Traditional surrogacy involves which insemination method?

• A. Embryos created via IVF are transferred to the surrogate.
• B. The surrogate's eggs are used with the partner's sperm.
• C. Donor eggs fertilized by donor sperm are used.
• D. Sperm from the couple's male partner or a donor is used to inseminate the surrogate.

Answer: (D)

Traditional surrogacy relies on fertilization occurring inside the surrogate’s body, using her own eggs and semen from the intended father or a donor. The insemination method described—introducing sperm from the couple’s male partner or a donor into the surrogate—captures that direct, in-body conception. This is what makes the surrogate genetically related to the child and distinguishes traditional surrogacy from gestational surrogacy, where an embryo created outside the surrogate’s body (often from the intended mother or donor eggs with the partner’s sperm) is transferred to her uterus.