Intended Parents | American Surrogacy Blog

Navigating IVF and Gender Dysphoria: A Guide for Trans Masculine Parents

Surrogacy for trans men navigating IVF and gender dysphoria—affirming paths to parenthood with expert, identity-conscious support.

For many trans men, IVF and gender dysphoria often intersect when hormone therapy must be paused, or when fertility procedures trigger physical changes and clinical experiences that feel misaligned with one’s identity.

Whether you’re early in your transition or already on testosterone, you deserve options that support your well-being, not just your biological goals.

The path is yours to define—we’re here to walk it with you. Contact us today to learn more about how surrogacy can be a self-affirming option to grow your family.

This guide is here to help you understand what to expect from IVF as a trans masculine parent and how surrogacy and egg donation can help lessen the burden of gender dysphoria.

Can IVF Cause Gender Dysphoria?

Yes, IVF and gender dysphoria often intersect for trans men.

Stopping testosterone for egg retrieval can trigger the return of unwanted physical changes, while procedures like ultrasounds and hormone injections may intensify dysphoria, especially in gendered medical settings.

For many, the experience can feel emotionally disorienting—but with affirming providers and support, IVF is still possible.

Learn more about the egg retrieval process for IVF and surrogacy.

Options Beyond Traditional IVF: How Surrogacy Can Support Trans Masculine Parents

For many trans men, IVF and gender dysphoria are deeply intertwined. Creating embryos—whether for personal IVF or surrogacy—still requires egg retrieval and a temporary pause in testosterone, which can trigger significant physical and emotional discomfort.

The process may involve invasive procedures and time spent in clinical settings that feel misaligned with one’s identity.

Depending on your needs and comfort level, there are affirming paths forward:

Donor egg IVF: You might consider using donor eggs, which allows you to avoid the dysphoria associated with hormone stimulation and retrieval while still building a family through IVF.
Surrogacy: If you’re comfortable with egg retrieval but not with pregnancy, surrogacy may be an ideal fit, allowing you to create embryos with your own eggs while a surrogate carries the pregnancy.
Donor egg surrogacy: If you want to avoid both the IVF process and pregnancy, donor egg surrogacy removes both the physical and psychological stressors while still allowing you to become a parent.

At American Surrogacy, we understand that every path to parenthood is personal. We’re here to help you explore your options with care, clarity, and compassion—so you can make the decision that’s right for you.

Need help deciding what feels right? Reach out today to explore paths that align with your emotional well-being, family goals and identity.

Should You Pause Testosterone for IVF? What to Know

If you intend to use your own eggs for IVF or surrogacy, most fertility clinics require trans men to pause testosterone to support a successful egg retrieval process.

Pausing HRT, often for several weeks, can lead to the return of physical traits tied to one’s assigned sex at birth, which may intensify IVF and gender dysphoria symptoms.

Knowing what to expect can make a major difference. Emotional shifts, body changes and discomfort with medical procedures are common—but they’re not unmanageable.

Working with affirming providers and preparing mentally and physically ahead of time can help ease this process.

Talking to Your Clinic: How to Advocate for Gender-Affirming Fertility Care

Navigating IVF and gender dysphoria starts with choosing a clinic that respects your identity. Not all fertility providers are experienced in working with trans men, and many environments can unintentionally trigger dysphoria through misgendering, invasive procedures or lack of inclusive language.

Before starting treatment, ask about the clinic’s experience with LGBTQ+ patients, their approach to trauma-informed care, and whether staff are trained in gender-affirming practices. Your emotional well-being matters as much as your medical outcome.

At American Surrogacy, we help intended parents connect with supportive clinics that prioritize comfort, respect and affirming care—because every step of your journey should feel like it belongs to you.

Need help finding a gender-affirming fertility provider? Reach out to start your journey with support you can trust.

When IVF Isn’t Right: Why Some Trans Men Choose Surrogacy First

For some trans men, IVF and gender dysphoria are too closely linked to pursue comfortably. The idea of stopping HRT, undergoing invasive procedures, or facing a pregnancy that feels misaligned with their identity can be overwhelming.

In these cases, surrogacy isn’t a last resort, it’s a deliberate, affirming choice.

Surrogacy offers a path to biological parenthood without compromising emotional safety. At American Surrogacy, we support trans intended parents in choosing what feels right for them whether that means IVF or surrogacy.

Fertility Planning for Trans Men Considering Surrogacy: Step-by-Step Guide

If you’re exploring surrogacy as a path to parenthood, here’s what you need to know, especially when navigating IVF and gender dysphoria along the way:

Step 1: Decide If You Want a Genetic Connection

Surrogacy can allow you to have a biological child using your own eggs. If you haven’t started testosterone, egg retrieval may be easier to schedule without interruption.

Step 2: Consider Your HRT Timeline

If you haven’t started testosterone yet, freezing your eggs now may reduce the risk of unsuccessful egg retrieval, and may allow you to avoid the need to pause HRT later.

If you’re already on HRT, plan for a pause—often 1–3 months—to allow your body to resume egg production.

Step 3: Coordinate With a Fertility Clinic

Schedule an initial consult with a clinic to evaluate your fertility and discuss egg retrieval logistics.

