Can You Use Both an Egg and Sperm Donor for Surrogacy? Yes—Here’s How

If you need both an egg and sperm donor for surrogacy, understanding the process is essential to making informed decisions. Learn how surrogacy with donor eggs and sperm can help you achieve your dream of parenthood.

What if the biggest obstacle to having a child wasn’t your ability to be a loving parent—but simply needing the right medical solution?

For many intended parents, surrogacy using donor egg and sperm offers the best path to parenthood—especially if using their own eggs or sperm is not an option.

If you need help finding a fertility clinic to create your embryos using donor IVF for surrogacy, we can help locate reputable clinics near you. Contact us today.

In this guide, we’ll cover everything you need to know: how the process works, costs, success rates, and how to find the right donors for your journey.

How Does Surrogacy Using Donor Egg and Sperm Work?

Surrogacy with donor egg and sperm involves creating an embryo through IVF using an egg donor and sperm donor.

The embryo is then transferred to a surrogate who carries the pregnancy to term but has no genetic relationship to the child.

The Double Donor Surrogacy Process

  1. Find an egg and sperm donor: Find donor eggs and donor sperm through a reputable cryobank or fertility clinic. Consider factors such as genetic health, physical traits, donor heritage and education.
  2. Embryo creation: The donor egg is fertilized with the donor sperm in a lab to create embryos.
  3. Embryo freezing: After the embryos have developed for 5-6 days, they are frozen for later use.
  4. Embryo transfer to a surrogate: A healthy embryo is implanted into the gestational carrier’s uterus.
  5. Pregnancy and birth: The surrogate carries the pregnancy and delivers the baby for the intended parents.

Wondering if surrogacy with donor eggs and sperm is right for you? Discover how using a donor can help make parenthood possible. Fill out our simple form today.

Who chooses this path?

  • Gay couples who need both an egg donor and a surrogate
  • Single parents who cannot use their own eggs or sperm
  • Infertile couples who have issues with egg and sperm quality
  • Individuals with genetic conditions that they do not want to pass on

Success Rates of Double Donor IVF vs. Double Donor Surrogacy

While there are not currently many studies specifically comparing the success rates of double donor surrogacy to double donor IVF, there are studies that show using a surrogate and donor eggs has higher rates of implantation and live birth compared to IVF with donor eggs and no surrogate.

Surrogate with Donor Eggs vs. No Surrogate with Donor Eggs

  • Implantation Rate: 53.3% with surrogate and donor eggs vs. 47.4% with donor eggs and no surrogate
  • Live Birth Rate: 60.5% with a surrogate and donor eggs vs. 52.2% with donor eggs and no surrogate

Surrogate with Donor Eggs vs. Surrogate without Donor Eggs

  • Implantation Rate: 53.3% with donor eggs vs. 30.3% without
  • Live Birth Rate: 60.5% with donor eggs vs. 41.5% without

Double Donor IVF Failure: Understanding Your Next Steps

If you have experienced double donor IVF failure or standard IVF failure, there may be underlying medical issues, such as uterine abnormalities or immune system factors, affecting implantation and pregnancy.

In one study, nine couples with unexplained repeated implantation failure(RIF) used a surrogate to have a baby, resulting in a pregnancy rate of 66.66% (6 out of 9 couples).

While success rates vary from person to person, using both donor egg and sperm for surrogacy can significantly enhance the chances of success when egg and sperm quality are major concerns.

A thoroughly screened surrogate can carry the embryo, providing a pathway to parenthood even when multiple IVF cycles have failed.

Understanding the Costs of Surrogacy with Donor Egg and Sperm

The total cost varies based on clinic fees, surrogate compensation and the agency you work wtih. Here’s an estimate:

  • Egg donor cost: $10,000 – $20,000
  • Sperm donor cost: $500 – $2,000
  • Double donor IVF cost: $15,000 – $30,000 (includes lab fees, medications, and embryo transfer)
  • Surrogacy process cost: $100,000 – $200,000 (includes surrogate compensation, legal fees, and medical expenses)

Total cost of surrogacy with donor egg and sperm: $125,000 – $250,000

Learn more about the costs of surrogacy. We offer and upfront cost breakdown and financial protection with our Limited Risk Program.

Finding Donor Eggs and Donor Sperm for Surrogacy

When selecting an egg or sperm donor for surrogacy, you can choose donors based on various factors, including:

  • Comprehensive genetic screening to rule out hereditary conditions
  • Overall health history, including family medical background
  • Fertility and reproductive health (egg quality for egg donors, sperm motility for sperm donors)
  • Height, eye color, hair color and other physical traits
  • Ethnic background and ancestry
  • Education and Personality
  • Education and career background
  • Personality traits, interests, and hobbies

Other Considerations

  • Donor’s willingness to be an anonymous or known donor
  • Proven fertility (previous successful donations or pregnancies)

Learn more about how to find an egg donor and how to find a sperm donor.

Where to Find Donor Sperm and Donor Eggs

You can find donor sperm and donor eggs through:

  • Egg donor agencies
  • Clinic-affiliated donor egg or donor sperm programs
  • Sperm banks and donor egg banks

Most fertility clinics also offer donor matching services and recommendations based on individual preferences and medical needs.

Take Your First Steps Toward Parenthood

By carefully selecting donors and working with a reputable surrogacy agency, you can successfully navigate the journey to parenthood.

Excited to start your surrogacy journey? Let’s create a personalized surrogacy plan and connect you with the right donor resources. Fill out our form to connect with us today.

When a Second IVF Pregnancy Isn’t Happening, What’s Next?

If your first IVF was successful but you’re now struggling to conceive again, you’re not alone. Learn how to navigate this journey and find the fastest way to grow your family after failed IVF for a second baby.

You went through the emotional rollercoaster of in vitro fertilization once before, and after all the stress and waiting, it worked. Now you’re ready to grow your family again, but IVF for a second baby isn’t working.

Fertility can change, and what worked for you the first time may not work the second, but understanding why and what your next steps are can give you hope.

In this article, we’ll explore why treatment may not be working and provide alternative paths like surrogacy.

If you’re feeling stuck, know that you have options — and we’re here to help you explore them. Contact us today for more information.

Why is Achieving a second IVF pregnancy So Hard?

Failing to achieve a second IVF pregnancy can be frustrating when growing your family. You might not be sure why it’s so hard after you experienced success the first time.

While every situation is different, several common factors can make getting pregnant after IVF success harder:

  • Age-related fertility decline: As you age, egg quality and quantity naturally decrease, leading to a higher chance of miscarriage and lower chances of embryo implantation.
  • Uterine changes from previous pregnancy: Sometimes, changes in the uterine lining after carrying a pregnancy can make implantation more difficult, especially if there is scarring or other complications.
  • Diminished ovarian reserve: With fewer eggs available for retrieval, you might not have as many viable embryos to work with compared to your first IVF cycle.
  • Unexplained infertility: Sometimes, no clear medical reason is found for why IVF isn’t working.

What Are the Chances of a Second IVF Success?

After a live birth from IVF, your chances of a second IVF success after an IVF baby are generally high, ranging from 51% to 88% after six cycles.

Many factors can change between pregnancies, making the process more challenging the second time around. For example, as you get older, the health of your uterus and your hormone levels can decline, which can impact IVF outcomes.

