Surrogacy Medical Process | American Surrogacy Blog

Do Surrogates Have to Take Hormones?

Surrogacy without hormones is not a viable option, as hormones are essential for a successful embryo transfer, but there are ways to cope with side-effects.

Hormonal medications plays a role in preparing your body for embryo transfer and supporting early pregnancy. Without them, the chances of a successful implantation drop significantly.

In this guide, we’ll break down why surrogacy without hormones is typically not possible, what role the hormones play and how to cope with hormone side-effects.

Looking for support during your surrogacy journey? Contact us today to learn more about how we guide surrogates through every step of the process, including hormone management.

Keep reading to learn how to manage your hormones and feel more prepared during your surrogacy journey.

Do Surrogates Have to Take Hormones?

Yes. Surrogates take hormonal medications to prepare their body for implantation and support early pregnancy. These hormones ensure your uterine lining is ready for the embryo transfer and help maintain a stable environment for development.

Here are the key hormones used before embryo transfer:

Estrogen (Estradiol, Estrace, or patches): Thickens the uterine lining to support implantation.
Progesterone (injections or suppositories): Maintains a stable uterine lining and prevents early miscarriage.
Lupron (Leuprolide Acetate): Suppresses natural ovulation to allow precise cycle control.
Human Chorionic Gonadotropin (hCG): Signals the body to maintain pregnancy and supports progesterone production.
Dexamethasone (steroid): Lowers immune response to prevent rejection of the embryo.

These medications contribute to higher embryo transfer success rates and ensuring the body is fully prepared for pregnancy.

I Want to Do Surrogacy Without Hormones Because I Don’t Like Needles

For many surrogates, hormone injections are a necessary part of the process, but they can be uncomfortable.

If you were hoping to opt for surrogacy without hormones because you want to avoid needles, there are some strategies to reduce the pain and make the experience a bit easier.

Rotate injection sites: Try switching up the area where you inject each time. Alternate between your thighs and buttocks, and avoid injecting into the same spot repeatedly to prevent irritation.
Consider shot blockers: Some surrogates find relief by using shot blockers, which are small devices that block the nerve signals during the injection. These can help minimize the pain by numbing the area temporarily.
Use a warm compress: Before injecting, apply a warm compress to the area to help relax the muscle. This can make the injection feel smoother and reduce post-injection soreness.
Massage the area: After the injection, gently massage the area for a few moments. This can help disperse the medication more evenly and relieve some of the tightness or tenderness you might feel.
Use ice before the shot: Ice the area where you plan to inject for a few minutes to numb the skin. This can reduce the initial sting when the needle goes in.

While these methods won’t make the injections entirely painless, they can certainly make a difference in how you feel during this part of the journey. Learn more about hormone shots for surrogacy.

How to Cope with Side-Effects of Surrogacy Hormones

Every surrogate’s experience will be different. Most surrogates have experienced pregnancy before, but it’s important to note you may have a different reaction to these hormones than you had in your past pregnancies.

Dealing with hormonal shifts can cause significant discomfort, disorientation and mood swings. Even though surrogacy without hormones is not recommended, there are a few ways you can minimize these negative effects:

Being purposeful with your diet: Creating a balanced diet can help your body stabilize itself during this period, and can have wonderful benefits for your health as well.
Setting an exercise schedule: Getting consistent exercise helps you in several different ways, including helping manage your hormone response by introducing exercise-related endorphins.
Leaning on your support system: Your family, friends, or whoever you have in your corner can help you adjust to this new phase of life. Don’t underestimate the importance of your support system.
Talking with professionals: Discussing hormone regulation and coping strategies with your doctor, nutritionist, or even a councilor can only help.

Dealing With Hormones After Surrogacy and Child Birth

If you’re dealing with long-lasting affects after your surrogacy, here are some ways to cope with the recovery process:

Prenatal vitamins: Even after labor and delivery, pre-natal vitamins carry benefits for you. Remember our discussion of estrogen, serotonin and postpartum depression? Some supplemental estrogen can help minimize the harsh drop in serotonin, letting you adjust more steadily to your new chemical balance.
Reasonable expectations: It’s important to approach your post-pregnancy with an open mind. You’ve gone through a significant event, and your body has changed. It may be quite a while before your body is back to its pre-pregnancy self.
Post-pregnancy workouts: Certain low-impact core and pelvic floor exercises carry extreme benefits to your body post-pregnancy. Consult your physician for personalized care.
Ask for help: Your support network doesn’t disappear just because you’re no longer pregnant. Ask for help, be open about your needs, and lean on the people you trust. Be sure to maintain your scheduled checkups postpartum.

Can Hormones From Surrogacy Cause Cancer?

The hormones used in surrogacy are considered safe, with no proven link to cancer.

