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Video: What Are the Two Types of Gestational Carriers or Surrogates?

Dr. Mira Aubuchon, a fertility doctor with Missouri Center for Reproductive Medicine and Fertility, explains surrogacy. A gestational surrogate has no genetic link to the couple that wants to have the child. The intended parents create an embryo using their egg and sperm (or donor egg or sperm in some cases) and the embryo is transferred to the gestational surrogate. A traditional surrogate uses her own eggs, and has a genetic connection to the child.

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0:00:00.000,0:00:05.000 (text on screen): Ask the Expert 0:00:05.000,0:00:07.000 Fertility Authority. Your Most Trusted Source 0:00:07.000,0:00:10.000 What are the two types of gestational carriers or surrogates? 0:00:10.000,0:00:14.000 Mira Aubuchon, MD, Missouri Center for Reproductive Medicine and Fertility: A gestational carrier is a woman who, because she wants to help other people, 0:00:14.000,0:00:22.000 chooses to have a baby and give the baby to a couple who could not otherwise have a child on their own. 0:00:22.000,0:00:31.000 There’s two major types. The first type is where the gestational carrier has no genetic link to the couple that wants to have the child. 0:00:31.000,0:00:42.000 So, for example, the couple who wants to have a child, the woman in that couple may not have a uterus, or for whatever reason her uterus is not suitable to have a baby. 0:00:42.000,0:00:53.000 But she still has her ovaries. So what she can do is, she can go through a medical procedure called IVF to harvest her eggs, 0:00:53.000,0:00:59.000 and have those eggs be fertilized with her partner’s sperm to form embryos. 0:00:59.000,0:01:09.000 And then those embryos can be placed into the uterus of the gestational carrier who then carries the pregnancy, delivers the pregnancy, 0:01:09.000,0:01:14.000 and then gives the baby to the couple, without having any genetic link to the child. 0:01:14.000,0:01:24.000 And that’s actually probably the simplest type of genetic carrier, from a legal perspective, because there’s no genetic link. 0:01:24.000,0:01:32.000 The other kind of gestational carrier is where the gestational carrier does have a genetic link to the child that she carries. 0:01:32.000,0:01:45.000 And this may come about through a couple who enlists a friend or family member, especially in the case of a family member, the genetic component is desirable, 0:01:45.000,0:01:55.000 particularly for a woman who has no uterus and, say, has no ovaries, but wants the child to have some of her genetic makeup. 0:01:55.000,0:02:06.000 So she enlists a family member, and the family member is inseminated, meaning sperm from the patient’s partner is injected into the gestational carrier 0:02:06.000,0:02:14.000 and so the gestational carrier’s own egg fertilizes with the sperm from the patient’s partner 0:02:14.000,0:02:20.000 and so then the gestational carrier is genetically related to the child that she then delivers. 0:02:20.000,0:02:30.000 And that can certainly be very nice for families to have that genetic connection, but it can also sometimes cause some complications socially and legally. 0:02:30.000,0:02:34.000 (text on screen): Ask the Expert 0:02:34.000,0:02:36.000 Fertility Authority. Your Most Trusted Source