Step 4: Prepare for IVF and Gender Dysphoria

The IVF process includes hormone injections and an invasive procedure. If pausing HRT, undergoing ovarian stimulation or completing the egg retrieval process feels too dysphoric, or is unsuccessful, egg donation remains a viable and affirming alternative.

Step 5: Choose a Surrogacy Agency That Affirms You

Partner with an agency (like American Surrogacy) that understands the needs of trans intended parents. Once you have embryos ready, we can match you with a surrogate who is excited to work with you and your partner.

Your Next Step: Compassionate, Personalized Support

Whether you’re early in your transition, already managing IVF and gender dysphoria, or considering surrogacy as a more affirming option, your path to parenthood deserves care and support.

At American Surrogacy, we guide LGBTQ+ intended parents through every step—with trusted clinics, inclusive professionals and surrogates who honor your identity and goals.

You’re not alone in this journey and you don’t have to navigate it without a team that understands.

Connect with a surrogacy specialist today to explore the options that align with your identity, timeline and dreams of building a family.

Check out our surrogacy programs for LGBT parents.

Can I Dye My Hair During IVF? What to Know When Creating Embryos

Navigate IVF with confidence. Know when hair dye is safe, what to avoid and how to match with a surrogate when your embryos are ready.

For many, haircare is part of our identity, self-expression or self-care routine. But when you’re creating embryos for IVF or surrogacy, even something as routine as coloring your hair can feel uncertain.

This guide breaks down everything you need to know about hair dye during IVF including what fertility doctors say, which ingredients to avoid, safer alternatives and how to balance physical safety with emotional self-care.

When your embryos are ready, you don’t want to wait. Let us help you move forward on your terms, and on your timeline. Reach out today to begin the surrogacy process.

Can I Dye My Hair During IVF?

Short Answer: Most fertility specialists advise avoiding hair dye during the early stages of IVF, especially during ovarian stimulation.

But there’s nuance. The safety of using hair dye during IVF depends on factors like:

Whether the dye touches your scalp
Ventilation in your salon
Ingredients in the product
How far along you are in the IVF process

If coloring your hair is important for emotional well-being, consult your doctor before using hair dye during IVF, especially if you plan to dye your roots or use darker, more chemical-heavy formulas.

Learn more about what to expect from your IVF medication schedule.

What Fertility Doctors Say about Hair Dye and IVF

Fertility experts often recommend avoiding hair dye during IVF, particularly between the start of ovarian stimulation and the end of the first trimester. This guidance is based on minimizing exposure to potential endocrine-disrupting chemicals and reducing inflammatory reactions.

According to Dr. Aimee Eyvazzadeh, some hair salons in general may need to be avoided between embryo transfer and the end of the first trimester. Her rule of thumb is “When you walk into the salon, do you get a headache?” If you do, there are likely chemicals in the air that could negatively impact your fertility.

If you still want to use hair dye during IVF, choose a well-ventilated salon, avoid scalp contact and opt for cleaner, non-toxic products. Some clinics will greenlight these steps, especially when balanced against the emotional benefits of self-care.

Hair Dye Ingredients to Avoid During Fertility Treatment

Using hair dye during IVF can expose you to certain chemicals that may impact fertility outcomes or hormone balance. However, as we learn more about these chemicals, new, safer products are being developed.

Ammonia

Ammonia can cause severe allergic reactions, which can affect pregnancy and fertility. Greater exposure to ammonia, even though hair dye, is linked to greater rates of urinary track infections, which can affect implantation and fetal development.

Oxybenzone

Oxybenzone is common in both hair dyes and some sun screens. It’s been found to have disruptive effects on the endocrine system, which regulates many vital fertility hormones.

Para-phenylenediamine (PPD)

PPD is a compound found in many hair dyes which can cause skin irritations, eczema, dermatitis, and even severe allergic reaction.

It also has the notable property of having increasing risk of reaction with each contact. In other words, even if you didn’t have a reaction to it last time you used it, you could have a severe reaction next time.

Parabens

Parabens are preservatives used in hair dye linked to premature and underweight births, and can have detrimental effects on fertility hormones.

According to the Environmental Working Group (EWG), parabens rank among the most concerning toxic chemicals for pregnant women.

Phthalates

Phthalates are chemicals used to soften mixtures, but are known to travel throughout the body, notably in urine, blood and breast milk.

These chemicals disrupt hormones, and have disastrous affects specifically for male fetuses. They are also on the EWG’s list, and have been banned in many countries across Europe.

Can a Surrogate Dye Her Hair During Pregnancy?

Surrogates are often advised to follow the same caution as IVF patients: avoid hair dye during the first trimester.

Because surrogacy adds a layer of shared responsibility, intended parents and surrogates should agree on self-care guidelines early in the process.

Doctors recommend minimizing exposure to chemicals and ensuring salon visits are in well-ventilated areas. If scalp contact is avoided and the dye is clean and natural, some experts say it can be safe, even affirming, for surrogates.

Emotional Self-Care: Why Hair Dye During IVF May Still Matter

For many, IVF is not just a medical journey but an emotional one. Small acts like coloring your hair can be powerful self-care tools that provide emotional relief.

