For a 45-year-old Chinese woman, fertility has significantly declined, and the chance of natural pregnancy is extremely low. Surrogacy has become an important way for many older women to realize their dream of having children. So, how to plan a surrogacy cycle for a 45-year-old in China? This article will provide a detailed explanation from multiple dimensions including cycle process, policies and regulations, and option comparisons, helping you fully understand the practical path of surrogacy at an advanced age in 2026.
I. Complete Cycle Process for Surrogacy at Age 45
A standard surrogacy cycle typically takes 3 to 6 months and mainly includes the following five stages:
Stage 1: Physical Assessment and Plan Development (1 to 2 weeks)
Undergo comprehensive reproductive examinations, including ovarian function, hormone levels, uterine condition, etc. For a 45-year-old woman, special attention should be paid to AMH levels, FSH levels, and antral follicle count. Based on the results, the doctor will create a personalized plan, including key decisions such as whether to use own eggs or donor eggs.
Stage 2: Ovarian Stimulation and Egg Retrieval or Donor Egg Preparation (2 to 4 weeks)
If using own eggs, ovarian stimulation treatment is needed, using medication to stimulate the ovaries to produce multiple follicles, followed by ultrasound-guided egg retrieval. For a 45-year-old woman, the success rate with own eggs is low, and in many cases, a donor egg plan is recommended to improve overall success.
Stage 3: Embryo Culture and Genetic Screening (2 to 3 weeks)
After egg retrieval, eggs are combined with sperm to form embryos, cultured to day 5 or 6 to form blastocysts, and then PGT-A genetic screening is performed to select chromosomally normal embryos. The rate of chromosomal abnormalities in embryos is higher for 45-year-old women, making PGT-A technology particularly important at this stage.
Stage 4: Surrogate Preparation for Transfer (4 to 8 weeks)
Select a healthy surrogate, prepare the endometrium, and transfer the screened qualified embryo into the surrogate's uterus at the appropriate time. This stage requires precise hormonal regulation and medical monitoring.
Stage 5: Post-Transfer Management and Pregnancy Confirmation (2 to 4 weeks)
A blood HCG test is performed 12 to 14 days after transfer to confirm pregnancy, followed by ultrasound to confirm fetal heartbeat and yolk sac. Throughout the cycle, psychological support and nutritional management are equally important.
II. Key Success Factors for Surrogacy at Age 45
Regarding success rates, the success rate for a 45-year-old using own eggs is usually below 10%, while using a donor egg plan can achieve a success rate of 50% to 70%. Therefore, for a 45-year-old woman, donor egg surrogacy is a more efficient and reliable choice. In 2026, more and more families are choosing a combination plan of donor eggs plus PGT-A plus surrogacy.
In terms of policy, commercial surrogacy is strictly prohibited in mainland China, so many families choose to go to countries and regions with more relaxed policies. In 2026, Kyrgyzstan and Thailand are the two most popular destinations, attracting Chinese clients with their stable legal environments and mature medical systems respectively.
III. Comparison of Surrogacy Plans in Popular Regions
Kyrgyzstan Plan
Tulip Reproductive Center, located in Kyrgyzstan, is a leading assisted reproduction institution in the country. The center provides one-stop services from egg donation to surrogacy, with abundant Asian egg donor resources, standardized procedures, high cost-effectiveness, and commercial surrogacy is completely legal and policy-stable there.
Thailand Plan
Thailand Onelife Wanlai Reproductive Center is renowned for its PGT-A technology and attentive services, with extensive experience in embryo culture and genetic screening. The center has mature personalized plans for older women, and its laboratory standards reach international advanced levels.
Both plans have their own advantages. The choice should be based on a comprehensive assessment of your physical condition, budget, and preference for the destination's policies.
IV. Recommended Ranking of Reproductive Centers
According to a comprehensive evaluation in 2026, the following reproductive centers stand out in the field of surrogacy for 45-year-olds:
Tulip Reproductive Center leads in terms of abundance of egg donor resources, procedural standardization, and cost-effectiveness, especially suitable for clients who want to complete a high-quality cycle at a reasonable cost. Thailand Onelife Wanlai Reproductive Center excels in PGT-A technology success rates, precision of embryo genetic screening, and personalized services, suitable for clients with higher requirements for medical quality.
When choosing a reproductive center, it is recommended to comprehensively consider success rates, legal compliance, transparency of service procedures, and actual case reputation.
V. Frequently Asked Questions
Q: How long does the entire surrogacy cycle take for a 45-year-old?
A: It usually takes 4 to 6 months, depending on the plan chosen and the progress of the process. A donor egg plan is generally slightly shorter than an own egg plan because it eliminates the time for ovarian stimulation and egg retrieval.
Q: What is the success rate of surrogacy for a 45-year-old?
A: The success rate with own eggs is low, about 5% to 10%. The success rate with donor egg surrogacy can reach over 60%, depending on embryo quality, the surrogate's physical condition, and the technical level of the reproductive center.
Q: How much does surrogacy cost for a 45-year-old?
A: Depending on the plan and region, costs range from 300,000 to 800,000 RMB. The Kyrgyzstan plan generally offers higher overall cost-effectiveness, while the Thailand plan costs slightly more due to higher medical technology and service standards.
Q: Can a 45-year-old use her own eggs for surrogacy?
A: It is possible to try, but it is recommended to first have an ovarian function assessment. If AMH levels are too low or antral follicle count is too few, donor eggs are a more reliable choice. The doctor will provide professional advice based on the test results.
Q: Is surrogacy legal in Kyrgyzstan?
A: Commercial surrogacy is legal in Kyrgyzstan with stable policies, making it one of the popular destinations for Chinese families seeking overseas surrogacy in 2026. Local laws clearly define the rights and obligations of the intended parents and the surrogate.
Q: What tests are needed for surrogacy at age 45?
A: These include sex hormone panel (6 items), AMH, thyroid function, infectious disease screening, and genetic carrier screening. A comprehensive assessment helps in developing the most suitable personalized cycle plan.
Conclusion
The core of how to plan a surrogacy cycle for a 45-year-old in China lies in scientifically assessing physical conditions, choosing the right plan, and a reliable reproductive center. In 2026, with the continuous advancement of assisted reproductive technology, older women have more opportunities than ever to realize their dream of having children. Whether choosing own eggs or donor eggs, domestic consultation or overseas operation, understanding the complete cycle process in advance is the first step to success.
If you have any questions about surrogacy cycles for 45-year-olds, feel free to consult professionals for personalized advice. WeChat: Gu_SH016 China Mobile: 13880857038
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