Additionally, the stress and anxiety can impact both your mental and physical well-being, so it’s important to take care of yourself throughout this process.

See how the success rates of surrogacy compare to IVF.

When Should You Consider Surrogacy?

After failed IVF for a second baby or complications from a previous pregnancy, surrogacy could be the right option for you.

Surrogacy is often recommended by fertility specialists when repeated IVF attempts fail despite using high-quality embryos, or when a previous pregnancy has made it physically unsafe or emotionally draining to try again.

Here are a few specific scenarios when doctors might recommend surrogacy:

  • Multiple failed IVF cycles: If you’ve tried several IVF cycles with healthy embryos and still haven’t achieved a pregnancy, your doctor might suggest surrogacy. This could be due to issues like implantation failure, unexplained infertility or changes in the uterine environment that make pregnancy challenging.
  • Complications from a previous pregnancy: If your first IVF pregnancy led to complications that would make carrying a second IVF pregnancy difficult, such as significant uterine scarring, placenta previa or preeclampsia, surrogacy could be a safer option.
  • Age: In some cases, IVF fails due to age-related infertility. Surrogacy can help by using a healthy, younger surrogate to carry your embryo.

Why Surrogacy May Succeed After Failed IVF for Second Baby

A surrogate provides a healthy uterine environment, bypassing potential issues that may be preventing you from conceiving.

Surrogates undergo thorough screening to ensure they meet key health criteria. Factors like age, body mass index and previous pregnancy history are carefully evaluated to maximize the chances of a successful pregnancy.

Research supports this. One study shows that pregnancies carried by gestational surrogates have higher implantation, pregnancy and live birth rates than non-gestational carrier cycles (such as through IVF).

This makes surrogacy a promising option for parents who want to grow their family but aren’t getting pregnant again after IVF.

How Surrogacy Compares to IVF in Terms of Time

While IVF cycles can take several months, with limited success, surrogacy can provide a more predictable and quicker path, especially when multiple IVF attempts have failed.

Here’s a brief comparison of timelines:

IVF

Each round of IVF typically involves a few weeks of preparation, egg retrieval, embryo creation, and then a waiting period after the embryo transfer.

If IVF for a second baby fails, you’ll need to start the process over, which can lead to months or even years of frustration and uncertainty.

Surrogacy

Once a surrogate is selected and undergoes medical and psychological screening (which typically takes 1-2 months), the embryo transfer can be scheduled.

This means that even if your first IVF attempts have failed, surrogacy can often move you forward more quickly, bypassing certain hurdles that IVF might face.

After multiple failed second IVF pregnancy attempts, surrogacy offers a more direct and efficient path.

Learn more about the complete surrogacy timeline and surrogacy can fast track your path to parenthood.

How We Can Help You on Your Family-Building Journey

If a second IVF after the first success isn’t working, it doesn’t mean your family-building dreams have to end. In fact, exploring alternative options like surrogacy may be the key to growing your family when IVF alone isn’t enough.

At American Surrogacy, we understand how challenging and emotional the fertility process can be, and we’re here to offer you the guidance and support you need every step of the way.

From the moment you reach out, we’ll help you navigate the logistics of surrogacy with transparency and care.

Matching with the Right Surrogate – Fast

We understand that time is of the essence in your family-building journey, which is why we prioritize quick and efficient matching with a surrogate.

Thanks to our rigorous prescreening process and nationwide reach, we can connect you with qualified surrogates much faster than many other agencies.

This streamlined approach minimizes waiting times and helps get you one step closer to your dream of becoming parents.

Cost Transparency and Financial Protection

We understand that surrogacy can be a significant financial commitment, which is why we offer full cost transparency through every step of the process.

Our Limited Risk Program provides an added layer of financial protection, ensuring that your investment is safeguarded against unexpected costs.

You’ll have a clear understanding of what to expect, from surrogate compensation to medical and legal fees, and our program helps reduce the financial uncertainty that can sometimes accompany the surrogacy journey.

Emotional Support During Your Fertility Journey

Going through IVF, especially after a failed second IVF attempt, can take an emotional toll on you and your partner. It’s important to remember that it’s okay to feel frustrated, exhausted and overwhelmed.

Many people going through fertility struggles experience feelings of isolation or self-doubt. Here are some ways to take care of yourself:

  • Take time for self-care: Practice mindfulness, meditation, or gentle exercise to reduce stress and improve your emotional well-being.
  • Talk to a counselor or therapist: Seeking emotional support from a professional who specializes in fertility struggles can help you process the emotions involved and build coping strategies.
  • Join a support group: Connecting with others who are going through similar experiences can offer you a sense of solidarity and understanding.
  • Communicate with your partner: Fertility struggles affect both partners. Make sure to check in with each other regularly and offer emotional support throughout the journey.

Helpful Subreddits for Support

  • r/IVFAfterSuccess: A supportive community for individuals who have previously achieved success with IVF and are now seeking to expand their families or are undergoing additional fertility treatments.
  • r/InfertilitySucks: A supportive and open community for individuals dealing with infertility. It serves as a space for people to share their personal struggles, vent their frustrations and seek advice and encouragement.
  • r/IVF: A community dedicated to individuals undergoing or considering in vitro fertilization (IVF) treatments. It serves as a place where people can discuss their IVF experiences, share information, offer support and ask for advice.

Taking the Next Step in Your Fertility Journey

If a second round of IVF after the first success isn’t working, it doesn’t mean your family-building dreams have to end. Surrogacy may be the right path forward, allowing you to have another child even when carrying a pregnancy yourself is no longer possible.

You don’t have to navigate this journey alone. Reach out to learn more about how surrogacy can help you achieve your dream of parenthood and take the next step toward building the family you’ve been hoping for.

Do I Need a RhoGAM Shot as a Surrogate?

The RhoGAM shot is a vital part of a surrogate’s pregnancy, preventing complications from Rh incompatibility and ensuring the health of both the surrogate and the baby. Stay informed and prepared with all the essential details you need for a safe surrogacy journey.

One of the most important aspects of your surrogacy journey is ensuring both your health and the baby’s well-being, and the RhoGAM shot plays a crucial role in this.

While not every surrogate will be asked to take the RhoGAM injection, understanding what it is and why it is needed helps prepare you if it becomes part of your surrogate journey.

In this article, we’ll explain exactly why the RhoGAM shot is necessary, how it works, and what could happen if it’s missed.

Ready to take the next step? Contact us today to learn more about what to expect from the surrogacy process during your pregnancy.

Why Do I Need a Rhogam Shot as a Surrogate?

As a surrogate, your role is to carry and nurture the baby for another family. The RhoGAM shot helps ensure a healthy pregnancy by preventing complications related to Rh incompatibility.

If you’re Rh-negative and the baby you’re carrying is Rh-positive, your immune system might create antibodies that could harm the baby’s blood cells.

The RhoGAM shot neutralizes these antibodies before they can cause harm, keeping both you and the baby safe.

What is the Rh Factor in Pregnancy?

The Rh factor is essentially what determines if you have a positive or negative blood type. Negative blood types do not carry the Rh factor protein in their blood cells, while positive blood types do.

