Considering a Non-Traditional Birth in Surrogacy? What to Know

While the majority of women choose to give birth in a traditional hospital setting, there are also women who choose to give birth in a non-traditional way. This may include a home birth, a birthing center or birthing rooms in a hospital — and studies show that more and more women are choosing this option when they give birth.

The option of a non-traditional birth is not limited to women giving birth to their biological children, however; today, non-traditional births are also available for those involved in a surrogacy process. Whether a non-traditional birth is suggested by a surrogate or an intended parent, it is a suggestion that must be accompanied by a detailed discussion to make sure it’s in the best interest of all involved.

The Different Kinds of Non-Traditional Births

Usually, when a woman gives birth, she elects to have the process overseen by her OB/GYN in a hospital setting. She will likely have a vaginal birth or a Cesarean section depending on her individual health situation.

However, some women can choose to have a non-traditional birthing experience, which can include:

  • Home Births: A woman gives birth in familiar surroundings at home, without drugs or episiotomies. A midwife attends the birth to assist and to transfer the woman to the hospital in case of emergency.
  • Freestanding Birthing Centers: Women who want a more natural birth without being at home may choose a birthing center. These centers promote natural births without induction or stimulation to start labor and utilize no C-sections or drugs. However, they are equipped with medical equipment just in case. Freestanding birth centers offer prenatal care throughout the pregnancy and postpartum checkups, eliminating the need for a hospital.
  • In–Hospital Birthing Centers: Birthing centers within hospitals offer the same natural birth experience, although prenatal visits will probably be conducted at your caregiver’s office. These centers are usually available to any midwife or doctor with admitting privileges to the hospital.

Within these general settings for a non-traditional birth, women may choose methods like water births, hypnobirthing and other alternative methods for a more natural, drug-free birth.

These non-traditional birthing methods are not for everyone, so it’s important that a woman meets specific health requirements before she can be cleared to give birth in a more natural way with less access to medical intervention. If you have questions about whether you can complete a non-traditional birth, it’s best to speak with your OB/GYN and your surrogacy professional.

If You Want a Non-Traditional Birth

Whether you’re an intended parent or a prospective surrogate, you have the right to suggest a nontraditional birthing experience. However, it’s important to recognize that your desire for a nontraditional birth may impact how long you wait for a match in the surrogacy process.

At American Surrogacy, we make matches between intended parents and surrogates based on mutual desires — which includes the manner in which the surrogate will give birth. Therefore, this is decided before the medical procedures even start. Your surrogacy contract will include the method of birth, so if you’re interested in the idea of a non-traditional birth, this is something you’ll need to make known from the start.

There certainly are surrogates and intended parents who are comfortable with and excited about the idea of a non-traditional birth, but the number is definitely lower than those who desire a traditional hospital birth. Be prepared for a longer wait before you are matched with the perfect prospective surrogate or intended parent. Remember, there always is a perfect match for you, and we will help you find them.

To learn more about American Surrogacy’s matching process and how you can find the perfect intended parent or surrogate for your surrogacy goals, please contact our surrogacy specialists today.

What Happens After a Miscarriage in Surrogacy

It’s a situation no intended parent or surrogate wants to experience: a miscarriage. While fertility clinics and fertility doctors take every step to make sure an embryo and a surrogate are healthy before the transfer and implantation of the embryo, miscarriages do sometimes occur.

Miscarriages are still a rather taboo topic, but that doesn’t mean they don’t happen. They’re more common than you may think; between 10 and 25 percent of known pregnancies actually end in miscarriage. Rarely is a miscarriage someone’s “fault,” as it’s usually the result of an abnormal embryo that would not have survived to term anyway.

Experiencing a miscarriage during the surrogacy process can be even more devastating because of the time and effort put into creating an embryo and the past failures an intended parent may have had with their own fertility. A miscarriage can seem like an impossible setback, but know that your surrogacy specialist and fertility doctor will be with you as you cope with this loss and decide what to do next.

Intended Parents

For many intended parents, a miscarriage during surrogacy is a reminder of their own past miscarriages or inability to get pregnant. It is heartbreaking to see your dreams fail again, but it’s important to understand the vast scope of the surrogacy process and stay positive.

