Exploring Surrogacy for Couples with Unexplained Infertility

Surrogacy for couples with unexplained infertility offers a clear path to parenthood. Learn about your options and find support on your journey to growing your family.

If you’ve faced failed IVF cycles or don’t know what to do next, surrogacy offers a proven path to parenthood—with higher success rates and a predictable timeline.

In this guide, you’ll learn how surrogacy works for couples with unexplained infertility, why it might be the right choice for you, and what steps to take next.

Curious about surrogacy for couples with unexplained infertility? Fill out our form to speak with a surrogacy specialist about your unique situation.

Exploring Surrogacy for Couples with Unexplained Infertility

Surrogacy for couples with unexplained infertility bypasses many unknown barriers to conception.

If issues like implantation failure, uterine abnormalities, or endometrial receptivity are suspected but unconfirmed, surrogacy ensures an optimal environment for embryo development.

All of our surrogates are thoroughly prescreened before you have match with them. Their medical history is carefully reviewed, and they must have successfully carried at least one previous pregnancy to term to ensure they are fully prepared for the journey ahead.

When you have embryos, we can match you with a surrogate quickly. If you’re ready to move forward, it’s time to start your surrogacy process. Fill out this form to get matched with a surrogate.

Does IVF Work for Unexplained Infertility?

IVF can sometimes work for unexplained infertility, with roughly half of families achieving pregnancy, but for many couples diagnosed with unexplained infertility, IVF is unsuccessful.

Understanding Unexplained Infertility and Failed IVF

Even when the cause of infertility remains unexplained—understanding these potential challenges can help guide your next steps toward building your family.

Here’s a list of potential causes for failed IVF with unexplained infertility:

  • Embryo implantation failure: The embryo may fail to implant in the uterus despite being healthy. This can be caused by issues related to the endometrial lining or immune system responses that interfere with implantation.
  • Uterine or endometrial factors: In some cases, the uterus may not be receptive to an embryo, even if there’s no obvious medical condition. A thin or abnormal uterine lining, scarring, or fibroids could be undetected causes.
  • Subtle hormonal imbalances: Small hormonal imbalances may not always show up in routine testing but can still affect embryo development, implantation, and pregnancy maintenance.
  • Immunological factors: Some couples with unexplained infertility may have immune system disorders that impact embryo implantation, such as autoimmune diseases that attack the embryo.
  • Genetic factors: Even without a known genetic disorder, minor genetic issues in either the egg or sperm can lead to poor embryo quality or failure to implant.

If you’ve experience multiple failed IVF cycles, surrogacy may provide a more reliable path to having a child.

If you don’t have viable embryos, you can still pursue surrogacy using donor embryos or donor eggs and sperm, giving you the chance to make your dreams of parenthood a reality.

Coping with Unexplained Infertility

Unexplained infertility can have life-changing effects on families, so it is normal to experience a wide variety of emotions including grief, sadness, confusion or frustration.

Here are some strategies to help you cope during this time:

  • Allow yourself to grieve: It’s okay to feel upset about your situation. Give yourself permission to process these emotions.
  • Seek professional support: Working with a counselor who specializes in infertility can provide you with tools to manage the emotional aspects of your journey.
  • Lean on loved ones: Sharing your feelings with friends and family who understand can provide comfort and perspective.
  • Join a support group: Connecting with others who are experiencing unexplained infertility through support groups like Hopeful Hearts Collective and Navigating Life and Loss With IVF, can offer solidarity and a sense of community.

While the emotional toll of unexplained infertility can be overwhelming, taking care of your mental health and finding support is key.

When you’re ready, exploring options like surrogacy can help you move forward with renewed hope and confidence.

Unexplained Infertility: What Next?

If you’ve been diagnosed with unexplained infertility, surrogacy may be the key to creating the family you’ve dreamed of.

Take the first step by exploring how this process can work for you by filling out our quick form.

You can also keep up with infertility and surrogacy news when you follow us @american_surrogacy.

Frequently Asked Questions

Can you do surrogacy if you are infertile?

Surrogacy is still possible if you are infertile. Surrogacy can bypass uterine or implantation challenges, and you can use donor sperm and eggs or embryos if you do not have embryos with a high likelihood of success.

Is it possible to get pregnant with unexplained infertility?

In some cases couples spontaneously conceive after being diagnosed with unexplained infertility, but in other cases, unexplained fertility is a long-term problem that makes you unable to conceive without intervention.

What disqualifies you from surrogacy?

Individual surrogacy clinics and surrogacy agencies have their own criteria for what disqualifies you or qualifies you from completing surrogacy, and additionally, some states may have laws or regulations that restrict your ability to complete surrogacy.

One common requirement for surrogacy is medical need for surrogacy.

What is the most common reason that an infertile couple would choose surrogacy?

There are several reasons that infertile couples choose surrogacy including uterine issues, recurrent pregnancy loss, severe health risks, or failed fertility treatments.

Does Progyny Cover Surrogacy?

Progyny provides surrogacy coverage, but the extent of benefits depends on the specific plan and allocation. While some costs may be covered, intended parents should be aware of additional expenses and exclusions.

Intended parents with a Progyny insurance plan are in a great position to reduce surrogacy costs.

Understanding the details of your Progyny coverage can save you thousands and streamline your surrogacy journey.

In this article, we’ll break down what Progyny covers, what it doesn’t and how to make the most of your benefits.

If you have questions or concerns about your Progyny coverage, or simply need resources to round out the rest of your surrogacy plan, reach out to us today.

Does Progyny Cover Surrogacy?

Yes, Progyny typically covers embryo creation costs for surrogacy. Some plans may provide surrogacy financial assistance up to a certain amount that can be applied as reimbursements for other surrogacy expenses.

Progyny uses a unique method of distributing coverage known as a “Smart Cycle”.  Each policy holder is allowed to allocate portions of coverage as they see fit, totaling up to one or more cycles.

Progyny operates through employer-provided plans, and your coverage level depends on the specific plan your employer offers.

For example: IVF with frozen embryos: 3/4 cycle + frozen embryo transfer (FET): 1/4 cycle=100% of IVF with FET is covered with just one Smart Cycle. However, if they needed donor eggs, which are 1 cycle, you would need at least two cycles.

How many Smart Cycles you are allotted depends on your employer’s policy.

If you have questions, you can contact Progyny directly at 833.233.1020.

How Much Does Surrogacy Cost With Progyny?

Surrogacy costs around $100,000-$200,000. Progyny covers embryo creation services for surrogacy, which are not included in our surrogacy packages because intended parents must have embryos created before they can be matched with a surrogate.