Why does this matter during surrogacy? If you’re carrying a baby with a different Rh factor, it can lead to complications.

If a surrogate’s blood type does not match that of the baby, there can be incompatibilities, which can lead to potential medical problems. The RhoGAM shot for pregnancy helps prevent complications.

How Does the RhoGAM Shot Work?

When you’re Rh-negative and pregnant with an Rh-positive baby, your immune system could start producing antibodies that attack the baby’s red blood cells. The RhoGAM shot stops this from happening.

By injecting Rh immunoglobulin (the substance in the RhoGAM shot), your body is prevented from making these harmful antibodies, which protects the baby and helps ensure a smoother pregnancy.

When Do I Get the RhoGAM Shot?

The injection is typically administered around 28 weeks pregnant.

You’ll likely need a second dose within 72 hours after birth—but only if the baby is Rh-positive.

Stay on top of your health by tracking important milestones like getting your RhoGAM shot at the right times. Talk to your doctor about scheduling it at the appropriate times during your surrogacy.

You can fill out our simple form to get a better idea of where the RhoGAM shot may fall in your surrogacy timeline.

Does a Surrogate Have to Have the Same Blood Type as the Intended Parents?

No. What matters most is whether you are Rh-negative or Rh-positive, not the overall blood type. You can still carry a child for another family even if your blood type differs from the intended parents’.

The only time this matters is when you are Rh-negative and the baby is Rh-positive, at which point the RhoGAM shot is necessary.

What Happens If I Don’t Get the RhoGAM Shot?

Skipping this shot can lead to serious complications like hemolytic disease of the newborn (HDN), where the baby’s red blood cells are destroyed, leading to anemia, jaundice, or even stillbirth in severe cases.

This is why it’s so important not to skip your RhoGAM injections.

Does the RhoGAM Shot Have Side Effects?

Like any medical treatment, the RhoGAM shot can cause some mild reactions. Common side effects include:

  • Pain or swelling at the injection site
  • Headache
  • Fever
  • Nausea

These side effects are usually short-lived and mild. Serious side effects are rare, but if you experience anything unusual, it’s important to reach out to your healthcare provider.

Next Steps

As a surrogate, your health and the baby’s well-being are your top priorities. By preventing Rh incompatibility, the shot minimizes risks and helps you have a smoother surrogacy experience.

If you have more questions or need further information about the RhoGAM shot and your surrogacy journey, contact a surrogacy specialist or healthcare provider for personalized guidance.

IVF After an Ablation: Know the Risks and Why Surrogacy Could Be Safer

If you’ve had an endometrial ablation and are considering IVF, it’s important to understand why IVF may not be the safest or most effective option. Surrogacy offers a safer and more reliable alternative, allowing you to pursue parenthood without the risks associated with IVF after an ablation.

If you’ve had an endometrial ablation and are hoping to have a baby, you may be wondering whether IVF is still an option. Unfortunately, IVF after ablation is rarely successful and can pose serious risks. But that doesn’t mean your dream of parenthood has to end.

Understanding how an ablation affects your uterus — and what family-building methods are available — can help you find the best path forward.

Below, we’ll explore what an endometrial ablation is and why IVF after an endometrial ablation may not be the best option. We’ll also discuss the benefits of surrogacy and how you can get started.

Ready to learn more? Reach out to one of our surrogacy specialists for personalized guidance today.

Can You Do IVF After an Ablation?

Medical professionals generally do not recommend IVF after a uterine ablation. An endometrial ablation, also called a uterine ablation, is a medical procedure that removes or destroys the uterine lining.

The procedure can cause extensive scarring and permanently thin the uterine lining, making it difficult for an embryo to implant and grow successfully.

A thick, healthy uterine lining is essential for a successful pregnancy. Without it, the chances of carrying a baby to term are very low.

Even if implantation does occur, successful IVF after an ablation is extremely risky. The uterus may not be able to support the growing fetus. Because of this, many fertility specialists recommend exploring alternative options like surrogacy.

What are my chances of successful IVF after ablation?

Studies show that the pregnancy rate following ablation is estimated between 0.24% to 5.2%.

In comparison, women who have not had an ablation face much higher pregnancy success rates. However, pregnancies that do occur after ablation often face higher risks such as miscarriage, ectopic pregnancy, preterm delivery and more.

What Are the Risks of IVF After an Ablation?

While IVF might seem like a way forward, the truth is that the risks involved are much higher than you may realize—here’s why.

Attempting IVF after an ablation is not only difficult but also poses serious risks to both you and the baby. Because the uterus has been altered by the procedure, complications can arise even if implantation is successful.

Potential risks include:

  • Miscarriage: Pregnancy loss may occur because the uterine lining is too thin or damaged to support implantation and fetal growth.
  • Intrauterine growth restriction: The baby may not receive enough nutrients due to impaired blood flow, which can slow development.
  • Preterm birth: The risk of delivering too early increases and can result in serious health complications for the baby.
  • Placenta accrete: The placenta may attach too deeply into the uterine wall, leading to severe bleeding and complications during delivery.
  • Preeclampsia: This condition causes dangerously high blood pressure during pregnancy, posing risks to both the mother and baby.
  • Uterine rupture: If the uterus has been severely weakened by ablation, it may tear during pregnancy, creating a life-threatening emergency for both the mother and baby.

If IVF after an ablation feels like a daunting uphill battle, surrogacy may just be the answer you’ve been searching for.

Why Surrogacy After an Endometrial Ablation Is a Safer Option

If you’re considering your options after an ablation, surrogacy is often a much safer and more reliable route than IVF.

With gestational surrogacy, your embryo can be transferred to a healthy surrogate’s uterus, one that hasn’t been affected by an ablation. This means you can avoid the risks associated with a damaged uterine lining, giving you a much better chance at having a healthy pregnancy.

Unlike IVF after an ablation, which comes with a lot of complications due to a compromised uterus, surrogacy allows you to skip those worries altogether.

Surrogates go through a careful screening process to make sure they’re physically and emotionally ready for the journey. They meet certain criteria, like having a history of healthy pregnancies and undergo psychological evaluations to ensure they’re prepared for this big step.

Getting Started With the Surrogacy Process

If you’re considering surrogacy after an endometrial ablation, we’re here to help. If you already have embryos created, we can begin the matching process right away.

Our team will guide you through every step, from finding a surrogate to navigating the medical and legal aspects of the journey.

Why surrogacy makes sense:

  • Lower risk: Unlike IVF after an ablation, surrogacy eliminates the potential for miscarriage, growth restriction and other serious complications.
  • Higher success rates: With a healthy surrogate carrying the pregnancy, the likelihood of a successful outcome is much greater.
  • Faster path to parenthood: Our agency is dedicated to helping you grow your family quickly by offering fast surrogate match times. We prioritize getting you matched with a surrogate as soon as possible.

Learn more about how we ensure parenthood is right around the corner through our streamlined matching process.

Getting Started With the Surrogacy Process

If you’re considering surrogacy after an endometrial ablation, we’re here to help. If you already have embryos created, we can begin the matching process right away.

Ready to take the next step toward your family-building journey? We’re here to guide you every step of the way, from matching with the perfect surrogate to supporting you through the legal and emotional aspects. Contact us today to speak with one of our experienced surrogacy specialists.