Self-care can help you navigate this journey in many ways:

Emotional Well-Being: Self-care can help you connect with your emotions and experience them in a safe, controllable way.
Rituals of Self-Maintenance: Focusing on yourself is an important part of your fertility journey. Consistent activates that help you focus on treating yourself with love and care can be a valuable tool.
Managing Control: In IVF, it can be easy to begin to feel that the things happening to you are out of your control. The need for control is something we all feel, and self-care can help you clarify and address these complex feelings.
Marking a significant change: For some, hair dying and other self-care rituals can be used to mark a significant change in their life.

For some, using hair dye during IVF helps reinforce identity, signal transformation, or reduce stress. If emotional well-being is a key concern, consult your fertility team about safer dye methods or alternatives.

Choosing Safer Hair Dye During IVF: What to Look For

The things that make hair dye damaging for IVF patients are the harmful ingredients. However, there are types of hair dyes that present less of a fertility disruption:

Labels that say “free of parabens, phthalates, ammonia”
Clean beauty certifications (e.g., EWG Verified)
Natural dyes like henna or cassia-based colors
Brands offering pregnancy-safe or sensitive skin formulations

Being selective with your products can help balance aesthetic goals with fertility safety when using hair dye during IVF.

When in doubt, take the ingredient list to your fertility specialist. Avoid heavy fragrances and always patch test before full application.

Fertility-Safe Hair Dye Brands for IVF Patients

Choosing the right brand is one of the safest ways to continue using hair dye during IVF.

These brands are known for avoiding common reproductive toxins like ammonia, PPD, parabens, phthalates and resorcinol, making them a safer choice for IVF patients:

Herbatint: Plant-based permanent color free from ammonia, parabens, and alcohol. Gentle on sensitive scalps and ideal for home use.
Naturtint: Uses plant-enriched ingredients and avoids ammonia, resorcinol, and heavy metals. A go-to brand for those seeking permanent results with fewer risks.
Surya Brasil Henna Cream: A semi-permanent henna-based formula free from harmful additives. Ideal for deep conditioning and gentle color toning.
Oway (Organic Way): Used in high-end salons, this biodynamic professional dye line is made with fair-trade botanicals and free from synthetic toxins.

When selecting hair dye during IVF, choose products that support your health, not just your color.

Your Next Steps

Navigating decisions like whether to use hair dye during IVF is just one piece of a larger journey, one that’s uniquely yours.

As you move through your IVF cycle, another exciting milestone may be just around the corner: your embryos may soon be ready. If your next step is finding a surrogate to carry your pregnancy, we’re here to help you match quickly and confidently.

Here’s what to do next:

Talk to your fertility doctor about safe cosmetic products
Choose hair dye options that align with IVF safety guidelines
Begin planning for the next stage: embryo transfer and surrogacy
Reach out to us, we help intended parents match with screened surrogates in as little as 1-4 months.

Whether you’re creating embryos or already have frozen embryos ready to go, we’re here to ensure your transition into surrogacy is smooth and successful.Begin the next stage of your journey to parenthood by contacting us today with this online form.

Can Trans Men Get Pregnant on Testosterone? A Guide to Fertility Options

Getting pregnant as a trans man on testosterone is complex. Learn about IVF, HRT and why surrogacy may offer a more affirming path.

Parenthood may be part of your vision for the future. But if you’re currently on testosterone, you may not be sure what’s possible when it comes to fertility.

You deserve information that affirms your identity and gives you real choices. In this guide, we’ll cover how testosterone affects fertility and provide options for next steps. We can help you find the right path that aligns with your identity, comfort and goals.

If you’d like more information, fill out our form to connect with one of our surrogacy specialists.

Can a Trans Man Get Pregnant While on Testosterone? What to Know

Technically, yes, a trans man getting pregnant while on testosterone is possible, but unlikely. Testosterone generally suppresses ovulation and may affect an embryo’s ability to implant in your uterus.

Because of this, the chances of a trans man on hormones getting pregnant are very low. However, with fertility preservation and temporarily stopping hormones, pregnancy may be possible.

Does Fertility Change in Trans People With Hormone Treatment?

Yes, testosterone impacts both the consistency and quality of egg production. Over time, it suppresses ovulation and usually stops periods altogether.

The effect depends on how long you’ve been on testosterone, your age and your reproductive health.

Because egg quality naturally declines with age, and testosterone can add complexity, early planning matters.

In addition to impacting egg production, testosterone may also affect the uterine lining, which can make it more difficult for an embryo to implant successfully.

Can a Trans Man Do IVF? How it Works At Different Stages of HRT

Yes, IVF is a viable option for many trans men, but it involves important considerations depending on where you are in your hormone journey.

If You Are Pre-HRT

If you have not yet started hormone therapy, it is typically recommended to freeze your eggs before beginning testosterone. This helps preserve your fertility at its current baseline.

If you decide to pursue pregnancy later, you will still need to pause testosterone during the embryo transfer phase of IVF.

If You Have Already Started HRT

If you are already on HRT and haven’t preserved your eggs, you’ll need to stop testosterone prior to starting ovarian stimulation and remain off it through the egg retrieval process, and possibly through the embryo transfer as well.

