As more and more couples are delaying marriage and childbirth, there is an increasing trend toward third party reproduction being seen in recent years.

• Donor eggs: One of the most common reason for the need of donor egg is advanced age. As the couples waste their precious reproductive years moving from doctor to doctor trying to conceive naturally, by the time they are seen by a reproductive specialist, they already have low ovarian reserve or poor AMH results. Also, there might be poor number of eggs due to previous ovarian surgery for endometriosis, cystectomy or even drilling. In certain patients there might be need for donor eggs due to poor egg quality in previous IVF cycles.

• Donor sperms: There is a considerable increase in the number of cases of male infertility. The need for donor sperms is there only when in an azoospermia (no sperms) male, the doctor has not been able to retrieve any sperms by the process of Testicular sperm extraction or TESE.

• Donor embryos: It is like adoption and may only be indicated when there are both male and female factors or due to financial constraints.

• Surrogacy: In simple terms means renting a womb or taking the help of another woman’s womb to carry one’s child. It might be needed in patients with uterine abnormalities like fibroid, adenomyosis, unicorn ate uterus etc.; in patients with recurrent IVF failures or if a pregnancy is dangerous for maternal health.