When you begin the surrogacy process, there’s a lot of learning to be done. Not only will you need to learn all about how surrogacy works and how each professional will help you complete your surrogacy, but you may find that these professionals and any support groups you become a part of toss around acronyms that you’ve never heard of.

The medical surrogacy process can be complicated, with long medical terms that don’t roll off the tongue quite as easily as some might hope. But, if you don’t know the shorthand for these terms, you might become confused.

To help you out, we’ve defined some of the more common surrogacy terms that you need to know, whether you’re an intended parent or prospective surrogate.

1. RE = Reproductive Endocrinologist

A reproductive endocrinologist is the fertility specialist who assists intended parents through their infertility struggles. This will likely be one of the first professionals intended parents interact with. After they decide to pursue surrogacy, a reproductive endocrinologist will work with the intended parents and the surrogate to coordinate the embryo creation and transfer process.

2. OB = Obstetrician; OB/GYN = Obstetrician/Gynecologist

After a healthy pregnancy is confirmed by the reproductive endocrinologist, the OB/GYN is the professional who will work with the surrogate throughout her pregnancy to make sure she and the unborn baby are healthy.

3. ART = Assisted Reproductive Technology

Assisted reproductive technology is the vast term that encompasses all methods of assisted reproduction, including surrogacy, in-vitro fertilization, gamete donation and more.

4. IVF = In Vitro Fertilization

IVF refers to the ART technique of retrieving mature eggs and sperm and then fertilizing embryos in a lab.

5. AI = Artificial Insemination

This is the process of injecting semen into the vagina or uterus through a method other than sexual intercourse. While not used in gestational surrogacies, some traditional surrogates do complete at-home inseminations (AHI) in this manner.

6. IP(s) = Intended Parent(s)

The intended parents are the people who are trying to have a biologically related child through surrogacy. More specific terms include:

7. IF(s) = Intended Father(s)

8. IM(s) = Intended Mother(s)

9. PIF = Potential Intended Father

10. PIM = Potential Intended Mother

11. PIP = Potential Intended Parent

 12. TS = Traditional Surrogate

A traditional surrogate is a woman who is genetically related to the child that she carries, usually through donating her eggs as part of the IVF process.

13. GC = Gestational Carrier

A gestational carrier (or gestational surrogate) is a woman who carries the intended parents’ child. She is not genetically related to the baby.

14. BCP = Birth Control Pills

Birth control pills are sometimes used in surrogacy when a fresh embryo is created. A surrogate will take the pills to coordinate with the intended mother’s or egg donor’s cycle before transfer.

15. E2 = Estradiol

Estradiol is an estrogen medication that surrogates take to prepare for the embryo transfer, mainly to help grow the lining of the uterus.

16. LH = Luteinizing Hormone

Luteinizing hormone, also known as follicle stimulating hormone (FSH), is closely monitored during the surrogacy process. It’s a hormone that’s secreted by the pituitary gland to stimulate the growth of the ovarian follicle in the development of eggs and control the menstrual cycle.

17. P4 = Progesterone

Progesterone is a hormone that maintains pregnancy by preparing a woman’s body and regulating the monthly menstrual cycle. Surrogates take progesterone supplements to prepare the uterine lining.

18. PIO = Progesterone in Oil

This is another progesterone supplement.

19. SubQ = Subcutaneous Injections

These injections are the common way that pregnancy and preparation hormones are administered to prospective surrogates and women who have their eggs retrieved.

20. HSC = Hysteroscopy

A hysteroscopy is a procedure that allows a doctor to look closely at a woman’s uterine lining. It can be used to diagnose infertility or diagnose any difficulty in a surrogate’s ability to successfully carry a baby.

21. CM = Cervical Mucus

Cervical mucus is a good representation of a surrogate’s fertility and usually has to reach a certain level before an embryo transfer can occur.

22. ENDO = Endometriosis

Endometriosis is a condition where tissue that normally lines the uterus grows outside the uterus instead. In many cases, those with endometriosis struggle with fertility problems. It may even be the reason that they turn to surrogacy.

23. ET = Embryo Transfer

The embryo transfer is completed by the fertility clinic once a surrogate’s body is deemed ready to accept an embryo.

24. FET = Frozen Embryo Transfer

Rather than a fresh embryo transfer, this kind of transfer involves a frozen embryo, usually left over from intended parents’ previous IVF treatments.