Additionally, the effects of testosterone on the ovaries and reproductive system may make egg retrieval more complex for those who have been on HRT long term.

Research from Boston IVF found that trans men who paused testosterone for around four months had similar egg retrieval outcomes to cisgender women undergoing IVF.

This pause can be physically and emotionally difficult, particularly for a trans man on hormones getting pregnant.

Why Do Trans Men Need to Stop Testosterone to Get Pregnant with IVF?

In addition to suppressing ovulation, testosterone may also thin or destabilize the uterine lining, which can make it more difficult for an embryo to implant successfully.

For a trans man on hormones getting pregnant, stopping testosterone may improve the chances of a healthy implantation, which is critical for pregnancy.

What to Expect from IVF as a Trans Man

If currently undergoing HRT, you’ll pause testosterone under medical supervision
Begin ovarian stimulation with hormone injections
Monitor egg development via ultrasounds and bloodwork
Undergo egg retrieval with light sedation.

Given the emotional and physical demands of IVF, it’s important to work with providers who affirm your identity. Some fertility clinics offer mental health support and gender-affirming care as part of the treatment process.

Fertility Preservation Before or After Starting HRT

If you’re thinking about starting testosterone or are considering pausing HRT to grow your family, fertility preservation can help you keep biological options open.

Here are two common methods:

Egg Freezing: Involves harvesting eggs and freezing them unfertilized. This is often done before starting testosterone, but in some cases, it’s possible after stopping.
Embryo Freezing: Embryos are created by combining your eggs with a partner’s or donor’s sperm. The resulting embryos are frozen for later use. This may be ideal if you know you want to pursue surrogacy later.

While outcomes are usually better before starting HRT, some trans men have preserved fertility even after hormone use.

Learn more about how embryos are frozen for surrogacy.

IVF Limitations After Long-Term Hormone Use

It’s important to acknowledge that long-term testosterone use can affect the success of IVF.

While many trans men have successfully completed IVF after pausing HRT, the effects of prolonged testosterone therapy on egg quality and uterine receptivity may lower the chances of implantation and overall IVF success.

For trans men who have been on hormones for several years, the reproductive system may respond less robustly to stimulation medications and the endometrial lining may not easily return to a state conducive for implantation.

Even with egg retrieval and fertilization, embryo transfer may not result in a pregnancy.

This is one reason why surrogacy may be a more effective and emotionally supportive path to parenthood, especially for a trans man on hormones getting pregnant or preserving fertility.

Why Surrogacy for Trans Men May Be a Better Option

If IVF is not successful after HRT or it doesn’t feel right for your body or identity, surrogacy is an option..

Higher Chances of Successful Implantation

From a medical perspective, surrogacy may offer a higher chance of success for trans men who have been on HRT long term. Testosterone can affect both egg quality and uterine receptivity, which can make pregnancy or embryo transfer more complex.

With surrogacy, these barriers are removed, and the embryo is transferred to a gestational surrogate whose body is fully prepared to carry a pregnancy.

You Won’t Have to Pause HRT for the Embryo Transfer

If you froze your eggs in advance or use donor eggs, surrogacy allows you to maintain your HRT regimen without interruption, avoiding the physical changes and emotional challenges that may come with pausing treatment for the embryo transfer or pregnancy.

Even if you pause testosterone for egg retrieval, that’s still less time that you have to pause treatment than if you carried the pregnancy yourself.

Avoiding Potential Gender Dysphoria Caused by Pregnancy

Surrogacy can help you avoid dysphoria that may arise from the hormonal shifts, body changes, sensations and psychological stress of pregnancy or childbirth.

This makes it an emotionally safer choice for a trans man on hormones getting pregnant or planning a family.

Surrogacy comes with emotional, financial and legal considerations, but for many, it provides a path that honors their identity and offers greater comfort.

Learn more about our LGBTQ+ surrogacy programs designed specifically for trans and queer families.

Can a Trans Man Use His Eggs in a Surrogacy Journey?

Yes, a trans man can use his own eggs to create embryos.

If you have frozen eggs or are willing to pause testosterone for egg retrieval, IVF allows your eggs to be fertilized with your partner’s sperm or a donor’s sperm. The resulting embryos can then be transferred to a surrogate.

Pausing HRT for the egg retrieval process can bring up dysphoria for some trans men, as it may involve temporary physical changes and emotional stress. Having a supportive and affirming care team can make a significant difference.

To support your well-being:

Work with gender-affirming fertility providers.
Request mental health support throughout treatment.
Be prepared for side effects like bloating or hormonal shifts.
Lean on your support system—friends, partners, therapists, and LGBTQ+ healthcare providers.

Using Donor Eggs: When Your Own Eggs Aren’t an Option

If using your own eggs doesn’t feel right for you, or if it isn’t possible, egg donor surrogacy is a valid and empowering alternative.

Many trans men choose this path for comfort, medical reasons or simply personal preference. Working with a surrogacy agency can help you explore egg donor options that align with your values and goals.

