Understanding Multiple Miscarriages with Normal Embryos: The Hidden Factors IVF Can’t Fix

Heartbreak after multiple miscarriages with normal embryos? Understand the hidden uterine and immune factors, and find a clear path forward with surrogacy.

Miscarriage with a normal embryo is devastating, but it may point to underlying factors IVF can’t address.

By understanding these issues, you can move away from repeated disappointment and find success with a strategic option like gestational surrogacy.

Are you ready to get closer to your path to parenthood? Connect with a specialist at American Surrogacy today to explore a proven path forward.

The Heartbreak of Hope: Experiencing Miscarriages with Genetically Tested Embryos

The journey to parenthood after facing recurrent pregnancy loss is profoundly difficult. After investing so much in IVF and creating an embryo, receiving news of another miscarriage feels devastating and deeply confusing.

This experience is not a failure on your part, but a sign that the focus needs to shift.

You have faced setbacks beyond your control, but by choosing surrogacy, you are giving your embryos the best opportunity.

Normal Embryos Don’t Guarantee a Successful Pregnancy

Preimplantation Genetic Testing (PGT-A) is an invaluable diagnostic tool in modern IVF. It allows your medical team to check an embryo’s chromosome count before transfer.

An embryo confirmed as “euploid” (or chromosomally normal) has the correct number of chromosomes and is considered the highest quality embryo available.

However, PGT-A does not guarantee pregnancy. A chromosomally normal embryo does not override underlying systemic or uterine health issues within the intended mother’s body.

Hidden Causes of IVF Miscarriages with Normal Embryos: Uterine, Hormonal, and Immune Factors

Recurrent implantation failure or miscarriage with a normal embryo points toward factors that cannot be solved by simply creating another embryo.

These issues are often subtle, requiring specific diagnostic testing and sometimes a change in approach.

Uterine Environment Factors

The endometrium, the lining of the uterus, must be receptive and healthy. Issues in this area can prevent implantation or lead to early loss:

  • Endometrial Thickness and Structure: A lining that is too thin, uneven, or structurally abnormal may fail to properly support the embryo. Your doctor may refer to this as a lack of uterine receptivity.
  • Endometriosis and Adenomyosis: These common, inflammatory conditions can create a hostile environment that makes implantation and sustained pregnancy extremely difficult.
  • Chronic Endometritis (CE): This is a persistent, non-symptomatic inflammation of the endometrial lining, often caused by an underlying bacterial infection.
  • Structural Abnormalities: Unidentified polyps, fibroids, or scar tissue (Asherman’s Syndrome) can obstruct implantation or compromise the blood supply necessary for the placenta’s development.

Learn more about uterine health issues that may be making pregnancy impossible.

Autoimmune or Chronic Health Factors

In some cases, the body’s immune system is the barrier. The body may treat the embryo as a foreign object and reject it.

Autoimmune or inflammatory conditions that are not properly managed can create a highly inflamed environment in the body that prevents a pregnancy from starting or growing. These include:

  • Lupus: A chronic autoimmune disease that can increase the risk of blood clotting and inflammation, compromising the blood flow needed for the placenta.
  • Multiple Sclerosis (MS): While generally not a direct barrier to conception, severe or active MS can indicate systemic inflammation that impacts the immune environment needed for implantation.
  • Hashimoto’s Thyroiditis: An autoimmune thyroid condition often linked to recurrent miscarriage, as unmanaged thyroid hormones are essential for successful early pregnancy development.
  • PCOS (Polycystic Ovary Syndrome): While primarily hormonal, it often involves chronic, low-grade inflammation that can negatively affect uterine receptivity and embryo implantation.
  • Natural Killer (NK) Cells: While complex and often debated, some specialists believe an overactive presence of these immune cells in the uterus may attack the implanting embryo, treating it as a foreign object.

Learn more about chronic health conditions that may make pregnancy difficult or unsafe.

Hormonal and Timing Factors

Issues with hormones and timing are another barrier to successful implantation.

The uterine lining has a very narrow “window of implantation”, meaning the timing of the embryo transfer must be exact, even with standard hormone medication.

 Specialized tests like the Endometrial Receptivity Assay (ERA) help pinpoint this timing, but repeated failure suggests the window is consistently missed or compromised.

Additionally, a lack of sufficient natural progesterone during the early weeks, known as luteal phase support, can still compromise the lining’s ability to sustain the pregnancy, leading to loss

When to Consider Surrogacy After Multiple Miscarriages with Test Embryos

This decision should be made in consultation with your reproductive endocrinologist.

However, clear emotional and medical triggers often indicate surrogacy is the next strategic step:

  • Specific medical barriers. You have received a confirmed diagnosis that your medical team identifies as the primary cause of recurrent loss.
  • Your mental health has taken a toll. Surrogacy offers a way to continue the family-building process without the constant physical and emotional strain of repeated failures.
  • The cumulative cost of repeated IVF cycles, specialized testing, and experimental treatments may become unsustainable. Surrogacy provides a more predictable investment toward achieving your family goal.
  • You have remaining embryos. If you have frozen PGT-tested embryos, using them with a gestational carrier gives them the highest possible chance.

Surrogacy is not a last resort; it is a strategic, medically supported path to success when evidence points to the uterine environment as the barrier.

How Surrogacy Bypasses Uterine Factors That IVF Can’t Solve

When you choose American Surrogacy, we build your journey on the foundation of a thoroughly vetted and medically cleared gestational carrier.

This process is designed to eliminate the gamble of an unpredictable uterine environment and maximize the possibility of a healthy pregnancy.

Our rigorous, multi-step screening ensures you start your journey with confidence:

  • Agency Review: We start with an in-depth review of her full medical history and social background.
  • Clinic Review: Your fertility clinic reviews her past medical records, focusing on previous pregnancies and deliveries, to confirm a history of successful, healthy births.
  • Medical Clearance and Physical Exam: She undergoes a comprehensive physical examination and medical workup at your fertility clinic to confirm her uterus is optimally receptive and structurally sound for a successful transfer and pregnancy.

Other essential clearances we ensure include:

  • Psychological Readiness: Confirming she is emotionally and mentally prepared for the journey and understands the unique relationship with you.

By utilizing a gestational carrier who has been carefully and successfully screened through these multiple layers of review, you replace anxiety with certainty, knowing your precious embryo is in the safest possible environment.

Emotional Healing and Moving Forward

The grief, fatigue, and profound sense of failure that accompany recurrent loss are entirely understandable. Even when you know the miscarriage was not your fault, the emotional burden is real.

Surrogacy offers a crucial opportunity for psychological recovery and consciously moving forward with your family-building journey.

Gaining Control: Making an Intentional Choice for Family

Instead of dwelling on past disappointments, surrogacy allows you to pivot your focus on creating your family.

  • Move from Strain to Preparation: Surrogacy allows you to move past the physical burden and psychological toll of recurrent IVF failure. You can channel the energy previously spent on treatments into preparing for the baby’s arrival.
  • Taking Control: Instead of passively waiting for a diagnostic test or an experimental treatment, you are actively choosing the most successful, medically supported path available to you.
  • A Supported Journey: At American Surrogacy, we provide comprehensive support so you can focus on your path to parenthood.

What to Expect When Exploring Surrogacy as a Next Step

The idea of starting the surrogacy process can feel overwhelming, but our agency is here to simplify every step. We offer a clear, efficient path designed to minimize stress and maximize success:

Step 1: Reach Out to a Specialist

Your first step is connecting with a specialist at American Surrogacy. We listen to your unique story, understand your medical history, and help you determine if our program is the right fit.

Step 2: Match with a Surrogate

Based on your preferences, we present you with profiles of pre-screened, medically cleared gestational carriers. Our focused process often leads to quick matches.