If you’re wondering about surrogacy without hormones because you’re worried about long-term risks, research has not found a direct link between fertility medications and an increased cancer risk.

What the research says:

Breast cancer: Some studies have looked into whether estrogen-based fertility drugs raise the risk of breast cancer. So far, there’s no strong evidence to suggest they do.
Ovarian cancer: Early research raised concerns about a possible connection, but more recent studies have found no clear link between fertility medications and ovarian cancer.
Uterine cancer: While long-term estrogen exposure can be a risk factor, fertility treatments are only used for a short time and don’t appear to contribute to this risk.

Your fertility specialist can help you understand any potential risks and guide you toward the safest approach for your surrogacy journey.

Learning More about Surrogacy Hormones

Remember, hormonal shifts are only temporary. Even if they linger after pregnancy, things will eventually balance out. Until then, you have resources that can support you:

Surrogate Mothers Online is a group of surrogates like you who share their experiences and support each other through virtual meet-ups and online chats.
All About Surrogacy is a forum where you can find all kinds of people sharing their experiences with surrogacy.
Some online communities like Instagram communities, Facebook groups and Subreddits can function as support-oriented forms as well.

Ready to take the next step in your surrogacy journey? Our team is here to support you every step of the way. Fill out our simple form to get started.

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.

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:

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.
Privacy and security: Look for apps with strong encryption, anonymous tracking and data deletion features to protect your sensitive health information.
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.
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.
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.

Can I Get Botox During IVF Stims?

While Botox is a popular cosmetic procedure, its use during IVF stimulation and surrogacy requires careful planning and consultation with fertility specialists.

As more people explore fertility treatments like IVF, many are also juggling cosmetic treatments like Botox.

But when it comes to your IVF and surrogacy journey, it’s important to understand how Botox might affect your treatment and chances of success.

Contact us today to learn how we can support you through IVF, surrogacy and more. We’re here to help you build the family you’ve always dreamed of.

In this article, we’ll dive into the relationship between Botox and IVF, answer key questions, and help you make informed decisions about your treatment plan.

Join our community on Instagram for the latest updates, helpful tips and real stories from our surrogacy family.

Can I Get Botox During IVF Stims?

No, it is generally not recommended to get Botox during IVF stims.

During IVF stimulation, medications are used to stimulate the ovaries to produce multiple eggs.

Botox injections work by temporarily preventing a muscle movement through tiny amounts of botulinum toxin injected into the skin or muscle.

Although it typically remains localized, there is still concern that Botox during IVF could potentially interfere with the hormonal balance required for stimulation.

If you’re considering Botox during IVF, it’s important to speak with your fertility doctor to assess the best timing for cosmetic treatments and to ensure they won’t interfere with your IVF process.

Is Botox Safe During IVF? [Risks and Side Effects]

While Botox injections are generally considered safe, there are specific risks and side effects to consider during IVF:

Injection Site Infection: Any injection carries a risk of infection, particularly when the immune system may be more sensitive during IVF treatments. This could interfere with the IVF process and potentially delay or complicate the cycle.
Botox Migration: While rare, Botox can sometimes migrate from the injection site. If this occurs during ovarian stimulation, there may be concerns about how the toxin could affect nearby tissues or organs.
Unintended Effects on Egg Quality: Although Botox is primarily localized, there is limited research on whether it might impact egg quality or the fertilization process. It’s best to avoid unnecessary treatments until the completion of the IVF cycle to ensure all factors are in your favor.

While studies exist on Botox before and during IVF, the research between Botox and fertility is limited.

Even professionals that offer cosmetic services have recommended against Botox before IVF.

“While studies performed on animals show that the injection does not cross into the womb, there is very little testing performed on humans. Another factor to consider is that the actual size of the molecules in Botox can determine whether or not the toxin passes through the placenta.” – Quinn Plastic Surgery & Aesthetic Center

They went on to add that if you are getting Botox and then get pregnant, to stop receiving injections immediately.

Botox and IVF for Surrogacy

If you’re considering Botox and IVF for surrogacy, timing is key. You’ll likely be advised to wait until after the IVF stimulation phase. Once your eggs are retrieved and you have created embryos, Botox treatments can generally be resumed safely.

If you are using donor eggs for surrogacy, then receiving Botox during IVF should not pose any risks since your eggs will not be used and you will not be carrying your baby.

However, it’s always important to consult with both your fertility specialist and your surrogacy agency to align Botox treatments with your IVF and surrogacy plans.

Getting Started

Did IVF not go as planned, or are you considering surrogacy to complete your family? Our surrogacy specialists are ready to help you navigate this important decision.

Contact us now to learn how we can match you with a compassionate surrogate to make your dream of parenthood a reality.

What if There is an IVF Protest at My Clinic?

When you are building your family, understanding IVF protests can help you prepare for the possibility of negative interactions. You can find support in your community.

