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Key Medical Procedures in Surrogacy Explained

Updated: Oct 30

Embarking on the surrogacy journey is a beautiful and hopeful experience. It’s a path filled with anticipation, care, and many important steps. Whether you are an intended parent or a gestational carrier, understanding the key surrogacy steps and the medical procedures involved can bring peace of mind. I want to gently guide you through this process, breaking down the medical aspects in a clear and supportive way. Together, we’ll explore what happens behind the scenes to help create families.


Understanding the Key Surrogacy Steps


Surrogacy is a carefully coordinated process that involves several important stages. Each step is designed to ensure the health and well-being of everyone involved, especially the baby. Here’s a simple overview of the key surrogacy steps:


  1. Initial Consultation and Screening

    This is where the journey begins. Intended parents and surrogates meet with medical and legal professionals. Health screenings, psychological evaluations, and background checks are done to ensure everyone is ready and suitable for the process.


  2. Matching and Legal Agreements

    Once the right match is found, legal contracts are created. These agreements protect the rights and responsibilities of both parties, providing a clear framework for the journey ahead.


  3. Medical Preparation

    The surrogate undergoes medical evaluations and treatments to prepare her body for pregnancy. This includes hormone therapy and monitoring to create the best environment for embryo transfer.


  4. Embryo Transfer

    This is a crucial step where embryos, created through in vitro fertilization (IVF) using the intended parents’ or donors’ eggs and sperm, are placed into the surrogate’s uterus.


  5. Pregnancy and Monitoring

    After a successful transfer, the surrogate’s pregnancy is closely monitored with regular check-ups and ultrasounds to ensure everything is progressing well.


  6. Birth and Postpartum Care

    The final step is the birth of the baby, followed by postpartum care for the surrogate and the legal transfer of parental rights to the intended parents.


Each of these steps is handled with care and professionalism, ensuring a smooth and supportive experience.


Eye-level view of a medical consultation room with a doctor and patient discussing surrogacy
Medical consultation for surrogacy journey

What is Considered a Medical Need for Surrogacy?


Sometimes, surrogacy becomes the chosen path because of specific medical needs. Understanding these needs can help clarify why surrogacy is the best option for some families.


  • Medical Conditions Affecting Pregnancy

Some women have health issues that make pregnancy risky or impossible. Conditions like heart disease, severe diabetes, or uterine abnormalities can prevent a safe pregnancy.


  • Repeated Pregnancy Loss

When a woman experiences multiple miscarriages, surrogacy may be recommended to increase the chances of a healthy pregnancy.


  • Absence or Malformation of the Uterus

Some women are born without a uterus or have had it removed due to medical reasons. Surrogacy allows them to have a biological child through a gestational carrier.


  • Age-Related Fertility Challenges

Advanced maternal age can reduce the ability to carry a pregnancy safely. Surrogacy offers an alternative to achieve parenthood.


  • Other Fertility Issues

In cases where IVF has repeatedly failed or there are other fertility complications, surrogacy can be a hopeful solution.


Knowing these medical needs helps everyone involved approach the process with empathy and understanding.


photo of  an embryo - transfer day OVS Care Redmond WA
photo of an embryo - transfer day OVS Care Redmond WA

The Medical Procedures Behind Surrogacy


Now, let’s gently explore the medical procedures that make surrogacy possible. These steps are carefully planned and executed by fertility specialists to ensure the best outcomes.


1. Ovarian Stimulation and Egg Retrieval


For intended mothers or egg donors, the journey often starts with ovarian stimulation. This involves hormone injections to encourage the ovaries to produce multiple eggs. The process is closely monitored with ultrasounds and blood tests.


Once the eggs are mature, a minor surgical procedure called egg retrieval is performed. It’s done under sedation, and eggs are collected using a thin needle guided by ultrasound.


2. Sperm Collection and Preparation


On the same day as egg retrieval, sperm is collected from the intended father or a donor. The sperm is then prepared in the lab to select the healthiest and most motile sperm for fertilization.


3. Fertilization and Embryo Culture


The eggs and sperm are combined in the lab through IVF. Sometimes, a single sperm is injected directly into an egg using a technique called intracytoplasmic sperm injection (ICSI). The fertilized eggs develop into embryos over several days.


4. Embryo Transfer to the Surrogate


The surrogate’s uterus is prepared with hormone therapy to create the ideal lining for implantation. Then, one or more embryos are transferred into her uterus using a thin catheter. This procedure is usually painless and takes only a few minutes.


5. Pregnancy Testing and Monitoring


About two weeks after the transfer, a blood test confirms if pregnancy has occurred. If positive, the surrogate begins regular prenatal care with ultrasounds and check-ups to monitor the baby’s growth and health.


These medical steps are supported by a compassionate team who prioritizes the comfort and safety of the surrogate and the intended parents.



How to Support Each Other Through the Medical Journey


Surrogacy is not just a medical process - it’s a deeply emotional journey. Supporting each other through the ups and downs is essential.


  • Open Communication

Keep the lines of communication open between intended parents, surrogates, and medical teams. Sharing feelings and concerns helps build trust and understanding.


  • Emotional Support

Consider counseling or support groups. Many find comfort in talking to others who have walked the same path.


  • Self-Care for Surrogates

Surrogates should prioritize rest, nutrition, and gentle exercise. Their well-being is vital for a healthy pregnancy.


  • Celebrate Milestones

Every step, from embryo transfer to heartbeat confirmation, is a reason to celebrate. These moments bring hope and joy.


  • Prepare for the Unexpected

Sometimes, medical challenges arise. Having a flexible and supportive mindset helps everyone navigate these moments with grace.


Moving Forward with Confidence and Care


The journey through surrogacy is filled with hope, courage, and love. Understanding the key surrogacy steps and the medical procedures involved can make this path feel less daunting. Remember, you are not alone. There are caring professionals and communities ready to support you every step of the way.


If you want to learn more about the surrogacy medical procedures and how they can be tailored to your unique situation, don’t hesitate to reach out to trusted experts. They can provide personalized guidance and reassurance.


Together, we can make the dream of family a beautiful reality.


High angle view of a peaceful clinic waiting room with soft lighting
Peaceful clinic waiting room for surrogacy appointments

 
 
 

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