Step 3: Complete Legal Contracts

Attorneys work together to create comprehensive, protective legal agreements that establish your parentage.

Step 4: Embryo Transfer

Your reproductive endocrinologist facilitates the transfer of your PGT-tested embryo to the gestational carrier. We support you throughout the entire medical process.

Step 5: Pregnancy and Birth

You remain closely involved throughout the pregnancy, preparing for the day you welcome your child at the hospital.

Ready to Take the Next Step? Explore Surrogacy with Compassion and Clarity

You have faced setbacks beyond your control, but by choosing the strategic path of surrogacy, you are giving your embryos the best opportunity for success.

Surrogacy is not a detour; it is a supported, deliberate choice made by loving parents who refuse to give up on their family dream.

Even with multiple miscarriages, you can still start or grow your family. Contact us to learn how we can support you on your path to parenthood.

What Are the Medical and Lifestyle Requirements to Become a Surrogate with Leading Agencies?

Reputable agencies have surrogate requirements and screening processes to prioritize your safety and ensure your eligibility.

If you’ve been researching the requirements to become a surrogate, you may have noticed how different agencies have different expectations.

In this guide, you’ll learn exactly what the medical and lifestyle requirements are to become a surrogate with leading agencies, why these standards matter and how agencies like American Surrogacy support you at every stage.

When you’re ready, you can get free information and see if you qualify.

What Are the Medical and Lifestyle Requirements to Become a Surrogate With Leading Agencies?

Reputable agencies have clear eligibility standards that focus on giving you and the baby the healthiest, safest experience possible. Here are the general medical and lifestyle requirements you’ll need to meet:

  • Between 21 and 40 years old
  • At least one previous full-term pregnancy and delivery
  • Currently raising a child
  • Good physical and mental health
  • Reliable transportation and stable housing

These expectations help confirm that you’re prepared for the journey ahead.

Why Agencies Have Surrogate Medical Requirements

Agencies have requirements in place to protect everyone involved. Pregnancy is physically and emotionally demanding, and surrogacy adds a new level of responsibility.

These standards aren’t designed to exclude you. Rather, they protect your health throughout the process and help intended parents feel confident moving forward.

Your agency should focus on your well-being. When these expectations are clear from the start, it shows that your safety is a priority and helps you feel confident moving into the screening steps ahead.

How Our Surrogate Medical Screening Process Works at American Surrogacy

Once you meet our initial requirements, you can begin the surrogate medical screening. This process confirms that you’re ready for the resulting experience.

At American Surrogacy, there are two health tests required to become a surrogate:

  1. Medical Screening: This preliminary test occurs before you’re fully approved. You’ll need to fill out a detailed medical history form, provide your previous pregnancy records and complete a psychological evaluation. Our team will review these materials to assess whether you’re ready.
  2. Medical Clearance: After you match with intended parents, we’ll send your medical records to their fertility doctor’s office. You’ll need to travel to their clinic for an in-person physical exam and additional lab testing.

You can explore the full process in our online guide.

How Your Surrogate Psychological Evaluation Assesses Emotional Readiness

Your surrogate psychological evaluation confirms that you feel emotionally ready. During this conversation with a licensed mental health professional, you’ll talk about your emotional health, your family’s mental health history, what inspires you to become a surrogate and how you handle stress.

This evaluation also gives you space to discuss the support you have in your life.

Meeting Medical Clearance for Surrogacy

Medical clearance is the final approval step completed by the intended parents’ fertility doctor’s office.

Even after you meet agency standards, the clinic will conduct its own evaluation to ensure you’re ready for a safe embryo transfer.

During this stage, you go to the clinic for a full physical assessment, and the team takes one last look at your medical history to make sure nothing was missed.

This usually includes bloodwork, routine infection testing, a closer look at your uterus to confirm it can support a pregnancy, and a full exam with a fertility doctor.

Together, these steps confirm that you meet all surrogate medical requirements and are ready for embryo transfer.

You can learn more about what to expect from medical clearance at this link: How long does medical clearance take?

Lifestyle Expectations for Surrogates

Lifestyle choices can impact surrogacy eligibility. While every agency is different, most expect you to:

  • Avoid all tobacco, nicotine and recreational drug use
  • Be off antidepressants for at least 12 months under your doctor’s supervision
  • Follow medical advice from your OB-GYN and fertility specialist
  • Maintain a balanced diet and moderate exercise routine
  • Ensure you can meet BMI guidelines for pregnancy safety
  • Avoid high-risk activities, including certain jobs or strenuous sports

Some intended parents may request additional preferences regarding lifestyle or prenatal decisions. Your attorney will help you review and negotiate these during the contract phase.

Qualify with American Surrogacy and Get the Compensation Package You Deserve

As a top-tier national agency, we ensure you receive a comprehensive and competitive compensation package for your service and commitment.

American Surrogacy offers a compensation package of $50,000 - $110,000+ that includes:

  • Base pay
  • Signing and screening bonuses
  • Embryo transfer
  • Legal fees
  • Insurance copays
  • Travel and lodging
  • Lost wages
  • And more

This financial support confirms that your health and comfort are prioritized at every step, allowing you to focus completely on the journey.

For a detailed, personalized breakdown, fill out our form to speak with a specialist.

What Disqualifies You From Being a Surrogate?

Not everyone who wants to become a surrogate will qualify. Disqualifications are based on safety, not judgment.

Common reasons include:

  • Previous serious pregnancy or delivery complications
  • Unmanaged mental health conditions
  • Uncontrolled medical issues (such as hypertension or diabetes)
  • Current use of tobacco or recreational drugs
  • Lack of reliable transportation
  • Inconsistent housing
  • Little to no support system

If you’re unsure, the best next step is to talk with a surrogacy specialist who can evaluate your specific situation.

Ready to Take the First Step Toward Becoming a Surrogate?

Do you feel called to help someone grow their family? You deserve a team that supports your health, your well-being and your journey.

You can get started by filling out our form to see if you qualify. Your next step could change a family’s life.

Let’s Talk Surrogacy: A Surrogate’s Story of How her Agency Protected Her Financially

Former surrogate, Allison, reveals the intense reality of her high-risk surrogacy, the financial safety net of American Surrogacy, and why she plans to carry again.

The decision to become a gestational carrier is life-changing, and you deserve a reliable support system.

When you partner with American Surrogacy, you gain a dedicated support system and financial security.

On the latest episode of Let’s Talk Surrogacy, former surrogate, Allison, shares the unfiltered truth about her experience and the unique value of agency support.

Listen now on Spotify or Apple Podcasts. New episodes drop the first Tuesday of every month.

Episode Highlights: What You’ll Learn

Allison’s story demonstrates the value of choosing an agency dedicated to your well-being. Here are 5 points from the episode that you won’t want to miss.

  • The physical toll of preparation. Hear Allison describe the 60-day, daily intramuscular shot cycle and the detailed medical procedures required before her pregnancy, including the mock cycle.
  • The true value of financial support. Discover how her American Surrogacy coordinator managed all financial logistics, handling conversations with the intended parents about compensation and expenses. .
  • A safety net when it matter most. Allison provides an exclusive account of the industry-wide SEAM escrow failure and how American Surrogacy immediately covered her full compensation.
  • The hardest conversation. Allison details the unexpected high-risk status of her pregnancy and the deep, pre-journey conversations she had with the IPs about worst-case scenarios.
  • From Carrier to “Aunt Allison.”Learn about the lasting friendship she has built with the intended parents and why she plans to carry again for the same family.

Start Your Own Supported Journey

Whether you have the drive to carry a child or the hope of bringing one home, we provide the structure and support to make your journey safe and secure, just like Allison’s.