25. DE = Donor Egg

A donor egg is used to create an embryo for an intended parent who may be a single man, a same-sex male couple or an intended mother whose eggs are not viable for healthy embryos.

26. ED = Egg Donor/Donation

This is an acronym used when a surrogacy process includes an egg donation.

27. LMP = Last Menstrual Period

A surrogate must be aware of her LMP, which is the last time her period started, so that fertility specialists can know when she is most fertile and able to accept a transferred embryo. Usually, a fertility clinic tracks this closely.

28. CD = Cycle Day

A cycle day is the first day of a woman’s menstrual cycle. The first day of her period is Day 1.

29. 2WW = 2 Week Wait

The two-week wait refers to the time between when an embryo is transferred into the surrogate’s uterus and when she can be tested for a positive pregnancy.

30. DP3DT = Days Post 3-Day Transfer

Many fertility clinics will either transfer an embryo three days after fertilization or five days after fertilization, depending on how the embryo is developing. Surrogates use this term to mark the days after a transfer is complete.

31. DP5DT = Days Post 5-Day Transfer

This is another acronym to mark days after a transfer is completed.

32. DPT = Day Post Transfer

This is a more general acronym for post-transfer day tracking.

33. PET = Post-Embryo Transfer

Again, this is another term for the time period after a transfer is complete.

34. BETA = Blood Test for Pregnancy

BETA hCG levels are the chemical and blood levels that determine if a surrogate is pregnant. Surrogates and fertility clinics will track their BETA levels; while an increasing BETA level means a surrogate is pregnant, a declining BETA level means a surrogate is not pregnant.

35. hCG/HCG = Human Chorionic Gonadotropin

HCG is the hormone tested for during a blood test for pregnancy (BETA), as it’s the hormone created by the placenta during pregnancy.

36. HPT = Home Pregnancy Test

While fertility clinics and intended parents prefer the absoluteness of a blood pregnancy test completed at the clinic, some surrogates take home pregnancy tests in the days leading up to their BETA to see if their positive pregnancy read gets stronger.

37. POAS = Pee on a Stick

This is another acronym for a home pregnancy test.

38. BFN = Big Fat Negative

This is a term used more by surrogates than by a fertility clinic, as it’s an acronym for a negative pregnancy test.

39. BFP = Big Fat Positive

On the other hand, a BFP is a positive pregnancy test.

40. PG = Pregnant

This is an acronym surrogates use to describe where they are at in their surrogacy journey, either after they complete a pregnancy test or otherwise.

41. US or U/S = Ultrasound

Ultrasounds are completed at various stages in the surrogacy process to make sure a baby is developing correctly.

42. CB = Cycle Buddy

A cycle buddy is the woman or women that surrogates share their infertility treatment cycle with. Surrogates find cycle buddies either through their fertility clinics or surrogate support groups and support each other through all stages of their surrogacy process.

43. CVS = Chorionic Villus Sampling

This sampling is a prenatal test conducted to diagnose chromosomal abnormalities, like Down syndrome and other genetic disorders. Fertility clinics will usually test several embryos with this process before determining which one they will transfer to a surrogate’s uterus.

44. M/C = Miscarriage

Sometimes, an embryo that has implanted does not survive to full term. A miscarriage usually occurs within the first trimester, and the embryo will either be expelled naturally or through a surgical procedure.

45. D&C = Dilation and Curettage

A D&C is a medical procedure used to remove tissue from the inside of the uterus. It’s commonly used as an abortion procedure when an embryo implants in a surrogate’s uterus but fails to lead to a viable pregnancy. Before a new embryo can be transferred, the old embryo must be removed through this minor surgical process. A D&C can also be used to diagnose and treat certain uterine conditions.

46. GD = Gestational Diabetes

A surrogate (or any other pregnant woman) may develop gestational diabetes while she is pregnant. This doesn’t mean she will have diabetes after she gives birth, but it is a condition that must be monitored closely for her and the baby’s health.

47. SCH = Subchorionic Hemorrhage

This is a hematoma that develops in about 25 percent of pregnant women. While a subchorionic hemorrhage usually regresses, it’s important that surrogates who experience any kind of unusual vaginal bleeding while pregnant contact their doctor.

48. EDD = Estimated Due Date

This is when a surrogate is expected to give birth, although she may be induced or scheduled for a C-section later on.