Your Family-Building Plan Starts Here

Family-building is a personal journey. Every trans man deserves options that honor and affirm who they are. We’re here to help. Reach out to connect with a surrogacy specialist and begin planning your future on your terms.

Do Intended Parents Need a Night Doula After Surrogacy?

Overnight care and emotional support for intended parents: how postpartum night doulas ease your transition into parenthood after surrogacy.

Becoming a parent through surrogacy is a beautiful, transformative experience but the shift into parenthood can also be intense and overwhelming.

That’s where a postpartum night doula can make a lasting difference.

Want a smoother start to parenthood? We can help you find a postpartum night doula and share exactly how they support you after your baby is born. Contact us today.

A night doula offers support during your most vulnerable hours so you can rest, reconnect and embrace your new role with confidence.

What Is a Postpartum Night Doula – and How Can They Help Intended Parents?

A postpartum night doula is a trained caregiver who provides overnight support to families in the first weeks and months after birth.

Their focus goes beyond feeding and diapering they create a nurturing nighttime environment for both baby and parents.

Unlike a night nanny, who is often task-oriented, or a birth doula, who supports labor, a night doula is trained to help families emotionally and practically during the delicate postpartum period.

What a Postpartum Night Doula Can Offer:

Overnight infant care and soothing
Breastfeeding, pumping, and bottle-feeding support (including induced lactation for non-birthing parents)
Emotional guidance and postpartum education
Encouragement and strategies for bonding
Calm presence during transitions and nighttime anxieties

For families who became parents through surrogacy, a night doula is often the first consistent support presence at home bridging emotional and physical gaps in the earliest hours of parenting.

Why Intended Parents May Need Support After Surrogacy

For many intended parents, the moment their baby arrives is surreal. Joy is often mixed with fear, uncertainty and exhaustion especially when postpartum recovery wasn’t part of their own physical experience.

A postpartum night doula provides a grounding force during this time, helping you navigate:

Fatigue from travel, time zones, or unexpected delivery timing
The absence of hormonal and physical preparation for parenthood
Early moments of bonding and caretaking with your newborn
Emotional processing of the surrogacy journey and transition into “full-time parent”

Whether you’re solo parenting, part of an LGBTQ+ couple or welcoming twins, a night doula ensures that you are supported holistically, not just as a caregiver, but as a human becoming a parent.

How a Postpartum Doula Supports the Parent-Child Bond

Bonding isn’t always instant, especially for non-birthing parents. And that’s okay. A postpartum night doula gently supports this process without pressure or judgment.

They guide parents in nurturing early connections with their baby, using evidence-based practices and emotional support tailored to the surrogacy experience.

Bonding Support May Include:

Skin-to-skin guidance during wake windows
Involvement in feeding and soothing
Coaching on reading baby cues
Reassurance that bonding is a journey, not a benchmark

By reinforcing your role as a confident, present parent, a night doula can help deepen the emotional connection you’re forming, even during a 3 a.m. diaper change.

Night Doula vs. Night Nanny

Choosing the right type of overnight support depends on the kind of help you need—emotional, physical, practical or all of the above. Here’s how a postpartum night doula compares to other options:

Postpartum Night Doula

Focus: Emotional support and practical overnight newborn care
Training: Often certified through organizations like DONA or CAPPA
Ideal For: Families seeking holistic care especially intended parents navigating bonding and role transition after surrogacy

Night Nanny

Focus: Basic newborn care tasks like feeding, diapering, and soothing
Training: May not have formal training or certification
Ideal For: Parents looking for routine infant care but not emotional or parental guidance

How Much Does a Night Doula Cost: Is the Support Worth It?

The cost of hiring a postpartum night doula typically ranges from $35 to $60+ per hour, depending on:

Your location
The doula’s experience level and certifications
Shift duration (usually 8–12 hours per night)

Is It Worth It?

For most families, the answer is yes. A night doula supports sleep, emotional regulation and bonding, elements that shape your first months as a parent.

Benefits include:

Improved rest and mental health
Stronger infant-parent attachment
Greater confidence and calmness during nighttime challenges

Some employers or FSA/HSA plans may offer reimbursement ask your agency or doula provider about options.

If you’re concerned about affording a night doula in addition to your overall surrogacy costs, learn more about affording surrogacy today.

How to Find a Night Doula Who Understands Surrogacy

Choosing a postpartum night doula who understands the emotional dynamics of surrogacy is key.

Look for doulas with:

Experience supporting intended parents and non-gestational families
Familiarity with assisted reproduction and donor/lactation complexities
Cultural competence and inclusive care (LGBTQIA+, single parent, etc.)
Strong communication, empathy, and active listening skills
Certification from programs like DONA International or CAPPA

Ask for references and trust your gut. The right doula will feel like a steady hand and a soft landing.

Find a Postpartum Night Doula Near Me

Here are some directories where you can search for certified professionals:

You can also find discussions and reviews on Reddit, surrogacy forums and local parenting groups where intended parents share real-world recommendations.

When the Birth Is Over, the Journey Continues

The birth may be over, but the parenting journey is just beginning. We understand what it means to become a parent through surrogacy and how essential postpartum night doula support can be in helping you settle into your new role with grace and confidence.

