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Using a gestational surrogate

Despite wanting to start a family, for some people becoming pregnant and giving birth may be undesirable or medically inadvisable. In this instance, using a gestational or ‘host’ surrogate could be a viable option.

A gestational surrogate is a woman who offers to carry a child to which she will have no genetic link. Conversely, using this type of surrogate enables the intended ‘commissioning’ parent or parents (those supplying the egg, sperm or both) to be biologically related to their child.

The process

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Gestational Surrogacy

Gestational surrogacy allows those who want a child to go through the IVF process and have their embryos transferred into the uterus of a host. The option of gestational surrogacy is especially useful for single men and women, male and female same-sex couples and where one person risks passing on an inherited disorder to a child, heterosexual couples. Donor eggs or donor semen can be used in a gestational surrogate pregnancy, but not both.

Choosing your gestational surrogate

You may know someone who is willing to be your surrogate, or may need to find a gestational ‘host’ surrogate through a specialist agency. Although we are not legally permitted to find a surrogate for you, we can provide information on agencies that can help.

IVF and using your gestational surrogacy

Even though you are using a gestational surrogate, you and your surrogate will still need to go through some of the IVF processes. 

  • Eggs – Following consultation with our counsellors and fertility experts, you will need to take fertility drugs to encourage your ovaries to produce eggs. We will then harvest the eggs using a minor surgical procedure, before placing them in a culture dish to be fertilised.. 
    • Donor eggs – If using donated eggs, you will need to decide if you want to source them from a known or unknown donor. We will guide you through both options, but if you prefer an unknown egg donor, we can help you find one through our innovative egg donor programme. 
  • Surrogate – Your surrogate will also need to take fertility drugs to prepare her uterus for implantation. She will also need to make regular visits to the clinic. 
  • Sperm – Your semen sample can be collected at home or in a private space at the clinic. This will then be added to the culture dish, with the harvested eggs. 
    • Donor sperm – If using donor sperm, it can be sourced by a known or unknown donor. We will guide you through both options. If you prefer an unknown donor, you can select one from our highly regulated sperm bank or the network of high quality sperm banks with whom we collaborate. All sperm used in the IVF process is carefully ‘washed’ so only the strongest and most viable sperm remain. If donor sperm is being used, this is added to the culture dish.
    • Intracytoplasmic sperm injection (ICSI) – This procedure may be used if previous IVF attempts have failed. ICSI involves a single sperm being injected directly into each egg. 
    • Intracytoplasmic morphologically-selected sperm injection (IMSI) – Our embryologists use enhanced magnification to check for any defects or abnormalities so only the healthiest sperm are used for the ICSI method of IVF.
  • Embryo fertilisation and transfer  Fertilisation takes place in the culture dish. Under a microscope we then examine the embryos and select one or two to be transferred into the surrogate’s uterus. The remainder may be frozen for later use.
    • Preimplantation genetic testing for Aneuploidy (PGT-A) – This screening method ensures only the most viable embryos – those which when analysed contain the correct 23 pairs of chromosomes – are transferred into the surrogate’s uterus.

Frozen embryo transfer (FET) – This is the transfer of good quality embryos that have been frozen during a previous round of IVF. This method avoids the need to repeat an entire IVF cycle if pregnancy is deferred at the time of the IVF cycle.

Specialist services

Our specialist fertility experts tailor our services to your needs. 

  • Miscarriage clinic – The clinic is available to anyone who has experienced the devastation of an early pregnancy loss. 

To learn more about our miscarriage clinic, click here

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Your stories

Hear from our patients as they share their paths to parenthood.

We are here to support you

At Bourn Hall your wellbeing is our priority, and this goes far beyond your fertility treatment.

We understand the frustration and distress that can sometimes be overwhelming during fertility treatment, so we encourage a holistic approach to your emotional and mental health. Engaging with our specialist advisors and counsellors is always encouraged and we run a Fertility Support Group for those who wish to share their experiences. We provide tailored nutritional support during fertility testing and we also promote a positive lifestyle approach throughout, including the benefits of being outdoors with nature.

Be reassured, we are here to help. Through all aspects of your journey, we will guide and support you, and give you all the information you need to help make your dreams come true.

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Support at every stage

As one of the UK’s top fertility treatment centres, our values ensure we put our patients first.

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Passion

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Adaptability

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Commitment

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Teamwork and Collaboration

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Our fertility milestones

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1978

The world's first IVF baby

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1980

Year founded by IVF pioneers

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25000

Babies born through Bourn Hall

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Clinics around the UK

Upcoming fertility events

Join our experts at a range of events including support groups, webinars and open evenings. 

Learn more about the options available to you, from fertility tests to treatments, and find answers to any questions you might have.

Frequently asked questions

Your questions answered. Find clarity on every step of your fertility journey.

How does IVF surrogacy work?

Surrogacy involves one person carrying a baby on behalf of someone else. In gestational surrogacy, the embryo is created using the intended parents’ or donors’ eggs and sperm, so the surrogate has no genetic link to the baby. In partial surrogacy, the surrogate’s own egg is used, meaning she is genetically related to the child.

Are you a surrogacy agency?

At Bourn Hall, we provide clinical guidance and education about choosing a suitable surrogate and understanding the process. However, under guidance from the Human Fertilisation and Embryology Authority (HFEA), fertility clinics cannot match intended parents with surrogates.

Some people choose a friend or family member to be their surrogate, while others connect with someone independently. Whatever your situation, our team will make sure you have the information and support to move forward with confidence.