Fill out our simple form to learn more about how we ensure secure journeys for surrogates and intended parents alike.

Allison’s story shows that an experienced agency provides financial security and valuable support in addition to a successful match.

Follow us on Instagram @american_surrogacy for more stories, helpful info, and community support.


Do You Get Your Money Back for Failed IVF? [Understanding Costs]

Stop losing money on failed IVF. Our surrogacy programs offer a path to success with financial protection and a potential refund if you don’t bring home a baby.

IVF is a major emotional and financial commitment. When it doesn’t work, you may feel like the future you imagined is slipping away.

You deserve clear, compassionate guidance about your options.

In this guide, you’ll learn whether you can get your money back for failed IVF, how fertility clinic refund programs work and why some families shift toward surrogacy.

When you’re ready, you can get free information and talk with a surrogacy specialist about what comes next.

Do You Get Your Money Back for Failed IVF?

You may be able to receive a partial refund. Some fertility clinics offer money-back guarantees through “shared risk” programs.

Generally, you’ll need to pay a higher upfront cost in exchange for financial protection if treatment does not result in a live birth.

For example, Shady Grove Fertility’s Shared Risk 100% Refund Program allows qualifying patients to pay one flat, refundable deposit that covers multiple IVF attempts.

You can try up to six IVF or donor-egg cycles, plus unlimited frozen embryo transfers. If you don’t take home a baby or choose to stop treatment, you get your full deposit back.

But there are important limitations:

  • You must meet strict medical criteria, including age and ovarian reserve requirements.
  • You’ll pay more upfront than traditional per‑cycle fees.
  • You receive a refund only on the program deposit — not medications or diagnostic testing.

Programs like this can offer a clearer path forward, but they’re not available for everyone.

Are IVF Refund Programs Worth It?

If you qualify and want predictable costs, these programs can give you a sense of stability during an emotional process.

If you’re unlikely to qualify or prefer paying per cycle, they may not feel right for where you are. At the end of the day, this decision is about caring for your heart as much as your finances.

What Happens Financially If IVF Fails?

A failed cycle can be emotionally and financially devastating. You’ve poured your heart, time and resources into the process while holding onto the hope of growing your family.

When the pregnancy test comes back negative, you’re not just facing a medical outcome, you’re facing the weight of everything you invested.

You may be left carrying medical bills or debt from earlier rounds, which can make the next step feel even heavier. And you typically can’t get insurance to cover IVF failures; most insurance plans don’t cover IVF at all.

Depending on your state and employer, you may have partial coverage for diagnostics or medication, but coverage for full treatment is still limited.

This is often the moment when intended parents step back and re-evaluate whether more IVF cycles make sense.

Why Some Families Choose Surrogacy After Failed IVF

Medical Conditions That Prevent Safe Pregnancy

Some medical conditions, like severe uterine scarring, autoimmune issues or other health factors, make it very difficult to carry a pregnancy safely.

Surrogacy allows you to use your embryos while relying on a gestational surrogate who has been thoroughly screened and cleared to carry a healthy pregnancy.

Overcoming the Emotional Strain of Repeat IVF

After multiple IVF cycles, the emotional weight of hoping, waiting and grieving can become overwhelming. You may want a path with fewer unknowns, a clearer timeline and a higher chance of success.

Shifting to Surrogacy for Financial Predictability

Repeat IVF cycles can add up quickly. For some families, shifting to surrogacy feels like a more predictable and purposeful investment.

Many families go through many IVF cycles before trying something else. But choosing surrogacy isn’t “giving up.”

Rather, it’s an intentional step toward the option that gives you the best chance of becoming a parent.

Surrogacy Is More Expensive. So Why Do People Still Choose It?

Surrogacy is a significant financial investment, but some people consider surrogacy a better investment than repeated IVF.

Here are the benefits that often make surrogacy feel like the stronger path forward:

  • Predictable Timeline: With American Surrogacy, many intended parents are matched in 1 - 4 months, helping you move forward faster.
  • Higher Likelihood of Success: You work with a gestational surrogate who has been thoroughly screened and medically cleared.
  • Structured Process: You experience fewer unexpected hurdles compared to repeated IVF cycles.
  • Genetic Connection: You can use your own embryos to maintain a genetic link to your child.

For intended parents who have already been through so much, surrogacy often feels like a stable and structured step toward becoming a parent.

IVF vs. Surrogacy: Which Is More Cost-Effective in the Long Run?

IVF is unpredictable. One cycle might succeed, or you might need several, each costing thousands of dollars.

Surrogacy costs more upfront, but success rates are significantly higher due to medically screened surrogates.

Instead of wondering whether this next cycle will be different, you’re placing your embryo into the healthiest, most stable environment possible.

When you compare the total cost of repeat IVF cycles, the medications, the procedures, the time off work, the emotional toll, many families ultimately spend less through surrogacy than they would after several more IVF attempts.

If your journey ends without a baby and you have no embryos left, certain surrogacy programs (including some at American Surrogacy) also offer partial refunds depending on the package you choose. This adds another layer of financial protection and predictability.

IVF Is Already Part of the Surrogacy Process — Why Risk Paying More?

Even if you choose surrogacy, IVF is still required to create or use existing embryos. That means:

  • You’re already investing in IVF.
  • Surrogacy ensures your embryo is placed in the healthiest possible environment.
  • You can use embryos created from previous IVF cycles.

Using Existing Embryos in Surrogacy: What Are Your Options?

One of the greatest fears intended parents face when transitioning from IVF is the thought of losing the embryos they worked so hard to create.

If you have frozen embryos from previous cycles, they can be used in your surrogacy journey.

The process of using your existing embryos for a gestational surrogacy journey is straightforward:

  1. Coordinate Transfer: Our specialists work with your current fertility clinic (where the embryos are stored) to manage the transfer of the genetic material.
  2. Medical Clearance: Once you are matched with a thoroughly screened surrogate, your embryos will be transferred into her uterus during an Embryo Transfer Procedure at a fertility clinic.
  3. Maintain Connection: Using your existing embryos is how you maintain a genetic connection to your child while transferring the physical demands of pregnancy to your gestational surrogate.

This option protects your emotional and financial investment and allows you to give the embryos you already created the best chance at resulting in a pregnancy.

How Families Afford Surrogacy After IVF Loss

Many intended parents worry about affording surrogacy, especially after the cost of IVF. You have more options than you might think.

American Surrogacy partners with Sunfish, a leading fertility financing platform that offers flexible loans designed specifically for IVF and surrogacy. You can also manage costs through various other methods, including:

  • Personal loans
  • Fertility or surrogacy grants
  • 401(k) withdrawals or loans
  • HSA or FSA funds
  • Employer benefits for family-building
  • Home equity loans
  • Crowdfunding

American Surrogacy’s Financial Protection and Refund Eligibility

You deserve a program built to protect your investment in your family-building journey. At American Surrogacy, we offer:

  • Transparent Costs: We break down each fee clearly upfront so you can plan confidently without surprise expenses later.
  • Unlimited Matching: Our Limited Risk Program offers unlimited rematch attempts at no extra cost
  • Possible Refunds: You may be refunded some fees if your journey ends without embryos left to transfer.

Ready to Take the Next Step After IVF?

If you’ve experienced the emotional and financial toll of failed IVF, you deserve a program built to offer financial safeguards for your path to parenthood.

Learn more about our programs’ financial protection by filling out our online form.

Can You Be a Surrogate With Chronic Cervicitis Squamous Metaplasia?

Got a CCSM diagnosis and want to be a surrogate? Our specialists offer clear, honest answers on medical eligibility so you can start your journey.