49. PBO = Pre-Birth Order

A pre-birth order is a legal document that protects the rights of the intended parents. It establishes their parental rights before the baby is born, usually allowing for them to have their name on their baby’s birth certificate upon delivery.

50. VBAC = Vaginal Delivery After C-Section

When women who have previously had a C-section are able to deliver their next baby vaginally, this is called a “VBAC.” The women’s OBGYN will help determine if this is a possibility for her.

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These are just a few of the important surrogacy acronyms you need to know if you’re interested in the surrogacy process. The better you understand the terms and different steps of the surrogacy journey, the easier it will be for you. When you work with American Surrogacy, your surrogacy specialist will help explain these different processes to you and make sure you understand all the necessary terms to have a successful surrogacy. To learn more today, please give us a call at 1-800-875-2229.

For a more extensive list of surrogacy acronyms, check out Adoption.net and All Things Surrogacy.

Surrogacy is an assisted reproductive technology (ART) that’s advancing at a rapid rate, making intended parents’ dreams come true in a more efficient and easier way than ever before. However, it’s still a fairly new process — and, because the nuances of the processes can change relatively quickly, there is still a lot of misinformation about surrogacy.

No matter whether you’re interested in completing a surrogacy of your own or just want to learn more, it’s important that you recognize these myths and their truths. Not only will this help you better understand surrogacy yourself, it also gives you the knowledge to clear up some of these misconceptions whenever you hear them from other people.

Here are some of the most common myths that unfortunately still exist when people think about surrogacy:

1. The surrogate is related to the baby, and she has to conceive the child in the “traditional” way.

Sometimes, when people think about surrogacy, they automatically think of traditional surrogacies, in which the surrogate is genetically related to the child she’s carrying. While traditional surrogacies are still an option, they are rarely completed today because of the inherent risks from a genetic relationship between the surrogate and the child. Instead, the vast majority of surrogacies (including those completed by American Surrogacy) are gestational — meaning the surrogate is implanted with a previously created embryo that does not include her own eggs.

On the same note, even though many people know of in vitro fertilization, they may assume a surrogate becomes pregnant after having intercourse with the intended father. While this may have been the way secret surrogate pregnancies were created before the advance of ART, this is never done today by surrogacy professionals. As mentioned, surrogacy involves in vitro fertilization, and the implantation of an embryo into the surrogate takes place under the supervision of medical professionals.

2. Surrogates are only in it for the money.

Women who choose to become surrogates do have the option of a compensated surrogacy, in which they will receive a base compensation for carrying the child (in addition to coverage of all pregnancy-related expenses). While surrogates do consider this base compensation as a way for them to reach a financial goal, that’s not the prime reason they choose to become a surrogate. They are instead motivated by helping another family experience the joy they know that parenthood can bring. Some of these women have dreamed of being surrogates since they were young, while others discovered it later in life and just “knew” it was something they were meant to do.

At American Surrogacy, all of our potential surrogates are thoroughly screened, including in regards to their motivations. If we sense that a woman is only interested in surrogacy for the money, she will usually not be cleared for the surrogacy process.

3. A surrogate can change her mind and keep the child after it’s born.

In a gestational surrogacy, this is a nearly impossible thing to do. Because a surrogate is not genetically related to the child she is carrying, she has no parental rights to keep a child after birth. In addition, your surrogacy lawyer and surrogacy professional will make sure that the intended parents’ rights are protected while the surrogate is still pregnant. A pre- or post-birth parentage order establishes those parental rights and, many times, makes it possible for the intended parents’ names to be placed on the birth certificate at the hospital.

In addition to these legal protections, a surrogate rarely wants to “keep” the child she is carrying. The surrogates who work with American Surrogacy have already completed their families and have no desire for another child. A surrogate does not have the emotional connection with the intended parents’ baby like she had while carrying her own; she thinks of herself as “babysitting” the unborn child until they’re born, at which point she is happy to see the baby meet and go home with their parents. All of American Surrogacy’s surrogates are provided emotional counseling throughout the process and are required to have one child already, as just another way to provide an emotional balance throughout her surrogacy.

4. The parents who choose surrogacy don’t want to deal with the stresses and risks of being pregnant, so they hire someone else to do it for them.

