The Gestational Surrogacy option in Infertility Treatment

Gestational surrogacy is the most popular type of commercial surrogacy in the United States. It is an option if the female partner has viable eggs, but does not have a normal uterus or can’t carry a baby for other medical reasons. Gestational surrogacy is done via In Vitro Fertilization (IVF), where a surrogate carries embryos that have been created from the eggs of the baby's intended mother and sperm of the intended father. In cases where the intended parents are unable to produce the necessary sperm or eggs, a donor may be used.

Under the gestational surrogacy option, the female partner will not have any genetic contribution to the pregnancy and neither will she get to carry or deliver the baby. On the other hand, the gestational surrogate mother is in no way biologically related to the baby or surrogate babies she carries. She is merely the carrier of someone else's biological child. In fact surrogacy is a sacrifice for the surrogate mother because when the child is born, the carrier will turn the baby over to the intended parents, signing away her parental rights.

In gestational surrogacy, surrogate mothers are required to go through an extensive medical protocol in preparation of an embryo transfer, as well as to sustain the surrogate pregnancy. This could involve hormonal medication taken orally, vaginally, or through injections.

A gestational surrogate should have had at least one successful pregnancy and child birth, is between the ages of 21 and 35 (preferably less than 40), is a non-smoker, lives in a stable household, has reliable transportation and is not receiving state financial assistance.

The different stages of a gestational surrogacy process can be explained thus:
1. The surrogate chosen is thoroughly screened for infectious diseases.

2. She undergoes at least one session with a Psychologist/Counselor.

3. The most important step in surrogacy is that all potential issues need to be carefully clarified, put in writing, signed, and understood by all parties prior to initiation of the process. This should be done with the help of an experienced lawyer or agency.

4. The patient is stimulated with medications for egg development.

5. The surrogate is placed on medications that suppress her own menstrual cycle and stimulate development of a receptive uterine lining.

6. When the patient's follicles are mature, an egg retrieval procedure is performed to remove the eggs from her ovaries. The eggs are then fertilized in the laboratory with her partner's sperm.

7. The embryos developed are then transferred to the surrogate's uterus where they will hopefully implant and develop to result in a live birth.

8. The baby goes home from the hospital with the genetic parents.
Gestational surrogacy is sometimes the only way in which a couple can have a biological child. The increased legal benefits of gestational surrogacy and lack of a genetic bond are strong selling points for the intended parents and surrogates who choose this route.


At East Bay Fertility Center, Dublin, California, Dr. Ellen U. Snowden, Medical Director and physician and her highly qualified team help infertile couples realize the dream of having a family through the latest technology and most comprehensive consultation in the field of Reproductive Endocrinology. EBFC’s gestational surrogacy program is based on personalized care and support, every step of the way. EBFC only works with surrogates who come from a reputable agency or who are very closely connected (friend or relative) to the patients.