The expenses included in this estimate are:

  • Agency and case management fees: This includes surrogate screening, matching and more.
  • Gestational carrier fees: Surrogate base pay, monthly reimbursements for out-of-pocket expenses, travel and lodging and lost wages.
  • Medical fees: Your surrogate’s insurance, surrogate medical screening and outside monitoring.
  • Legal fees: Your and your surrogate’s legal fees, surrogacy contract support and agency admin duties.

If your Progyny plan offers a surrogacy financial assistance benefit, you could be reimbursed for the above expenses up to a certain amount per attempt depending on your plan.

Surrogacy involves several costs, from agency fees to surrogate compensation. Knowing what to expect can help you plan with confidence. If you need help breaking down surrogacy costs, fill out our quick form.

What does Progyny cover for surrogacy?

Surrogacy embryology services (pre-transfer services) are covered by Progyny. Any services relating to the surrogate, such as the embryo transfer, are not covered in the plan.

Surrogacy embryo services utilize 1/2 of a Smart Cycle and may include services such as:

  • Egg retrieval, if you are using your own eggs (includes anesthesia)
  • Fertilization and intracytoplasmic sperm injection (ICSI)
  • Embryo culture lab
  • Embryo biopsy
  • Preimplantation genetic testing for aneuploidy (PGT-A)
  • Cryopreservation of extra embryos
  • Egg and sperm storage (1 year)

Other relevant services that may be needed for surrogacy that are included in a Smart Cycle include:

  • Donor eggs: One cohort (6-8 eggs) of eggs would utilize 1 Smart Cycle
  • Donor sperm: Up to 4 vials of sperm would use a 1/4 of a Smart Cycle.

What Does Progyny Not Cover?

There are also several costs related to surrogacy Progyny does not cover. These costs include:

  • Surrogate compensation
  • Agency fees
  • Screening costs
  • Surrogate embryo transfer

However, some plans may include surrogacy financial assistance, which can be applied to the expenses above.

What Companies Offer Progyny?

Companies that offer Progyny tend to be larger organizations with more than 1000 employees. If your employer offers Progyny, you will most likely be made aware of this during your onboarding.

List of Companies that Offer Progyny

Over 500 companies provide comprehensive Progyny coverage plans for employees, including:

  • Nike
  • Google
  • MassMutual
  • Target
  • Microsoft
  • Starbucks
  • PNC Financial
  • Meta (Facebook)
  • St. Jude’s Children’s Hospital
  • And 500+more.

Unfortunately, there is no unified list of employers offering Progyny; however, most companies will advertise their benefits on their website.

If you’re unsure of whether you qualify for Progyny, contact the HR department at your job, or call 833.233.1020 to confirm your benefits.

Learning More about Progyny Surrogacy Benefits

Insurance can be difficult to fully understand, especially for those who haven’t had to deal with complex medical costs before.

Our experts will help you understand your coverage and explore funding options. Contact us today to start your journey with confidence.

Check out our article about insurance for surrogacy.

Progyny Q&A

Does Progyny cover medication for surrogacy?

Progyny may cover fertility medication for egg retrieval under their Progyny Rx pharmacy benefit. This may vary depending on your specific policy.

Does Progyny Cover Donor Eggs?

Yes, default Progyny coverage pays to acquire donated eggs.

Does Progyny Cover Egg Freezing?

Yes, default Progyny coverage pays part of the cost of preserving eggs. Coverage can be distributed to cover the whole cost.

Does Progyny Cover PGT Testing?

Yes, default Progyny coverage pays for PGT and PGT-A testing.

Is an HSG Necessary Before IVF?

An HSG before IVF is often necessary to check for potential issues with the fallopian tubes and uterus. This diagnostic test helps identify any problems that could hinder IVF success, ensuring that any underlying issues are addressed before proceeding with treatment.

An HSG (hysterosalpingogram) before IVF is often recommended to evaluate the health of your fallopian tubes and uterus to ensure the best chances of success.

Understanding what to expect and how to manage any discomfort can help make the process smoother.

In this article, we’ll explore why an HSG is commonly performed before IVF, how painful it may be and what you can do to prepare for the procedure.

If your HSG results suggest potential challenges with fertility that would make IVF difficult or ineffective, there are other options. Contact us today to learn more about how surrogacy can help you achieve your dreams of parenthood.

Is HSG Necessary Before IVF?

An HSG before IVF is often recommended or sometimes required, especially if fallopian tube issues are a concern.

The test is particularly useful for identifying blockages or abnormalities in the fallopian tubes, which can prevent sperm from reaching the egg or affect embryo transport.  

If you have conditions like blocked tubes or uterine abnormalities, proceeding with IVF without identifying and addressing them could waste valuable time and resources and, more importantly, put your embryos at unnecessary risk.

If you experience multiple failed IVF attempts, it may be time to consider surrogacy. Read more about surrogacy after failed IVF.

Whether an HSG before IVF is necessary depends on your clinic or fertility specialist’s evaluation. There are other diagnostic tests available, and your doctor may suggest an alternative if HSG is not the best fit for your case.

Is a Hysterosalpingogram Painful?

Women who have had a hysterosalpingogram (HSG) before IVF report feeling extreme pain to mild discomfort, to barley feeling anything at all.

The pain associated with HSG comes from the dye-release process. To release the dye, a thin catheter is passed through the cervix.

To do this, physicians make use of a tenaculum, a common gynecological tool. Most women who recall a painful HSG experience attribute their pain to the catheter, the tenaculum, or the release of the dye.

If you know you have a sensitive cervix, HSG may be more painful for you than for others. Talk to your physician about the pain management strategies listed further down in this article.

What to Expect During an HSG Before IVF

An HSG is a straightforward procedure, though it can feel uncomfortable. Here’s what you can expect:

  • Before the procedure: You’ll be asked to lie on an exam table, similar to a pelvic exam. A speculum is inserted to open the cervix, and a catheter is passed through the cervix into the uterus.
  • During the procedure: A contrast dye is gently injected through the catheter, which helps highlight your uterus and fallopian tubes on an X-ray. This part typically lasts about 5-10 minutes. You may feel cramping or pressure as the dye is injected.
  • After the procedure: Once the X-rays are taken, the catheter is removed, and the procedure is complete. Some mild cramping, spotting or light bleeding may occur, but it usually subsides within a few hours.

Though it’s quick, the discomfort varies by individual. Some patients report mild to moderate pain, but there are many who describe their pain as intense. While this isn’t ideal, this test is in the best interest of future family.

Saline Sonogram vs. HSG Before IVF: What’s the Difference?