In recent years, IVF protests occasionally arise outside clinics, online or in broader public discussions.

While the possibility of encountering this situation is relatively rare, knowing how to navigate these protests can help protect your well-being during your surrogacy journey.

This article will help you understand the motivations behind these protests so that you can navigate them and the emotional and logistical challenges they may present.

Our team has years of experience supporting intended parents and surrogates, ensuring you feel safe and supported every step of the way. Contact us today.

What if There is an IVF Protest at My Clinic?

In many areas, legal protections, like buffer zones, exist to ensure patients and surrogates can access fertility care without interference.

These laws keep protestors a safe distance from clinic entrances, allowing you to enter without additional stress.

Most surrogates and intended parents complete their journeys without ever facing this challenge, thanks to careful planning and the support of experienced professionals.

If you do encounter an aggressive protestor or feel unsafe, clinic staff is there to help. They can assist with navigating the situation and, if needed, contact security or law enforcement to ensure your safety.

How to Walk Through IVF Protestors at a Clinic

Clinic protesters can be distressing for patients. Protesters may attempt to dissuade individuals from pursuing IVF by distributing pamphlets, holding signs or engaging in verbal confrontations.

If you must pass through a protest to access treatment:

Enter the clinic with confidence and purpose.
Keep headphones in or use a calming mantra.
Rely on support from companions or clinic staff.
Seek alternative entry points if available.

Why Are People Against IVF and Surrogacy?

Opposition to IVF and surrogacy is often rooted in concerns about embryo rights, religious beliefs and moral objections.

Embryo rights: Ethical concerns about genetic testing, embryo selection and potential embryo destruction drive opposition.
Religious beliefs: Some religious groups believe IVF interferes with natural conception and violates divine plans for reproduction.

These concerns about IVF often overlap with those raised by anti-surrogacy groups. Here are some of the common arguments against surrogacy:

Exploitation of women: Many argue that surrogacy exploits women, particularly those in vulnerable financial situations.
Health and emotional risks: Concerns are raised about the physical risks of pregnancy for surrogates and the emotional impact of relinquishing the child after birth.
Religious beliefs: Certain religious groups oppose surrogacy, considering it unnatural or in violation of religious teachings.

While IVF protestors can create added stress for intended parents, surrogates and healthcare providers, encounters are usually not physically dangerous.

Understanding the History of IVF Protests

Historically, IVF protests have taken place in major cities and at high-profile fertility clinics, especially when there is political activity related to IVF or embryo legislation.

Some of the most notable protests have centered on legal and ethical debates over embryo rights and surrogacy arrangements.

If you are seeking fertility care in a major city or at a high-profile clinic, you can ask your fertility clinic if they recommend extra precautions or have a history of anti-IVF protests.

How Anti-IVF and Anti-Surrogacy Groups Affect Surrogates and Intended Parents

The overlap between anti-IVF and anti-surrogacy groups can bring unique emotional challenges for surrogates and intended parents.

These groups often criticize surrogacy, claiming it exploits women or commodifies children, which can be hurtful and stressful for those involved in the process.

Sharing personal stories can also help normalize fertility treatments and reduce stigma. You can connect with families like yours @american_surrogacy on Instagram.

Surrogates

For surrogates, being targeted by protestors or facing judgment can lead to feelings of isolation or self-doubt. The emotional toll of being in the public eye, even briefly, can be overwhelming.

Intended Parents

Intended parents may feel frustrated, anxious, or even defensive when confronted by protestors or negative opinions about their family-building choices.

These external pressures can be overwhelming, especially when trying to stay focused on growing their family.

Promoting Accurate Information About IVF and Surrogacy

One of the most common problems related to IVF and surrogacy protests is misinformation.

Being an advocate for IVF and surrogacy can help you and others who may be experiencing infertility or facing negativity for their IVF or surrogacy journeys.

To counter misinformation:

Share verified information through social media and community discussions.
Support reputable advocacy organizations.
Engage in constructive conversations with those who hold opposing views.

As You Go Forward

If you are affected by IVF protests, seek emotional support and stay informed. Reach out to advocacy groups, fertility clinics, and support networks for guidance on navigating these challenges.

Have questions about how protests may affect your journey? Contact us today for expert guidance tailored to your situation:

Intended Parents |Surrogates

How Donated IVF Medications Can Reduce Surrogacy Costs

IVF medications can be costly, but donated IVF meds offer a way to significantly reduce expenses. Learn how to access these resources and make your surrogacy journey more affordable while maintaining safety.

The costs of IVF, especially medications, can quickly overwhelm those pursuing IVF or surrogacy. But there is a way to ease this burden.

Donated IVF medications provide a safe and affordable option to help you continue your family-building journey while also reducing medical waste.

