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Neelesh Bhandari MD MBBS, PGP\nDr. Neelesh is the founding member and chief mentor of the Registered Society for Knowledge and Health Activitites (RAKSHA) in India, and a business Consultant with EDdRC Educational Technologies, in Hyderabad, India. Educated in Dubai, and Poona, he is a graduate of the Armed Forces Medical College in Poona and completed a post-graduate program in Human Rights from the Indi....immunohematology, laboratory medicine and transfusiton medicine. He has published several papers and posters and presented many case studies at national and state medical conferences in India

Surrogacy is a path that many couples who are unable to have children of their own have chosen due to the intimacy and experiences involved in the process. There are many things that should be taken into consideration before you make the choice of becoming a surrogate mother. You should first speak with an attorney and/or an adoption agency specializing in surrogacy. They can provide you with a list of things to consider and agencies available to start you on your way, educate you on your rights as well as those of the adoptive couple and what you can expect and what is expected out of you. When you consider on becoming a surrogate mother, you also need to decide whether you will be an independent surrogate or agency surrogate. As an independent surrogate, you need to be responsible for your own arrangements, finding the right couple, working out a contract and, if anything goes awry with the arrangements, you will be responsible for finding another couple. As an agency surrogate, all of these arrangements and legalities are managed for you by your agent. Either route you choose, make sure that you have consulted an attorney who specializes in surrogacy and adoption to serve your best interests. The next step in becoming a surrogate involves the physical aspects or extent of the measures you are willing to take to become pregnant. You need to decide if you are willing to undergo artificial insemination, hormone therapy and/or in vitro fertilization. Each of these measures are time consuming and not fail proof, so it is always best to have an alternate plan, if possible, in case your first choice for conception does not work. Finally, once an agency or attorney is employed in your journey to becoming a surrogate mother, psychological and physical tests need to be done to make sure that you are healthy enough to carry a child to term and that there are not any past medical or family histories that may cause pregnancy or genetic issues. Extensive counseling will be

A surrogate mother often faces criticism and judgment from others for the choice she have made. However, those are less problematic when compare to the risks that she takes for her own family, friends and spouse. These risks can be daunting and cause challenges she might not have considered before getting involved. These risks can be anything from medical and health concerns to finances and job security and often family and personal risks as well. Medical risk is a huge factor, when a woman becomes a surrogate often times, she and the donors would have to undergo intense examination. These exams range from blood, health tests to the initial process of the implanting of the eggs from the donor. In the beginning the clinic will bring her and the egg donor together to begin a lengthy process of sequencing ovulation cycles. The clinic would put the surrogate mother on birth control and steroids, such as Luprin. These medications are meant to get both the surrogate mother and the donor's cycles on the same schedule. This is crucial because the surrogates' uterus needs to be ready for the embryos. Just having to deal with the pain of insemination and testing can be unbearable, not to mention the unpleasant side effects from all the medication and actual insemination process. However, that is just part of it. The surrogates are also faced with depression, sleep disturbance, guilt and the difficulty to remain unattached. These factors alone cause many surrogates to face the fact that they are walking a long road that not many others might have the strength to do. Many clinics offer support groups and counseling. Aside from medical and emotional risks, there might also be legality issues with the laws of the state they reside in. What kind of laws protect the surrogate, what rights does she have to things such as privacy? And there are also finances to consider. Generally, surrogate mothers are responsible for all insurance costs. As a surrogate you should be financially

A woman must fully comprehend what it means to be a surrogate mother. She needs to know what her body will go through, what the couple she is working for will expect of her while she is carrying their child and what the risks are in all of this. A woman may enjoy the idea of being pregnant and carrying a child but she must think of the risks of surrogate motherhood before she embarks on such a long journey. One of the risks involved in surrogate motherhood is the pregnancy itself. A natural pregnancy is dangerous; let alone an artificial one. Complications happen that can't always be avoided. It is simple fate that may lead you to miscarry, or acquire health problems from the pregnancy. Though using a surrogate motherhood agency is the safest way to go, no one can promise you that there will be no complications. If and when you are pregnant with someone else's child, you are responsible for taking care of it while in your womb. What you eat, drink and take into your body will affect the child. Not everyone has the self discipline to take their vitamins every day or not smoke a cigarette. If something happens and the child is born with a problem that could possibly be because of you and what you did to your body during pregnancy, then you will be investigated. It may not have been your fault, but if the possibility exists then the agency has to look into it. When you get into surrogate motherhood, you become business partners with the parents of the child for the duration of the pregnancy. There is no backing out. If the couple that you chose turns out to be mean or irresponsible, you are stuck with them until the baby is born. This is especially dangerous if you are not using a surrogate agency. If the couple skips town, you won't be taken care of and will be stuck with a baby to raise. What happens if the child is born with some kind of deformity or disease? The parents may not want the child. So then, is it you that takes care of it? Is it put up for a