There is no dramatic difference in miscarriage rates for those who conceive an embryo via in-vitro fertilization. A miscarriage during surrogacy is a natural thing, although that will likely not come as any condolence to you in your grieving process.

If your surrogacy results in a miscarriage, it’s important to take the time you need to grieve (your surrogate will also need time to physically recover before another embryo transfer can take place). This is also a good time for you and your surrogate to reevaluate your thoughts before moving forward; it’s important that both of you are still committed and comfortable continuing the surrogacy process at a time that’s best for both of you. When you’re ready, your fertility clinic will begin the necessary steps for another implantation cycle.

Remember, miscarriage is a common occurrence, and it’s no one’s fault. Your fertility clinic will have usually prepared you for the possibility of a miscarriage, and American Surrogacy will always give you the support and counseling you need to get through this difficult time. We know that it takes time to heal from a difficult loss like this, which is why you and your surrogate have the right to decide together when to start the transfer process again.

Surrogates

If you experience a miscarriage as a surrogate, it’s common to feel like you’ve failed your intended parents. This is completely untrue; a miscarriage is not your fault but instead a natural phenomenon you have no control over. Still, this can be difficult to accept, especially because it’s your body that has expelled the pregnancy.

A miscarriage will not affect your ability to become pregnant again. Your surrogacy contract will state how many transfers you will complete for the intended parents, so it’s likely that you will have another embryo transferred whenever you are physically and emotionally ready. Depending on how far along your pregnancy was, this recovery period may take longer or shorter than you expect. However, it’s important that your emotional recovery is complete before you move forward with another embryo transfer.

It’s normal to feel a range of emotions after a miscarriage, even if the embryo was not genetically related to you. We can always provide you trained counseling to help you cope with these emotions and prepare for your next embryo transfer, whenever you’re ready. Usually, within the first three transfers you complete with your intended parents, one embryo will result in a successful pregnancy and birth — so, while it may be tempting to give up after this disappointment, remember that it’s highly likely you’ll find success in your subsequent transfers.

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Remember, surrogacy is a marathon — not a sprint. It’s a long process that will come with many emotional ups and downs, which is why American Surrogacy’s specialists will be there for you every step of the way. Miscarriage is always a difficult event to process but know that it’s not the end of the line. A successful surrogacy is possible, and we’ll help you complete it.

How Does a Baby Shower Work if You’re a Surrogate?

As you get closer to giving birth to your intended parents’ baby, you’ll reach an exciting point in your pregnancy. After all, the baby you have all worked so hard to bring into the world is almost here!

At this point in your pregnancy, your intended parents or their friends may choose to throw a baby shower. Baby showers are wonderful ways to celebrate the upcoming birth of the baby and help intended parents prepare with gifts and support.

However, as a surrogate, you may not be sure what the protocol is for a surrogacy baby shower. Should you expect to be invited? Do you need to bring a gift? What do you do while you’re there?

Each surrogacy situation is different, and the relationship that you have with your intended parent will likely play a role in your involvement (or lack thereof) in the baby shower. No matter what involvement you do have, it’s important to understand that this can be a delicate situation; whether you’re invited or not, know that you are an important part of this surrogacy process and the intended parents greatly appreciate everything you’re doing for them.

If You Are Invited

For some intended parents, throwing a baby shower and inviting their surrogate just seems the natural thing to do. You’re an integral part of their parenthood journey, so it makes sense that you would be there for the baby shower. You do not have to attend a baby shower unless you’re comfortable doing so; some surrogates would rather let the intended parents have this time for themselves and their friends rather than attending and not being sure of what to do at the event.

If you do decide to attend the intended parents’ baby shower, you may still have reservations about what role you’ll play. Here’s the most important thing: This shower is about the baby and the family you are helping to create. Make sure that the intended parents get the attention they deserve, and it will be a positive experience for all of you.

It’s understandable if the parents’ family and friends are curious about you and want to talk to you during this event. If they tend to monopolize the conversation with you, gently steer the conversation back to the intended parents, mentioning reasons why you’re happy to carry for them, why they’ll be such great parents, etc. The intended parents will greatly appreciate you for doing this. If at any time you feel uncomfortable or feel like you’re stealing the spotlight, don’t be afraid to step out so guests can give the intended parents more focus.

