Gestational Surrogacy

A gestational carrier (surrogate) is a woman who carries a pregnancy for someone else.

Why You May Need a Surrogate

Why You May Need a Surrogate

The Gestational Surrogacy Process

The Gestational Surrogacy Process
Legal Issues with Surrogacy

Legal Issues with Surrogacy

What to Expect

What to Expect

Becoming a Surrogate

The below information is intended for women who would like to become a surrogate and help build a family.



Surrogate Criteria

Before becoming a surrogate, gestational carriers must meet the following criteria:

  • Take part in a preliminary phone interview with a physician and mental health professional.
  • Furnish copies of medical records and history.
  • Complete preliminary paperwork.
  • Provide any additional requested materials.
  • After the above criteria are met, the carrier will meet with the recipient couple, nurse, physician and mental health coordinator at a “screening appointment.”
Next Steps

Following the initial appointment:

  • The carrier will be briefed on medications that will be used during the implantation procedure.
  • A coordinator reviews the contract between the carrier and the couple.
  • Carriers and partners must complete a Personality Assessment Inventory (PAI) and participate in a series of interviews and tests.
Screening the Carrier

Screening the Carrier

Screening the Intended Parents

Screening the Intended Parents

Treatment Specifics

Without exception, a complete copy of the executed legal contract between the gestational carrier and the intended parents must be provided to the RMA nurse coordinator before the start of the prep cycle and prior to the initiation of treatment involving any medications.

  • Prior to the start of a treatment cycle, intended parents must agree to the payment requirements for these services and receive a financial clearance from RMA. Any questions surrounding insurance coverage or other finance issues should be directed to the RMA Finance Department.
  • RMA is not responsible for any costs associated with medications and outside monitoring services for a carrier. These costs are paid directly by the intended parents.
  • Any fees related to the use of RMA mental health professionals and counseling services are billed separately by RMA and are not included in the cost of treatment. Please contact the Collaborative Wellness Team for a fee schedule for these service.

Once the uterine lining is ready for implantation, the carrier returns to RMA. On the morning of the scheduled transfer, the carrier will undergo one final monitoring ultrasound and blood test to ensure that the endometrial lining is optimal before thawing the embryo. After this final check, the embryo will be thawed for transfer. The frozen embryo transfer is a brief procedure done under ultrasound guidance without anesthesia.

The intended parents are welcome to be in the room for the transfer, but their presence is optional. Typically the day after transfer, the carrier returns to her own state of residence. Normal daily activity following the transfer is encouraged.

Nine days after the transfer, the first pregnancy test is performed at the off-site monitoring location. If pregnancy results, the first ultrasound is done seven to ten days later.

If the gestational carrier is located near an RMA clinic, our team will manage all monitoring during the treatment process. If the carrier is located outside of driving distance to an RMA location, she is responsible for choosing a monitoring facility and providing RMA with all contact information. Once a monitoring center is selected, the carrier must schedule all monitoring appointments directly with that center, following guidelines provided by the RMA nurse coordinator.

Monitoring facilities must:

  • Be open at least five days a week
  • Be able to perform transvaginal ultrasound
  • Obtain same-day results for blood tests to measure estrogen and progesterone levels

Once the carrier reaches approximately eight weeks of pregnancy, her care is then transitioned to a local obstetrician for the duration of pregnancy and delivery.

All fees for outside monitoring services used by carriers are paid directly by the intended parents to the treatment center, not through RMA.

Request Your First Appointment

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