A saline infusion sonogram (SIS) may be recommended instead of or in addition to your HSG. B

  • HSG: This test uses a special dye and x-ray to check for issues like blocked fallopian tubes or uterine abnormalities.
  • Saline sonogram: Instead of dye, this test uses sterile saline and ultrasound to take pictures of your uterus.

While an HSG before IVF is typically less painful than a saline sonogram, it is ideal for checking fallopian tubes for blockages.

Both procedures are important for fertility, but your doctor will be able to determine which test or if both tests are right for you.

Does Painful HSG Mean Blocked Tubes?

A painful HSG before IVF doesn’t necessarily mean your fallopian tubes are blocked.

Anyone can experience pain during HSG. Any number of natural factors can cause HSG to be more painful than would be typically expected, from a sensitive cervix to a narrow uterus. Pain during HGS doesn’t necessarily mean anything is abnormal.

However, many women with blocked tubes experience much more significant pain during HSG. So although a painful procedure doesn’t mean a blocked tube, an exceptionally painful experience may be indicative of an obstruction.

How to Make HSG Test Less Painful

No one wants you to be in unnecessary pain. Talk with your doctor about these strategies for HSG pain management and mitigation.

Can I Take Valium for HSG?

Typically yes. Valium, a muscle relaxant, is a popular pain management technique for an HSG before IVF. Many doctors are willing to administer a dose at your request before HSG.

Keep in mind that Valium is a drug that can cause disorientation and drowsiness. If you request Valium for your HSG, make sure you have someone with you to help you get home.

Can I Take Ibuprofen Before HSG Test​?

Typically yes, but check in with your doctor first. To ensure best results, take ibuprofen several hours before the procedure.

Can I Take Tylenol before HSG Test?

Yes. Acetaminophen, the active ingredient in Tylenol, is typically allowed and recommended before an HSG. Be sure to check with your doctor.

Is it Normal to Have Pain after HSG Test?

Yes, it’s completely normal to experience some discomfort after an HSG.  Some women may experience subdued lingering pain for up to a day after HSG.

HSG can also induce cramping during and immediately after the procedure. Depending on how significant these cramps are for you specifically, you could experience uncomfortably tightened and sore muscles for up to a week afterwards.

Other common side effects include:

  • Light spotting
  • Dizziness and nausea
  • Bloating
  • Mild cramping
  • Light bleeding

These side effects are usual and typically not a cause for concern. They can last up to 24 hours.

How Long Does HSG Pain Last?​

Prolonged pain could be an indication of an infection. If any of these last for more than 24 hours, or if you experience any of the side effects from the following list, please contact your physician as soon as possible:

  • Severe abdominal pain
  • A fever over 100F
  • Unusual discharge
  • Heavy bleeding
  • Fainting
  • Vomiting
  • Any symptoms of anaphylaxis (hives, difficulty breathing, swelling throat, etc.)

Keep in mind; no one knows your body as well as you do. If you feel like something isn’t right, don’t hesitate to contact your doctor, regardless of your symptoms.

Pain a Week after HSG

If your pain persists a week after your HSG, it is very important that you contact your doctor. This could be an indication of a serious but treatable condition, like an infection.

Next Steps After Receiving Your HSG Test Results

An HSG before IVF can diagnose many different conditions. Unfortunately, many of these conditions make pregnancy, even with IVF, either impossible or an exceedingly high risk.

At this point, you’ll want to talk about your options with the diagnosing doctor.

If you decide surrogacy is right for you after receiving your HSG results, we’ll help match you with the right surrogate quickly. Take the first step toward growing your family. Contact us today.

 

I Don’t Want to Do IVF Anymore: What Are My Options?

Deciding to stop IVF can feel overwhelming, but it’s also an opportunity to explore new paths like surrogacy. Take the next step toward creating the family you’ve dreamed of.

Many people who have faced IVF failure have found success through surrogacy, giving them the chance to have a biological child without enduring more physical and emotional strain.

It’s normal to feel frustrated, exhausted or even heartbroken. Deciding to stop IVF doesn’t define you or your ability to be a parent. You’ve done your best, and now it’s time to think about what comes next in your journey.

In this article, we’ll explore when to quit IVF, how to cope with the emotional impact of IVF failure and what your next options could be.

If you’re feeling unsure about continuing IVF, know that you’re not alone—and there are alternatives that could be a better fit for you. Reach out today to explore how surrogacy could help you build your family with hope and confidence.

I Want to Be a Parent But I Don’t Want to Do IVF Anymore

If you’re feeling like it’s time to give up on IVF, it’s completely understandable. After multiple failed cycles, the emotional and physical toll can feel overwhelming.  You might be considering quitting ivf because:

  • Emotional exhaustion: Repeated IVF failures can lead to frustration, sadness, and a sense of defeat. The emotional rollercoaster can be overwhelming.
  • Physical toll: IVF medications, appointments, and procedures take a physical toll on your body, leading to fatigue and burnout.
  • Financial strain: The cost of multiple IVF cycles can add up, making you question whether it’s worth continuing.
  • Few or no embryos left: Running low or being out of embryos can make the thought of starting over feel exhausting and emotionally heavy.
  • Need for a break: Sometimes, taking a step back is necessary to focus on your emotional and physical health before deciding what’s next.

The constant hope followed by disappointment, along with the stress of medications and appointments, can leave you exhausted and questioning whether it’s worth continuing.

Your Options: Surrogacy After Failed IVF

Many people who face IVF failure find success through surrogacy. With a healthy, screened surrogate carrying your baby, you increase the chances of a successful pregnancy.

Surrogacy may also be more cost-effective in some cases, especially if you’ve already undergone multiple rounds of IVF.

Here’s how surrogacy after failed IVF can work for you:

  • Use your IVF embryos: If you have embryos left from your IVF cycles, you can use those with your surrogate.
  • We work with families with one embryo: We’re one of the few agencies that will work with families who have just one embryo. Some agencies won’t work with individuals or couples with a single embryo, but American Surrogacy will.
  • Donor eggs: You can use an egg bank or fertility clinic to find donor eggs to create embryos for surrogacy.
  • Double donor IVF: For those needing both egg and sperm donations, double donor IVF is a possibility, allowing you to still pursue surrogacy.
  • Donor embryos: If you’re running low on embryos or don’t have any left, donor embryos can be a great option to move forward with surrogacy.

Whether you have embryos left or need donor assistance, surrogacy offers a path forward when IVF alone hasn’t been successful.

If you’re curious about how surrogacy works or want to know more about the process, reach out to our surrogacy specialists today. If you’re not ready to reach out, check out our article about your options.