Seeing chronic cervicitis with squamous metaplasia on a Pap smear or biopsy report can stop you in your tracks, especially when you’re considering becoming a gestational surrogate.

If you’re exploring surrogacy, you deserve clear answers — not confusing medical terminology or worst-case scenarios.

In this guide, you’ll learn what this diagnosis means, whether you can still qualify as a surrogate and how American Surrogacy evaluates cervical health during screening.

When you’re ready, you can get free information about your next steps.

Can You Be a Surrogate With Chronic Cervicitis With Squamous Metaplasia?

Chronic cervicitis doesn’t automatically disqualify you from surrogacy.  Many women are relieved to learn that these cervical changes don’t usually cause long-term issues or affect their surrogacy goals.

What matters most is whether your cervix is healthy and working the way it should — not just one diagnosis.

If your OB-GYN has treated any underlying causes and your Pap results are stable, you may still be a strong candidate.

What Is Chronic Cervicitis With Squamous Metaplasia?

Chronic cervicitis is long-term inflammation of the cervix. Many people never feel symptoms, and it’s often discovered during routine checkups.

Some of the most frequent causes of cervicitis include mild infections, pH changes, hormone shifts or irritation from everyday activities.

Squamous metaplasia of the cervix is a benign and incredibly common cellular change.

It happens when the softer cells near your cervical opening are naturally replaced with stronger, protective cells. On its own, this is considered a normal protective response, not a precancerous condition.

These two findings often appear together because inflammation can cause the cervix’s cells to shift.

In most cases, squamous metaplasia isn’t dangerous during pregnancy. It does not affect fertility or your ability to carry a pregnancy.

Medical Screening at American Surrogacy: What We Look For

At American Surrogacy, we look at your overall reproductive health. Our team takes a human-centered, case-by-case approach because every body is different.

Here’s how the review process works:

  • We request your medical records, including Pap smear history and OB-GYN notes.
  • A nurse or medical consultant reviews your reproductive history and past pregnancies.
  • If needed, we may ask for updated testing.

You’re never expected to navigate this alone. If you have questions, your surrogacy specialist is here to support you through every step. They can explain how the screening process works, what the clinic typically reviews and what you can expect next.

How Cervical Health Affects Surrogacy Eligibility

Cervical health matters in surrogacy because the embryo transfer process relies on a healthy uterus and cervix. This foundation gives the embryo its best chance to succeed.

Cervical squamous metaplasia is considered a normal variation. It does not interfere with conception, doesn’t increase pregnancy risk and rarely requires treatment.

Other medical conditions that make you ineligible for surrogacy — such as severe uterine abnormalities, untreated infections or high-risk pregnancy complications — are far more concerning to clinics than benign cervical findings.

What intended parents’ clinics care most about is your overall reproductive function:

  • Have you had healthy pregnancies?
  • Are your Pap smears up to date and within normal limits?
  • Are any infections treated and resolved?

If the answer to these questions is yes, your diagnosis may not be a barrier at all.

What to Expect From the Surrogacy Medical Clearance Process

Once you’re matched with intended parents, your records are sent to their fertility clinic for review. This step allows the clinic to make an informed decision about your medical readiness.

If everything looks good, the next step is an in-person screening. This can include:

  • A full physical exam
  • A transvaginal ultrasound to check cervical and uterine health
  • Bloodwork and infectious disease testing
  • A review of recent Pap smear and HPV results

Every fertility clinic is different, so each one may review chronic cervicitis and squamous metaplasia in its own way. Some clinicians simply confirm that your most recent tests are normal or that any inflammation has been treated. Others may ask for a repeat Pap or a brief follow-up exam.

Regardless of the clinic’s approach, your surrogacy specialist will walk with you through every step.

Can You Treat Cervicitis Before Becoming a Surrogate?

Yes. Many women treat cervicitis successfully before beginning the screening process.

Common treatments include:

  • Antibiotics (if an infection is present)
  • pH-balancing care recommended by your provider
  • Avoiding irritants such as certain soaps or products
  • Routine follow-up exams or Pap testing

In some cases, chronic cervicitis is simply monitored over time rather than treated.

If your screening shows abnormal Pap smears, or if your provider recommends repeat testing, it’s important to follow their guidance. Your OB-GYN may or may not clear you for surrogacy with cervix issues, depending on what your test results show.

Ready to Find Out If You Qualify? Let’s Talk

If you’ve been diagnosed with chronic cervicitis with squamous metaplasia, it doesn’t mean your surrogacy journey is over before it begins. Many women with this diagnosis go on to become gestational carriers.

If you’re ready to find out whether you qualify, we’re here to help you take the next step. Fill out our form to get free information and connect with a surrogacy specialist.

What Are Our Surrogacy Options With Only One Euploid Embryo?

Working with a gestational surrogate can maximize your embryo’s chances by providing a stable environment for implantation.

Gestational surrogacy is one of the most effective paths to maximize the successful pregnancy chances of that single, precious embryo.

Working with the right agency is essential, as they provide the complex medical, legal, and logistical support needed to optimize the entire process.

This article will break down your options, how surrogacy maximizes your embryo’s potential, and the next steps to take on your journey.

Ready to maximize your chance of success? Contact a surrogacy specialist today to learn about our services.

Is Surrogacy an Option With Only One Euploid Embryo?

Yes, you can do surrogacy with one embryo at American Surrogacy. Having only one euploid embryo doesn’t disqualify you from working with a surrogate. Many intended parents choose surrogacy specifically because they want to give their embryo the healthiest environment possible.

As you move forward, you’ll work closely with your fertility clinic and surrogacy team to create a plan that gives this embryo the highest possible chance of success.

How Surrogacy Maximizes the Chances of Successful Embryo Implantation

Are you asking yourself, “Should I transfer my embryo or use a surrogate?”

It’s normal to consider every possible path. But with only one euploid embryo, you likely want to choose a family-building option that minimizes risk and gives your embryo the strongest chance to implant.

Gestational surrogates undergo extensive screening before they are approved, including medical examinations, psychological evaluations and lifestyle reviews.

These steps help ensure that surrogates are ready to carry a pregnancy and can provide a supportive uterine environment — an advantage that can be especially important if you only have one good embryo.

Here are the requirements women must meet to become a surrogate:

  • Have a proven history of healthy pregnancies
  • Be between the ages of 21 and 40, when reproductive health is generally at its peak.
  • Meet strict medical criteria, including a full OB-GYN review and clearance from a reproductive endocrinologist
  • Maintain healthy lifestyle, confirmed through a detailed review of habits, medical history and overall wellness

Understanding these requirements can help you feel safer using your last embryo in surrogacy.

Is It Worth Doing Surrogacy With One Embryo?

The answer to this question is personal. When you only have one euploid embryo, you may feel like you can’t afford to take risks.

Working with a gestational surrogate helps mitigate many of the biological factors you can’t control. While no option guarantees pregnancy, surrogacy can give your embryo the best chance at implantation.

Is It Harder to Find a Surrogate With Only One Good Embryo?

Sometimes. Some surrogates want to partner with intended parents who have multiple viable embryos in case the first transfer doesn’t work.

But you aren’t stuck if you only have one normal embryo after preimplantation genetic screenings (PGS).

American Surrogacy works with surrogates all across the country, including many who are open to “one-embryo families.”

 When you work with us, we present your profile to surrogates who already understand your situation and are comfortable with a single-embryo plan. You don’t have to search alone — we’ll help you find the right surrogate.

What Happens if the Last Embryo Doesn’t Work?

One euploid embryo can lead to pregnancy. Euploid embryos have strong potential, and many intended parents welcome their baby from a single embryo transfer.