Schedule a consultation today to learn more about how we can help you find the right night doula and build a support plan that honors your surrogacy journey.

Red Light Therapy During IVF: Can It Help? And What If It Doesn’t?

Explore how red light therapy during IVF may help and what to do next, including surrogacy, if IVF still doesn’t succeed.

In-vitro fertilization (IVF) can be life-changing, but also emotionally and financially draining when it doesn’t work right away.

Emerging therapies like red light therapy during IVF offer new hope, but what happens if they don’t lead to the success you’ve been longing for?

If IVF and red light therapy isn’t working, you deserve to understand your next options, like surrogacy. Contact us today to learn more about how surrogacy can be your quickest path to parenthood.

In this guide, we’ll explore the research, mechanisms, and next steps—up to and including whether surrogacy might be the best path forward for your family-building journey.

Is There Evidence That Red Light Therapy During IVF Increases Success?

Recent clinical exploration of red light therapy (RLT) during IVF shows promising results. A November 2024 study published by the National Library of Medicine examined three women with unexplained, age-related infertility.

Each had a history of failed IVF cycles, miscarriages or poor embryo viability. After undergoing routine PBM treatments in the weeks leading up to ovulation and embryo transfer, each woman successfully conceived and gave birth to a healthy baby.

Here’s how the study was conducted:

Case series of three female subjects with unexplained age-related infertility issues (i.e. failure to conceive naturally beyond two years, multiple miscarriages, molar pregnancy, non-viable embryos from IVF cycles, failure to complete successful implantation of viable pre-implantation genetic tested (PGT-A) embryos)
Previous conditions were recorded and then compared with outcomes after the patient received a course of PBM treatments
PBM treatments were given at weekly and/or at two-week intervals using IR and NIR wavelengths between 600 nm and 1000 nm in the lead up to natural conception, IVF oocyte retrieval, blastocyst/embryo implantation, and/or the production of viable embryos.

However, researchers emphasize that while these case studies are hopeful, large-scale randomized trials are still needed to fully confirm the therapy’s effectiveness across broader populations.

Can Red Light Therapy During IVF Stims Improve Egg Quality or Ovarian Response?

When applied strategically during the stimulation phase of IVF, red light therapy during IVF stims may improve egg quality through several mechanisms:

Enhanced mitochondrial function: Supporting cellular energy (ATP) production, vital for egg maturation
Increased blood circulation: Improving nutrient and oxygen delivery to the ovaries
Hormonal balance: Assisting in regulating reproductive hormone levels
Anti-inflammatory effects: Reducing stress on the ovaries during follicle development

Some fertility clinics globally have incorporated red light therapy into their IVF protocols. Treatments typically use wavelengths between 600–1000 nm, applied weekly or biweekly leading up to oocyte retrieval or embryo implantation.

While red light therapy and IVF integration is still relatively new, growing anecdotal and clinical interest suggests that this non-invasive therapy may offer meaningful support for women seeking to optimize each IVF cycle.

If you’re struggling with egg quality or ovarian reserve, learn more about how to choose donor eggs.

Why IVF May Fail—Even with Promising Add-Ons

IVF is one of the most advanced fertility treatments available, but it still comes with no guarantees. Success depends on a complex set of biological, medical and even environmental factors.

Understanding these can help intended parents make informed decisions, especially if they’re considering treatments like red light therapy during IVF stims as part of their journey.

Here are some of the most common reasons IVF may not result in a pregnancy:

Embryo quality: Even when fertilization occurs, not all embryos develop properly. Genetic abnormalities are a major cause of failed implantation or early miscarriage, especially in women over 35.
Egg quality: Eggs with poor mitochondrial function or chromosomal instability may not respond well to stimulation. While therapies like red light therapy during IVF stimulation aim to enhance egg quality, outcomes still vary by individual.
Uterine or endometrial issues: An embryo needs a receptive environment to implant. Fibroids, thin uterine lining, or scarring (Asherman’s syndrome) can prevent successful implantation even if the embryo is viable.
Hormonal imbalance: Precise hormonal timing is essential for ovulation, egg retrieval and embryo transfer. Disruptions, whether from stress, medical conditions or poor ovarian response, can undermine the cycle.
Unexplained infertility: For some couples, all standard tests return normal but IVF still fails. This can be the most emotionally challenging scenario, as there’s no clear answer to “why.”

Even with support therapies like red light therapy and IVF, it’s important to know that no treatment can overcome every barrier.

What to Do When Red Light Therapy During IVF Doesn’t Work: Next Steps

If you’ve tried multiple IVF cycles, perhaps with supplements like red light therapy during IVF, and you’re still not pregnant, it’s normal to feel overwhelmed.

Grief, frustration and even a sense of failure can cloud the next steps. But these feelings don’t mean the journey is over. They mean it’s time to reassess.

Here are signs it might be time to consider other paths to parenthood:

Repeated IVF failures with or without add-ons like red light therapy
Medical advice indicating further attempts may be unlikely to succeed
Emotional burnout, where the process is taking a toll on your mental health
Financial strain from paying for multiple cycles without results
A desire to move forward with more predictable outcomes

Whether you’re facing uterine complications, recurrent miscarriages or simply ready for a change in direction, surrogacy may offer the clarity and renewed momentum you need.