In most cases, the friends and family of the baby shower will treat you as any other guest, instead showering their affection on the intended parents. So, if the intended parents express a desire for you to be at the shower, you should strongly consider attending, as it will mean a great deal to them. However, if you feel uncomfortable doing so, the intended parents will also understand.

After deciding to attend the baby shower, you may wonder whether you should bring a gift. Even though you are giving the intended parents the most priceless gift by carrying their baby, you may have concerns about showing up to a shower without actually “showering” the intended parents.

You are in no way obligated to bring a gift for the intended parents, and they will completely understand that. However, if you do want to bring a present to the baby shower, it might be a good idea to bring something personal and special to your relationship. For example, you may wish to make a handmade gift for the baby (like a painting or knitted cap) or find a special memento from your home state that can be placed in the baby’s room as a representation of their surrogacy story. If you have questions about what kind of gifts are appropriate or need help thinking of some ideas, your surrogacy specialist will always be available to you.

A baby shower should always be a happy event, not one that brings you worry or concern. Understanding your role as a surrogate at this important event will help make it go much smoother for you and the intended parents.

If You’re Not Invited

Sometimes, intended parents may not wish to include their surrogates in their baby shower; instead, they may want it to be a small event of family and close friends. If this is the case for you as a surrogate, it’s important to understand that this decision is not a slight against you — and does not way diminish your importance in the surrogacy process.

Just as you may have reservations about attending the baby shower, the intended parents may have concerns about making you feel obligated to attend an event you don’t want to. To avoid that awkwardness, they may choose to simply avoid the dilemma at all. This is never a malicious move and, as a surrogate, you should understand that the decision likely has little to do with you. Whatever your intended parents choose, you should support them and their decision.

Remember, if you have concerns or questions about baby showers as a surrogate or any other special event usually reserved for the woman carrying a baby, your surrogacy specialist at American Surrogacy can offer you support and guidance.  Please feel free to give us a call at 1-800-875-2229(BABY) any time.

What to Expect When Testing for a Surrogate Pregnancy

Everyone knows: The surrogacy medical process is long and can seem to take forever. After months of testing and measuring cycles in preparation for the embryo transfer process, waiting for a positive pregnancy result after the transfer can seem like an impossible feat, no matter whether you’re the surrogate or the intended parent.

When you’re in the middle of the surrogacy medical process, your fertility specialist will explain in detail what to expect. But, what if you haven’t started the process or want more information on exactly what to expect when testing for a positive surrogate pregnancy?

You can read more below about what happens during the testing process for a surrogate pregnancy. As always, we recommend speaking to your surrogacy specialist and fertility specialist for more detailed information about what your personal medical process will look like.

The Clinical Process

After a surrogate’s embryo transfer process is complete, her fertility clinic will eventually test for her pregnancy with an hCG level blood test. hCG levels are the hormone levels that determine if a woman is pregnant or not. How high a surrogate’s level needs to be, however, will depend upon her individual situation, including when the embryos were transferred during the incubation period and how many days have passed since the transfer was completed.

But, how long before you can expect a result?

How long a surrogate needs to wait before a beta blood test will depend on the fertility specialist’s instructions, but the first testing process usually occurs anywhere between eight to 12 days after transfer. If hCG levels indicate a surrogate might be pregnant, she’ll return a couple of days later for another blood test to see if the levels keep rising. Ideally, hCG levels should double every 48 to 72 hours.

If her levels rise enough, the fertility specialist will likely confirm the pregnancy. This is usually confirmed after the third beta appointment.

Home Pregnancy Tests: Are They Worth It?

If you’re a surrogate who is part of online support groups, you may see other surrogates post pictures of multiple home pregnancy tests from different testing times. But, if all surrogates know for sure at a fertility clinic testing whether their pregnancy is positive or not, why do they do this?

Taking home pregnancy tests is just another way for surrogates to track their increasing hCG levels. Typically, women will wait three days after an embryo transfer to take a pregnancy test — although it can take at least five days after transfer for a positive pregnancy test to show up. From there, surrogates may take a test twice a day to compare the results; if a pregnancy line is getting darker, it’s usually a sign that their hCG level is rising and they are, indeed, pregnant.

While some surrogates will wait until their clinic beta testing just to be safe, other surrogates are anxious to see whether the embryo transfer worked. This comes from the desire and hope riding on their pregnancy, so it make sense that they want that validation, even if they wait to tell intended parents until a medical confirmation.

