Surrogacy is a form of assisted reproduction that uses modern medical technology to help families unable to have children naturally realize their desire to have children. According to the source of embryos, surrogacy is divided into two categories:
Complete surrogacy (gestational surrogacy): the surrogate mother only provides the uterus, and the embryo is formed by in vitro fertilization of the spermatozoa from the commissioner or donor, with no genetic link to the baby.
Partial surrogacy (genetic surrogacy, which has been phased out): the surrogate mother also provides the egg, which is fertilized with the sperm of the client.
In Kyrgyzstan, surrogacy is predominantly full surrogacy, which strictly follows the norms of the Family Code and the Law on Protection of Citizens’ Health, ensuring legal and ethical compliance.
The global infertility rate is increasing year by year, surrogacy becomes the core solution for the following groups:
Infertile couples: unable to conceive naturally due to physical diseases, uterine defects or repeated miscarriages.
Senior women: with declining ovarian function or high risk of pregnancy, needing a healthy uterus to complete their fertility.
Singles and LGBTQ+: Kyrgyz law allows singles and same-sex couples to form families through surrogacy.
Families at risk of genetic diseases: avoiding genetic diseases through embryo genetic screening (PGD/ PGS).
Surrogacy is not only a breakthrough in medical technology, but also a respect for equal reproductive rights and family integrity.
Benefits for the commissioning party:
Legal security: the birth certificate directly labels the commissioning party as the legal parent without additional litigation.
Cost-effective: the cost is about $50,000-$70,000, only one-third of the cost in the United States.
Mature technology: using three generations of IVF technology (IVF+ICSI), the success rate is as high as 65%-70%.
Benefits for surrogate mothers:
Economic compensation: average income of $20,000-$40,000, improving the quality of family life.
Medical protection: free maternity checkups, delivery and postnatal care throughout the process, reducing health risks.
Legal protection: The contract has clear privacy clauses, and the identity of the surrogate mother is limited to the commissioning party and the judiciary.
The whole process from matching the surrogate mother to the birth of the baby takes 12-18 months, divided into three stages:
Legal preparation (1-2 months): signing the notarized agreement, completing the surrogate mother’s medical examination and legal filing.
Medical operation (3-4 months): embryo cultivation, transfer and pregnancy confirmation.
Pregnancy management (9-10 months): regular maternity checkups until delivery, the surrogate mother stays in the unified management of professional institutions.
Kyrgyz surrogacy agency implements a standardized management system for surrogate mothers:
Centralized residence: the surrogate mother stays in an apartment equipped with 24-hour medical supervision, avoiding outside interference.
Nutritional program: high protein, low GI diet customized by a nutritionist, daily folic acid, iron and vitamin D supplements.
Health monitoring: weekly blood tests, monthly ultrasound for major abnormalities, and increased frequency of fetal heartbeat monitoring after 36 weeks.
Psychological support: regular counseling by professional counselors to relieve anxiety during pregnancy and separation of mother and baby.
The country utilizes internationally leading technologies in reproductive medicine:
Three-generation IVF (PGT): screening of healthy embryos to avoid 200+ genetic diseases.
Vitrification freezing technology: embryo survival rate of over 95%, supporting long-term preservation.
Microstimulation Ovulation Program: Reduce the risk of ovarian overstimulation and improve the safety of egg retrieval.
Third party egg/sperm donation: anonymous donors are required to pass genetic testing and infectious disease screening.
Legal basis:
Article 52 of the Family Code: surrogacy agreements need to be notarized and filed, and the commissioning party is the legal guardian from birth.
Law on Protection of Citizen’s Health: commercial surrogacy is permitted, surrogate mother must be 20-40 years old and have a history of at least one successful birth.
Core Provisions:
The surrogate mother needs written consent from her spouse if she is married, and an independent signed agreement if she is unmarried.
The commissioning party shall not abandon the fetus due to its gender or health issues, and violators will be held legally responsible.
The surrogacy contract needs to specify the medical expenses, compensation and liability for breach of contract.
Step 1: Pre-consultation and matching
The client submits a medical report and the agency evaluates the feasibility of fertility.
Matching surrogate mother: screening for health indicators (BMI ≤ 30, no history of genetic diseases), psychological stability and reproductive history.
Step 2: Legal and medical preparation
Sign a three-party notarized agreement specifying embryo ownership, surrogate mother compensation and privacy terms.
The commissioning party completes sperm and egg retrieval or selects the donor, and the laboratory cultivates the embryos.
Step 3: Embryo transfer and pregnancy management
The surrogate mother receives hormone therapy to optimize the endometrium and complete embryo implantation.
HCG levels are monitored weekly in early pregnancy, and regular labor and delivery tests are performed and care regimens are adjusted in the middle and late stages of pregnancy.
Step 4: Delivery and Legal Handover
After the baby is born, the organization assists in applying for the birth certificate, DNA paternity test and passport.
The client goes to Kyrgyzstan to pick up the baby, accompanied by a legal counselor.
Conclusion
With legalized, cost-effective and technically mature surrogacy services, Kyrgyzstan has become an ideal choice for families around the world to realize their fertility dreams. Through strict legal framework, professional medical team and humanized management, the country has set a benchmark of safety and trust in the field of assisted reproduction. For those who are interested in surrogacy, it is recommended to prioritize the selection of a compliant agency and fully understand the process and rights to ensure a smooth and worry-free surrogacy journey.
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