Turning the Page: Could Surrogacy Be Your Next Step Toward Parenthood?

If red light therapy during IVF and other fertility interventions haven’t worked, and you’re not ready to continue IVF, surrogacy may offer a new path forward.

With surrogacy, your embryo, created using your sperm and/or eggs or with donor assistance is transferred into a surrogate’s uterus. This allows you to maintain a genetic connection while avoiding the medical complications that may make carrying a pregnancy impossible for you.

You might consider surrogacy if:

You’ve had multiple failed IVF cycles
You’ve experienced recurrent pregnancy loss
You have a medical condition that makes pregnancy unsafe
You’ve had a hysterectomy
You’re a same-sex male couple or single intended father

Choosing surrogacy doesn’t mean giving up, it means choosing a new, empowered way forward in your parenthood journey.

Learn more about surrogacy after failed IVF.

Why More Families Are Choosing Surrogacy—and Trusting Us to Help

If you’re exploring surrogacy after unsuccessful IVF or red light therapy during IVF, American Surrogacy offers the trusted guidance and care you deserve.

We are:

Family-focused: Founded by people who’ve lived this journey firsthand
Efficient: Short wait times and expert-matched surrogates
Secure: Prescreened surrogates and a risk protection program
Compassionate: Real support from real people who care deeply

With decades of experience and thousands of families created, we’re here to help you navigate this next step with confidence.

Your Journey Isn’t Over: Explore What Comes Next With Confidence

Exploring red light therapy and IVF may offer hope, but if the road doesn’t lead where you’d hoped, there is still a path forward. Surrogacy isn’t a fallback, it’s a forward motion toward the family you’ve always dreamed of.

Let American Surrogacy be your next step in making that dream a reality.

Ready to talk? Contact us today to explore how surrogacy can help you grow your family.

Getting Pregnant with Mosaic Turner Syndrome: Understanding Your Options

With mosaic Turner syndrome, surrogacy offers a safe, empowering path to parenthood especially when pregnancy isn’t medically advised.

A mosaic Turner syndrome diagnosis can raise more questions than answers, especially when your dream is to become a parent.

The truth is, getting pregnant with mosaic Turner syndrome is sometimes possible, but it’s not always straightforward. Fortunately, you’re not alone and you do have options.

In this guide, we’ll break down what to know about mosaic syndrome and pregnancy, explore your fertility options and share how surrogacy can support your journey toward parenthood.

Not sure where to start? Our surrogacy specialists can walk you through your options if getting pregnant with Turner Mosaic Syndrome has been unsuccessful. Talk to us today.

Is Getting Pregnant With Mosaic Turner Syndrome Possible?

The short answer is: it’s possible, but rare.

Women with mosaic Turner syndrome have a mix of normal (46,XX) and altered (45,X) chromosomes. This mosaicism can result in partially preserved ovarian function, which is essential for natural conception.

While most women with Turner syndrome experience premature ovarian failure, those with mosaicism may retain some viable eggs, particularly during adolescence or early adulthood.

That said, getting pregnant with mosaic Turner syndrome remains uncommon without medical intervention.

Early fertility evaluation is essential if you’re considering this route. If you have menstrual cycles and signs of ovarian function, your reproductive endocrinologist may explore natural or minimally assisted conception.

The Link Between Mosaic Turner Syndrome and Miscarriages

One of the most emotionally difficult aspects of mosaic syndrome and pregnancy is the increased risk of miscarriage. In one study of 130 women with the diagnosis, only 1 in 7 were able to get pregnant naturally and approximately 30% of those pregnancies ended in miscarriage.

Another study documented a woman with nine spontaneous pregnancies. Six of those ended in first-trimester miscarriage, stillbirth or infant death.

Women with Turner mosaicism who conceive, either naturally or through IVF, face a significantly higher chance of:

First-trimester miscarriage
Recurrent pregnancy loss
Stillbirth due to fetal chromosomal abnormalities

This is largely due to the compromised egg quality and chromosomal irregularities that mosaicism can introduce.

Can You Do IVF With Mosaic Turner Syndrome?

Yes. IVF is possible, but success rates are low. In one study on mosaic Turner syndrome and IVF, 35 IVF cycles among 22 patients resulted in:

Implantation rate: 3.7%
Clinical pregnancy rate: 8.6%
Live birth (take-home baby) rate: 5.7%

Many intended mothers exploring mosaic syndrome and pregnancy consider in vitro fertilization (IVF) to achieve parenthood. The viability of IVF depends on:

Ovarian reserve: Is there still enough follicular activity?
Egg quality: Are the eggs chromosomally normal?
Medical readiness: Can your body sustain pregnancy?

Some women with mosaic Turner syndrome can use their own eggs for IVF. Others may need an egg donor to achieve higher chances of success.

You may consider preimplantation genetic testing for aneuploidy (PGT-A) to reduce your chances of transferring embryos that share any chromosomal abnormalities.

How Does Turner Syndrome Affect Egg Quality and Ovarian Function?

