Conclusion
Yes, having herpes does not necessarily disqualify you from becoming a surrogate. However, medical screening, proper management, and preventive measures are essential to ensure the safety of both the surrogate and the baby. Many surrogacy agencies and fertility clinics evaluate cases individually, considering the frequency of outbreaks and the effectiveness of antiviral treatment. With proper medical care, women with herpes can often proceed with surrogacy safely.
Understanding Herpes
Herpes simplex virus (HSV) is a common viral infection that comes in two forms:
- HSV-1 (oral herpes): Causes cold sores, primarily affecting the mouth but can also be transmitted to the genitals.
- HSV-2 (genital herpes): A sexually transmitted infection that causes sores in the genital area.
Both types are lifelong infections, but they can be managed with antiviral medications. Many adults carry the virus without symptoms, and outbreaks can be infrequent or mild.

Medical Eligibility for Surrogacy
Surrogacy agencies and fertility clinics have strict health criteria to ensure a safe pregnancy. While herpes alone is not necessarily disqualifying, surrogates must meet general health requirements, including:
- No major chronic health conditions.
- A history of healthy pregnancies.
- No complications that could endanger the baby.
If a potential surrogate has herpes, the clinic will assess the severity of outbreaks, overall health, and the ability to manage the condition effectively.

Risks & Management During Pregnancy
Herpes does not typically affect fertility or early pregnancy, but an active outbreak during delivery can pose risks to the baby. The primary concern is neonatal herpes, a rare but serious condition that can cause severe complications in newborns. To minimize risks:
- Doctors often prescribe antiviral medications (e.g., acyclovir, valacyclovir) during pregnancy to prevent outbreaks.
- If a surrogate has an outbreak near delivery, a C-section is recommended to prevent transmission.
- Routine prenatal care includes monitoring for symptoms to ensure a safe delivery.
With proper precautions, the risk of passing herpes to the baby is extremely low.

Agency & Legal Considerations
Surrogacy agencies require full medical disclosure. Intended parents may have preferences regarding a surrogate’s health conditions, and agencies work to match surrogates with parents who feel comfortable with the medical history presented. Some legal contracts may include health-related clauses, so honesty and transparency are essential.
Final Thoughts
Having herpes does not automatically prevent a woman from becoming a surrogate. With proper medical treatment and preventive measures, the risks can be minimized, allowing for a safe and successful surrogacy journey. If you are considering surrogacy and have herpes, consult with a fertility specialist to understand your options and ensure the best outcome for everyone involved.