In this article, we’ll explain how donated medications can lower your expenses, how to safely access unused IVF medication and other resources for low cost IVF meds.

We can help you navigate the financial aspects of your surrogacy journey. Contact us today to learn how we can help make your dream of parenthood possible.

How Using Donated IVF Medication Can Reduce Your Fertility Costs

If you’ve been researching the costs of IVF, you probably already know that medications are a major part of the price tag. IVF medication donation offers a way to afford medications in a pinch.

When patients complete their IVF cycles, they often end up with unused medications. Many individuals choose to donate their surplus.

Over 70% of fertility clinics will accept unused meds and distribute them for free to other patients.

Donated IVF medications are often free or available at a low cost. This can be a game-changer for families wanting to budget for surrogacy.

These medications are verified for safety and distributed through state drug repository programs or third-party organizations like SIRUM.

Is IVF Medication Donation Safe?

Yes, using donated IVF medications is safe—if you go through verified channels. All donated meds are carefully inspected by pharmacists to ensure they haven’t been tampered with, are stored properly and haven’t expired.

Only sealed, unopened medications are eligible for donation and they must meet strict safety standards.

While the process of donating and receiving medications is highly regulated, it’s important to verify that any program you use is reputable and follows the law.

How to Get Donated IVF Meds for Surrogacy

One of the easiest ways to access donated IVF medications is by talking directly to your fertility clinic.

Many clinics partner with state drug repository programs and accept unused medications to redistribute to other patients in need. Here’s how you can get started:

Speak with your fertility specialist: Start by asking your fertility specialist about their donation programs, if they have unused medications available and whether you qualify to receive them based on your medical needs and prescription.
Ask about costs: While many clinics offer donated medications at no cost, some may charge a small distribution fee to cover handling and processing.
Follow up regularly: Since donated medications are often in limited supply, it’s a good idea to follow up with your clinic periodically to check on availability.

Our surrogacy agency can help guide you in finding the right clinic for your IVF or surrogacy treatment. Contact us today.

Avoid IVF Medication Donation Listings in Facebook Groups and Forums

While it may seem tempting to accept donated IVF medications from online communities, it’s risky.

Selling or giving away medications between private individuals, even in Facebook groups or forums, is illegal and could lead to safety concerns. There’s no guarantee the meds have been stored correctly, or that they haven’t been tampered with.

For your health and peace of mind, always go through official channels like state-run drug repositories or reputable organizations. These programs ensure that all medications are verified and safe for use.

How Drug Repository Programs Help You Access Donated IVF Medications

For over twenty years, government run drug repository programs have been collecting, verifying and redistributing donated medication.

While the laws around drug redistribution allows for private organizations and non-profit led donation programs, most formal repositories are currently run by state governments.

Currently, 29 states, Guam and Washington D.C. have functional state wide repositories, and 17 states allow repositories. Additionally, there are several charitable and non-profit organizations that run cross-state drug repositories and third-party organizations like SIRUM.

Finding Drug Repository Programs Near Me

If you’re interested in accessing donated IVF medications, your first step is to find out if your state has a drug repository program and if there are participating partners near you.

To find out if there is a program in your state:

Check with your fertility clinic: Many clinics are connected with local drug repositories and can point you in the right direction.
Search online: You can find out more about your state’s drug repository laws on the National Conference of State Legislature’s website, or search for charitable pharmacies, free clinics or federally qualified health centers near you.
Contact your state’s health department: They can provide information on available programs in your area.

By using a local repository, you’ll ensure that the donated medications are properly handled and stored, keeping you safe throughout your IVF journey.

Other Resources for Receiving Low Cost IVF Medication for Surrogacy

IVF medications can be a significant part of the cost of fertility treatments, but there are several ways to lower these expenses without compromising quality.

Here are a few strategies to help you access affordable IVF meds:

Check for discounts and coupons: Many pharmaceutical companies offer discount programs and coupons for IVF medications. Be sure to ask your fertility clinic or pharmacist about available coupons. You can also find coupons on sites like GoodRx and BuzzRx
Use medication assistance programs: Many clinics and pharmacies offer medication assistance programs for low-income patients. These programs may allow you to receive medications at a significantly reduced price or for free if you meet their eligibility criteria.
Look for generic options: While some IVF medications don’t have a generic alternative, others may. Ask your doctor or clinic if generic versions of medications are available, as they are often much cheaper than the brand-name options and can still be just as effective.
Fertility loan programs: Fertility-specific loan programs can help you finance your treatment, including the cost of IVF medications. Look into programs like Future Family, SoFi and Prosper. U.S. Bank even has an IVF loan program specifically for LGBTQ+ parents.

By exploring these options, you can make IVF medications more affordable and reduce the financial burden of your fertility treatment.

Next Steps

Now that you know how IVF medication donations can help reduce costs, it’s time to take the next step in your fertility journey.

