Surrogacy

Step-by-Step

  • 01

  • 02

    If you meet initial criteria, then you will undergo a more in-depth vetting process:

    • Phone interview/video chat

    • Review medical history/records

    • Background check (you and your partner, if applicable)

    • Detailed psychological evaluation

    • At-home interview (or a video meeting if long-distance)

    • Medical exam: blood-draw, pelvic exam, and uterine evaluation (saline sonogram and/or hysteroscopy)

    • Profile write-up

  • 03

    • Once accepted as a potential surrogate, then your profile will be presented to intended parents (IP) one-at-a-time. 

    • You will have the opportunity to determine your mutual interest prior to a final match 

    • When a final surrogate - intended parent match is made, then legal contracts will be executed

  • 04

    After the S-IP match is made, the journey of giving begins with the parent's doctor leading the process.

    1. Obtain an embryo transfer protocol calendar to start planning

    2. Begin fertility medications (may be pills, patches, or injections depending on the protocol)

    3. Embryo Transfer Procedure: an outpatient procedure done while you are awake to place the embryo in the uterus. The experience is similar to having a well-woman PAP exam

    4. Bed-rest (possibly): may be prescribed for a few days after the embryo transfer procedure per doctor's recommendations

    5. Pregnancy test: a blood draw about 2 weeks after your embryo transfer to see if the procedure worked

  • 05

    • If your pregnancy test is negative, then you will stop medications and get a period/menses within a few days. The next steps will be determined by your physician clinic team.

    • If your pregnancy test is positive, then you will need close monitoring during the first trimester (12 weeks gestation) with regularly scheduled fetal viability ultrasound exams and/or blood tests to evaluate prenatal and pregnancy hormones

    • At the end of the first trimester most surrogates transfer care to their own obstetrician (OB) or one that has been agreed to

    • Presumably, your pregnancy will progress routinely after the first-trimester until giving birth

  • 06

    • Depending on whether you have a cesarean or vaginal delivery, recovery generally takes 4-8 weeks

    • If you are willing, then some intended parents may ask you to provide nursing milk for their newborn. This can usually be coordinated through the Surrogacy agency

    • After the child is born, your relationship with the intended parents and newborn will be guided by you and the parent(s) wishes

    • It is recommended that you wait approximately one year from giving birth to consider another pregnancy/surrogacy in order to give your body time to completely recuperate and to limit pregnancy risks associated with a short interval-of- pregnancy

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