Gestational Surrogacy

Gestational Carrier Program

A gestational carrier is a woman who carries a pregnancy for someone else. There are many reasons that patients may work with a gestational carrier, including:

  • Absent uterus (congenital absence or prior hysterectomy)
  • Severe uterine factor infertility (fibroids, adenomyosis, intrauterine adhesions, persistent thin lining despite hormonal treatment, pelvic radiation)
  • Recurrent pregnancy loss
  • Repeated implantation failure
  • Medical conditions that preclude safely carrying a pregnancy (cardiac, pulmonary or renal disease)
  • Same-sex male couples, single men and transgender individuals

The Reproductive Medicine Associates of Northern California care team works to guide patients through the selection to find the right carrier for their family. Some may choose to work with a friend or relative to carry the pregnancy, while others prefer to match through an agency with a woman who has applied to become a surrogate.

The use of a gestational carrier does come with several important legal considerations. We make it a point of working exclusively with carriers from surrogacy-friendly states to assure that legal parentage can be established without question. But as parental rights and obligations can vary from state to state and country to country, we recommend consulting with an experienced attorney specializing in third-party reproduction. Our staff can assist in finding the right legal professionals and resources necessary to help make these important decisions.

The process of locating, connecting with, and achieving a pregnancy with a gestational carrier can be stressful and lengthy, but also rewarding. The Reproductive Medicine Associates of Northern California multidisciplinary team approach, involving collaboration between the physician, nursing, mental health, and financial counseling teams helps ensure every stage of this process can be coordinated with the highest levels of expertise and patient support.

Every path to parenthood is different, but the desired result is always the same. Speak to Reproductive Medicine Associates of Northern California today and take the next step on your path.

GESTATIONAL CARRIER PROCESS

Screening the Intended Parents:

Hopeful parents undergo a routine infectious disease screening in compliance with requirements by the U.S. Food and Drug Administration, as genetic testing will be required. Embryos can be created at any time through in vitro fertilization (IVF), even prior to matching with a carrier.

Screening the Carrier:

All gestational carrier candidates, both known and recruited, are subject to a thorough review of medical and obstetric records, along with clinical interview by the Reproductive Medicine Associates of Northern California physician and mental health teams prior to becoming available to match. This process ensures only healthy carriers can get matched, prioritizing the health of both the child and the carrier.

Carriers also undergo a uterine cavity evaluation with either a saline sonogram or hysteroscopy to verify the optimal uterine environment for carrying a child, free of polyps, fibroids, and scar tissue. Reproductive Medicine Associates of Northern California takes pride in working with carriers from surrogacy-friendly states and countries.

All Day Appointment

The culmination of a tremendous amount of coordination by the intended parents, carrier and agency, legal teams, and Reproductive Medicine Associates of Northern California staff, the All-Day Appointment brings the intended parents and carrier to a face-to-face meeting, along with the physician, nursing, mental health, and financial counseling teams to complete any remaining necessary testing, including personality assessment inventories.

After all results come back from the final step of the screening process, the match between intended parents and carrier can be confirmed, and a customized treatment schedule can be developed.