Contact us today for a free consultation to discuss your options, understand surrogacy costs and get budgeting support you need to build your family with confidence.

Our agency is here to support you every step of the way.

The Surrogate’s Guide to the Two-Week Wait

Waiting for pregnancy confirmation can be challenging for surrogates. Whether you’re feeling anxious or just need advice, we’ve got you covered every step of the way.

The two week wait (TWW) after an embryo transfer is the critical period when surrogates and intended parents await pregnancy confirmation.

Focusing on your physical and emotional well-being can help these next two weeks will fly by.

Keep reading to learn how to increase your implantation chances, and navigate the next two weeks physically and emotionally.

The two-week wait can feel overwhelming, but you don’t have to go through it alone. Reach out today and let’s talk about how we can support you through this phase of your surrogacy journey.

What is the Two Week Wait?

The two week wait refers to waiting two weeks after embryo transfer before testing for pregnancy.

Pregnancy tests look for a hormone called human chorionic gonadotropin, or HCG. Your body always has a small amount of HCG, but on a successful implantation, production of the hormone ramps up.

It takes between two and three weeks for HCG to build up enough to detect a pregnancy. This means if you take the test too soon, it won’t be able to make an accurate determination, and will likely read as negative.

For the most accurate results, wait between 14 and 16 days before testing.

Two Week Wait Symptoms

Some women experience many early pregnancy symptoms and some don’t experience any at all. Early pregnancy symptoms can present as very similar to premenstrual symptoms.

This means, whether you have symptoms or not isn’t necessarily predictive of pregnancy.

Some of the more common two week wait symptoms include:

Cramping. Mild uterine cramping can be expected early on after implantation.
Fatigue. It’s thought that the rapid hormone production is partially responsible for the common feelings of tiredness that occur throughout the first trimester.
Increased urination. During pregnancy your body has much more blood than usual, which causes your kidneys to produce more urine.
Irritability. The influx of strong new hormones can cause mood swings and extreme emotions.
Light spotting. This may be one of your first signs of pregnancy. Implantation causes some minor bleeding as embryos attach to the lining of your uterus. This usually happens between 10 and 14 days after implantation.

If you have any questions or concerns about symptoms during the two-week wait, contact your physician immediately.

Learn more about what symptoms and side-effects you may experience during the two week wait by reading our article about what to expect after the embryo transfer.

When to See a Doctor

Severe symptoms should be taken seriously. If you experience any of these, contact your doctor and seek medical attention immediately.

Heavy bleeding
Severe pain
Fever

How to Support Implantation in the Two Week Wait

There are plenty of ways during the two week wait to help embryos implant. The most important thing during this period is taking care of yourself.

Be intentional about your self-care, and pay attention to your mood, your stress levels and your physical symptoms.

Remember, you’re not alone. Your intended parents are on this journey right alongside you, and are likely experiencing much of the same anxiety and anticipation as you are.

Relying on and communicating with each other through this time can lead to an enduring and greatly fulfilling support system.

What to Do During the Two Week Wait:

Rest and relax: Rest allows your body to conserve energy and focus on nurturing the embryo during the critical implantation period.
Stay hydrated: Staying hydrated supports healthy blood circulation and hormonal balance.
Eat a balanced diet: A nutrient-rich diet can help your body create a healthy environment for embryo implantation. Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins and healthy fats.
Take prenatal vitamins: Prenatal vitamins contain essential nutrients that help support implantation. Continue taking prenatal vitamins as prescribed by your healthcare provider.
Practice gentle movement: Gentle physical activity increases blood flow to the reproductive organs, which can help facilitate implantation. With your doctor’s approval, engage in low-impact activities like walking, swimming or yoga.
Avoid stressors: Stress hormones can disrupt your body’s hormonal balance and interfere with the implantation process.
Stay in touch with your doctor: Keep your doctor informed about any unusual symptoms or changes you experience during this time.

What to Avoid During the Two Week Wait

Overexert yourself: Intense physical activity can elevate cortisol levels, which might disrupt hormone balance. Avoid strenuous workouts, heavy lifting or any activity that puts undue pressure on your body.
Overanalyze symptoms: Obsessing over symptoms can increase anxiety and lead to unnecessary stress. Instead, trust the process and give your body the time it needs to adjust.
Test too early: Pregnancy tests rely on the hormone HCG, which may not be detectable until about 14 days after the embryo transfer. Avoid taking pregnancy tests early on in the two week wait.
Isolating: The emotional stress of the two week wait can feel overwhelming. Reach out to your support system, including your intended parents, friends or a counselor if you need additional emotional support.
Smoking: Avoid smoking and recreational drugs. Certain substances or lifestyle choices can interfere with the success of embryo implantation.