When to Give Up on IVF After Multiple Failed Attempts

Every fertility journey is different, and people choose to stop IVF for various reasons.

Here are situations where it may be time to consider moving on from failed IVF:

  • Repeated IVF failures: Even after adjusting medications or trying donor eggs, medical factors such as uterine issues, autoimmune problems or unexplained infertility may prevent implantation.
  • Financial strain: IVF can be expensive. If you need to undergo multiple cycles, it can cause significant financial strain. You may start to question whether it’s worth continuing to spend money on a path that might not lead to a family.
  • Burnout: The emotional, mental and even physical toll of IVF can be overwhelming. If you or your partner are feeling burnt out, or if one of you isn’t fully on board with continuing, it’s important to listen to those feelings. IVF should be a joint decision, and both partners need to be on the same page.
  • Out of embryos: If you have few or no embryos left, the thought of creating more through IVF may feel exhausting or unattainable. The emotional weight of this can make it harder to continue.

No matter your reason, deciding against IVF is okay. It doesn’t make you any less of a potential parent. You’ve given it your all, and now you can explore new options.

How to Move on After Failed IVF

Coping with IVF failure is not easy, and you may be feeling a range of emotions, such as grief and anger. It’s important to give yourself permission to feel those emotions and then find ways to process them.

Moving on doesn’t mean forgetting about IVF or pretending it didn’t matter. It’s about accepting that this chapter didn’t go the way you hoped, but your journey is far from over.

Here are some strategies for coping with IVF failure:

  1. Join a support group. Talking to others who’ve been through similar experiences can be comforting. The National Infertility Organization has a list of peer- and professionally-led groups you could join.
  2. Seek therapy. A professional therapist can help you navigate the emotional complexity of IVF failure and help you develop healthy coping skills. You can search for infertility therapists online.
  3. Lean on your support system. Friends and family can be a vital source of comfort. Don’t hesitate to ask for help when needed.
  4. Practice self-care. Make time for activities that help you relax, whether that’s exercising, meditating or just taking time for yourself.

It’s important to take the time you need to heal. Sometimes quitting IVF opens the door to other possibilities that may be better suited for your situation. The road may look different now, but it’s not the end of your journey — just a new chapter.

Affording Surrogacy After Quitting IVF

Are you considering surrogacy after deciding to stop IVF? The process can be expensive, but there are several ways to make it more affordable.

Here are some options to consider:

  • Employer Benefits: Check with your human resources department to see if your employer offers fertility benefits that cover surrogacy expenses.
  • Savings: If you’ve been setting money aside for IVF but are now considering surrogacy, reallocating those funds could help reduce the financial burden.
  • Grants: Look for grants specifically designed for individuals pursuing fertility treatments or surrogacy. You may need to demonstrate financial need or have an infertility diagnosis to be eligible for some grants.
  • Surrogacy Loans: Some lenders offer specialized loans for fertility treatments. They may have flexible terms to meet your needs.
  • Home Equity Line of Credit: If you own a home and have built equity, a home equity line of credit may provide a low-interest way to finance surrogacy.
  • Payment Plans: Many agencies offer structured payment plans, allowing you to pay for services in installments instead of a lump sum.
  • Crowdfunding: Platforms like GoFundMe can help you gather financial support from friends, family and your community.

Take the First Step Toward Surrogacy After Failed IVF                                                                       

You have options beyond IVF, and your journey to parenthood isn’t over—it’s just taking a new direction. Our specialists can help you explore surrogacy.

 Contact us today to take the next step with confidence.

Lily Collins’ Surrogacy Story: “Words Will Never Express Our Endless Gratitude”

Lily Collins and Charlie McDowell embraced surrogacy to grow their family. Learn how a surrogate can make your dreams of parenthood possible.

Emily in Paris actress, Lily Collins and Windfall director, Charlie McDowell welcomed their daughter, Tove Jane McDowell on January 31st 2025.

In a caption for the Instagram post introducing their newborn, Lily revealed that they used surrogacy to grow their family, expressing gratitude for their surrogate.

“Welcome to the center of our world Tove Jane McDowell. Words will never express our endless gratitude for our incredible surrogate…”

Surrogacy isn’t just for celebrities. It’s a viable and loving option for any couple or individual facing fertility challenges, medical conditions or personal circumstances that make pregnancy difficult or impossible.

Whether you’re just starting to explore your options or ready to take the next step, we’re here to offer the support and expertise you need. Reach out today to learn more about how we can help you turn your dream of parenthood into a reality.

Surrogacy Beyond Celebrity

While high-profile figures like Lily Collins and Charlie McDowell may bring attention to the process, surrogacy is a path to parenthood for:

  • Couples who struggle with infertility
  • Women who can’t carry a pregnancy for health reasons
  • Single individuals
  • LGBT+ couples looking to have biological children

The surrogacy process is available to people from all walks of life, and with the right support, it can be a beautiful and fulfilling journey to create a family.

Finding a Surrogate in 5 Steps

Finding the right surrogate  can be quick and easy with the right professional. We are here to guide you through the entire process.  Here’s how it works:

  1. Contact us: Speak with a surrogacy specialist and discuss your goals and preferences to identify your ideal surrogate.
  2. Create an intended parent profile: Once we understand your needs, we’ll help you create an intended parent profile, which will outline your goals, preferences and expectations for the surrogacy process. If you have embryos created, we can match you quickly.
  3. Profile review: Your surrogacy specialist will provide you with potential surrogate profiles tailored to your preferences. These profiles include details about the surrogate’s medical history, lifestyle, motivations for becoming a surrogate and more.
  4. Get to know your surrogate: Once you’ve found a surrogate you’re interested in, a Zoom call will be scheduled. This allows both parties to connect, discuss expectations and decide if you’re comfortable moving forward together.
  5. Finalize the match: If both you and the surrogate agree that it’s a good match, the agreement is finalized.

Every surrogate you view has been screened and is highly qualified to help make your dream of parenthood a reality.

Learn more about how our screening process protects you and helps you become parents quicker.

Navigating Surrogacy: How an Agency Can Help You Grow Your Family

Surrogacy has become an option for many families to realize their dreams of having children, signaling a significant shift in the way society views surrogacy. As with anything that is still relatively new, there are still some misconceptions.

McDowell released a statement addressing those who responded to their exciting news:

“Thank you for all the kind messages and love. We are overjoyed and very grateful,” he said. “In regards to the unkind messages about surrogacy and our path to having a baby— it’s ok to not be an expert on surrogacy. It’s ok to not know why someone might need a surrogate to have a child.”

It’s perfectly natural not to have all the answers, but that’s exactly why working with surrogacy professionals can make all the difference.

