Gestational Surrogacy Timeline


The Matching process
The matching process consists of the intended parent(s) working with a reputable agency that specializes in finding a gestational carrier (GC) that meets their requirements.
This dedicated agency will help match the best suitable candidate to the Intended Parent(s) with similar goals and expectations. The surrogacy agency will collaboratively manage the gestational carrier's treatment throughout the pregnancy until the baby is born.


Gestational Carrier Screening Includes:
Complete obstetrical & gynecological records review by your AFS physician
Consultation with your AFS physician
Infectious Disease Blood work, Gestational Carrier and Partner
Physical Examination
Saline sonohysterogram uterine test
Psychological Screening with a Mental Health Professional
Once all pertinent records have been cleared and all testing results are approved, and legal clearance has been received , your designated coordinator will arrange your transfer cycle.













Gestational Surrogate Screening















The Surrogacy Contract
A legal agreement is drafted between the two or three parties. These parties could consist of intended parent(s), gestational carrier, or egg/sperm donor.
The contract is drafted by attorneys that specialize in Reproductive Law.


Cycle Synchronization
The cycle of the gestational carrier and embryo transfer date are coordinated. It is possible for the embryo transfer to consist of “fresh or frozen” embryos. If “fresh embryos”, both the female intended parent or egg donor cycles are synchronized. This way the carrier’s uterus is prepared to receive the embryos at the appropriate time.
The Cycle Coordination.
This includes:
Ordering hormonal medications from a specialty pharmacy
In conjunction with the surrogacy agency locating an outside monitoring agency
Creating a cycle sheet in patient portal
Continuous notifications , medication updates via patient portal
Creating synch letter; including dates of monitoring appointments and medication start
Communicating with intended parents and surrogacy agency with all cycle details
Review and signature of American Fertility Services Consent forms













Starting the Gestational Carrier Cycle















Embryo Transfer
This is the process in which the intended parent (s)embryo (s) are placed into the uterus through the cervix under ultrasound guidance to achieve a pregnancy.


12-14 days following embryo transfer a blood pregnancy test (HCG) is performed to confirm the pregnancy.













Pregnancy Test















Pregnancy Follow-up
The discharge to the OB-GYN:
American Fertility Services will manage the gestational carrier for roughly 8-10 weeks following their positive pregnancy test. Once it appears as if the pregnancy is developing well, the gestational carrier is transferred to the care of her obstetrician for further care until delivery. All medical records will be forwarded to named OB office.


The designated OB-GYN will be taking care of the pregnancy from this moment onwards












