Can You Choose the Baby’s Gender or Have Twins Through Surrogacy?

1. Can You Choose the Gender of the Embryo?

In the United States, there are no legal restrictions on testing and reporting the gender of  embryos. During the IVF process, embryos typically undergo a biopsy on Day 5 or 6 of development, during which a small number of cells are sent to a specialized lab for analysis. This test is called Preimplantation Genetic Testing for Aneuploidy (PGT-A), and its main purpose is to screen for chromosomal abnormalities—ensuring each embryo has 23 pairs (46 total) chromosomes, which is critical for a successful pregnancy and a healthy baby.

About two or three weeks later, the test report will provide detailed information on each embryo’s quality, chromosomal health, and gender. Intended parents may then choose a healthy embryo that matches their preferred gender, turning the dream of a baby boy or girl into reality.

2. Is It Possible to Have Twins?

While many families hope to welcome twins, medical professionals generally advise against transferring two embryos at once in surrogacy. There are two main reasons for this:

First, twin pregnancies significantly increase health risks to the babies, particularly the risk of premature birth. Premature infants often require extended stays in the Neonatal Intensive Care Unit (NICU), resulting in extremely high medical expenses and emotional and financial strain on the family.

Second, carrying twins poses a much higher risk of complications for the surrogate, including pregnancy-induced hypertension and gestational diabetes. For the well-being of both the surrogate and the babies, and to avoid unnecessary medical risks and costs, RSMC typically recommends single embryo transfer to ensure a safe and smooth surrogacy journey.

One of the Top Three Surrogacy Centers in North America

With over 30 years of clinical experience, RSMC is proud to be one of the top three self-operated surrogacy centers in North America. We offer rigorous embryo evaluation techniques and personalized transfer recommendations, all grounded in our commitment to the health of both the surrogate and the baby. Our expert team provides comprehensive medical care and support throughout your fertility journey, ensuring peace of mind every step of the way.

Related Topics:

• Can you select the gender via IVF? Explanation of current regulations
   

• How Many Embryos Can be Implanted by a Surrogate Mother? Can We Request Dragon and Phoenix Twins?
   

If you have any questions about surrogacy or IVF treatment in the U.S., feel free to contact us:
Line / WeChat: rsmctw
WhatsApp: +1 858-342-6046