With our agency, no question is too small, and you don’t have to be an expert. We’re here to help you every step of the way, so you can focus on the excitement of growing your family.

Parenthood is Possible for You

Lily Collins and Charlie McDowell’s decision to build their family through surrogacy is a beautiful reminder of the many ways families can be created.

If you are considering surrogacy as a way to grow your family, don’t hesitate to reach out. Together, we can turn your vision of parenthood into a reality.

 Fill out our simple form today to get answers to your questions or begin your journey.

Is Surrogacy Tax Deductible? Claiming IVF Tax Write Offs 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.

Surrogacy and in vitro fertilization (IVF) treatments are often significant financial investments, so finding ways to save money is essential.

While costs directly incurred by a surrogate aren’t typically tax-deductible, there are some expenses that may qualify as IVF tax write-offs.

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, it’s essential to understand what costs lie ahead. 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.

Are Surrogacy Expenses Tax Deductible?

No, surrogacy expenses are generally not tax-deductible. Laws surrounding surrogacy tax deductions remain unclear.

As a rule of thumb, expenses incurred by your surrogate, such as prenatal appointments, compensation, medications and other pregnancy-related healthcare cannot be written off.

However, 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 clearly addressed by tax law.

These rulings are granted on a case-by-case basis and often require demonstrating that other family-building methods, such as IVF, were unsuccessful.

Consulting a tax professional can help determine eligibility for any deductions.

Is IVF Tax Deductible?

Yes, you can deduct IVF expenses on your taxes. Since IVF expenses are medical bills incurred by you and your partner, these treatments may qualify for medical expense tax deductions.

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

  • 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)

The IRS allows you to deduct any medical expenses exceeding 7.5% of your adjusted gross income (AGI). Your AGI is simply your total income minus certain deductions, like retirement contributions and student loan interest.

For example, if your AGI is $100,000 and your medical expenses total $10,000, you could deduct $2,500 ($10,000 – $7,500).

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

How Do You Claim IVF on Taxes?

To claim IVF tax write offs for surrogacy, keep detailed records of all expenses. This includes treatments, medications, genetic testing, mileage to appointments, parking fees and other associated costs.

Once you’ve reached the 7.5% threshold of your adjusted gross income (AGI), you can apply for the surrogacy tax deduction and other related IVF expenses.

Here’s how to claim your deductions:

  1. Gather your receipts and calculate your total medical expenses. This amount will be listed under “Medical and Dental Expenses” on Schedule A, line 1.
  2. Calculate your adjusted gross income. List your AGI on line 2 and calculate 7.5% of this amount on line 3.
  3. Deduct your expenses. Subtract 7.5% of your AGI from your total medical expenses.
  4. Complete Schedule A. Attach this form to your Form 1040 when submitting your tax return.

It’s important to note that you can only take this deduction if you itemize. For the 2024 tax year, the standard deduction is $14,600 for individuals and $29,200 for married couples filing jointly.

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

For example, consider a woman married but filing separately with an AGI of $100,000. If she spent $20,000 on IVF, she could deduct $12,500 ($20,000 – $7,500). Since this is less than the standard deduction of $14,600, it might not make sense for her to itemize.

What Not to Do When Filing for Surrogacy-Related Deductions

When navigating tax deductions for surrogacy and IVF, here’s how you can avoid common mistakes that could lead to an IRS audit or denied deductions:

  • Claiming surrogate expenses as medical deductions: Surrogate-related medical costs, including prenatal care and delivery, are not deductible under IRS guidelines.
  • Misclassifying agency and legal fees: While some legal and agency fees may be deductible with a private letter ruling, assuming they automatically qualify can lead to incorrect filings.
  • Overlooking documentation: The IRS requires thorough records of all medical expenses. Keep invoices, receipts, and doctor’s notes to support any deductions.
  • Forgetting state tax rules: Some states may offer specific deductions or credits for fertility treatments. Check with a tax professional to see if state-level benefits apply to you.

How Much Do You Get Back in Taxes for IVF?

The amount you get back depends on your total expenses and AGI. Tax refunds are typically a percentage of your deductible expenses. This can vary based on your state’s tax rules and other factors. Consulting an accountant or tax professional can help ensure you maximize your return.

By understanding the tax rules surrounding surrogacy and IVF, you can make more informed financial decisions during your family-building journey.

Don’t hesitate to seek professional advice to get the most accurate information for your situation.

What to Do If Your Tax Deductions Are Denied

If the IRS denies your surrogacy- or IVF-related tax write offs, don’t panic—there are steps you can take to appeal the decision or provide additional documentation to support your claim.

  1. Review the IRS notice: The IRS will send a notice explaining why your deduction was denied. Carefully read the explanation to identify any missing documentation or incorrect filings.
  2. Gather supporting documents: Ensure you have detailed receipts, medical necessity letters from your doctor, and any IRS correspondence related to your deduction. If you applied for a private letter ruling, this document will be crucial.
  3. File an appeal: If you believe the deduction was wrongly denied, you can file an appeal through the IRS Office of Appeals. This process allows you to present your case and any supporting evidence.
  4. Seek professional guidance: Tax professionals or attorneys specializing in fertility-related deductions can help strengthen your appeal and ensure compliance with IRS rules.
  5. Consider state tax options: If your deduction was denied at the federal level, some state tax laws may still allow for certain fertility-related deductions or credits. Check with a state tax professional to explore alternative savings.

By staying proactive and keeping thorough records, you can improve your chances of successfully claiming deductions and maximizing your tax savings.

What’s Next?

If you’re nearing the end of your IVF cycle and ready for surrogacy, now is the time to make sure you have a clear understanding of all upcoming costs.

Let us help you prepare by detailing what expenses to expect as you take the next step toward family-building. Fill out our simple form.

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.

Is Surrogate Money Taxed?

You may have questions about how taxes come into play with your surrogate income. In this article, we break down whether or not your surrogate compensation will be taxed.

While surrogacy can create a worthwhile income for many surrogates, you might be wondering how this income relates to an income from a 9 to 5 when tax season approaches.

To get personalized support with being a surrogate and taxes, fill out our online form today.

Returning surrogate? To help another family begin their parenthood journey, contact us through the form above.

So, do surrogates get taxed? The answer depends on your situation.

Does Surrogate Pay Get Taxed?

Some agencies or escrow services may send you a 1099 form, which would mean you’d be required to file your surrogacy income. You won’t have any taxes taken out of the income you receive from being a surrogate mother.

Which means, you will have to set aside some money or find other resources to pay the taxes on it. Your surrogacy specialist and surrogacy attorney will help you find any resources to ensure you are filing your taxes correctly.

