Research Article

Surrogacy and Ectogenesis Acceptance Among Reproductive-age Women: A Descriptive and Analytical Study

Volume: 12 Number: 1 October 30, 2026
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Surrogacy and Ectogenesis Acceptance Among Reproductive-age Women: A Descriptive and Analytical Study

Abstract

Objective: To assess awareness and acceptance of surrogacy and ectogenesis among Turkish women of reproductive age, and to examine associations with demographic factors. Material and Methods: This cross-sectional study included 128 women aged 18–50 who attended routine appointments at obstetrics and gynecology outpatient clinics in two urban hospitals. Participants completed a validated, self-administered questionnaire assessing awareness and attitudes toward surrogacy and ectogenesis (artificial womb), using a 5-point Likert scale. Composite attitude indices served as the main outcomes, and associations with sociodemographic variables were analyzed using non-parametric tests. Results: A total of 128 women (mean age 37.8 years) participated. Awareness of surrogacy was high, while awareness of ectogenesis was lower. The mean Surrogacy Attitude Index score was 2.97, indicating moderately positive views, whereas the Ectogenesis Attitude Index score was 2.25, reflecting more cautious attitudes. Both indices demonstrated acceptable internal consistency. Support was higher when technologies were framed as medical solutions (39.8% for surrogacy, 21.9% for ectogenesis in at-risk cases) but lower for elective use (21.9% for surrogacy, 3.1% for ectogenesis). Higher education was significantly associated with less favorable attitudes toward surrogacy (p=0.003), while no significant associations were found with age, marital status, or ectogenesis attitudes. Conclusion: Surrogacy is moderately accepted in therapeutic contexts, while ectogenesis is met with greater caution. Education level may influence attitudes. These findings contribute to a deeper understanding of how women perceive new reproductive technologies and can inform the development of culturally sensitive policies. This study highlights the need for targeted public education and ethical discussion.

Keywords

Supporting Institution

The authors received no financial support for the research, authorship, and/or publication of this article.

Ethical Statement

Approval number 1/4 was granted by the Ministry of Health, Antalya City Hospital Ethics Committee on 30.01.2025.

Thanks

The authors thank all participants for their thoughtful and attentive responses to the survey.

References

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Details

Primary Language

English

Subjects

Obstetrics and Gynaecology

Journal Section

Research Article

Publication Date

October 30, 2026

Submission Date

September 14, 2025

Acceptance Date

March 18, 2026

Published in Issue

Year 2026 Volume: 12 Number: 1

APA
Muluk, E., & Yılmaz Muluk, S. (2026). Surrogacy and Ectogenesis Acceptance Among Reproductive-age Women: A Descriptive and Analytical Study. Akdeniz Tıp Dergisi, 12(1). https://doi.org/10.53394/akd.1783102
AMA
1.Muluk E, Yılmaz Muluk S. Surrogacy and Ectogenesis Acceptance Among Reproductive-age Women: A Descriptive and Analytical Study. Akd Med J. 2026;12(1). doi:10.53394/akd.1783102
Chicago
Muluk, Erhan, and Selkin Yılmaz Muluk. 2026. “Surrogacy and Ectogenesis Acceptance Among Reproductive-Age Women: A Descriptive and Analytical Study”. Akdeniz Tıp Dergisi 12 (1). https://doi.org/10.53394/akd.1783102.
EndNote
Muluk E, Yılmaz Muluk S (October 1, 2026) Surrogacy and Ectogenesis Acceptance Among Reproductive-age Women: A Descriptive and Analytical Study. Akdeniz Tıp Dergisi 12 1
IEEE
[1]E. Muluk and S. Yılmaz Muluk, “Surrogacy and Ectogenesis Acceptance Among Reproductive-age Women: A Descriptive and Analytical Study”, Akd Med J, vol. 12, no. 1, Oct. 2026, doi: 10.53394/akd.1783102.
ISNAD
Muluk, Erhan - Yılmaz Muluk, Selkin. “Surrogacy and Ectogenesis Acceptance Among Reproductive-Age Women: A Descriptive and Analytical Study”. Akdeniz Tıp Dergisi 12/1 (October 1, 2026). https://doi.org/10.53394/akd.1783102.
JAMA
1.Muluk E, Yılmaz Muluk S. Surrogacy and Ectogenesis Acceptance Among Reproductive-age Women: A Descriptive and Analytical Study. Akd Med J. 2026;12. doi:10.53394/akd.1783102.
MLA
Muluk, Erhan, and Selkin Yılmaz Muluk. “Surrogacy and Ectogenesis Acceptance Among Reproductive-Age Women: A Descriptive and Analytical Study”. Akdeniz Tıp Dergisi, vol. 12, no. 1, Oct. 2026, doi:10.53394/akd.1783102.
Vancouver
1.Erhan Muluk, Selkin Yılmaz Muluk. Surrogacy and Ectogenesis Acceptance Among Reproductive-age Women: A Descriptive and Analytical Study. Akd Med J. 2026 Oct. 1;12(1). doi:10.53394/akd.1783102