Surrogacy for MRKH Syndrome: Having a Baby Without a Uterus

MRKH Syndrome may make natural conception impossible, but it doesn’t mean parenthood is out of reach. With our guidance, shortest wait times and fully vetted surrogates, you can take the next step toward the family you’ve been dreaming of.

Imagine being told you were born without a uterus—ruling out any chance of pregnancy. This is the reality for many with MRKH Syndrome. But what if there were ways to still experience parenthood?

Through surrogacy, adoption and even uterine transplants, many individuals with MRKH have gone on to become parents.

You don’t have to put your dreams of parenthood on hold. Reach out today and take the first step toward building your family

In this guide, we’ll break down the best options for becoming a parent, support resources and your next steps. Keep reading to discover which path to parenthood is right for you.

Can You Still Have a Baby Without a Uterus? Yes—Here’s How

Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome is a congenital condition where individuals are born without a uterus or with an underdeveloped uterus, leading to Absolute Uterine Factor Infertility (AUFI).

But what if you could still have a biological child, despite MRKH Syndrome? That’s exactly what surrogacy makes possible.

Surrogacy

For individuals with MRKH Syndrome, surrogacy offers a unique opportunity to be genetically linked with your child despite being born without a uterus.

Since most people with MRKH have functional ovaries, they can produce their own eggs, allowing them to have a genetic connection to their child without the medical risks associated with a uterine transplant.

Here’s how the process works:

  1. Ovarian stimulation & egg retrieval: Hormonal medication stimulates the ovaries to produce eggs, which are then retrieved in a minor surgical procedure.
  2. Embryo creation: The retrieved eggs are fertilized with sperm in a lab to create embryos through in vitro fertilization (IVF).
  3. Matching with a surrogate: Intended parents work with a surrogacy agency to find a surrogate who meets their needs and legal requirements. Psychological and medical screenings ensure compatibility.
  4. Embryo transfer to a surrogate: Your surrogate will undergo an embryo transfer procedure, where one of your embryos is transferred to her uterus.
  5. Pregnancy and birth: If implantation is successful, the surrogate carries the pregnancy to term.

Surrogacy can be a fulfilling way to welcome your child into your life, and the surrogate is compensated for her time and effort, ensuring a fulfilling journey for all involved.

Next steps:

  1. If you have functioning ovaries, discuss egg retrieval and embryo creation through IVF with your fertility specialists. If egg retrieval isn’t an option, donor eggs are an option.
  2. Work with a fertility clinic to create embryos

If you have questions about the surrogacy process or are ready to get started, fill out our simple form today.

Adoption

Some individuals with MRKH syndrome consider adoption, but it’s important to understand the key differences.

Unlike surrogacy, adoption does not provide a biological connection to your child, and the process can be lengthy and uncertain.

Surrogacy, on the other hand, allows you to have a biological child with a controlled medical and legal process, ensuring your parenthood from the start.

Uterine Transplants

Some individuals with MRKH explore uterine transplants, but this procedure is still highly experimental and not widely available. It requires major surgery, lifelong immunosuppressants and is not covered by insurance.

For those who want a safe, proven, and reliable path to biological parenthood, surrogacy remains the most effective option.

Why Surrogacy is Life-Changing for MRKH Parents

Hearing the words “You were born without a uterus” can be life-changing. For many women with MRKH, it leads to a painful question: ‘Will I ever be a mom?’ While natural conception isn’t possible, surrogacy makes biological motherhood achievable.

Thanks to modern medical advances, women with MRKH can still have a child genetically related to them—without carrying the pregnancy themselves.”

Surrogacy isn’t just a medical solution—it’s an opportunity to experience parenthood in a deeply personal way.

Imagine seeing your child’s first ultrasound, hearing their heartbeat and being present for their birth. Surrogacy allows you to be fully involved in the pregnancy journey, even if you’re not carrying the baby yourself.

How We Can Help: Fast Matching, Financial Protection and Full Support

When choosing a surrogacy agency, you want one that prioritizes your time, your financial security, and your emotional journey. That’s exactly what we do.

  • Quick matching: We actively recruit and pre-screen surrogates, so they’re ready to match.
  • Transparent costs and financial protection: Our programs are transparent about the costs involved and and ensure your funds are safeguarded throughout the process.

Full Guidance & Support – We’re With You Every Step of the Way

Navigating surrogacy can feel overwhelming—but you’re not alone. Our experienced team is here to guide, support and advocate for you from start to finish.

Here’s how we’ll be with you at every step:

  • Matching Process: We hand-select pre-screened surrogates based on your preferences and timeline.
  • Medical Coordination: We work closely with your fertility clinic to ensure smooth embryo transfer and pregnancy monitoring.
  • Legal Protection: We connect you with experienced surrogacy attorneys to secure your parental rights.
  • Ongoing Support: You’ll have a dedicated surrogacy specialist to answer questions, address concerns, and provide updates throughout the journey.

MRKH Support Resources

A diagnosis of MRKH Syndrome can bring a wave of emotions, including grief, frustration and uncertainty about the future. If you or a loved one has been diagnosed, know that you are not alone.

 Many individuals find support in MRKH-specific online communities and in-person support groups. Therapy and counseling can also provide valuable emotional guidance as you navigate this journey.

Begin Your Parenthood Journey

You’ve waited long enough. If you’re ready to take the next step toward parenthood, our team is here to make the surrogacy process simple, secure and stress-free. Contact us today.

Affording Surrogacy: IVF Tax Write-Offs, State Tax Credits & Policy Changes in 2025

Find out how you can reduce your family-building expenses by taking advantage of potential tax deductions for surrogacy and IVF. Ensure you’re fully informed to make the most of available tax benefits.

For many intended parents, IVF is the first step toward having a child. However, not all IVF journeys lead to pregnancy, and many turn to surrogacy after spending thousands on fertility treatments. 

If you’ve already undergone IVF, you may be able to recover some of those costs through IVF tax write-offs and redirect those savings toward surrogacy.

In this guide, we’ll break down what you need to know about surrogacy and IVF tax deductions, how to claim them, and when a private letter ruling from the IRS might help.

As you transition from IVF to surrogacy, we can assist in explaining the full spectrum of expenses so you’re not caught off guard by any last-minute financial surprises. Contact us today.

The information provided in this article is intended for general informational purposes only and should not be construed as tax or financial advice. Tax laws may vary depending on your location.

Step 1: Maximize IVF Tax Deductions to Free Up Funds for Surrogacy

Yes, you can deduct IVF expenses from your taxes if they exceed 7.5% of your AGI. This means that if you’ve already invested in IVF, claiming these deductions can reduce your taxable income and increase your savings.

For example:

  • AGI: $100,000
  • 7.5% of that: $7,500
  • IVF expenses: $20,000
  • Deductible amount: $20,000-$7,500=$12,500
  • Taxable income: $100,000-$12,500=87,500

What IVF Expenses are Tax Deductible?

Beyond the core costs of IVF, there are several related medical expenses that may also qualify for deductions: eductions:

  • Fertility medications (hormone injections, ovarian stimulants)
  • Embryo cryopreservation (freezing) fees if medically necessary for future use
  • Lab and diagnostic tests (bloodwork, genetic screening)
  • Anesthesia and surgical fees for egg retrieval or embryo transfer
  • Travel and lodging expenses for medical care, if treatment requires out-of-town visits (subject to IRS limitations)

If you have embryos created, we can quickly match you with a pre-screened, highly-qualified surrogate. Become parents sooner.