However, it’s important to note that just because a home pregnancy test comes back positive does not mean a pregnancy is in the clear. You may receive a false positive reading, or there may be other medical issues that arise later on. So, while home pregnancy tests are a good way to relieve anxiety after an embryo transfer, it’s always a good idea to rely on your fertility clinic for a secure medical result.

If you ever have any questions about testing for your surrogate pregnancy and the process involved, we encourage you to reach out to your fertility specialist for accurate, personalized information.

3 Ways to Find Positivity in an Infertility Anniversary

Whether you’re currently in the surrogacy process or still deciding if it’s right for you, the path to where you are today has likely been a long one filled with many emotional ups and downs. In addition to the small successes you’ve achieved, you may also have experienced heartbreak.

Despite the sadness these days may bring, many intended parents choose to mark the anniversaries of some of these heartbreaks, like past miscarriages, the moment they realized they couldn’t carry a child themselves and the beginning of their surrogacy journey (especially when the process hasn’t yet produced a child of their own).

While it can be a day full of grief and sadness, it’s important that you acknowledge this day and what it means to you. Ignoring the importance of this day can have dire effects for your mental health, especially as you’re also going through the emotionally trying process of surrogacy. The best thing that you can do is embrace the feelings and memory of this day — and take certain steps to help yourself get through this emotionally difficult time.

1. Communicate What You’re Feeling.

A big part of acknowledging this sad anniversary is sharing your feelings with others. Keeping what you’re feeling inside will only elevate those difficult feelings, while letting them out one way or another can be extremely cathartic. It can be comforting to turn to a trusted friend or family member (or your partner if you are going through the surrogacy process with them) to talk about your feelings. Having someone to share your feelings with can help immensely with the loss and loneliness you may be experiencing on this day.

If you don’t feel like sharing your emotions with someone else, that’s okay. Instead of ignoring your feelings, however, try to let them out through journaling or another emotive activity.

2. Commemorate the Anniversary with Something Positive.

While this day will be a sad day, you can take steps to make something good out of it. It can help to symbolically let your negative feelings go; perhaps write down your thoughts on paper inside a balloon and release it into the air, or bury your feelings in a box. To leave a positive impact on a negative day, perhaps plant a tree or donate to a charity that means something special to you. Whatever you can do to make yourself feel a little better, make that effort to add some positivity to this day.

3. Seek Out Support.

No one should go through these difficult times alone, so we encourage all intended parents coping with a sad anniversary to reach out to their surrogacy specialist for support. Our specialists can provide emotional support, as well as refer you to trained counselors if that’s something you need. Most of the time, though, you may just need a sympathetic ear — and your surrogacy specialist is well experienced in the feelings that intended parents like you go through during these difficult times.

You may also wish to seek out support groups for intended parents like yourself. You may find comfort in talking to people who have been through the same situations as you. You can search support groups by state here, or look online for other internet support groups.

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Everyone is different, and the way you decide to address this sad anniversary will ultimately be up to you. However, we highly encourage that you do take steps to acknowledge and honor this day; it’s an important part of your parenthood journey and who you are today. Remember, this sad day is just one stop on your road to becoming parents and eventually holding that special little bundle of joy in your arms.

How You Can Still Breastfeed Your Baby as an Intended Mother

As an intended mother, you may not be able to be pregnant yourself and carry your baby to term — but that doesn’t mean you have to miss out on one of the most intimate parts of caring for an infant. In this case, we’re talking about breastfeeding.

You may not know that, even if you don’t carry a baby yourself, you can still breastfeed them by taking certain medical steps. Just like any other mother breastfeeding, it may be a long process with its ups and downs — but know that you can succeed in breastfeeding your baby and giving him or her all of the subsequent health benefits of doing so.

Your doctor can best explain how to proceed with induced lactation based on your individual circumstances, but here are some of the basics of the process:

How it Works

Like other pregnancy-related side effects, lactation is induced by pregnancy hormones. That’s why it’s so important to work closely with your doctor if you wish to breastfeed as an intended mother; they can help you proceed safely and effectively with inducing lactation.

