ASRM Surrogacy Guidelines: Ethical & Medical Standards

The American Society for Reproductive Medicine (ASRM) has established guidelines to ensure that surrogacy is conducted safely, ethically, and with the best interests of all parties involved—intended parents, surrogates, and the child. These guidelines cover medical, psychological, and legal aspects of the surrogacy process.

Key ASRM Surrogacy Guidelines

1. Medical & Psychological Screening

✔ Surrogate Eligibility: Must be between 21-45 years old, have a history of at least one successful pregnancy, and be in good physical and mental health.

✔ Medical Evaluation: Includes testing for infectious diseases, a comprehensive reproductive health assessment, and a review of previous pregnancies.

✔ Psychological Assessment: Both the surrogate and intended parents should undergo counseling to ensure emotional readiness for the process.

2. Legal & Ethical Considerations

✔ Surrogacy Agreements: Legal contracts should be drafted before the medical process begins, outlining rights, responsibilities, and compensation (if applicable).

✔ Parental Rights: Laws vary by location, and intended parents should ensure their names are listed on the birth certificate according to legal requirements.

✔ Informed Consent: The surrogate must fully understand and agree to all aspects of the arrangement.

3. Embryo Transfer & Pregnancy Care

✔ Number of Embryos Transferred: ASRM recommends single embryo transfer (SET) to minimize risks associated with multiple pregnancies.

✔ Prenatal Care: The surrogate should receive high-quality medical care throughout the pregnancy, with regular monitoring.

✔ Restrictions: Surrogates must follow medical guidelines regarding lifestyle choices to ensure the baby’s well-being.

4. Compensation & Financial Considerations

✔ Fair Compensation: If the arrangement is commercial, compensation should be reasonable and in line with industry standards.

✔ Coverage of Medical Costs: Intended parents should cover all medical expenses related to the pregnancy.

✔ Escrow Accounts: Funds should be managed transparently to ensure the surrogate receives agreed-upon payments.

Why ASRM Guidelines Matter

✔ Ensures the health and safety of the surrogate and baby.

✔ Protects the rights of intended parents and surrogates.

✔ Helps prevent legal complications.

✔ Provides an ethical framework for the surrogacy process.

By following ASRM surrogacy guidelines, intended parents and surrogates can navigate the journey with confidence, knowing that ethical and medical standards are being upheld.