However, you may not receive a 1099 form, which is also somewhat common. A good surrogacy lawyer should include a clause about the taxes of surrogate income in your surrogacy contract. It should include who is responsible for paying the taxes that a surrogate may or may not incur on their surrogate compensation.

You should have a conversation about how your income will be taxed and how to handle it come tax season with your attorney so you can be well prepared.

Follow us on Instagram to stay up to date on the latest news surrounding surrogate compensation, insight from surrogates and intended parents and more.

How Does Surrogate Income Get Exempt?

  • Gift – You may be able to avoid taxes by claiming the income as a gift from the intended parents. This is the most common way to make your surrogate income tax-exempt.
  • Pain and Suffering – Surrogacy doesn’t exactly meet the list of excludable injuries listed in Sec 104 of the Internal Revenue Code that describes qualified non-taxable incomes due to pain and suffering. However, some tax professionals may recommend this route. This isn’t the most common way to make your surrogate income tax-exempt., and is not recommended.
  • Pre-Birth Child Support – Since child support is tax-exempt, filing your surrogacy income as pre-birth child support can help you avoid tax liability. Again, this is not common, and professionals are not sure how this would hold up in court.

Talk With a Tax Specialist

You should always talk with a professional in the industry when it comes to sorting out your taxes. While your surrogate income is yours to spend how you wish, it’s important to be aware of how the IRS will view your income.

Talking with your accountant, a tax specialist or your surrogacy attorney is a good idea before making any major purchases with the income.

In most cases, your surrogacy attorney will be able to assist you through this process. They will also generally be able to find a reason to prevent you from needing to pay taxes on the compensation.

If you have more questions about your gestational surrogate compensation and taxes, fill out our online form or contact us today at 1-800-875-2229 (BABY).

Disclaimer: The information in this article should not be taken as financial or legal advice. Please contact a tax lawyer for information on tax laws in your state.

Best IVF Apps for Surrogacy in 2025

From tracking cycles and managing medication to reducing stress with meditation tools, these apps offer practical solutions for staying organized and informed. Discover the best options to make your IVF and surrogacy experience more manageable.

For those on a surrogacy journey, IVF apps can help you stay organized, reduce stress and save time throughout the process.

Whether you’re tracking medication or managing emotions, these apps for IVF can help you stay on top of the many different aspects of your journey.

Follow us on Instagram for the latest updates, helpful resources and a community of intended parents just like you.

In this article, we’ll explore the best IVF apps available in 2025, including their key features, pricing, and how they can enhance your IVF experience.

What Are the Best Apps for IVF and Surrogacy in 2025?

IVF apps can save time, reduce stress and help you stay organized.

Their utility can improve your experience by:

  • Tracking your cycle and medication schedules
  • Reducing emotional stress with journaling and meditation features
  • Scheduling medication or appointment reminders

While IVF apps can help you stay organized and on top of your surrogacy process, an agency like ours offers expert guidance and tailored solutions to ensure every detail is managed with care and precision. Contact us today to get the support you need.

Whether it’s an IVF meditation app or an IVF calendar app there’s an app for your needs.

#1. Alife Health

Alfie IVF is an IVF tracker app that makes it easy to stay organized and informed throughout your IVF and surrogacy journey. Alife uses AI-powered software to optimize IVF treatment.

  • Key features: Create a timeline,  calendar, reminders, appointment recaps, record medications, track symptoms
  • Platform: IOS
  • Cost: Free
  • Rating: 4.9/5
  • Data security: Encrypted using TLS/SSL, data is stored with Amazon Web Services (AWS)

Learn more.

#2. Medisafe

Primarily a medication management service, Medisafe can be used as an IVF tracker app for your medications. It integrates with your calendar and can sync with other health apps.

  • Key Features: Reminders, syncs with your HealthKit app, report sharing with your doctor
  • Platform: iOS/Android
  • Cost: Free with in-app purchases
  • Rating: 4.5/5
  • Data security: Data is stored on private servers

Learn more.

#4. Embie

Embie is an IVF calendar app and IVF tracker app that provides tools to help you understand and manage your IVF treatment plan.

  • Key features: Calendar for IVF medications and appointments, reminders, track your cycles’ results, community features
  • Platform: iOS/Android
  • Cost: Free with premium member/subscriber paid plans
  • Rating: 3.8/5
  • Data Security: Encrypted through https, Chino.io Security Platform

Learn more.

#3. Mindful IVF

Mindful IVF is an IVF meditation app designed for each phase of your IVF cycle. Different programs address different phases of the cycle and in 2024 they began offering classes to prepare you for IVF.

  • Type: IVF meditation app
  • Key features: Guided meditations for each stage, miscarriage support, two-week wait support
  • Platform: iOS/Android
  • Cost: 7 day free trial, monthly and lifetime subscription plans
  • Rating: 4.3/5

Learn more.

#5. Naula IVF

Naula IVF is an IVF calendar app and IVF journal app that was designed so that you can keep track of your IVF medications and appointments all in one place.

  • Key features: Medication and appointment reminders, add notes to appointments or medications, share treatment with your partner
  • Platform: iOS
  • Cost: Free
  • Rating: 2.5/5
  • Data security: SSL encryption for data and NSA-level ASE encryption of personal info

Learn more.

How to Choose the Right IVF App for Your Journey

With so many IVF apps available, it’s important to find the one that best suits your needs.

Here’s how to choose:

  1. Identify your needs: Determine what you need help with most—whether it’s tracking medications, managing appointments or emotional support. For tracking, apps like Naula IVF or Embie are great. For emotional well-being, consider Mindful IVF.
  2. Privacy and security: Look for apps with strong encryption, anonymous tracking and data deletion features to protect your sensitive health information.
  3. Ease of use: Choose an app that’s intuitive and easy to navigate. Read reviews or test the app to ensure it fits your needs without being complex.
  4. Cost vs. features: Free apps may offer basic features, while premium apps can provide advanced tools. Consider what’s worth paying for, like personalized features in apps like Mindful IVF.
  5. Look for community support: Some apps, like Embie, offer community features where you can connect with others on the same journey for advice and emotional support.

Privacy and Security of Apps for IVF: What You Need to Know

When using apps for IVF, privacy and security are critical concerns.

These apps often store sensitive health information, including medication schedules, cycle tracking data and personal medical histories.