Each intended mother’s situation is different but, typically, here are the steps you will take:

1. Take initial hormones.

Typically, these will be birth control pills that will “trick” your body into thinking that you’re pregnant, the first step to producing milk.

2. Replace these hormones with supplements and medication.

To promote your milk production, your doctor will give you medications and other herbal supplements after stopping the birth control pills.

3. Start pumping for milk.

To induce lactation, you’ll need to start pumping before your baby is born. By increasing the duration and frequency that you pump, your milk will hopefully come in by the time your baby is born.

4. Start nursing, but don’t be afraid to supplement.

Even women who carry their own babies have difficulties with breastfeeding, and that may be the case with you as an intended mother. If your milk supply is not substantial to feed your baby the nutrients he or she needs, don’t be afraid to use a supplemental nursing system. These are more common than you think and provide mothers a way to breastfeed their baby with their own milk and a milk supplement (like the surrogate’s milk, donated breastmilk, etc.) at the same time.

What to Consider About Breastfeeding

For many intended mothers, the opportunity to breastfeed their baby allows them to experience one of the most intimate parts of the post-partum baby-raising process. Even though they could not carry their baby to full term themselves, they are able to have that bonding experience through the intimate process of breastfeeding.

Many intended mothers also consider breastfeeding their child (with their own milk or donated milk) because of the health benefits involved. Studies have shown that breastmilk and breastfeeding may reduce the risk of many health issues for newborns, like asthma and allergies, and has also been linked to reduced risks of breast cancer and ovarian cancer for mothers.

However, breastfeeding for any mother requires time and commitment — and even more so for intended mothers. In addition to nursing a child 10 or 12 times a day, intended mothers must pump for weeks or months before their baby is born in order to successfully breastfeed their child. There is also a learning curve for breastfeeding no matter whether you’re an intended mother or gave birth to the baby yourself; it may not be right for everyone. If you decide to try breastfeeding, it’s important to recognize that you may not always get the results you want — and don’t see it as a negative reflection upon your ability to “be a mother.” Ultimately, the decision will be up to you depending on what you think is right for you and your baby.

If you’re interested in breastfeeding your baby (whether through your own breastmilk, the surrogate’s breastmilk or donated breastmilk), we encourage you to speak with your doctor to learn more about what options are available to you. At American Surrogacy, we can also help coordinate this in your surrogacy contract, should you wish to have your surrogate pump and donate her breastmilk to you.

To learn more today about our other services for intended parents, please call 1-800-875-2229(BABY).

What A Doula Does and Why You May Want One

As a surrogate, you have the right to be as comfortable as possible during your labor, including having all the support you need before, during and after your hospital stay. While you will receive much of that support from your surrogacy agency and your intended parents, you may also wish to consider hiring a doula for your surrogacy process.

A doula is a trained professional who typically helps pregnant mothers and expectant fathers through the delivery process. In surrogacy, a doula provides services to both the intended parents and their surrogate. There are generally two different kinds of doulas: a birth doula and a postpartum doula. Some doulas act as both.

What a Doula Does

While every doula’s specialties are different, their main purpose in surrogacy is to provide more specialized support for intended parents and surrogates, in addition to the general support you will receive from your surrogacy agency. You will have the chance to decide with your doula what kind of support you want, but it typically includes:

  • For Surrogates: Prenatal support and education, birth preparation, support and guidance throughout labor, counseling during postpartum emotions and issues like pumping breastmilk and post-birth recovery
  • For Intended Parents: Childcare education (like classes for newborn care, hygiene, safety and for parent preparation) and postpartum, in-home support for childcare and induced lactation

Doulas who specifically deal with the surrogacy process also provide support for the relationship between the surrogate and the intended parents. Beyond coordinating birthing preferences and preparing both for the labor process, a doula takes certain steps to help involve the intended parents in the labor process. They understand that surrogacy is a partnership and that the partnership does not end during the hospital stay. In fact, some doulas are so touched by the surrogacy process that they become surrogates themselves. When you hire an experienced doula for your surrogacy, you will know you’re in good hands.

Deciding if a Doula is Right for You

Doulas have many advantages for both intended parents and surrogates, but it’s usually surrogates who suggest hiring a doula for the labor process. However, the inclusion of a doula in the labor and postpartum processes of your surrogacy is a decision that must be made by both the intended parents and the surrogate. After all, surrogacy is an intimate process, and including a doula must only be done if both parties are comfortable.