Still, it’s important to acknowledge that a failed transfer is possible.

If the transfer doesn’t work, you won’t be left alone. You’ll have support throughout the entire process — from your clinic, your counselor and your team at American Surrogacy.

Together, you can talk through next steps and move forward with clarity.

Depending on your program, you may also be able to get a partial refund or credit if a transfer is unsuccessful. Your surrogacy specialist can explain what’s available and walk you through the exact details.

What Are Your Options if You Don’t Have Additional Embryos?

If your euploid embryo does not result in pregnancy, you still have several options. Many intended parents explore donor embryos or donor sperm/eggs to create new embryos for surrogacy.

Donor Embryos for Surrogacy

Donor embryos are fully formed embryos created by another individual or couple who chooses to donate them. This can be a meaningful option for:

  • Couples or individuals who want to move forward quickly
  • Intended parents who cannot or prefer not to undergo additional egg retrieval cycles

Embryo donation programs typically provide detailed medical and genetic histories of the donors, giving you helpful information as you decide.

Donor Eggs and/or Sperm

Your clinic can use your eggs or sperm (if viable) and donor gametes to create embryos for surrogacy. This allows you to maintain a genetic connection to your child.

Double Donor IVF

Double donor IVF uses both donor eggs and donor sperm to create new embryos. This path gives you the chance to select donors based on the characteristics that matter most to you.

This approach is often chosen by:

  • Couples who cannot use their own genetic material
  • LGBTQ+ couples building their family through surrogacy

Your fertility clinic will support you through choosing donors, creating embryos and preparing for transfer.

Only One Good Embryo?  Let’s Make It Count

Having only one euploid embryo doesn’t mean your journey is over. You still have a powerful chance. If you’re exploring surrogacy, you deserve clear answers and compassionate support.

Take the next step by filling out our form and connecting with a surrogacy specialist.

Surrogacy Escrow Services: In-House vs. Third-Party Options and Your Fund Safety

Surrogacy escrow services play a vital role in protecting funds during the surrogacy process. Learn which service best safeguards your financial interests and ensures smooth, trustworthy management of surrogacy funds.

Surrogacy escrow services provide a secure, neutral structure for handling all financial payments throughout your journey, giving both you and your surrogate peace of mind.

At American Surrogacy, we offer both n-house accounting services and the option to utilize an independent third-party escrow provider—whichever is the right fit for your unique situation.

In this article, we’ll explain what surrogacy escrow is, how it works, the important differences between in-house and third-party services, and how we ensure your funds are protected every step of the way.

To learn more about how escrow works and how we protect your funds every step of the way, fill out our quick form now. Our surrogacy specialists are ready to help you.

Third-Party Vs. In-House Surrogacy Escrow Services

Surrogacy escrow services are a financial arrangement that ensures funds are safely managed and distributed during the surrogacy process.

As you progress through your surrogacy journey, your escrow manager will distribute funds based on predetermined milestones established in your contract.

Think of a surrogacy escrow account like a prepaid gift card. You deposit funds into the account, and as your surrogacy process unfolds, the escrow manager releases the funds based on your agreed-upon milestones.

Funds you deposit in escrow are used for all your surrogacy costs, from medical expenses to surrogate compensation.

There are important differences between in-house accounting services and third-party escrow:

Third-Party Surrogacy Escrow Services

A third-party escrow service is a company independent of the surrogacy agency that specializes in managing and distributing client funds.

Pros:

  • Neutrality: Completely independent, ensuring an impartial relationship between the agency, intended parents, and the surrogate.
  • Financial Protection: Funds managed by a trusted third-party are often insured, providing an extra layer of protection.
  • Transparency: High transparency as the third-party can independently report on all transactions and balances.
  • Legal Compliance: Required for surrogacy in some states, ensuring the process meets all regulatory mandates.

Cons:

  • Additional Cost: Typically more expensive due to the third-party’s management fees.

In-House aCCOUNTING sERVICES

In-house accounting services, like those offered by our agency, involve a dedicated, on-staff financial team who manage the escrow funds in a secure, segregated account.

The escrow manager is an expert member of the agency’s staff. This is often done to streamline the process and save on external fees.

Pros:

  • Lower Cost: Often less expensive because no separate third-party company is involved.
  • Streamlined Management: Direct communication between your agency team and the financial manager ensures quicker, more efficient disbursement.
  • Agency Oversight: Funds are managed by a professional team you already trust, backed by the agency’s extensive experience in financial management.

Cons:

  • Perceived Lack of Neutrality: Since the agency manages the funds, some clients may perceive a lack of impartiality compared to an outside firm.
  • State Limitations: This option may not be available in all states due to specific regulatory requirements that mandate the use of an independent third party.

The Right Option for You

  • In-House Accounting: Our in-house services offer a cost-effective and highly streamlined process, managed by a professional team intimately familiar with your surrogacy contract.
  • Third-Party Escrow: For clients in states where it is required or for those who prefer an independent service, we can connect you with specialized third-party escrow companies.

You can learn more about surrogacy escrow services and start building your financial plan by contacting a surrogacy specialist today.

Why Surrogacy Escrow Services Are Important

Escrow services protect both parties by ensuring that the surrogate is compensated only after her milestones are met and that intended parents’ funds are not misused.

They also provide clear, documented proof of payments, adding a layer of transparency and accountability.

How Payouts Work in Surrogacy Escrow

Payouts in a surrogacy escrow follow the guidelines laid out in the surrogacy contract. The contract will outline milestones and the funds allotted to cover these.

Once the agency can provide evidence a milestone has been reached and the escrow agent can verify this, payments will be released.

For example, your contract may specify that the surrogate will begin receiving her base compensation payments once a pregnancy is confirmed at her clinic.

How to Establish an Escrow Account for Surrogacy

Establishing an escrow account can be fairly simple, especially when working with a full-service agency.

Because we offer both in-house accounting services and established partnerships with trusted third-party escrow services, we ensure your funds are managed securely and fairly from the very start, regardless of the option you choose.

Here’s how the process typically works:

Step 1. Reach Out to a Surrogacy Agency

A reputable agency will guide you toward the best financial management option for your situation, whether that is our experienced in-house accounting team or a specialized, independent third-party escrow company.

They will ensure that your funds are in safe hands and properly managed according to your state’s requirements.

Step 2. Review the Surrogacy Contract

Once you choose an agency, you’ll finalize and sign a surrogacy contract.

This document outlines all the terms of your arrangement, including the specific milestones and payment schedules that govern when and how funds will be disbursed from the escrow account.

Step 3. Fund Your Escrow Account

After the contract is in place, you’ll deposit the necessary funds into the dedicated escrow account.

Your agency will then be able to work with the escrow manager to draw from the account to cover surrogacy-related expenses, such as surrogate compensation and medical fees, as agreed upon in the contract.

Step 4. The Agency Takes Care of the Rest

The agency will work directly with the escrow manager (whether that’s our internal finance expert or the third-party company), ensuring that all payments are handled precisely according to the terms set in your contract.

We will set up the accounts for you. The only thing you’ll need to focus on is making sure the surrogacy contract outlines a payment process you find agreeable.

You won’t need to worry about the day-to-day management of payments, your agency and the escrow manager will handle it all.

Surrogacy Escrow with American Surrogacy

At American Surrogacy, the safety and security of your escrow funds are paramount.

We empower you to choose the option that best fits your needs and your state’s laws: our expert in-house accounting services or a trusted third-party escrow provider.

Decades of Proven Experience

Our financial management is built on the expertise of our sister agency, American Adoptions, which has decades of experience successfully managing client funds.

This history provides an unparalleled level of financial stability and professionalism.