Ensuring that your data is protected is essential. Here’s what you should look for in terms of privacy features:

  • Data encryption: Many IVF apps use end-to-end encryption to protect your personal information. This means that only you (or those you choose to share with) can access your data, preventing unauthorized access.
  • Anonymous mode: Some apps offer an anonymous mode, allowing you to track your journey without revealing your identity. This feature is particularly useful if you’re concerned about your privacy or don’t want to disclose personal information unnecessarily.
  • Data Deletion: Be sure to check if the app allows you to delete your data once your IVF cycle or surrogacy journey is complete. For example, apps like Naula IVF ensure that your data is permanently removed once your account is terminated.
  • Third-party access: Understand who has access to your data. Does the app share your information with third parties, or is it used solely for your benefit? Always review the app’s privacy policy to ensure your data is handled appropriately.

By choosing IVF apps that prioritize privacy and security, you can feel confident that your sensitive health information is protected throughout your journey to parenthood.

Getting Started

IVF apps can simplify your surrogacy journey by keeping track of appointments, medication and timelines. But with an agency like ours, you’ll also get personalized support every step of the way—making your journey even smoother.

Reach out today to start your surrogacy journey.

Hashimoto’s and IVF: Is Pregnancy Possible?

For those struggling with infertility due to Hashimoto’s thyroiditis, surrogacy can offer a valuable path to parenthood.

Pregnancy with Hashimoto’s is possible, but its not without risks and challenges.

If pregnancy is risky or difficult, surrogacy can help you become parents quickly and safely.

Contact us online today to learn more about surrogacy as a way to grow your family if you’re struggling with Hashimoto’s and infertility.

This article will explore how Hashimoto’s affects fertility, the potential risks for pregnancy, and how treatments like IVF or surrogacy may help you build your family.

Can You Get Pregnant with Hashimoto’s Using IVF?

Yes, getting pregnant with Hashimoto’s is possible.

However, Hashimoto’s can impact fertility treatment or exacerbate other infertility factors, as it can interfere with ovulation due to hormonal imbalances.

In 2022, the International Journal of Reproduction, Contraception, Obstetrics and Gynecology published this paper that looked at 50 different studies, using five in its review that met inclusion criteria.

Four of those studies found that Hashimoto’s can have a negative effect on female fertility, especially in older patients.

How Does Hashimoto’s Cause Infertility?

Hashimoto’s happens when the antibodies that usually protect your body by attacking bacteria and viruses, mistakenly attack the cells in your thyroid gland.

This leads to the thyroid not producing enough thyroid hormone which can lead to problems getting pregnant with Hashimoto’s as the hormonal imbalance can cause problems ovulating and conceiving naturally.

Can Hashimoto’s Cause Miscarriage? 

Yes. A 2020 study found that women with Hashimoto’s Thyroiditis have an approximately 85% higher risk of recurrent miscarriage.

This is represented by the study group of women with thyroid peroxidase antibodies (TPO-Ab), the antibodies present in Hashimoto’s.

Some research suggests that proper thyroid treatment before pregnancy could lower miscarriage risk, but it’s unclear how hormone levels during pregnancy may affect treatment.

Managing the condition is typically done through medication to replace and maintain thyroid hormones with a synthetic hormone called levothyroxine.

Medicinally, levothyroxine is the main treatment, but there are also other ways to manage the condition such as reassessing your diet.

Adding anti-inflammatory and other vitamin and mineral rich foods are an easy way to combat the negative aspects of the disease.

Hashimoto’s and IVF Success Rates

Although IVF offers an alternative when Hashimoto’s disease and miscarriage occur, it still may not be an answer for the infertility it can cause.

  • Cancelled cycle before embryo transfer: Recent studies indicate that women with hypothyroidism, which can be caused by Hashimoto’s disease, might experience poorer ovarian stimulation responses and higher rates of canceled cycles even with treatment.
  • Live birth rates: If an embryo transfer was performed, those with hypothyroidism were shown to have slightly lower live birth rates of 27% compared to 30% of those without hypothyroidism, though this is statistically insignificant.

Although getting pregnant with Hashimoto’s is possible, managing the condition and even utilizing assisted reproductive technology (ART) methods such as surrogacy offers another path to parenthood.

Hashimoto’s and IVF Failure: What’s Next?

If IVF hasn’t been successful while managing Hashimoto’s, it may be time to look at other options.

Some couples may benefit from a gestational carrier, especially if Hashimoto’s and other medical factors continue to interfere.

Surrogacy offers a path to parenthood, allowing for a healthy pregnancy to be carried to term by a qualified surrogate, with all the necessary medical precautions in place.

Learn more about when it may be time to consider surrogacy after failed IVF.

Can I Have a Healthy Pregnancy With Hashimoto’s?

A healthy pregnancy with Hashimoto’s is possible. However, if left untreated, undertreated or if your body does not respond to treatment there are a number of risks that arise when it’s untreated o undertreated such as:

  • Preeclampsia
  • Anemia
  • Miscarriage
  • Placental abruption
  • Postpartum bleeding

And while those effects have to do with your wellbeing, it can also cause severe issues for your baby too, like:

  • Premature birth
  • Low birth weight
  • Stillbirth
  • Birth defects
  • Thyroid problems

How Surrogacy Can Help You Become Parents

If getting pregnant with Hashimoto’s hasn’t been possible, you can still become a parent through surrogacy.

Since Hashimoto’s may affect thyroid hormone levels and embryo implantation, a surrogate allows you to use your embryos while a surrogate carries the pregnancy.

Surrogacy may be your best next step if:

  • IVF has been unsuccessful
  • Your treatment for Hashimoto’s has been ineffective
  • You have a history of recurrent miscarriages
  • You have concerns about pregnancy and delivery complications

All of our surrogates have been prescreened thorough medical evaluations to assess their health, past pregnancy experiences and ability to carry a pregnancy.

Take the first step toward your family-building journey with Hashimoto’s—contact us to learn more about surrogacy or read our article about our surrogate screening process.

Hashimoto’s FAQ

What Are the Five Stages of Hashimoto’s?

  • Stage 1: Genetic Predisposition
  • Stage 2: Immune Celle Infiltration by the thyroid  gland
  • Stage 3: Subclinical hypothyroidism
  • Stage 4: Overt hypothyroidism
  • Stage 5: Progression to other autoimmune disorders

Does Hashimoto’s Cause Infertility?

Hashimoto’s is the most common cause of an underactive thyroid gland, effecting women more than men. It’s treatable but if left untreated, it can cause infertility as well as problems during pregnancy.

Does Having Hashimoto’s Make it Harder to Get Pregnant?

Yes, having Hashimoto’s makes it harder to become pregnant with almost half the women with the disease having issues. One of its impacts is on the menstrual cycle; irregular menstrual cycles can make it harder for women with the disease to become pregnant.

Can Hashimoto’s Cause Infertility in Men?

