Surrogacy

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Surrogacy is very rarely the first decision on the journey to build a family. Often people come to surrogacy after trying and exhausting other options such as intrauterine insemination (IUI), in vitro fertilization (IVF) sometimes with egg or semen donation. It is surrogacy that sometimes becomes the only way of having a child for women who have had surgery on the uterus and adnexa, such as hysterectomy because of myoma or uterine bleeding during previous childbirth, etc. Surrogacy should also be considered by women with deformations of the uterus, or those with serious illness that could threaten normal pregnancy or even endanger the woman's life (i.e. diabetes).

Surrogacy is the process when Surrogate Mother consciously agrees to gestate and give birth to a child for Intended Parents. 

Under current legislation of Ukraine, the concept of "surrogacy" is characterized by three features:

  • conscious and purposeful gestation of a child by the Surrogate Mother for further transfer of the child to the Intended Parents;
  • prior mutual agreement between the Surrogate Mother and the Intended Parents, under which the procedure of IVF and transfer of the embryo to the body of the Surrogate Mother takes place;
  • genetic connection of the child with both or at least one of the Intended Parents.

There are two main types of surrogacy:

  1. Traditional surrogacy (also known as partial, genetic, or straight surrogacy). In traditional surrogacy, the Surrogate is impregnated naturally or artificially, but the resulting child is genetically related to the surrogate. In most countries of the world, including Ukraine, this type of surrogacy is strictly forbidden and is considered as child trade.
  2. Gestational surrogacy (also known as host or full surrogacy) which was first achieved in April 1986. In gestational surrogacy, the pregnancy results from the transfer of an embryo created by in vitro fertilization (IVF), sometimes involving egg or semen donor, in a manner so the resulting child is genetically unrelated to the Surrogate. Gestational Surrogates are also named Gestational Carriers. Gestational surrogacy is also divided into different versions:
  • Gestational surrogacy with embryo from both Intended Parents - the Surrogate Mother is implanted with an embryo created by IVF, using Intended Father's semen and Intended Mother's eggs.
  • Gestational surrogacy and egg donation - the Surrogate Mother is implanted with an embryo created by IVF, using Intended Father's sperm and a donor egg where the donor is not the surrogate. The resulting child is genetically related to intended father and genetically unrelated to the surrogate.
  • Gestational surrogacy and donor sperm - the Surrogate Mother is implanted with an embryo created by IVF, using intended mother's egg and donor sperm. The resulting child is genetically related to intended mother and genetically unrelated to the surrogate.

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