Foods and Drinks to Avoid During the Two-Week Wait

Caffeine: Caffeine can constrict blood vessels, potentially affecting the uterine lining and implantation success. Excessive caffeine can also lead to dehydration. Avoid coffee, black tea, energy drinks and sodas that contain caffeine.
Alcohol: Alcohol is linked to an increased risk of miscarriage, failed implantation and developmental issues.
Unpasteurized dairy: Unpasteurized dairy products, like certain cheeses, milk and yogurt, carry a risk of bacterial infection (such as Listeria), which can negatively impact implantation and pregnancy.
Processed or junk foods: Highly processed foods are often high in sugars and additives that can disrupt hormones necessary for implantation. Avoid fast food, packaged snacks, sugary drinks and foods high in trans fats.

How to Involve Your Intended Parents During the Two Week Wait

The two-week wait is a unique and emotionally charged time for both surrogates and intended parents. Involving your intended parents in the process can help strengthen your bond and provide mutual support.

Have questions about how to support your intended parents? Reach out to us for guidance today.

Here are some ways to keep them engaged and informed while maintaining emotional balance:

1. Share Milestones and Updates

While waiting, keep your intended parents updated on any milestones, no matter how small.

Whether it’s a positive feeling you’re experiencing or a health update, involving them in the journey can help them feel connected and reduce their anxiety.

2. Keep Them in the Loop with Symptom Tracking

Consider sharing your symptoms and how you’re feeling physically. If you’re experiencing fatigue, cramping or mood changes, let your intended parents know.

This involvement can help them feel a part of the process while also providing them reassurance.

3. Encourage Positive Communication

Encourage your intended parents to reach out, even if it’s just a quick message of support. Regular check-ins, even if brief, can help you feel supported while also easing their anticipation.

Sharing positive thoughts, encouragement and excitement can create a hopeful atmosphere.

4. Reassure Them with Your Self-Care

Let your intended parents know that you’re taking great care of yourself. Share the steps you’re taking to relax, de-stress, and stay healthy, whether it’s yoga, walks or extra sleep.

This can help ease their worries, knowing that you’re physically and emotionally prepared for whatever comes next.

5. Ask for Their Support When You Need It

If you’re feeling anxious or uncertain, it’s okay to lean on your intended parents for emotional support. Even if they can’t take away the uncertainty, their words of encouragement can make a big difference.

Sharing your vulnerability can strengthen the trust and connection between you.

Coping During the Two-week Wait for Surrogacy

This can be a challenging wait, so remember to be gentle with yourself. While you wait, try to stay positive, practice self-care, reach out to your community and find ways to stay busy.

Maintain a routine: A predictable daily routine can provide structure, reduce anxiety and gives you a sense of control during a time when much feels uncertain.
Limit online searches: The temptation to research every possible symptom or read about others’ experiences is high, but this can lead to unnecessary stress or confusion. Set limits on how often you check online forums or search symptoms.
Lean on your community: Reach out to your family, friends and other connections you value. Surrounding yourself with caring, compassionate voices during this critical time can be uplifting.
Stay busy: Keeping your mind occupied can prevent overthinking and make the time pass more quickly. Pass the time with books, TV, crafts, talks with friends, exercise or whatever makes you happy.
Be prepared for the possibility of any outcome: Keeping an open mind and setting realistic expectations can reduce the emotional blow if the outcome is not what you hoped for. Talk with your partner about what you would both do if the test is positive or negative.

Two Week Wait FAQ:

Can you Exercise during the Two Week Wait?

Yes, generally you can exercise during the two week wait, but try to keep to low-impact activities and avoid strenuous exercise. Talk with your physician for personalized direction.

Can you Use a Hot Tub during Two Week Wait?

No, avoid entering a hot tub during this time period.

Can you do Hot Yoga during Two Week Wait?

No. Hot yoga is considered strenuous exercise. Light aerobic activity (like yoga at a regular temperature) is a better option for surrogates.

Can you fly during Two Week Wait?

Yes, flying will not affect your chances of implantation.

Can you swim during the Two Week Wait?

Yes. Generally swimming is not advised against. Talk with your physician for personalized direction.

Can you Drink Coffee during the Two Week Wait?

No. It’s thought that caffeine causes blood vessels in the uterus to constrict, which will negatively impact your chances of implantation. Avoid all forms of caffeine, including coffee, decaf coffee, dark sodas, black tea and decaf tea.

Can you Eat Sushi during the Two Week Wait?

No. Raw food carries a heightened risk of causing infection or food poisoning, which will negatively impact your chances of implantation. Avoid any food that contains raw meat or eggs, like sushi, torisashi, steak tartare, eggnog, cookie dough and other similar foods.

Can you drink during the Two Week Wait?

No. Drinking alcohol is not advised during this wait or at any point during gestation. Alcohol use in early pregnancy or even pre-pregnancy is linked to miscarriages and failed implantations.