This 2022 paper from the National Library of Medicine looked at the impact of impaired thyroid function on male and female fertility.

It found that the link between thyroid dysfunction and male infertility was debated and less clear than female infertility.

Can I Be a Surrogate if I Experienced Shoulder Dystocia During Birth?

Your eligibility to become a surrogate after shoulder dystocia will depend on your agency and a medical professional’s evaluation. Learn how surrogate qualifications ensure you and the intended parents avoid unnecessary risks.

Being a surrogate may still be possible if you have a history of shoulder dystocia in prior pregnancy.

Understanding your risks and options can help you move forward with confidence, whether you’re considering becoming a surrogate now or in the future.

In this article, we’ll explain how shoulder dystocia may impact your ability to become a surrogate and what medical professionals consider when reviewing your eligibility.

Have more questions about your eligibility? Speak with a surrogacy specialist today to get personalized guidance tailored to your medical history.

Can I Become a Surrogate After Experiencing Shoulder Dystocia During Birth?

In some cases, yes, but your medical history will be reviewed by a doctor.

While a history of shoulder dystocia in a prior pregnancy can increase the chances of it happening again, surrogacy may still be an option if your doctor determines the pregnancy would be safe and low-risk.

Having experienced shoulder dystocia during birth, you know how frightening it can be when complications arise during delivery. Many intended parents have waited a long time to become parents and don’t want to take any unnecessary risks.

The possibility of recurrence may make surrogacy less viable, as doctors must ensure both you and the baby are safe.

Wondering if you’re eligible for surrogacy after shoulder dystocia? Contact us today for a free consultation.

Potential Complications of Shoulder Dystocia

Shoulder dystocia during birth occurs when the baby’s head is delivered, but the shoulders are stuck behind the pubic bone.

This can cause complications for both you and the baby, which can be mild or severe.

Fetal Complications from Shoulder Dystocia

When shoulder dystocia occurs, the baby is at risk of several potential complications, including:

  • Fractures of the arm or collarbone: the baby’s arm or upper chest may sustain fractures as a result of the force needed to release the shoulder.
  • Hypoxia: If the baby’s shoulder becomes stuck for an extended period, oxygen flow may be compromised, leading to low oxygen levels in the baby’s blood (hypoxia).
  • Injury to the baby’s nerves: Apart from brachial plexus injuries, there may be damage to other nerves that can lead to weakness or loss of function in certain parts of the body.

Shoulder dystocia is not only dangerous for the baby, but it can also pose serious risks to you.

Maternal Complications from Shoulder Dystocia

The complications that mothers may experience as a result of shoulder dystocia include:

  • Postpartum hemorrhage: Excessive bleeding after birth, which can occur if the uterus does not contract properly or if there is significant tearing. Shoulder dystocia can increase the risk of this complication due to the force and pressure applied during the delivery.
  • Tearing or lacerations: The pressure from the baby’s shoulders can cause tears in the vaginal walls, cervix, or perineum.
  • Infection: Any lacerations or surgical interventions required to resolve shoulder dystocia increase the risk of infection, particularly if the area is not properly cleaned or stitched during the immediate postpartum period.

What Are the Chances of Shoulder Dystocia Happening Again?

A handful of studies have shown the risk of recurrence of shoulder dystocia to be around 10-16%, which is higher than the rate of occurrence in the general population.

While experiencing shoulder dystocia increases your chances of shoulder dystocia happening again, it is still possible to have a healthy pregnancy in the future.

It is up to your agency and medical provider to determine if surrogacy can be a safe option for you.

Can I have a normal birth after shoulder dystocia or will I need a C-section?

One of the most common concerns after experiencing shoulder dystocia is whether a C-section is required for future deliveries.

While a past occurrence of shoulder dystocia does increase the risk of it happening again, it does not automatically mean that all future births must be delivered via cesarean section.

Medical providers will evaluate factors such as:

  • The severity of the previous shoulder dystocia event
  • The baby’s birth weight and size
  • Whether additional medical interventions were needed to complete the delivery
  • The mother’s overall health and pelvic structure

In some cases, doctors may recommend a planned C-section, especially if the baby is expected to be large or if the previous dystocia event was severe.

However, many women still have the option of a vaginal delivery if the risks remain low. If you are considering surrogacy, a medical professional will help determine if a vaginal birth is a safe option based on your medical history.

How Do Surrogacy Agencies and Clinics Evaluate This Condition?

Surrogacy agencies and fertility clinics follow strict medical guidelines to ensure both the surrogate and baby remain safe throughout the pregnancy.

If you have a history of shoulder dystocia, your medical records will be reviewed carefully to determine if you meet the medical requirements for surrogacy.

Our Surrogacy Requirements at American Surrogacy

Our surrogate requirements are based on industry standards set by the American Society of Reproductive Medicine (ASRM) and built to protect surrogates, babies, and intended parents. Some of our requirements include:

  • Age range: 21–40 years.
  • At least one successful pregnancy.
  • No more than five vaginal or three C-section births.
  • Currently raising a child.
  • No felony convictions.
  • No major pregnancy complications

We have medical professionals who review every surrogate’s medical records before you are approved to become a surrogate.

Knowledge of any complications or potential complications can be critical in helping ensure your safety as well as the safety of babies.

That being said, in some cases there are exceptions to the surrogate requirements on a case-by-case basis, and in some cases that may include the complication of shoulder dystocia.

Am I Eligible to Become a Surrogate after Shoulder Dystocia?

Ultimately, the decision to become a surrogate after shoulder dystocia will depend on a variety of factors, including your medical history, overall health, and the evaluations conducted by healthcare professionals.

Contact a surrogacy specialist today for a free consultation to discuss your unique situation and get the answers you need to make an informed decision.

Frequently Asked Questions

What disqualifies you from being a surrogate?

Several factors can disqualify you from becoming a surrogate including: age, lack of previous successful pregnancy, felony convictions, and pregnancy complications, among others. However, in some cases there are exceptions.

Can I be a surrogate if I had a placental abruption?

If you have had a placental abruption, it is unlikely that you will be a good candidate to become a surrogate, however, you can always talk to a surrogacy professional who can help you determine what is best in your unique situation.

Can you be a surrogate if you had a postpartum hemorrhage?

If you have had a postpartum hemorrhage, it is unlikely that you will be a candidate for surrogacy, however, you can always talk to a surrogacy professional to confirm.

Can you be a surrogate if you had a C-section?

Having an uncomplicated C-section does not disqualify you from becoming a surrogate, however, if you have had multiple C-sections, you may be unable to become a surrogate.

You can read more about surrogacy complications and requirements here.