Action Items:

  • Gather all IVF-related receipts and document expenses.
  • Work with a tax professional to ensure maximum deductions.
  • If IVF was unsuccessful, redirect your tax savings toward surrogacy planning.

How Much Do You Get Back in Taxes for IVF?

A tax deduction is not money you “get back” like a tax refund. Instead, it is deducted from your taxable income, reducing the amount of taxes you owe and saving you money that you can put toward building your family.

If your total itemized deductible doesn’t exceed the standard deduction, IVF tax write-offs may not be beneficial.

For the 2024 tax year, the standard deduction is $14,600 for individuals and $29,200 for married couples filing jointly. Per the above example, a married couple would save $26,700 more with the standard deduction than itemizing.
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Step 2: State Tax Credits and Insurance Mandates That Can Reduce Surrogacy Costs

While federal tax law does not allow surrogacy-specific deductions, some states offer fertility tax credits, grants, or insurance coverage that can significantly reduce out-of-pocket costs for IVF and related treatments.

Understanding which state policies apply to you can help free up funds to put toward surrogacy.

States That Offer Fertility-Related Tax Benefits & Insurance Mandates

How This Helps You Afford Surrogacy

If you live in a state that provides tax credits (NY, MD, WV), you may be able to apply those savings toward surrogacy costs.

If your employer offers insurance coverage for IVF (CA, CO, CT, HI, IL, NJ, RI), your out-of-pocket expenses may be significantly reduced. If you haven’t started IVF yet, choosing a state with fertility coverage can lower initial costs before transitioning to surrogacy.

Action Plan:

  •  Check if your state offers fertility-related tax credits or mandates insurance coverage.
  •  If applicable, apply for tax credits before beginning surrogacy.
  •  If your employer offers fertility benefits, confirm what’s covered.
  •  Plan your surrogacy budget accordingly, using these savings.

Step 3: Understand the Limits of Surrogacy Tax Deductions

Is Surrogacy Tax Deductible?

Surrogacy expenses like surrogate compensation, your surrogate’s medical bills, agency fees and legal fees are generally not tax-deductible.

However, medical expenses for IVF may qualify for tax deductions, saving you money that you can put toward your surrogacy journey.

In some cases, intended parents may request a private letter ruling from the IRS to deduct certain expenses if they can prove medical necessity. This is essentially formal permission to claim tax deductions for surrogacy expenses not addressed by tax law.

Connect with a surrogacy specialist today to learn more about what’s included in your overall surrogacy cost and the financing resources available to help make your dreams of parenthood possible.null

Step 4: Keep an Eye on Federal IVF & Surrogacy Policy Changes

Trump’s IVF Executive Order & What May Come in 2025

In 2020, President Trump signed an executive order focused on improving access to fertility care for military families and federal employees.

While this order did not provide direct financial assistance, it laid the groundwork for studying how federal policies could support fertility treatments, including IVF and surrogacy.

Currently, no direct federal subsidies exist for IVF or surrogacy, but there is growing political support for expanding fertility benefits. Some experts predict that new financial assistance programs could emerge in 2025, depending on policy developments.

Action Items:

  • Stay informed about upcoming federal changes that could impact fertility funding.
  • Subscribe to updates from fertility advocacy groups and government health agencies.
  • Plan ahead with existing resources while monitoring potential policy shifts.

Final Thoughts: Combining Tax Benefits to Afford Surrogacy

If you’re transitioning from IVF to surrogacy, your best action plan is:
 Maximize IVF tax deductions to recover previous expenses.
 Leverage state tax credits & insurance mandates to reduce costs.


 Explore employer fertility benefits to see if surrogacy is covered.
 Monitor policy changes for potential future federal support.

Since every family’s path is unique, we’re here to help you understand your financial options and ensure you’re fully prepared for the journey ahead.

 Need Help Planning Your Budget? Contact us today to explore your financing options for surrogacy in 2025.

FAQ: What to Know About Surrogacy and IVF Tax Write Offs

Are Surrogacy Agency Fees Tax Deductible?

Typically, agency fees related to surrogacy are not deductible as medical expenses.

However, like other surrogacy-related costs, a private letter ruling could potentially allow for some or all of these fees to qualify as surrogacy tax deductions if deemed medically necessary.

Are Legal Fees for Surrogacy Tax Deductible?

Legal fees associated with surrogacy are generally not deductible as medical expenses. That said, a private letter ruling from the IRS could permit some of these costs to be deductible, depending on your circumstances.

Is Donor Sperm Tax Deductible?

If donor sperm is medically necessary, it may be tax-deductible. Costs typically range from $450 to $1,300 per vial.

While this expense may seem small compared to other fertility treatments, it can still contribute toward your total deductible medical expenses. You will likely need to request a private letter ruling to claim this deduction.

Are Donor Eggs Tax Deductible?

Donor eggs can be considered an IVF tax write off for surrogacy if they are medically necessary.

With donor egg costs averaging between $16,000 and $20,000 in the U.S., this can represent a significant medical expense. As with donor sperm, a private letter ruling is generally required to deduct these costs.

Is Embryo Donation Tax Deductible?

Yes, you could deduct fees for donor embryos on taxes if you can demonstrate medical necessity. Similar to donor eggs and sperm, you will likely need a private letter ruling to claim this deduction.

How Many Vials of Sperm Are Needed for IVF and Surrogacy?

Planning your family with IVF and surrogacy requires careful preparation, especially when using donor sperm.

One key decision is determining how many vials to purchase to increase your chances of success and plan for future children.

Below, we’ll break down the specifics of how many vials to purchase, what donor sperm costs and what to consider when selecting a donor.

Need help finding a fertility clinic? Fill out our contact form to get information about clinics and sperm banks who can help you complete your journey.

How Many Vials of Sperm Are Needed for IVF and Surrogacy?

Most individuals or couples using donor sperm for IVF will need about one to two vials per cycle.

A standard vial holds approximately 0.5 milliliters of sperm, with most donor sperm banks guaranteeing 10 to 20 million motile sperm per vial for IVF.

Purchasing multiple vials can be a smart strategy, especially if your embryos don’t make it to the blastocyst stage on the first attempt.

However, the exact number of vials you’ll need depends on several factors:

  • Fertilization Method: If you’re using intracytoplasmic sperm injection (ICSI), where a single sperm is injected directly into an egg, one vial is often enough. However, for conventional IVF, where sperm and eggs are combined in a lab dish, higher sperm concentration is needed, which may require more than one vial.
  • Sperm Quality: If sperm motility or count is lower than expected, your fertility specialist may recommend purchasing extra vials to improve fertilization chances.
  • Embryo Freezing Plans: If you hope to create and freeze multiple embryos for future pregnancy attempts or sibling journeys, securing additional vials from the same donor can ensure consistency and avoid the risk of donor sperm selling out.

Consulting with your fertility clinic can help determine the right number based on your family-building goals.

Can You Use IUI Sperm for IVF?