If you’re considering including a doula in your surrogacy process, your surrogacy specialist can help mediate this conversation between you and the intended parents. It’s important to do diligent research on why you think a doula is right for you if you’ve never used one before, and your specialist can also help you understand the pros and cons of using this professional. Intended parents may be more comfortable if you seek out a doula that is specifically trained in surrogacy services to maximize the benefits for both parties.

Another thing to consider is the cost of a doula. Even with a doula who specifically works with surrogacy cases, the majority of her services are tailored to the surrogate during the labor process. Therefore, not all intended parents may be comfortable paying for this extra service if they’re not familiar with the benefits. If having a doula be a part of your labor process is important to you, talk with your surrogacy specialist about how to bring up the costs of this service with the intended parents.

How to Find the Doula that’s Right for You

When you want to include a doula in your labor process, it’s important to do your research before presenting this idea to your intended parents. This means finding a professional that meets your preferences for services provided and the associated cost. Typically, a birth doula costs between $1,000 and $2,000, and a postpartum doula can cost anywhere from $35 to $60 an hour.

Many surrogates work with surrogacy-specific doulas to receive labor and postpartum care that’s tailored to their situation. These doulas should be willing to speak to you about their services before you commit to hiring them. Some professionals to consider include:

In addition, your surrogacy specialist may be able to help you find a local doula who meets your needs.

Including a doula in your surrogacy process is a personal decision to make, and it will not be right for everyone. However, if you’re interested in these services, start your research and let your surrogacy specialist know as early as possible — to best coordinate the inclusion of this professional in your surrogacy process.

5 Ways to Stay in Contact with Your Long-Distance IPs

When you choose to become a surrogate, you will play an integral part in the matching process. You’ll decide what you want in an intended parent, and your surrogacy specialist will help you find the intended parents that meet your surrogacy expectations.

However, there’s a good chance that the intended parents that you’re matched with may not be located close to you. So, if your intended parents live too far away for easy contact, how can you still build a healthy, strong relationship during the surrogacy process?

Your surrogacy specialist will always be available to help make your communication with the intended parents easier, whether that’s through offering suggestions or mediating the contact herself. Many of our surrogates who work with long-distance IPs use these methods:

1. Email and Text Communication

One of the most convenient ways for you to stay in contact with your intended parents is through sending emails or text messages. While you can certainly utilize phone conversations for urgent contact, it may be best to stick with these methods instead for sending little updates throughout your surrogate pregnancy. This way, you both can send and receive communication back and forth at your own convenience and in a way that is more casual than scheduled phone calls or visits. Texts and emails also make it easy for you to attach photos of sonograms and your growing stomach — which the intended parents will likely appreciate if they cannot be there to experience the growth of their unborn baby themselves. You and they may choose to even send updates about your own lives during this time in quick texts that, again, don’t take any time out of your days.

2. Video-Calling

When intended parents cannot be present for important milestones during your pregnancy, it can be disappointing for them. So, if your intended parents cannot make it to your doctor’s appointments, see if you can video-call them during the visit. That way, they not only get the chance to hear what your doctor has to say and ask them questions, but they can also feel like they’re physically there for important events like sonograms.

3. Phone Calling

Like video calling, having frequent phone calls is important to building a relationship with your intended parents. This is certainly an option for updating intended parents on your pregnancy journey and just for learning more about them. However, in a long-distance surrogacy, it’s important to consider time zones and each other’s daily schedule to make sure that a phone call is possible. Sometimes, if you call unexpectedly, an intended parent may automatically worry that something is wrong.

4. In-Person Visits

Generally, you will meet the intended parents in-person several times during your surrogacy process: at the beginning to meet you and solidify a match, during the embryo transfer process and when the baby is born. However, some intended parents may want to visit you outside of these settings, perhaps to be present for a doctor’s appointment or just to get to know you better. They will usually be the ones that come to you (if you want to visit them, they may be able to help cover your travel expenses). You should welcome these visits; they’re a great way to build a solid relationship with the intended parents and make the rest of the surrogacy process more comfortable for all of you.

