and even sociological and psychological) considerations. In response to Avicenna Research Institute’s inquires from religious authorities, there is currently a broad consensus among religious scho-lars on authorization of surrogacy in Iran and they reject the right of surrogate mothers to refuse returning the newborn. Unfortunately, due to lack of codified laws, couples inclined to benefits of surrogacy, either withdraw or resort to illegal conducts. For example, according to the current law, the birth certificate will be issued solely under the name of the woman who gives birth to the newborn and with respect to the facts stated, physicians have to violate the law and issue the birth certificate under the name of gamete owners or uterus owners have to be hospitalized under the name of women seeking surrogacy treatment. Conclusion: The settlement of an agreement between couples applying for surrogacy and the uterus owner may raise various legal, cultural or medical issues. Infertility clinics play a key role in supporting health, providing necessary consultations and supervision following the aforementioned mutual agreements. Silence of law and emergence of any disagreement in the treatment procedure may contribute to unresolv-able problems between the two parties. Nowadays, the possibility of using surrogacy treatment across the country on one hand and the grave need of infertile couples to benefit from this technique on the other hand, emphasize the necessity for improvising well-addressed laws and providing the opportunity to resolve the relevant problems in a move to strengthen family foundations. Enhancing public information on ART and developing and providing infertile couples with the possibility to experience parenthood, will contribute to invoke sympathy and generosity among women to participate in an altruistic sacrifice: surrogacy.

Keywords: Surrogacy, In Vitro fertilization, Gestational surrogacy, Conventional surrogacy, Infertile couples

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Figures, Charts, Tables


  1. Steptoe PC, Edwards RG. Birth after the reimplantation of a human embryo. Lancet. 1978;12:2(8085):366.   [PubMed]
  2. Barrett JC. The estimation of natural sterility. Genus. 1986;42(3-4):23-31.   [PubMed]
  3. Gerris JM, Delbeke LO, Punjabi U, Buytaert P. The value of Intrauterine Insemination with washed hus- band's sperm in the treatment of infertility. Hum Reprod.1987;2(4):315-20.   [PubMed]
  4. Trounson AO, Leeton JF, Wood C, Wood J. Preg-nancies in humans by fertilization in vitro and embryo transfer in the controlled ovulatory cycle. Science. 1981;212:681-2.   [PubMed]
  5. Palermo GD, Cohen J, Alikani M. Adler A, Rosenwaks Z. Intracytoplasmic Sperm Injection: a novel treatment for all forms of male factor infertility. Fertil Steril. 1995;63:1231-40.   [PubMed]
  6. Petrozza JC, Gray MR, Davis AJ, Reindollar RH. Congenital absence of the uterus and vagina is not commonly transmitted as a dominant genetic trait: outcomes of surrogate pregnancies. Fertil Steril. 1997; 67(2):387-9.   [PubMed]
  7. Brinsden PR. Gestational surrogacy, Textbook of Assisted Reproductive Techniques. Taylor & Francis, an imprint of the Taylor & Francis Group: USA, 2004; 855-66.   [PubMed]
  8. Sullivan L. Surrogacy: the case for a conventional approach. Med Law. 1991;10(4):401-15.   [PubMed]
  9. Goldfarb JM, Austin C, Peskin B, Lisbona H, Desai N, de Mola JR. Fifteen years experience with an in-vitro fertilization surrogate gestational pregnancy prog-ramme. Hum Reprod. 2000;15(5):1075-8.   [PubMed]
  10. Fruchtman C. Considerations in surrogacy contracts. Whittier Law Rev. 1999;21(2):429-33.   [PubMed]
  11. Boivin J, Appleton TC, Baetens P, Baron J, Bitzer J, Corrigan E, Daniels KR, Darwish J, Guerra-Diaz D, Hammar M, McWhinnie A, Strauss B, Thorn P, Wis-chmann T, Kentenich H, European Society of Human Reproduction and Embryology. Guidelines for coun-selling in infertility: outline version. Hum Reprod.2001 ;16(6):1301-4.   [PubMed]
  12. Beski1 S, Gorgy A, Venkat G, Craft IL, Edmonds K. Gestational surrogacy: a feasible option for patients with Rokitansky syndrome. Hum Reprod. 2000;15(11): 2326-8.   [PubMed]
  13. Meniru GI, Craft IL. Experience with gestational surrogacy as a treatment for sterility resulting from hysterectomy. Hum Reprod. 1997;12(1):51-4.   [PubMed]
  14. Raziel A, Schachter M, Strassburger D, Komarovsky D, Ron-El R, Friedler S. Eight years' experience with an IVF surrogate gestational pregnancy programme. Reprod Biomed Online. 2005;11(2):254-8.   [PubMed]
  15. Carp HJ, Dirnfeld M, Dor J, Grudzinskas JG. ART in recurrent miscarriage: preimplantation genetic diagno-sis/screening or surrogacy?. Hum Reprod. 2004;19(7): 1502-5.   [PubMed]
  16. Brinsden PR. Gestational surrogacy. Hum Reprod Update. 2003;9(5):483-91. Review.   [PubMed]
  17. Drabiak K, Wegner C, Fredland V, Helft PR. Ethics, law, and commercial surrogacy: a call for uniformity. J Law Med Ethics. 2007;35(2):300-9.   [PubMed]
  18. Galbraith M, McLachlan HV, Swales JK. Commercial agencies and surrogate motherhood: a transaction cost approach. Health Care Anal. 2005;13(1):11-31.   [PubMed]


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