We Protected Families During the SEAM Breach

We understand the trust you place in us. Our dedication to financial protection was publicly demonstrated when we shielded intended parents’ funds during the 2023 SEAM escrow breach by paying them back from our own internal reserves.

While this was a one-time occurrence, it underscores that our clients’ funds are safe with us and highlights our commitment to ensuring your financial security, regardless of external circumstances.

You can learn more about surrogacy escrow services by contacting a surrogacy specialist today.

What Benefits Do Surrogacy Agencies Provide Beyond Base Pay for Surrogates?

The best surrogacy agencies offer far more than base pay: legal protection, financial security, and 24/7 personalized case management.


Becoming a surrogate is bigger than a paycheck. You’re helping someone become a parent, and you deserve care that matches the weight of that decision.

If you’ve been asking what benefits do surrogacy agencies provide beyond base pay, here’s the plain answer: the right agency protects your time, health, rights, and peace of mind from the first call to the last follow-up.

If you’re curious whether you qualify, you can start a short, no-pressure pre-screen with American Surrogacy.Start your application.

What Benefits Do Surrogacy Agencies Provide Beyond Base Pay for Surrogates?

Think of a full-service agency as your coordinated support system. Instead of juggling payments, forms, appointments, insurance, and legal language on your own, you get a comprehensive plan and a single point of contact who keeps things moving.

The outcome we aim for is simple: a safe, smooth, respectful journey for you.

The right agency supports your journey by providing comprehensive help with:

  • Financial Security: Secure and on-time compensation, with all payments and reimbursements managed by a trusted third party.
  • Expert Guidance: A dedicated Case Manager who handles all coordination, logistics, and unforeseen issues from day one.
  • Values-Based Matching: Careful screening and matching with intended parents based on shared values and communication style.
  • Independent Legal Protection: Your own attorney (paid for by the intended parents) to draft and negotiate a secure, enforceable contract.
  • Logistical Relief: Organized medical scheduling, complete travel coordination, and expert insurance navigation.
  • Emotional Wellness: Counseling support, access to peer communities, and true 24/7 staff availability.

Financial Peace of Mind Through Payment and Reimbursement Handling

Money shouldn’t add stress to something this meaningful. Agencies coordinate your compensation through a trusted escrow service or manage disbursements directly when intended parents have opted for this option.

Your timeline is clear, and reimbursements are processed promptly; questions are handled by staff—not by you. You focus on your health while we handle the paperwork and tracking.

Want a clear breakdown of allowances and reimbursements? See what support you can receive beyond base pay.

Personalized Support From a Surrogacy Case Manager

You won’t be passed around. A dedicated case manager learns your story, answers questions, and coordinates next steps.

They flag insurance forms before they become urgent, confirm childcare timing around appointments, and make sure you’re never left guessing about what comes next.

When something changes, you text or call the person who already knows you.

Safe and Compatible Intended Parent Matching

A good match sets the tone for the entire journey. Agencies screen and prepare intended parents, then match based on values, communication style, expectations for contact, and logistics like clinic preferences and travel.

Starting aligned reduces friction and builds trust, so your relationship feels collaborative instead of transactional.

Legal Protection and Advocacy for Surrogates

Clear contracts prevent hard conversations later. Your agency connects you with your own attorney—paid for by the intended parents—who explains every clause and negotiates terms that protect you.

Agreements cover compensation, medical decision-making, risks and contingencies, insurance, privacy, and parentage orders.

With enforceable terms and plain-language explanations, you know how decisions will be made and how costs are covered if plans change.

Medical Screening and Coordination Handled for You

Surrogacy involves many appointments—screenings, monitoring, transfer, prenatal care, and delivery. Agencies coordinate schedules with your clinic and OB, send reminders, and handle travel when you need to go out of town.

That includes the timeline around a frozen embryo transfer. Flights, hotels, rides, and per-diems are booked and documented. You receive an itinerary and real help if anything shifts.

Learn more about about what you can expect from the surrogate medical process.

What Can Go Wrong Without an Agency: The Risks of Going Independent

Independent journeys can work for some, but they often require you to be the case manager, accountant, and mediator all at once—while you’re pregnant. It’s an emotionally and logistically demanding role that most surrogates do not want to take on.

The most common pain points without professional agency support include:

  • Financial Uncertainty: Unclear payment timelines, missing compensation, or reimbursements that you have to chase down yourself.
  • Legal Vulnerability: Gaps in legal protection or a contract that hasn’t been properly negotiated to protect your rights in every contingency.
  • Relationship Strain: Mismatched expectations around communication or boundaries with the intended parents, turning a deeply personal journey into a stressful transaction.
  • Logistical Headaches: Scheduling conflicts for medical appointments, dealing with insurance surprises, and handling travel bookings yourself.

Professional coordination and clear contracts prevent most of these issues. You deserve to focus solely on your health and the pregnancy.

Why Working With a Surrogacy Agency Is Worth It

When you zoom out, the benefits of surrogacy agencies beyond base pay come down to safety and support.

You’re protected by professionals who know the process, guided by someone who knows you, and free to focus on your well-being and the family you’re helping.

Many surrogates choose an agency for their first journey and return for their second because that peace of mind is hard to replace.

Experience the Full Benefits of Surrogacy—With a Team Who Has Your Back

You’ve read about the safety, the financial protection, and the dedicated guidance that an agency provides.

When you choose American Surrogacy, the benefits beyond base pay translate into one simple thing: peace of mind. Your mission is helping a family; our mission is protecting you every step of the way.

Reach out today to learn more about the full benefits available when you become a surrogate.

Surrogacy Agencies that Coordinate Embryo Transfer Logistics and Clinic Partnerships

Ready to hold your baby? We simplify the entire journey. Surrogacy agencies that coordinate embryo transfer manage all medical details. We’ve got you.

Surrogacy is a team effort. Intended parents, the surrogate, and the clinic each play a part, and the agency keeps everyone in sync.

When it comes to the embryo transfer—the moment everything comes together—surrogacy agencies that coordinate embryo transfer logistics and clinic partnerships handle the moving pieces so you can stay focused on becoming parents.

Contact a surrogacy specialist to talk through your next step and how coordination works in real life.

How Do Surrogacy Agencies Coordinate Embryo Transfer Logistics with Fertility Clinics?

Your case manager tracks dates, medications, and approvals so the clinic, surrogate, and intended parents stay aligned. This reduces delays, prevents mix-ups, and keeps the transfer on schedule.

Behind the scenes, your case manager functions like a project lead. They confirm clinic requirements, collect consents, coordinate labs, and keep a master timeline everyone can follow. You get clear updates instead of chasing details.

Coordinating Care with the Fertility Clinic of Your Choice

When you reach out, we first confirm whether you already work with a clinic and whether embryos are created.

You must have existing embryos before you can be formally matched with a surrogate. If you have remaining embryos from a previous IVF attempt, we can usually coordinate their use for surrogacy.

If you don’t have a clinic yet, we can provide you with the names of reputable providers in your state and how to vet fertility clinics to ensure a comfortable fit.

We stay flexible: you choose the clinic; we make the logistics simple. From referral paperwork to appointment planning, your case manager keeps the process moving and expectations clear.

What Happens After Embryos Are Created?

Once your embryos exist, we can officially match you with a surrogate. After both sides say yes, attorneys draft and finalize the gestational carrier agreement.

With contracts complete, the clinic and agency align calendars, confirm medications, and set the transfer date. You’ll know what to expect, when, and why.

We provide a simple timeline you can reference at a glance—no guesswork.

If a lining check suggests more time is needed, or if illness or weather affects travel, we coordinate quick adjustments with your clinic and the surrogate. You won’t have to renegotiate logistics on your own.