Yes, you can use donor sperm from previous IUI attempts for IVF. IUI-prepped sperm is already washed and concentrated, making it suitable for IVF.

This can save you money since you won’t need to purchase additional sperm vials for IVF.

How Many Vials of Sperm Should I Freeze?

If you’re freezing your own sperm for future IVF treatments, the general guideline is the same as purchasing donor sperm: one to two vials per cycle.

However, many individuals choose to freeze multiple vials to prepare for additional cycles or to ensure they have enough for future children.

Freezing extra sperm vials for IVF ensures you have enough for multiple attempts. Your fertility clinic can help determine how many vials to store based on your reproductive goals and overall fertility plan.

How Long Can Sperm Be Stored?

Properly stored frozen sperm can be stored indefinitely without degrading. Sperm banks use liquid nitrogen tanks to maintain cryogenic temperatures, which preserves sperm quality for decades as long as storage conditions remain stable.

However, storage fees can add up over time, so it’s important to check with your sperm bank about long-term storage costs and policies. Some facilities offer pre-paid storage packages, while others charge annual fees.

How Much Does a Vial of Sperm Cost?

The cost of a vial of sperm can range from $400 to $2,000, depending on several factors. These include:

  • Type of sperm: Sperm for home insemination may cost less than sperm prepared for a medical process like IVF.
  • Sperm bank or agency: Prices vary depending on where you purchase the sperm.
  • Donor status: Anonymous donor sperm may be more affordable than sperm from a known donor. For instance, Cryos charges more for vials with extended profiles, ID releases and adult photos.
  • Sperm motility and quality: Higher motility sperm often comes at a higher price.
  • Storage and shipping fees: Some facilities charge extra for long-term storage or expedited shipping.

If you’re planning for multiple cycles or future children, purchasing vials in bulk may offer discounts. Be sure to check with your donor sperm bank or agency about storage options and costs.

Need help budgeting for donor sperm in your surrogacy journey? Learn more about resources for affording surrogacy.

Does Insurance Cover Donor Sperm?

In most cases, insurance does not cover sperm vials for IVF. However, some plans may offer partial coverage if the sperm is needed due to moderate to severe male infertility.

It’s best to check with your insurance provider to understand your coverage and what out-of-pocket costs you may have.

How to Find a Sperm Donor

Choosing a sperm donor is an important decision. You’ll need to consider factors such as genetic history, physical traits and donor anonymity when making your selection.

Here’s how the process typically works:

  • Step 1: Decide on donor anonymity. Choose between an anonymous donor, a known donor or an open-ID donor (who allows contact when the child reaches adulthood).
  • Step 2: Browse sperm banks and agencies or find a personal donor.  Reputable sperm banks offer extensive donor profiles, including medical history and personal background. If you’re considering a personal donor, you’ll need to ensure they undergo thorough medical and genetic screening to meet fertility clinic requirements.
  • Step 3: Review donor characteristics. Consider traits like ethnicity, education and personality to find the best match. There’s no guarantee that your child will have specific traits, but it may be important to you to share some characteristics.
  • Step 4: Check medical screening results. Donors undergo genetic and infectious disease screening to ensure health and safety.
  • Step 5: Purchase and store sperm. Once you select a donor, you will need to purchase and store the necessary sperm vials for IVF.

How Does Shipping Donor Sperm Work?

Once you’ve chosen a sperm donor, the sperm must be shipped to your fertility clinic. Sperm banks use cryogenic shipping containers, which keep the vials frozen at extremely low temperatures. These containers are designed to maintain sperm viability throughout transit.

You’ll need to coordinate with your clinic to ensure they receive the shipment on time.

You may want to look for a “sperm donor bank near me with expedited shipping,” otherwise you’ll need to provide advance notice and schedule a delivery.

Be sure to confirm shipping costs and timelines with your provider before placing an order.

Moving Forward With IVF and Surrogacy

Knowing how many sperm vials you’ll need for IVF and surrogacy can help you plan and make informed choices. Whether you’re purchasing donor sperm or freezing your own, having a clear strategy ensures a smoother fertility journey.

If you’re ready to move forward with your surrogacy journey, we can help you find a sperm bank and get started while you create your embryos. Contact us today.

Why You Should Consider Surrogacy Instead of IUI After Failed IVF

If you’ve experienced a failed IVF cycle, you may be wondering if IUI is a viable next step. While IUI is less invasive and more affordable, its success rates are typically lower, especially for those with fertility challenges that IVF couldn’t overcome. That’s where surrogacy comes in.

While IUI after failed IVF is not the usual approach, some hopeful parents consider it due to cost, having never tried IUI or wanting to give it another shot.

Before deciding on IUI, understanding success rates, your medical history and alternative options could help you make an informed decision that saves time, money and emotional strain.

Below, we’ll explore the success rates of IUI and IVF and discuss alternative family-building options like surrogacy.

 If you’d like personalized guidance, our fertility specialists are here to help.

Not sure if you want to try another IVF cycle? Check out our easy-to-follow guide to when it may be time to consider other options.

Can IUI Work After Failed IVF?

IUI after failed IVF is typically not recommended because success rates for IUI are generally lower than those of IVF.

IVF is usually recommended after less invasive options like IUI fail or if there are fertility issues that IUI cannot overcome. This is because IUI is less controlled than IVF and relies on natural fertilization after sperm is injected into the uterus, whereas IVF involves fertilization in a lab, allowing for better embryo selection before implantation.

However, some intended parents consider IUI after failed IVF due to cost, having never tried IUI before or wanting to give it another shot. If you’re wondering whether IUI is a viable next step, it’s important to understand the factors that may influence its success.

IUI Success After Failed IVF: What Do the Numbers Say?

Fertility specialists don’t usually recommend doing IUI after failed IVF because IVF has a much higher success rate. If you’ve already gone through IVF without success, it’s usually due to underlying infertility factors that may also reduce the chances of IUI working.

To understand why IUI may not be the best option, here are the success rates of different procedures:

Ultimately, your likelihood of IUI success after failed IVF depends on your individual medical circumstances. Some people have been able to conceive with IUI after failed IVF, but the chances are lower.

If you’re feeling discouraged, know that there are still paths to parenthood that may offer a greater chance of success. Learn more about your options after failed IVF.

When Going Back to IUI After Failed IVF May Not Be Successful

Although some parents consider IUI after failed IVF, there are several reasons why it may not be the best course of action:

  • Tubal or uterine issues: If fallopian tube blockages, endometriosis or uterine issues contributed to IVF failure, IUI will not address these medical concerns.
  • Age-related infertility: As maternal age increases, egg quality and ovarian reserve decrease, making IVF the more effective option compared to IUI.
  • Multiple IUI failures in the past: If prior IUI cycles were unsuccessful before moving to IVF, the likelihood of IUI working after failed IVF is even lower.

Understanding these factors can help you decide if IUI is a viable next step or if alternative options may offer a higher chance of success.

When IUI After IVF May Be Worth Considering

While IUI after IVF is not typically recommended, there are a few situations where it may be considered:

  • Unexplained infertility: If IVF was attempted without a clear diagnosis of infertility, and there are no known egg, sperm, or uterine issues, IUI may still be a viable option.
  • Different medication protocols: If your IVF cycle used a particular stimulation protocol that didn’t work well for you, trying IUI with a different medication regimen could yield better results.
  • Cost considerations: For couples who cannot afford another round of IVF, a few cycles of IUI may be a lower-cost alternative before pursuing other options.

