Gestational Surrogacy Results
The outcomes of gestational surrogacy are generally excellent, although success rates depend on the age of the egg provider. Typically, surrogacy yields higher success rates compared to routine IVF within the same age groups. This is largely attributed to careful candidate selection.
Appropriate candidates for surrogacy are often women who could otherwise carry a pregnancy if not for specific medical conditions. When good-quality embryos are placed into a well-prepared, proven uterus, the IVF process is optimized, improving the likelihood of success.
The Process
Gestational surrogacy closely mirrors egg donation, with the key distinction being who ultimately takes the baby home. Here’s an overview of the process:
- Egg Provider and Recipient Synchronization
- The cycles of the egg provider and the surrogate (or recipient) are synchronized using a combination of birth control pills and Lupron.
- Upon discontinuing the pills, the egg provider begins injections of gonadotropins to stimulate the production of multiple eggs.
- Egg Retrieval
- Follicle growth is monitored through blood tests and ultrasounds. When the eggs are mature, an hCG injection triggers ovulation.
- Eggs are retrieved through a transvaginal ultrasound-guided procedure, typically performed under conscious sedation.
- Recipient Preparation
- While the egg provider is undergoing stimulation, the surrogate receives twice-weekly estrogen injections. Around the time of egg retrieval, progesterone is introduced to mimic a natural cycle and prepare the uterus for implantation.
- Fertilization and Embryo Transfer
- Eggs are fertilized in the laboratory with sperm from the intended father.
- A small number of embryos, often two, are transferred to the surrogate’s uterus three days later to minimize the risk of multiple births.
- The remaining embryos can be cryopreserved for future use.
Risks
While gestational surrogacy is generally safe, as with any medical procedure, there are potential risks:
- For the Egg Provider:
- Risks during the egg retrieval process include infection or internal bleeding. Prophylactic antibiotics significantly reduce the risk of infection.
- Ovarian hyperstimulation syndrome (OHSS) is a rare complication where overstimulation leads to abdominal pain and bloating. Symptoms typically resolve after menses; in most cases, they can be managed outpatient.
- For the Surrogate:
- Risks are primarily associated with pregnancy itself, including the potential for complications such as multiple births. Careful consideration is given to the number of embryos transferred to minimize these risks.
Join NCCRM’s Gestational Surrogacy Group
To support individuals interested in gestational surrogacy, NCCRM has launched a Gestational Surrogacy Group.
- For Surrogates: This group provides a space for women interested in carrying a child for another couple.
- For Intended Parents: Couples seeking gestational surrogates can connect with potential matches.
- NCCRM staff moderate the group to ensure a safe and supportive environment. Please refrain from sharing private health information.
- If you want to join the NCCRM Gestational Surrogacy Group, click HERE to connect with others.
Gestational surrogacy is a remarkable journey made possible through medical advancements and the dedication of all involved. NCCRM is here to guide and support you every step of the way.