Can you have Sex during Two Week Wait?

No. While sex may not have negative effects during this time for naturally conceiving couples, it’s generally advised against after an embryo transfer. It could also go against the terms of your surrogacy contract. Check with your physician and your surrogacy coordinator.

Can you take Advil during the Two Week Wait?

No. Anti-inflammatory medication like ibuprofen (the primary active medication in Advil) changes your blood pressure. Usually, this change is small enough to not cause problems; however, there are some studies that link ibuprofen and its side effects to early-pregnancy miscarriage.

Can you take Antibiotics during the Two Week Wait?

Yes. Antibiotics will not affect your chances of implantation.

Can you take Benadryl during the Two Week Wait?

Yes. Benadryl is safe to use during the two week wait, however, it becomes unsafe later in pregnancy. Talk with your physician for personalized direction.

Surrogacy Support

Your two week wait is a delicate time, full of anticipation, but we believe you can make it through. Wherever you are in the process, we’ll be here with you every step of the way.

Are you ready to begin your surrogacy journey? We’re here to provide support, from the two-week wait to your delivery day. Contact us today.

Trauma-Informed IVF for Surrogacy

Trauma-informed IVF is a specialized approach to fertility treatments for individuals who have experienced sexual assault, medical trauma or previous IVF failures.

Trauma-informed IVF can help you make informed decisions about your care, while prioritizing your emotional well-being.

Your wellbeing is important to us. We can connect you with fertility clinics that specialist in trauma informed IVF care. Reach out to our team today.

In this article, we explain trauma informed IVF, potential triggers of IVF and how you can ensure your needs are met during your IVF and surrogacy journey.

What Is Trauma Informed IVF?

Trauma-Informed IVF refers to a specialized approach to in vitro fertilization (IVF) that takes into account the emotional, psychological and physical impacts of trauma on patients undergoing fertility treatments.

This type of IVF is particularly important for individuals who have experienced past trauma, such as:

Sexual assault
Medical trauma
Past IVF trauma

Trauma-informed IVF aims to create a supportive environment where patients’ emotional and mental well-being is prioritized alongside their physical care.

What Are the 4 Trauma Informed Practices?

The four trauma-informed practices are realize, recognize, response and resist traumatization. These four Rs are how your medical professional will consider your physical and mental-well-being when creating the most conducive environment to help you heal.

Understanding IVF, Trauma and Triggers

IVF can trigger trauma responses for several reasons, particularly for individuals with a history of trauma. Here’s how IVF can act as a trigger:

Invasive Procedures: IVF involves a series of invasive medical procedures, such as injections, blood draws, ultrasounds and egg retrieval. For those with a history of sexual abuse, medical procedures involving the reproductive system may trigger past trauma.
Loss of Control: Trauma survivors may have experienced a loss of control in their past. The lack of autonomy in treatment decisions or feeling like a passive participant in the process can be emotionally difficult.
Previous Failed IVF Cycles: IVF treatments are often emotionally charged, with the high hopes of pregnancy success followed by the disappointment of failed cycles or negative results.

If you’re dealing with medical trauma or trauma related to previous failed IVF attempts, we’re here for you. Learn more about how to cope with the emotions of a failed IVF cycle and how you can move forward.

The IVF Experience for Survivors of Sexual Abuse

For survivors of sexual abuse, the IVF process can evoke emotional and physical reactions that are tied to past trauma.

The sensitive nature of fertility treatments, often involving medical procedures, intimate exams and interactions with multiple healthcare professionals, can trigger distressing memories or feelings of vulnerability.

The IVF experience for these survivors may feel overwhelming and, at times, re-traumatizing.

This 2022 article from Women’s Health Magazine was written by a psychologist who’s fertility treatment triggered her own past trauma while breaking down how a medical team and a patient can work together to find the best path forward.

“For those with a history of sexual abuse, distress is often elicited by trauma reminders, and during fertility treatment, they’re difficult to avoid. Sounds, motions, sensations, power differentials between patient and provider, false reassurance, pain, sedation, bruising, and the thoughts and emotions that accompany these cues, like shame, fear, anger, guilt, hopelessness, and helplessness, can all bring up terrifying memories and sometimes the sense of re-experiencing them.” – Gabrielle Frackman, PhD, and author of the article.

Navigating Failed IVF Trauma

Experiencing a failed IVF cycle can be emotionally devastating and result in trauma that can be triggered by future IVF cycles.

Understanding how to process this trauma and how to move forward is essential for emotional well-being during this challenging time.

If a previous IVF cycle resulted in emotional distress, a trauma-informed team will adjust treatment protocols to accommodate the your triggers, providing additional support such as more time between cycles, gentle communication or flexibility in scheduling to reduce anxiety.