It’s important to discuss these factors with your fertility specialist to determine whether IUI is a reasonable next step based on your medical history and fertility goals.

Alternatives to Doing IUI After Failed IVF

Going through IVF is a huge emotional and financial commitment, and after a failed cycle, it makes sense to want a more affordable option. IUI might seem like a way to cut costs, but unsuccessful cycles can add up quickly, both financially and emotionally.

If you’re feeling overwhelmed or unsure about what to do next, it may be time to explore other paths to parenthood.

Many fertility specialists recommend exploring options that offer a higher chance of success, such as:

  • Donor eggs: If poor egg quality contributed to failed IVF, using donor eggs can significantly improve your chances of a successful pregnancy. You can choose an egg donor who fits your preferred characteristics, and your partner’s sperm (or donor sperm) is used to create embryos.
  • Donor embryos: Some hopeful parents turn to donated embryos, which means you won’t have to go through another round of egg retrieval. This can be a more affordable option for those open to using an embryo that isn’t genetically related to them.
  • Gestational surrogacy: If carrying a pregnancy is no longer an option, surrogacy allows you to have a biological child using your own embryo. With a healthy surrogate, your embryo has a better chance of implantation and a successful pregnancy.

Before diving into IUI after failed IVF, consider talking to your doctor about the factors contributing to your unsuccessful IVF cycles. Check out our guide to questions to ask your doctor after failed IVF.

Why Choose Surrogacy After Failed IVF

If you already have viable embryos from IVF, surrogacy could be your best next step. Rather than going back to IUI after failed IVF, you can begin the process of finding a surrogate who can help bring your dream of parenthood to life.

With a healthy surrogate, your chances of a successful pregnancy are significantly improved. Research shows that gestational carriers have higher rates of live births compared to IUI or traditional IVF cycles.

 If failed IVF resulted from uterine issues or maternal health conditions, surrogacy bypasses these challenges by ensuring the embryo is carried by someone with a proven ability to sustain a healthy pregnancy.

At our agency, all surrogates must meet strict health requirements, including thorough medical and psychological screenings, as well as a history of at least one successful pregnancy. This helps maximize the chances of a successful surrogacy journey.

How Surrogacy Can Be Your Path Forward

Surrogacy offers more than just success where IVF may have failed. Here’s how:

  • Maintaining a genetic connection: If you use your own egg and sperm, your child will still have a genetic link to you.
  • Cost considerations: While surrogacy involves a greater upfront cost than IUI, it can prevent multiple failed treatments that cause more financial and emotional strain over time.
  • Staying involved: Intended parents are involved throughout the surrogacy process, from selecting their surrogate to attending key milestones like ultrasounds and birth.

If you already have viable embryos from IVF, surrogacy could be your best next step. Rather than going back to IUI after failed IVF, you can begin the process of finding a surrogate who can help bring your dream of parenthood to life.

We understand how difficult it is to navigate infertility challenges, but you don’t have to do it alone. Contact one of our surrogacy specialists to explore your options and take the next step toward growing your family.

I Need a Surrogate Now: How to Find a Surrogate Quickly

American Surrogacy offers a streamlined process to reduce surrogacy wait times by providing fast matching with pre-screened surrogates. Explore how to find a surrogate quickly and fast track your path to parenthood.

By partnering with us, you’ll gain access to pre-screened surrogates who are ready and eager to help you become parents faster.

With 1-4-month surrogacy wait times, you’re not just another family on the wait list. This means you can start building your family sooner than you might expect, with surrogates ready and available when you are.

In this article, we’ll walk you through what to expect from the surrogacy wait time, share tips to minimize delays and explain how our agency’s process sets you up for success.

To start your family-building journey and become a parent faster, fill out our form to explore available surrogates.

How to Find a Surrogate Quickly in 3 Steps

If you’re at the point where you’re thinking “I need a surrogate now”, you’ve likely already experienced delays on your path to parenthood, and you’re tired of waiting.

The average surrogacy wait time with American Surrogacy is 1-4 months.

Many agencies face longer wait times due to an imbalance of surrogates and intended parents, but we maintain balanced lists to ensure surrogates are available when you’re ready.

Our extensive marketing and networking efforts help us find the best, pre-screened surrogates quickly, reducing delays and helping you hold your baby in your arms sooner. Here’s how it works:

Step 1: Schedule a Free Consultation

Fill out our form today to start the process with American Surrogacy. A specialist will be in contact with you to learn more about your family building journey explain the surrogacy process and answer your questions about finding a surrogate.

We’ll help you create an intended parent profile and discuss your preferences, including location, medical history, and personal compatibility.

Step 2: Find the Perfect Match

Because of our extensive marketing and advertising, we have surrogates who are ready and excited to help you become parents.

When women apply, they’re thoroughly screened with background checks and health assessments ensuring they’re a good fit.

Step 3: Get to Know Your Surrogate and Complete a Surrogacy Contract

Once you’ve found the perfect fit, you’ll be able to build a connection and get ready for the exciting journey ahead. Your surrogacy specialist will guide you through drafting a surrogacy contract, making sure every important detail is covered.

In this contract, you’ll come to an agreement about some of the most important steps of the process, like “What if” scenarios, risks, responsibilities, social roles and finances.

We’re dedicated to helping you find a surrogate in your state or nationwide — whichever option works best for you. Contact us now to explore available surrogates near you.

3 Ways to Minimize Surrogacy Wait Times

If you need to find a surrogate now, here are some of the best ways to minimize delays:

1. Work With an Agency That Pre-Screens Surrogates

Some agencies don’t screen surrogates until after matching. With only 2% of potential surrogates passing surrogate screenings, agencies don’t thoroughly screen potential surrogates before matching, causing delays and repaying expensive fees.

At American Surrogacy, our surrogates are pre-screened and ready to match. This helps prevent delays caused by discovering a surrogate is unqualified after a match has been made.

Pre-screening also reduces the likelihood of having to go back and start the process over, saving you time and money.

2. Have Embryos Ready

If you already have embryos, you can match with a surrogate faster. We won’t finalize a match between a surrogate and intended parents until they have embryos so that neither party commits before there are embryos to transfer.

If you only have one embryo left, choosing surrogacy often provides a reliable path to parenthood with a carrier who meets the highest health standard guidelines set by the Assisted Society of Reproductive Medicine (ASRM).

We are one of the only agencies that work with intended parents who have just one embryo, so if you’re ready to take the next step forward, check out our one-embryo surrogacy programs.

3. Be Flexible With Surrogate Location

While it may seem more convenient to find a surrogate near you, it may slow down your overall surrogacy wait time.

Luckily, our surrogates are willing, ready and even excited to travel to you, meaning you don’t have to slow down your timeline if you don’t want to.

Being open to out-of-state surrogates can reduce your surrogacy wait time and increase the chances of finding the best fit.

Since we work with surrogates from across the country, sometimes it’s quicker to find a surrogate in another state who is ready to help you grow your family.

Fast Track Your Journey to Parenthood Now

Don’t wait any longer.  Our efficient, pre-screened process minimizes wait times and ensures a smooth transition to the next step.