How Does Embryo Transfer Work in a Surrogacy Arrangement?

The transfer is the most anticipated day of the medical journey. Our coordination ensures these critical steps happen seamlessly:

Step 1: Medical Clearance

The surrogate completes medical and psychological screening. The clinic issues formal clearance after reviewing her file, which is prepared and submitted by your case manager.

Step 2: Physical Screening

To complete medical clearance, the surrogate will travel to your fertility clinic for an in-person physical screening, which typically includes a full physical exam and ultrasound to assess the uterus.

Your agency coordinates all travel, lodging, and reimbursement for this essential step.

Step 3: Hormone Preparation

The clinic prescribes a lining-prep protocol (commonly estrogen and progesterone). Your case manager tracks start dates, refills, and monitoring appointments and relays results to the clinic.

Step 4: The Transfer

The embryo is placed under ultrasound guidance. It’s quick and typically painless. After brief rest, the surrogate follows clinic instructions for travel and aftercare. We coordinate follow-up labs and the pregnancy test schedule.

Step 5: Post-transfer monitoring

We help schedule beta hCG tests and early ultrasounds, share results with all parties, and keep your next steps clear. If a new attempt is needed, we regroup with your clinic to set a refreshed protocol and calendar.

Learn more about what to expect from the surrogacy timeline.

Who Coordinates the Timeline and Medical Records?

Your agency does. Case managers gather records, verify labs and immunizations, and send everything the clinic needs in the format it prefers.

We maintain a single source of truth for appointments, cycle starts, medication changes, and results. You see the plan, and you see progress.

One dashboard, one point of contact, no crossed wires.

What If the Surrogate and Fertility Clinic Are in Different States?

Distance is common and manageable. Most surrogates are more than willing to travel for screening and transfer to your clinic, and we arrange flights, hotels, and per diem. This travel coordination is always handled by your agency.

If you prefer, embryos can be shipped to your surrogate’s clinic through accredited cryo-couriers, but travel to your clinic is often simpler and keeps your care with your chosen team.

Shipping Checklist (If You Choose This Option)

  • Courier booking and chain-of-custody forms
  • Tank preparation and temperature logs
  • Clinic-to-clinic handoff
  • Immediate confirmation on receipt

What is the Agency’s Role in Financial Coordination for Embryo Transfer?

Coordinating the transfer is about more than just dates—it’s about protecting your financial investment.

Surrogacy agencies that coordinate embryo transfer logistics also manage the financial exchange that powers the medical process.

The agency manages your dedicated escrow/trust account to ensure all transfer-related costs are handled promptly, including the surrogate’s travel expenses, per diem, and medication co-pays or reimbursements per the legal contract.

This precise financial management prevents critical delays caused by reimbursement friction, ensuring the surrogate is never out-of-pocket and the cycle stays on schedule.

Why Working with an Agency Experienced in Fertility Clinic Coordination Matters

Experience smooths the path. Surrogacy agencies that coordinate embryo transfer that have deep clinic relationships know preferred forms, timelines, and points of contact.

We’ve worked with many intended parents whose journeys have involved reputable providers across the country. This means we have deep insight into what makes a clinic surrogacy-friendly.

That familiarity speeds scheduling, reduces rework, and helps anticipate next steps—especially if plans change. You get steadier communication and fewer surprises.

We’ve coordinated with respected clinics nationwide; we’ll meet your team where they are.

How American Surrogacy Supports You Through the Medical Process

From the first call to the beta test, you’re not carrying this alone. We:

  • Offer guidance on what to look for when selecting a fertility clinic.
  • Manage records, travel, and schedules for screening and transfer.
  • Keep you updated with plain-language timelines and next steps.
  • Offer contingency planning if a cycle is postponed or a transfer isn’t successful on the first try.

If you’re early in IVF, we can help you line up providers so matching and medical prep work together—not in conflict.

Ready for clear coordination and steady support? Contact a surrogacy specialist.

Contingencies and What-Ifs

If the transfer doesn’t stick: We debrief with your clinic, review protocol options, and help you decide on the next attempt without losing momentum.

If travel is disrupted: We hold backup itineraries, coordinate telehealth where appropriate, and protect critical appointments on the calendar.

If you change clinics: We request and transmit complete records, confirm compatibility with your surrogate, and rebuild the schedule quickly.

Quick FAQs

Do we need embryos before matching? Yes. You can browse and select a surrogate, but you must have embryos before the match can be made official.

Can we keep our current IVF doctor? Yes. We coordinate with your team and set up local monitoring for the surrogate.

How many embryos should we plan to transfer? Your clinic will guide you; many recommend single-embryo transfer for safety.

Ready to Start?

Becoming parents is the goal. Coordination is our job. When you’re ready, we’ll connect the people, plans, and dates that bring your transfer to life.

Talk with a specialist today to start your surrogacy journey.

Understanding the Financial Implications of Multiple Embryo Transfer Failures in IVF

The financial implications of multiple embryo transfer failures are severe. Convert your $75k–$150k loss into a predictable, guaranteed surrogacy journey.

You’ve been trying, and each failed embryo transfer exacts a crushing emotional and financial toll.

The accumulated costs from procedures, medication, and lost time add up much faster than anyone anticipates.

Fill out our simple form now to learn more about the costs involved in surrogacy and how they contribute to helping you become parents faster.

If you’re asking if it’s time to stop pursuing IVF for a more predictable path, you’re asking the right question. Let’s weigh the costs of continued failure against the stability of surrogacy.

The Real Financial Implications of Multiple Embryo Transfer Failures in IVF

Many Intended Parents who have endured two to three full failed IVF cycles (including retrievals) and multiple frozen transfers realize they have already spent between $75,000 and $150,000.

That is often the lower range of a full surrogacy journey, yet they remain without a baby and without a guarantee of future success.

Know the Starting Investment: The average cost of one full IVF cycle (including egg retrieval, lab work, and necessary medications) typically runs between $15,000 and $30,000. That’s just the starting point.

The core problem is the speed at which costs stack up after that initial investment:

  • Repeated transfer attempts: Each individual frozen embryo transfer (FET) runs $3,000 to $7,000, plus required medication protocols and monitoring appointments adding another $3,000 to $5,000 per cycle.
  • Multiple egg retrievals: If you need further egg retrievals, add $12,000 to $15,000 for each one, pushing the total past $100,000 much faster than you ever thought possible.

The Financial Trap: Paying for Uncertainty

The most devastating financial implication is this: you are paying enormous sums for a process with decreasing odds of success, and without an ultimate guaranteed outcome.

At this crossroads, the unpredictable and potentially endless cost of continued IVF must be contrasted directly with the predictable, structured investment of surrogacy.

Why IVF May Not Be Working—Even If You Have Healthy Embryos

If your fertility specialist keeps telling you the embryos look perfect after yet another failed transfer, the sense of hopelessness is understandable.

The urge to scream, to understand why something that looks perfect on paper keeps failing—it’s overwhelming.

Embryo quality matters, but it’s not the whole story. Even genetically normal embryos with beautiful development patterns can fail to implant or result in early pregnancy loss for reasons that doctors still can’t always predict or fix.

Why Your Healthy Embryos Keep Failing

  • Severe Uterine Issues: Uterine conditions like adenomyosis, advanced endometriosis, or significant fibroids can create an implantation environment where success is nearly impossible.
  • Immune System Response: For some, the immune system treats the embryo like a foreign invader. While certain immune factors are treatable, many are not, regardless of aggressive protocols, supplements, or perfect adherence to instructions.
  • Maternal Age and Cellular Quality: Maternal age impacts egg quality beyond genetics. Cellular function, metabolic capacity, and the embryo’s ability to develop post-transfer all decline in ways that testing cannot measure or fix.
  • Subtle Underlying Conditions: Blood clotting disorders, chronic inflammation, and subtle hormonal imbalances can derail the transfer process. Although these issues are treatable, success is not guaranteed.