Managing Triggers During Trauma Informed IVF

If you’re considering IVF and have experienced trauma, whether from past fertility struggles, sexual abuse or medical trauma, it’s important to seek out trauma informed IVF.

Here are practical actions you can take to communicate with your medical team and navigate any overwhelming moments during your IVF treatments.

1. Ask for Trauma-Informed Care and Communicate Your Triggers Early

Start by having a candid discussion with your fertility specialist and any other medical staff about your trauma history. Be clear with your fertility team that you’re seeking trauma informed IVF care.

Let them know what triggers might arise during treatment. This could include physical sensations, medical procedures, certain words or phrases or feelings of powerlessness.

2. Establish Clear Boundaries

Ask for clear, step-by-step explanations before each procedure so you know what to expect.

You have the right to ask for breaks or adjustments during treatment if certain procedures feel overwhelming or uncomfortable.

If certain aspects of the procedure are triggering, work with your medical team to make adjustments. This might include requesting a different nurse, having a support person present or altering the room’s lighting or sound.

3. Involve Your Support System

Having a trusted person with you during IVF appointments can help you feel grounded and supported. They can advocate on your behalf and assist with managing emotional stress.

Consider having a mental health professional on standby that is familiar with trauma-informed care. This could be a counselor who specializes in fertility, trauma or PTSD. You can schedule sessions before and after treatments to process emotions.

4. Plan for Stressful Situations

Learn grounding techniques that can help you stay calm during IVF treatments. These include deep breathing, mindfulness and visualizations. You can practice these before treatments so that they become second nature when stressors arise.

Bring along calming items, such as music or a fidget toy to distract yourself during procedures. Some people find it helpful to listen to soothing music or podcasts to focus their mind away from the procedure.

5. Communicate Overwhelming Feelings

If you start feeling distressed during your IVF cycle, inform your medical team immediately so they can offer support or modify their approach accordingly.

You could work with your medical team to develop a signal or phrase that you can use during treatments if you begin to feel overwhelmed or unsafe. This can be something as simple as raising a hand or saying “pause” to let them know you need a break.

After each IVF appointment or procedure, consider having a follow-up conversation with your fertility team to review how things went. Giving feedback ensures your care is continuously aligned with your emotional needs.

What should I do if I feel my IVF provider isn’t trauma-informed?

If you feel that your IVF provider isn’t trauma-informed, it’s important to take steps to ensure you receive the care and support you need.

Here’s what you can do:

Advocate for Yourself: Express your concerns directly with your IVF provider. You could say something like, “I feel uncomfortable with the way certain aspects of my treatment are being handled and would appreciate a more sensitive approach.”
Consider a Second Opinion: If your current IVF provider isn’t responsive to your needs or continues to make you feel uncomfortable, it may be time to consider switching providers. Research other clinics that specialize in trauma-informed care.
Ask for Recommendations: Reach out to support groups, friends or online forums where other patients share their experiences. This can help you find a provider that aligns with your needs and values.
Report Concerns if Necessary: Most fertility clinics take patient concerns seriously and may be able to make accommodations or even reassign you to a different provider or team member who is more trauma-informed.

By taking these steps, you can advocate for your emotional health and well-being during your IVF journey.

Trauma Informed IVF and Surrogacy: Intersection of Care

For intended parents, trauma may stem from fertility struggles, miscarriages or previous IVF failures. Your surrogacy specialist can play a key role in this process by offering continuous support and resources.

From helping you find trauma-informed medical providers to assisting with mental health care, we ensure that your physical and emotional needs are met throughout your IVF and surrogacy experience.

We can also help address any concerns or special accommodations, ensuring that everyone feels comfortable, respected and safe during your journey.

Contact us today to get the support and guidance you deserve while you seek out trauma informed IVF care.

Mental Health Support for IVF Post Trauma

Getting the support you deserve to address past trauma during IVF can come at any time during the process, before, during or after.

There are also a variety of resources you can reach out to find support on your infertility journey from infertility organizations to counseling and support groups such as:

RESOLVE: RESOLVE is the National Infertility Association, a nonprofit that can connect you with the help you deserve, from finding a specific type of support group to other helpful resources and advice from those that have walked in your shoes.
American Society for Reproductive Medicine (ASRM): ASRM manages a website that has resources to help with coping with infertility grief from patient stories and frequently asked questions to podcasts and videos on various topics surrounding infertility.
American College of Obstetricians and Gynecologists (ACOG): ACOG has fact sheets on a variety of infertility topics, like evaluating infertility, treating infertility and other broad topics.

Infertility Support Groups

Get Started

If you’re ready to take the next step in your fertility journey, we’re here to support you in finding trauma informed IVF care.

Reach out to us today to get connected with trauma informed IVF providers near you that will tailor your IVF experience to your unique needs. Start your journey toward healing and parenthood with confidence.