Let us help you fast-track your path to parenthood with experienced surrogates. Fill out our form now to get started.

A Guide to Navigating Surrogacy Post Birth for Intended Parents

A surrogacy birth plan outlines important decisions for the delivery and post-birth process, including choices like delayed cord clamping, newborn care, and legal steps for parentage. By understanding these options, you can ensure a smoother transition and a more personalized experience after the birth of your baby.

Welcoming your baby into the world is one of the most exciting milestones of your surrogacy journey.

As an intended parent, you have an important role in shaping your hospital experience, and having a surrogacy birth plan ensures that everything goes as smoothly as possible.

In this guide, we’ll walk you through exactly what to include in your surrogacy birth plan, what to expect from surrogacy post birth, and how to prepare for your hospital stay.

If you’re in the beginning stages of exploring surrogacy or are curious about starting the process, fill out our short and simple form.

What is a Surrogacy Birth Plan?

A surrogacy birth plan is a written document that outlines how you want your baby’s delivery to go.

This plan ensures that everyone—doctors, nurses, and the surrogate—is on the same page, creating a smooth, stress-free surrogacy post birth experience.

While it helps guide the process, flexibility is key in case unexpected situations arise.

What Should I Include in The Surrogacy Birth Plan as an Intended Parent?

Your surrogacy post birth plan should include details and requests before birth, during labor and post-birth. Below are a few things to keep in mind:

  • Who will be present during birth? If a C-section is needed, who will be in the room?
  • What birthing methods and positions will be used during delivery?
  • Are photos, videos or social media posts allowed for delivery?
  • Is there a certain environment you want to create? Some parents want music playing when their baby is born.
  • Who will hold the baby first and does immediate skin-to-skin contact matter to you?
  • Are you comfortable with birth interventions like forceps or extraction by vacuum?
  • What type of birth will this be?
  • Do you want delayed cord clamping?
  • What medications would you like administered to your baby after birth? Examples include Erythromycin eye ointment, vitamin K shots, Hepatitis B vaccine etc.

Learn more about what to expect at the hospital as an intended parent.

What Happens After a Surrogate Gives Birth?

Once the surrogate has given birth, depending on what was discussed in your surrogacy post birth plan, you’ll have a chance to have skin-to-skin contact with your baby.

This is the time where you’ll begin to form a bond with your baby as your surrogacy journey comes full circle.

Paperwork is often one of the next steps of surrogacy post birth and often includes a pre-birth or post-birth order depending on your state.

A pre-birth order allows you to establish parentage before your child is born while a post-birth order requires you to wait until 3-5 days after your baby is born. These laws help protect your legal parentage in surrogacy and will be discussed in detail with your surrogacy attorney well before delivery.

These orders must be filled out and help the hospital process move smoothly by:

  • Requiring you to be listed on the child’s birth certificate
  • Allowing you to make medical decisions for your baby
  • Helping resolve insurance coverage issues
  • Allowing your baby to be discharged from the hospital

Newborn Medical Care & Hospital Discharge

Once your baby is born, the medical staff will take care of the necessary procedures, such as checking your baby’s vitals and administering any recommended vaccinations.

 In some cases, your baby may need to stay in the hospital for monitoring, especially if there are complications or if your baby was born prematurely. Your hospital stay could be within one of these average time frames:

  • Vaginal Birth: Typically 24-48 hours in the hospital.
  • C-Section Birth: Typically 48-72 hours for recovery.
  • NICU Stay: If your baby needs extra medical support, hospital stays may extend for days or weeks.

When everything goes smoothly, and after the necessary medical checks, your baby will be ready for discharge. Your newborn’s hospital discharge is an important step in your surrogacy post birth process, as it marks the beginning of your life together.

Working with your surrogacy specialist ahead of time ensures a smooth hospital discharge, allowing you to take your baby home as soon as possible.

What Should be Included in an Intended Parents Hospital Bag?

Whether you’re gearing up for delivery or are at the beginning stages of your surrogacy journey, here are some of the basics of what you should include in your hospital bag as an intended parent:

Paperwork for Surrogacy Post Birth Procedures

Your surrogate should be bringing some of the same information but it doesn’t hurt to pack your own documentation just in case. Make sure you have:

  • Your insurance cards for the baby
  • Your surrogacy contract
  • Your pre-birth order (if applicable)
  • Check to pay for birth certificate (if applicable)

Your surrogacy specialist will work with you to coordinate with your surrogate’s preferred hospital and will make sure the hospital is prepared for a surrogacy birth ahead of time.

Something to Keep You Busy

Although you’re most likely going to be actively involved in supporting your surrogate during labor depending on what was outlined in your contract and birth plan, there also may be a lot of waiting during your hospital stay.

Having something to keep you busy can help relieve some anxiety as you wait for the arrival of your child.

Below are some things you can pack to keep yourself occupied:

  • A book/kindle/IPad
  • Headphones
  • Snacks (depending on the snack you may have to indulge outside the delivery room in case your surrogate may be sensitive to smells while in labor)
  • Charger

Clothes and Toiletries

Labor and delivery can last about 8 hours but can vary widely. You’ll also need to plan to stay at the hospital so your baby can be monitored.

The surrogate may be discharged before you if everything goes smoothly so you may need to plan for a few days stay.

Here are some essentials to consider:

  • A few sets of clothes that you can sleep in, lighter layers since some hospitals can run warm or chilly.
  • Overnight clothes and supplies, as a 24 hour post-birth observation is often required by most hospitals.
  • A shirt or sweater that buttons in the front for skin-to-skin contact.
  • Toothbrush and toothpaste
  • Hairbrush
  • Prescriptions
  • Contacts and glasses

For Baby

Although the hospital will have plenty of newborn basics, some things you should pack for your baby include:

  • A weather appropriate going home outfit in a couple of sizes
  • Blankets
  • Burp cloths
  • Velcro fleece baby booties
  • Two or three comfy onesies for sleeping, short and long sleeve
  • A soft toy
  • Pacifiers
  • A Boppy for feedings
  • Approved baby car seat
  • A hat
  • Diapers and wipes
  • Bottles, formula and whatever supplies you need to transport breastmilk (if applicable)

Communication With Your Surrogate Post Birth

Once your baby is born and you’ve settled into your new routine, your surrogate is likely recovering from the physical demand that comes with labor.

Depending on your relationship with her, you could check in on her to see how she’s doing. She won’t be feeling 100% as she recovers but this is a good opportunity to bring some closure to your journey together by expressing gratitude, offer a small gift that represents your journey or just a simple text to check in.

Your relationship with your surrogate might change as both of you transition into your new roles as parents and people.

Your surrogacy post birth relationship will depend on the bond you’ve built during the pregnancy, and it’s important to maintain clear, kind communication as you both move forward in your journeys.

Get Started

By addressing your surrogacy birth plan well in advance, you can ensure that your baby’s birth is as smooth and stress-free as possible.

It’s time to turn your surrogacy plans into action. Fill out our form today to learn more about the decisions you get to make about your baby’s birth and surrogacy post birth details.

Understanding the surrogacy post birth process, from paperwork to hospital discharge and beyond,  can help you confidently navigate this final step of your surrogacy journey.