Medical concepts of surrogacy

Surrogacy extended information

In a surrogacy process, the surrogate mother is a woman who offers her capabilities to gestate the child of another person or couple. Her only function is to gestate and give birth to the child of the intended parents. The surrogate will never provide her own eggs so no genetic relationship with the child will be established. In fact, in most countries, it is forbidden by law for the surrogate to contribute her own genetic material. If the parents-to-be are unable to provide their own Oocytes, they must resort to an egg donor.

In the process of surrogacy, the intended parent(s) is the person or people who have tried for years to have a biological child or by adoption, either naturally or through the in vitro process, and have not succeeded.

Intended parents are couples and individuals of different social status or sexual preference such as single women or heterosexual couples struggling with infertility, the inability to have a child or because of health risks. This includes as well single men or same-sex couples who are looking for a child and cannot resort to adoption. This is why they resort to surrogacy.

In order to choose the best place to fulfill your dream of parenthood, we recommend that you contact a GestLife family advisor.

Since in some countries in the Americas as well as in Europe (Spain, France, Italy, Germany, etc) where the process of surrogacy is not regulated (or there are even laws that prohibit it completely), a process of affiliation must be carried out.

In Vitro Fertilization (IVF) is the assisted reproduction technique used in surrogacy in which eggs and sperm are united in the laboratory. This gives rise to embryos that will be transferred into the uterus of the surrogate mother.

In some countries (e.g. Germany, France, Italy), there are laws that make it illegal, even punishable by imprisonment, to have a maternity proceeding. However, it is not illegal to do so in another country where there is a law regulating it. It will therefore have no negative legal consequence. This right has already been widely recognized by the Court of Human Rights in Strasbourg. Most countries where surrogacy is not illegal have adapted registering children born through surrogacy in their own respective civil registrars. Consult your family advisor at Gestlife, so that we can explain how the process is carried out for your country.

In a surrogacy process, yes, and you will be a future mother. You can choose an individual program with your own eggs.

In a surrogacy process, yes, of course. Whether your partner is female or male, you can resort to egg donation. In these cases, the most suitable program are donor egg programs with unlimited attempts.

If you are interested in finding out more about the price of surrogacy, we invite you to contact us to book a free telephone consultation. We recommend that the intended parents consult with a fertility lawyer/clinic before proceeding with a surrogacy program.

In general, the answer is YES, and GESTLIFE will take care of the whole process. You will only have to sign the authorization for the release of the material and we would help you transport it safely. Consult with your family advisor at Gestlife with your personal case.

It is a surrogacy program by GestLife in which the clinic bears the cost of the number of embryo transfer attempts that are necessary for the surrogate to get pregnant. The advantage is that you pay a fixed price for that IVF treatment.

For a surrogacy process in these cases, it is always recommended to perform an in vitro fertilization with ICSI, whether the sperm concentration or the motility is low. In addition to this, if there are issues related to sperm morphology, we must assess the possibility of a Preimplantation Genetic Diagnosis test.

If you are interested in finding out more about the price of surrogacy with a Preimplantation Genetic Diagnosis test, we invite you to contact us to book a free telephone consultation. We recommend that intended parents consult with a fertility lawyer before proceeding with a surrogacy program.

For a surrogacy process in these cases you should contact our geneticist who will determine the presence/absence of genetic alterations responsible for a hereditary disease in couples carrying genetic pathologies. DNA sequences must be specifically determined.

If you are interested in finding out more we invite you to contact us to book a free telephone consultation to explain your case and we can see how we can help you.

In a surrogacy process, Preimplantation Genetic Diagnosis (PGD) is a laboratory technique that allows us to study the DNA of the embryos and rule out those that have certain hereditary alterations. This technique is especially useful when there is a history of genetic or chromosomal disease in the family and it is carried out within In Vitro Fertilization programs.
This test is also essential when we want to know the sex of the baby or to ensure that the implanted embryo has no genetic abnormalities.

In a surrogacy process, it is for the intended parent(s) who wish to carry out a preventive study of the embryos before implanting the embryo in the surrogate mother. This study allows the 23 pairs of chromosomes to be examined, so that they can have a healthy child.

In a surrogacy process with PGD it is possible to study those with pre-existing hereditary anomalies or to study more frequent anomalies such as trisomy 21 or Down's syndrome. Unfortunately this is always accompanied by a certain degree of intellectual deficiency and allows relatively moderate longevity.

Trisomy 13 and 18 have a very high mortality, both in uterus and at birth. A live newborn with trisomy 13 causes Patau's syndrome in which the child has three copies of genetic material of chromosome 13 and usually dies within the first few hours.

In the case of trisomy 18, Edwards' syndrome, the child will rarely reach the age of one year. The second most common disorder after Down syndrome is Turner syndrome, which involves the loss of a sex chromosome.

