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Gestational Surrogacy Success Rates

Gestational Surrogacy Success Rates

October 2, 2024Labryo Fertility Center
Educational

Gestational Surrogacy Success Rates: A Comprehensive Guide


Gestational surrogacy is a viable option for anyone seeking parenthood. Learn about the surrogacy success rates and key factors that influence outcomes.

Surrogacy is a reproductive arrangement where a woman, known as a gestational carrier or surrogate, carries and gives birth to a baby for another individual or family. In modern surrogacy, the process typically involves in vitro fertilization (IVF) to create an embryo with the intended parent's or donor’s sperm and eggs, which is then transferred to the surrogate's uterus. 

The Centers for Disease Control and Prevention (CDC) reports that over 3.5 million ( 2.3% ) babies are born through assisted reproductive technology (ART) annually in the United States. Among these ART cycles, around 5% of embryo transfers use gestational surrogacy, which is a significant increase from the past decade, as only the CDC Database of embryo transfers involved surrogacy in 2011. These statistics reflect the growing popularity of surrogacy as a viable option for those seeking to build a family.

This article will provide a comprehensive overview of gestational surrogacy success rates and discuss the various factors that can influence the outcome of a surrogacy arrangement, helping individuals to make informed decisions about surrogacy and their journey to parenthood.

1. What is the Success Rate of Gestational Surrogacy?


A successful surrogacy cycle refers to one that results in the live birth of a healthy baby. According to the CDC Database, the average success rate of surrogacy in the United States is approximately 75%. Once the gestational carrier is pregnant, the success rate can increase up to 95%.

Nonetheless, it is important to note that the figures above are merely general statistics, and success rates can vary significantly depending on individual circumstances. 

2. Breaking Down Gestational Surrogacy Success Rates


In this section, we will delve deeper into the success rates of gestational surrogacy embryo transfer associated with using the patient's own eggs compared to using donor eggs, as seen in the CDC Database.

2.1. Gestational Surrogacy Success Rates with the Patient’s Own Eggs


The age of the intended parent can significantly impact the success rate of IVF surrogacy when using their own eggs, similar to when patients carry their own children. As such, younger women typically. have higher success rates compared to older women.  
Age Group< 3535-3738-4041-42> 42
Live Births per Egg Retrieval Cycle46.8% 34.4% 21.0%10.1% 3.1%
Live Births via Frozen Cycle46.1% 42.7% 38.3%34.8% 27.9%
Source: CDC Database

2.2. Gestational Surrogacy Success Rates with Donor Eggs


The live birth rate per embryo transfer is between 65% and 70% when donor eggs are used. This rate can rise to 75% to 80% if preimplantation genetic testing for aneuploidy (PGT-A) is used to help select the embryo(s) with the correct number of chromosomes.

Donated eggs from verified sources are typically obtained from younger women who meet medical criteria and were screened for genetic abnormalities as well as other health conditions to increase the chances of creating successful embryos. This will help to improve the success rate of IVF surrogacy. Thus, age isn’t a factor that will be discussed when comparing success rates with donor eggs. 

3. Factors that Affect Gestational Surrogacy Success Rates


As we’ve mentioned earlier, the success rate of gestational surrogacy depends on personal circumstances. It is influenced by several factors, including the quality of the embryos, the surrogate’s age and health condition, and the fertility clinic’s expertise. 

The three main factors influencing gestational surrogacy success rates: embryo quality, gestational carrier’s condition, and fertility clinic’s expertise.


3.1. Embryo Quality

Embryo quality directly impacts the process of fertilization and implantation during surrogacy. The health of the embryo is determined by both egg quality and sperm quality, which may vary due to the intended parent or donor’s age, general health, lifestyle, and environment. 

Based on studies published in JBRA Assisted Reproduction and Fertility and Sterility, eggs and sperm from older individuals can have a negative effect on embryo quality. It may even increase the risk of genetic abnormalities such as aneuploidy and chromosomal imbalance, potentially leading to a higher risk of miscarriages or stunted embryo development. Thus, doctors would recommend preimplantation genetic screening to help individuals choose healthy embryos for gestational surrogacy and reduce the risks associated with mutations and chromosomal abnormalities. 

Additionally, research published in Reproductive Biomedicine has shown that individuals maintaining healthy lifestyles with a balanced diet and regular exercise are more likely to produce high-quality eggs and sperm. The same research also suggests that smoking, drinking alcohol, and taking recreational drugs can impact embryo quality negatively, so it may be best to obtain eggs or sperm from individuals who avoid these substances when preparing for surrogacies.  

3.2. Surrogate’s Condition 

The surrogate’s (gestational carrier) and living environment play a pivotal role in carrying the pregnancy to term. This is why surrogate mothers have to undergo a screening process with strict requirements to increase the gestational surrogacy success rates. 

Most surrogacy agencies will consider factors like medical history, genetic condition, psychological or emotional state, etc when they vet surrogate candidates. They usually require surrogates to be between 21 and 38 years old, as pregnancy becomes riskier for women outside this age range. Plus, surrogates should be physically healthy with a balanced BMI to reduce the risk of pregnancy complications and ensure better management of hormone medications. Surrogates will also be expected to limit their exposure to tobacco, polluted air, heavy metals (those in drinking water), radiation, and other harmful environmental factors. 

Moreover, many agencies might even prefer surrogates who have had at least one successful pregnancy and delivered healthy babies in the past. This is because surrogates with such experiences are usually more familiar with how pregnancies work and, therefore, more prepared to help carry the child to term. 

3.3. Fertility Clinic’s Expertise  

By choosing the right surrogacy clinic, intended parents can increase their chances of success. Not only should the clinic have advanced technology and effective protocols to improve outcomes, but it is best if the medical team has experience in surrogacy cases. This way, they can provide better care and support throughout the gestational surrogacy process. 

4. Start Your Parenthood Journey at Labryo Fertility Center


As a dedicated fertility clinic, Labryo Fertility Clinic is dedicated to helping individuals and families realize their dream of parenthood. With a team of experienced REI physicians and state-of-the-art facilities, we offer personalized care and comprehensive gestational surrogacy services that can be tailored to meet your unique needs.

At Labryo Fertility Clinic, all surrogates are carefully vetted to ensure they meet the highest standard of health so that intended parents can have confidence in the likelihood of a successful outcome. 

On top of matching intended parents with the right surrogate, our services include IVF, cryopreservation, embryo transfer, genetic testing, pregnancy monitoring, and more. We will provide full support throughout the gestational surrogacy process, from initial consultations to delivery and beyond. 

Ready to start your parenthood journey? Contact Labryo Fertility Center today to schedule a consultation and learn more about our gestational surrogacy services.



Labryo Fertility Center is redefining the path to parenthood with compassionate, cutting-edge care. We are here to provide you with information that empowers you to take charge of your journey. We’re not just offering treatments - we’re helping you realize the dream of building your family with confidence, hope, and heart.