We’ve all heard it: “She decided to use a surrogate because she obviously didn’t want to ruin her perfect body or deal with the side effects of pregnancy.” This is a completely false and hurtful comment; intended mothers would do anything to be able to carry their own child, and many have already gone through years and thousands of dollars’ worth of IVF treatments before turning to surrogacy. Surrogacy is usually the last chance they have at a biologically related child. It’s also not cheap. Therefore, to suggest that intended parents are only using surrogacy for convenience is completely out of touch with the realities of the surrogacy process.

5. Surrogacy is an unethical practice where women sell their wombs and intended parents profit off vulnerable women.

Surrogacy is not only an ethical practice where both parties want the same thing — it’s also a highly regulated one that protects the rights and interests of both parties involved. Laws across the United States ensure that both surrogates and intended parents are not taken advantage of, and professional surrogacy agencies like American Surrogacy make sure that their clients are properly cared for throughout the process. Surrogates want to carry a child for intended parents, and they are properly compensated for doing so. As long as your surrogacy is completed by an experienced surrogacy professional and attorney, it will be a positive experience for all.

6. Surrogacy is illegal where I live.

There are some states that have strictly defined laws regarding surrogacy and other states that do not — but just because your state doesn’t have any surrogacy laws doesn’t mean that surrogacy is not legal for you. Lawyers in these states have created specific legal processes to complete surrogacies in a way that protects all involved; it may even be easier to complete a surrogacy process in one of these situations. Odds are, if you want to complete a surrogacy in the United States (whether you live in the states or in another country), it’s completely possible for you.

You can always call our surrogacy specialists at 1-800-875-2229 to learn more about whether surrogacy is legal where you live.

7. Surrogacy is selfish when there are so many children waiting to be adopted or fostered.

As mentioned before, many intended parents who choose surrogacy do it as a last chance to have a biologically related child. They may have a few embryos left from previous IVF cycles, and they don’t want them to go to waste.

Regardless of their infertility successes or failures, most people have an inherent desire to have a child who is genetically related to them. That’s a completely rational and understandable desire. After all, are the parents who can have biological children naturally also selfish for not adopting instead? Of course not — and neither are the intended parents who choose to pursue surrogacy. Adoption isn’t right for everyone and, ultimately, how a person chooses to create their family is their own personal decision.

8. Intended parents are not able to bond with a baby that is being carried by another woman.

Surrogacy is a partnership; intended parents and the surrogate work together through every step. While the intended parents may not be able to experience every moment of the pregnancy, they will be able to be a part of milestones like doctors’ visits, baby showers and the birth of their child. A surrogate is happy to let the parents be a part of her surrogate pregnancy, and she may even make a pregnancy scrapbook to document the parents’ pregnancy for their future child.

Intended parents can bond with their child even when another woman is carrying him or her. They can speak to the child in person or over a recording that the surrogate plays, they can be there to feel the baby kick and move, and more. Ultimately, it will be up to intended parents and the surrogate as to what kind of pregnancy contact is possible and acceptable during this stage of the surrogacy process.

A bond with a child is less about who is carrying them and more about who cares for them after birth. Many intended mothers report feeling a strong maternal connection with their newborn immediately after birth.

9. I can’t breastfeed my baby if he or she is born via surrogacy.

Breastfeeding as an intended mother is absolutely possible in surrogacy — and highly recommended. A fertility doctor can help intended mothers breastfeed their babies by prescribing the proper hormones and inducing lactation. As long as intended mothers put in the time and effort into inducing lactation, they can successfully breastfeed their baby like any other mother.

10. I can’t afford surrogacy.

While surrogacy can be an expensive process for intended parents (it’s completely free for surrogates), it certainly is still a possibility with the proper funding and financial research. Intended parents may choose to take advantage of grants and loans and other fundraising options to afford their surrogacy journey, and the specialists at American Surrogacy can work with you to find a financial solution that’s best for your family. Contact us today to learn more about our fee schedule, and contact a financial advisor for counseling on how to best move forward with your surrogacy costs.

These are just 10 of the common misconceptions about surrogacy, and they’re certainly not the only ones. One of the best ways to recognize the myths about surrogacy is by talking to an experienced surrogacy professional like American Surrogacy. Our specialists can answer any questions you have and help you fully understand exactly what the surrogacy process entails. To learn more today, please call us at 1-800-875-2229(BABY).