Resources for Surrogates

2. IVF Medications in the Surrogacy Process

To prepare the uterus for embryo transfer, surrogates typically follow a medication regimen starting 3 weeks prior. Common medications include:

• Birth control pills to regulate cycles.
• Estrogen pills to thicken the uterine lining.
• Progesterone injections to support implantation.
• Sometimes antibiotics, steroids, or aspirin as prescribed.

Strict adherence to the clinic’s instructions is critical—never stop medication without approval, even if spotting or bleeding occurs.

3. The Embryo Transfer

The embryo transfer is a major milestone in surrogacy. The procedure involves:

• Preparing the uterus with medications.
• Using a thin catheter guided by ultrasound to place the embryo(s).
• A calm, comfortable setting to minimize stress.

It’s typically painless, takes 20–30 minutes, and is followed by rest and monitoring. Successful implantation marks the true beginning of the surrogate’s pregnancy journey.

4. Risks of IVF Medications for Surrogates

Like all medical treatments, IVF medications may have side effects such as bloating, cramping, spotting, or bruising from injections. These are usually mild and temporary.

Importantly, Ovarian Hyperstimulation Syndrome (OHSS) is not a risk for surrogates (it affects egg donors, not gestational carriers).

5. IVF Success Rates in Surrogacy

Success rates depend on three factors:

• The quality of embryos.
• The health of the surrogate.
• The expertise of the clinic and embryologists.

At GRACE, we guide intended parents to clinics with high success rates and ethical practices, maximizing the chances of a smooth and successful pregnancy.

6. How Long Does the IVF Medication Regimen Last?

Most surrogates will continue taking progesterone and estrogen until about the 12th week of pregnancy. By IVF convention, you’re already considered “2 weeks pregnant” at the time of transfer, meaning milestones progress quickly.

7. Emotional Preparation for IVF

Surrogacy isn’t only about medical readiness—it requires emotional strength too. Anxiety, anticipation, and a sense of responsibility are all normal.

That’s why GRACE’s Surrogacy Director, Ashley Gray, who has completed 6 surrogacies herself, is available to answer questions and provide insight. Her personal and professional experience offers surrogates unmatched support.

8. Emotional Challenges During IVF

Some common challenges surrogates face include:

• Anxiety about outcomes.
• Concerns about side effects.
• Feeling responsible toward intended parents.

Open communication with doctors, counselors, and GRACE’s support team helps surrogates feel reassured and connected.