In a surrogacy process the sex selection is to know the sex of the baby before carrying out the embryo transfer in the uterus of the gestational carrier. The Preimplantational Genetic Diagnosis test must be carried out in which the chromosomal information is studied along with the examination of the XX and XY sex chromosomes. This technique is the only 100% proven effective method to determine the gender of your future child.

In a surrogacy process, sex selection is allowed in most European countries. Consult with your family advisor at Gestlife, the countries that allow it.

A surrogacy process usually lasts between 15 and 24 months from signing the initial contract. It also depends on the country where it is carried out. Going forward, everything depends on the time needed to achieve a surrogacy pregnancy and whether it is successful.

In a surrogacy process this statement is totally false. In countries where surrogacy legislation exists (except for the UK,) the surrogate mother is not allowed to keep the child by legal contract/waiver.

This is already contractually agreed before the treatment begins. Often this misconception is due to the fact that the country of the intended parents requires a notarized waiver. This may give the impression that the surrogate has a chance because the country of origin of the intended parents does not have a law in this regard (if applicable.) Some countries attempt to "adapt" the case to its current legislation so it assimilates the surrogacy as an "adoption" by the intended mother (however, the intended father always is the father and the adoption requires the birth mother's repeal.)

In a surrogacy process, most surrogates say that one of the main reasons is to help another woman who cannot be a mother, to become one. They are mothers themselves, and they understand how a mother who cannot be one feels. After all, their child is everything to them, and they cannot imagine the world without their child. Financial compensation is important, of course, but it is not everything.

This makes them empathize enormously with those who are unable to have children. It is possible and typical that some surrogates can be motivated by financial reasons. But at GestLife we analyze each case, to be sure that the economic one is not the only and main factor.

During a surrogacy process, the surrogate lives at home with her family, which allows her to have the emotional balance and affection of her family until closer to the time of birth. Then the surrogate stays in a modern apartment with all the amenities paid by Gestlife. The surrogate is the most important part of the surrogacy process and they are in the best conditions with psychological and financial support as well.

In a surrogacy process, the first method of selecting the surrogate mother is through a psychological interview. In many countries, a psychiatrist's examination is compulsory and the surrogate mothers have to provide proof such along with a toxicology certificate and a criminal record background check.

If the psychological tests are passed, the medical examination will begin. Further tests are carried out and a diagnosis is made during the medical examination with the doctor.

If the test results are not within the norm, the surrogate-to-be is informed of the reasons why it is not advisable for her to undergo surrogacy.

If the results are positive, this leads to participation in the surrogacy program, the Reproductologist doctor draws up a treatment plan.

In a surrogacy process, the analysis include tests such as: Urography. - Therapeutic examination and its report on the state of health. - Psychiatrist's consultation. - Genetic consultation. - Blood tests for RW, HIV, НвsAg, hepatitis C. - Blood group and Rh factor. - Complete blood test. - Hemostasiogram. - Chemical blood test. - Cytogenetic screening. - Urinalysis. - Papsmear. - Cytological examination of cervical smear. - pelvic examination - Ultrasound examination of pelvic organs. - Examination for STD’s (chlamydia, mycoplasma, urea plasma, gonorrhea, HSV, CMV). Among many others.

It is a Human Assisted Reproductive Test (ART).

In vitro fertilization (IVF) treatment is one of several techniques available in surrogacy processes to help couples and individuals struggling to have a baby.

During the IVF treatment, eggs are removed from the woman's ovaries and placed in vitro (in a test tube, which is where the word "vitro" comes from.) The egg is then fertilized by sperm in a laboratory. The egg fertilized by the sperm is called an embryo and then gets implanted in the surrogates uterus where it is expected to develop into a healthy surrogate pregnancy.

Along with in vitro fertilization treatment an intracytoplasmic sperm injection (ICSI) is performed in the laboratory. This treatment involves the injection of a single healthy sperm directly into the egg. ICSI is recommended for couples in which the man has a low sperm count or low sperm motility which makes it less likely that the sperm will fertilize the egg on their own. Artificial insemination (AI) is therefore not recommended.

Remember that, in traditional AI surrogacy, the surrogate uses her own egg, so artificial insemination can be carried out.

In gestational surrogacy, the surrogate mother has no biological link with the baby. In vitro fertilization (IVF) is carried out with the egg donor or the mother-to-be or a sperm donor or the sperm of the father-to-be. Obviously at least one parent has to donate the genetic material.

Legal concepts of surrogacy

Surrogacy extended information

An example: Last September, the European Court of Human Rights (ECHR), had condemned France in 2014 on a prior case on the grounds that the minors were being left "in a situation of legal uncertainty" in a surrogacy process.

They replied in the interests of children born through surrogacy, that France should recognize some form of affiliation to the intended parents.

The court considered if the original birth certificates can’t be transferred verbatim, the adoption route proposed by France was acceptable. This proposed by the government is the norm now for the future.

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