ABIMS Fertility & Andrology

10 THINGS YOU NEED TO KNOW ABOUT SURROGACY

1. Gestational Surrogacy

In gestational surrogacy, the surrogate carries a pregnancy but does not use her own egg.

The embryo is created through In Vitro Fertilization (IVF) using:

The intended mother’s egg and intended father’s sperm, or

Donor egg and/or donor sperm

The embryo is then transferred into the surrogate’s uterus.

In this case, the surrogate has no genetic connection to the baby. She is only carrying the pregnancy.

This type of surrogacy:

Requires IVF

Requires strong legal agreements

Is the most commonly practiced form today

2.Traditional Surrogacy

In traditional surrogacy, the surrogate uses her own egg, meaning she is genetically related to the baby.

Her egg is fertilized with the intended father’s sperm (usually through artificial insemination).

Because the surrogate is the biological mother, this type carries more legal and emotional complexity and is less commonly practiced in many countries.

Important Facts About Surrogacy

  • Surrogacy Is Not the Same as Adoption

Adoption is a legal process where a person or couple becomes the legal parent(s) of a child who is not biologically theirs.

In gestational surrogacy, the child is usually genetically related to the intended parents. The surrogate is simply carrying the pregnancy.

  • IVF Is Required (in Gestational Surrogacy)

Gestational surrogacy requires IVF to create and transfer the embryo into the surrogate’s uterus.The Surrogate Does Not Always Donate Her Eggs

In gestational surrogacy, only the womb is needed — not the surrogate’s egg.
In traditional surrogacy, her egg is used.

 

  • It Involves Intended Parents

While surrogacy often involves a married couple, laws in some countries also allow single individuals or unmarried couples to pursue surrogacy. Legal eligibility depends on the country’s regulations.

 

  • Legal Documentation Is Essential

Surrogacy must involve proper legal agreements to:

  • Define parental rights
  • Protect the surrogate
  • Protect the intended parents
  • Prevent future disputes

Without legal documentation, serious complications can arise.

  • Screening Is Mandatory

Before proceeding, the surrogate should undergo:

  • Medical and fertility screening
  • Psychological evaluation
  • Mental health assessment
  • Infectious disease testing

This ensures she is physically and emotionally prepared for the process.

 

  • It Is Expensive

Surrogacy can be costly due to:

  • IVF procedures
  • Medical care
  • Legal fees
  • Compensation (where allowed)
  • Agency fee
  • It Is Illegal in Some Countries

Surrogacy laws vary widely. Some countries:

  • Fully allow it
  • Restrict it
  • Completely prohibit it
  • It is important to understand the laws in your country before starting the process
  • It Is Not 100% Guaranteed

Like all fertility treatments, surrogacy does not guarantee pregnancy or a successful birth. Success depends on:

  • Egg and sperm quality
  • Uterine health
  • Age
  • Overall medical factors
  • Multiple attempts may sometimes be required.
  • Emotional Commitment Is Important

Surrogacy is not just a medical process — it is emotional for everyone involved. Clear communication, counseling, and support are crucial throughout the journey.

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