When There’s No Answer At All

Sometimes there isn’t a clear explanation for why this keeps happening to you. “Unexplained infertility” is the label doctors use when they can’t figure out why your transfers keep failing.

Without clear answers, you’re left weighing whether to keep trying the same approach or consider alternatives that work around these obstacles entirely.

Should We Try One More Cycle or Move to Surrogacy?

This is probably the hardest decision you’ll face after everything you’ve already been through.

I wish I could tell you there’s one right answer, but there isn’t. However, there are ways to think through your specific situation with clarity instead of just clinging to hope because you’re terrified of giving up.

What You’ve Already Invested

Sit down and add up what you’ve spent on IVF so far. Everything—medications, procedures, genetic testing, all those extra interventions your doctor suggested.

Now compare that to what a complete surrogacy journey costs. A lot of people are genuinely shocked when they realize they’re already halfway to surrogacy costs, but they’re not anywhere near the same chance of actually holding their baby.

Your Medical Reality Check

Has your doctor actually identified something specific and treatable that would improve your next cycle? Or are they suggesting “one more try” without a clear reason why this time would be different from the last three times?

That distinction matters so much more than doctors want to admit.

The Emotional Calculation

Failed transfers take a toll that your bank statements can’t capture. Your mental health is suffering.

Your relationships are strained. If thinking about another failed cycle makes you feel physically sick, that’s real information about where you are emotionally.

Your emotional reserves aren’t infinite, even though you’ve been acting like they are.

IVF vs. Surrogacy: A Cost Comparison After Multiple Failures

One full IVF cycle with egg retrieval: $12,000 to $30,000, depending on your clinic and where you live.

Three cycles—pretty common for people over 35—puts you at $45,000 to $105,000 in cumulative costs.

Failed frozen transfers add up at $3,000 to $7,000 per attempt, plus meds and monitoring. Three of those can hit $20,000 to $35,000 before you even realize it.

Most of us who’ve been through this end up spending $75,000 to $150,000 on IVF over several years without ever achieving a successful pregnancy.

Without ever getting to meet our baby.

What Surrogacy Actually Costs

A complete surrogacy journey through American Surrogacy runs $187,500 to $202,500 using our Limited Risk program.

That includes comprehensive support and a much higher chance of bringing home your baby because of how thoroughly we screen surrogates. Here’s where it gets interesting, though.

The Probability Factor Everyone Ignores

First-time embryo transfers with a carefully screened surrogate? 60-75% chance of working per transfer. Compare that to 20-40% for IVF, depending on your age and other factors.

So let’s say you have a 25% shot per IVF cycle and end up needing four cycles at $25,000 each. Spending $100,000 gets you a cumulative 68% chance of bringing home your baby.

With surrogacy at around $190,000, you’re getting a 70-75% chance per transfer, and many programs guarantee an outcome or refund your money.

Yes, you’re paying more upfront. But you’re buying predictability and odds that are higher than continuing IVF instead of just spending money on hope.

How Surrogacy Can Offer a Predictable Path Forward

After years of unpredictable IVF outcomes, certainty starts to matter as much as anything else.

Maybe even more. Surrogacy lets you use your existing genetically-tested embryos with someone who has proven fertility. That combination changes the probability equation entirely.

How Screening Changes Your Odds

We only work with surrogates who’ve already carried at least one healthy pregnancy to term.

They have proven fertility, excellent health, and have passed comprehensive medical and psychological evaluations. Less than 2% of potential surrogates pass our screening process.

That’s not us being picky for no reason. It translates directly to better outcomes for you.

Instead of hoping this cycle will somehow work despite the same underlying issues that caused all your previous failures, you work with someone whose body has already proven it can carry a pregnancy to term.

Learn more about why screening matters in your family building journey.

Knowing What You’re Paying For

With surrogacy, you know the total cost range upfront. Our Limited Risk program guarantees you’ll bring home a baby or receive a significant refund.

That removes the awful uncertainty of spending $150,000+ on IVF with no promise you’ll ever actually become parents. There’s no more gambling. Just investing in something with real guarantees.

What’s Included in the Cost of Surrogacy (and What’s Not)

When you’re making financial decisions this big, you deserve full transparency about where your money goes.

No surprises. No hidden fees showing up later. Our Limited Risk program runs $187,500 to $202,500. That’s comprehensive—here’s the breakdown of what’s included and what you’ll pay separately.

What the Program Fee Covers

  • Finding and vetting your surrogate: Complete screening and qualification—medical, psychological, personal history, everything. We only match you with surrogates who meet strict standards. Plus all the marketing efforts to recruit high-quality candidates in the first place.
  • Financial guarantees: Protection through our guaranteed outcome structure. Bringing home a baby or receiving a significant refund is guaranteed. Period.
  • All surrogate-related costs: Her base compensation, monthly allowances, all pregnancy-related expenses. Medical coordination and insurance fees, including pregnancy insurance for your surrogate if she needs it.
  • Legal protection: All legal fees for contract development and establishing your parentage. No surprise legal bills.
  • Full support throughout: Agency support from matching through delivery, available 24/7 when you need us. Complete administrative services and accounting throughout your journey so you’re not managing spreadsheets while trying to become parents.

What You’ll Pay Separately

  • Creating or transferring embryos: $3,000 to $7,000 if you’re using existing embryos, or $15,000 to $25,000 if you need to create new ones. Using donor eggs or sperm adds to this cost.
  • After birth: The baby’s medical expenses aren’t included—that’s the newborn hospital care after delivery.
  • Travel: Travel and lodging for key appointments and the birth itself will be your responsibility. Being there for these moments matters, and those costs are separate.

It’s a substantial investment, yes. But it’s one with a clear endpoint and success rates higher than continuing IVF after you’ve already failed multiple times.

Financing Options After IVF Failure: What You Need to Know

Affording surrogacy is more accessible than you might think right now, especially after you’ve already been pouring money into IVF.

Fertility-Specific Financing

We’ve partnered with Sunfish, a company that specializes in surrogacy loans.

They get the financial dynamics of family-building in a way regular banks don’t, and they offer flexible payment plans designed for people like you who’ve already invested heavily in IVF.

Traditional Financing Routes

Personal loans from banks or credit unions usually beat general consumer credit on interest rates.

Some people use 401(k) loans to borrow against their retirement savings without penalties. This requires serious thought about long-term impacts, obviously. But it’s an option that’s helped a lot of people.

Health Savings Account funds can sometimes cover surrogacy-related medical expenses—check yours to see what applies.

Grants and Alternative Funding

Organizations offer grants and scholarships for family-building, particularly for LGBTQ+ families, cancer survivors, and people with specific medical conditions. They’re competitive, but they exist and they’re worth applying for.

Redirecting Your IVF Budget

Here’s something that clicks for a lot of people: the money you would keep spending on more IVF cycles can be redirected toward surrogacy instead.

You’re essentially converting those ongoing monthly costs into a structured payment toward something with way better odds of actually working. You were going to spend the money anyway.

This way, you’re spending it on something that has a real chance of ending with you holding your baby.

Is Surrogacy the Next Step? Let’s Talk.

You’ve carried the financial implications of multiple embryo transfer failures and the emotional weight long enough.

If you are questioning whether to endure another unpredictable IVF cycle or choose a proven path, we are here to talk.

Reach out to a surrogacy specialist today to get more financial insight into your surrogacy journey.

The smartest choice, financially and emotionally, is the one that finally leads to your baby.