Responsible Surrogacy

Information regarding the ethical aspects of the process

In many cases, donors come from a country other than the one in which the surrogacy process takes place. Sometimes the donation takes place in a country in which the donor is a citizen and sometimes in another country, where the embryo transfer will take place. Today there is no scientific consensus regarding the risks of egg donation, but countries still limit the amount of donations a woman can go through. In the US, for example, the American Society for Reproductive Medicine set the limit at six donation cycles per donor. In Israel, the limit speaks of a maximum of three cycles. The absolute number is not as important as the fact that the different countries formally regulate this issue. We recommend considering if the country where the donation is conducted holds some regulation on the terms of the process, including medical care, limitations on the monetary compensation for the donor, and the maximum number of permitted cycles.

This is of special importance if the contribution takes place in a country in which the donor is not a citizen. As mentioned in another section concerning the surrogate, performing a medical procedure in a country in which a person has no citizenship is not straightforward. It is advisable that the donor will be familiarized regarding the legal restrictions on egg donation in the country where it takes place, will be aware of the quality of medical care in case of complications and will understand the limits of her medical insurance assuming such exists. We encourage parents to also familiarize with these aspects and to confirm that the donor enters the process with full knowledge of its details. If the donation indeed takes place in a different state or country, we recommend that the donor be accompanied by a friend or family member. Egg donation is a complex medical procedure, which might necessitate some social support.

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