5. Sending Them Special Gifts

Although you are in no way obligated to do so, a surrogate may want the intended parents to know a little more about her and the community where she lives while pregnant. You may wish to send your intended parents meaningful gifts from your state so they can feel more connected to you — perhaps a memento from the first time you felt the baby kick or a picture of your stomach at a state landmark. These will be useful to the intended parents as they develop a surrogacy story for their child to know as they grow up. We encourage you to speak to your surrogacy specialist to find out whether a gift you’re considering is appropriate for your relationship.

Ultimately, the kind of communication that you have with your intended parents will depend upon your personal relationship. When you first solidify your match and complete the surrogacy contract, your surrogacy specialist will help you both set expectations for communication moving forward. Of course, from there, your communication frequency may change as you become more comfortable with each other.

Long-distance surrogacies are common, and American Surrogacy is prepared to give you the support you need throughout this process. To learn more about how our surrogacy process works and what your long-distance surrogacy may look like, please call us today at 1-800-875-2229(BABY).

5 Facts You Need to Know for PCOS Awareness Month

When it comes to women who are dealing with infertility, some of them may have polycystic ovary syndrome (PCOS), one of the most common ovulatory disorders. Because complications associated with the disorder can make it difficult for women to naturally conceive and carry a pregnancy to term, some women with this disorder may choose to pursue surrogacy instead.

September is PCOS Awareness Month and, at American Surrogacy, we recognize and understand the struggles that many women with this disorder experience — especially when they’re trying to have children. For those that choose to pursue surrogacy as a means to have a family, our surrogacy specialists will always offer you the support and counsel you need as you cope with this medical condition and the demands of the surrogacy process.

Even if you’re still considering surrogacy as a result of infertility struggles from PCOS, our surrogacy specialists are always available to answer any questions you have. We know that surrogacy may not be the answer for everyone, but we are here to help you make that decision from a place of knowledge and understanding.

In honor of PCOS Awareness Month, we’ve gathered some important facts everyone should know about this disorder:

1. Roughly 5 million women in the U.S. are affected by PCOS.

The disease affects five to 10 percent of women of childbearing age in the United States. Because it’s so common a disorder, it’s also the leading cause of female infertility.

2. PCOS affects fertility because of an imbalance in reproductive hormones.

In PCOS, an imbalance of hormones may cause eggs to not develop properly or not be released during ovulation as they should be. This is normally why it can be difficult for women with PCOS to naturally conceive and carry a baby to term. One of the most common symptoms of PCOS is an irregular period, which makes natural conception difficult. Despite the disorder’s name, not all women with PCOS will develop cysts; the symptoms of PCOS will vary from woman to woman.

3. PCOS does not mean a woman cannot get pregnant.

While PCOS does affect fertility hormones, the disorder does not always render a woman infertile. PCOS is one of the most treatable causes of female infertility, and your doctor can talk to you about ways to improve your ovulation and increase your chance of getting pregnant. PCOS does increase a woman’s chance of miscarriage, gestational diabetes, preeclampsia and C-section during pregnancy.

However, some women with PCOS also deal with related and unrelated health complications that would prevent them from carrying a baby to term. These women may turn to surrogacy instead of carrying a baby on their own.

4. PCOS can increase the rate of developing other health problems.

Unfortunately, women who have PCOS are also at an increased risk of developing:

  • Diabetes
  • High blood pressure
  • Unhealthy cholesterol
  • Sleep apnea
  • Depression and anxiety
  • Endometrial cancer

Because of these risks, it’s important that women with PCOS monitor their condition closely and work constantly with their doctor to preserve their health.

5. PCOS diagnosis can be tricky.

Because the symptoms of PCOS can vary widely for each woman, proper diagnosis of the condition is not always easy. In fact, less than 50 percent of women with PCOS are properly diagnosed. Without present cysts or obvious ovulation and hormone disruptions, many women think their symptoms are just intense side effects of their menstrual cycle. However, if you feel that something isn’t right when it comes to PCOS-like symptoms, talk to your doctor, who can further investigate if you have the disorder. As with any medical condition, the importance of being proactive cannot be understated.

PCOS can be a difficult fertility disorder to deal with, but remember that there are many women with PCOS who have successfully created a family one way or another. To learn more about your family-building options with American Surrogacy, please give our surrogacy specialists a call today at 1-800-875-2229(BABY).

50 Acronyms You Need to Know for the Surrogacy Process

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.