One of the biggest factors in mosaic syndrome and pregnancy outcomes is egg health. Turner syndrome, particularly in its mosaic form, can cause early ovarian depletion, affecting both the number and quality of eggs available.

Low AMH levels may indicate diminished ovarian reserve.
Chromosomal abnormalities in eggs may result in failed fertilization or miscarriage.
Hormone therapy may not always be enough to stimulate viable egg production.

If you’re considering fertility treatment, ask your doctor about ovarian reserve testing and whether IVF with your own eggs is realistic. If not, egg donation and surrogacy remain powerful options.

Learn more about how to find an egg donor.

Is It Safe to Get Pregnant if I Have Mosaic Turner Syndrome?

Even when conception is possible, pregnancy with mosaic Turner syndrome may carry serious health risks. Common complications include:

Cardiovascular strain (e.g., aortic dissection, hypertension)
Preeclampsia
Increased miscarriage risk
Stillbirth or preterm birth

Because of these risks, reproductive endocrinologists and high-risk obstetricians often recommend a full cardiovascular workup before attempting pregnancy.

If you have congenital heart or kidney conditions, pregnancy may not be medically safe and surrogacy may be the safest alternative.

What to Expect Emotionally When Navigating Fertility with Turner Syndrome

Facing infertility or repeated pregnancy loss can be emotionally exhausting. Feelings of grief, frustration and isolation are common for those managing mosaic Turner syndrome.

Coping resources that may help include:

Support groups: The Turner Syndrome Foundation offers online support and education.
Online communities: Communities such as r/TurnerSyndrome and What to Expect Health provide peer connection and shared experiences.
Professional counseling: Fertility counselors can offer tools to help manage the emotional impact of infertility and clarify next steps.

When Should Someone With Mosaic Turner Syndrome Consider Surrogacy?

If you’re struggling with getting pregnant with mosaic Turner syndrome, know that you’re not alone and you’re not out of options.

You may want to consider surrogacy when:

You’ve been advised not to carry a pregnancy for medical reasons
IVF has failed or egg quality is too low
You’ve experienced multiple miscarriages
You want to avoid the medical risks of a high-risk pregnancy

With surrogacy, you can still have a biological child (with your own or a donor’s eggs), while ensuring the safest path for both baby and mother.

If you’re struggling with IVF as a result of Mosaic Turner Syndrome, learn more about what you can expect when transitioning to surrogacy after failed IVF.

How Surrogacy Circumvents the Challenges of Mosaic Turner Syndrome

For many intended mothers with mosaic Turner syndrome, the dream of having a biological child remains deeply personal even when pregnancy poses serious medical risks.

Surrogacy offers a way forward: a path to parenthood that protects your health, preserves your hope and supports your journey on your terms.

Here’s how surrogacy helps navigate the unique challenges of mosaic Turner syndrome:

Bypasses Medical Risk: With a surrogate carrying the pregnancy, you avoid the cardiovascular, renal and miscarriage complications that often make pregnancy unsafe with Turner syndrome.
Works With or Without Viable Eggs: Whether you’re using your own embryos or considering an egg donor, surrogacy makes biological parenthood possible even when ovarian function is limited or absent.
Streamline by Pre-Screening: If you already have embryos from IVF, a qualified surrogate can often be matched quickly, helping you move from waiting to growing your family faster and with greater confidence.

Surrogacy doesn’t just remove the risks it opens the door to a safer, more supported version of the future you imagined.

When you’re ready to explore that path, American Surrogacy is here with expert guidance, thoroughly screened surrogates and the support you need to take the next step on your timeline.

Learn more about how our surrogates are screened to bring your dreams of parenthood within reach.

Mosaic Syndrome and Pregnancy Is Complex—But You Have Options

So, can you get pregnant with mosaic Turner syndrome? Sometimes. But even if natural conception or carrying a pregnancy isn’t possible or safe, your dream of parenthood is still within reach.

Through IVF, egg donation or surrogacy, many individuals with mosaic Turner syndrome go on to build the families they’ve always wanted.

With expert medical advice and a trusted agency like American Surrogacy by your side, you can write your own story on your own terms. Connect with us today to fast track your path to parenthood.

Natural Cycle Surrogacy Explained: What the Research Really Says

Natural cycle surrogacy offers a lower-hormone option, but results vary. Learn what to expect from each path.

As more families seek low-intervention options, natural cycle surrogacy has become an increasingly popular alternative to traditional, hormone-heavy protocols.

These protocols promise fewer hormones and a more “in sync” experience, but are they as reliable as they sound?

Contact us today to speak with a surrogacy specialist about your embryo transfer options. We’re ready to support you whichever path you choose.

In this guide, we’ll walk you through everything you need to know about natural cycle surrogacy, including how it works, how it compares to medicated cycles and what success rates really look like.

What Is Natural Cycle Surrogacy?

Natural cycle surrogacy refers to a type of frozen embryo transfer (FET) in which the surrogate’s own natural menstrual cycle is used to guide the timing of the embryo transfer, rather than manipulating her cycle entirely with synthetic hormones.

This approach can feel more intuitive and less invasive for many surrogates, though it still involves some medical support, such as:

A trigger shot (typically hCG) to precisely time ovulation
Progesterone supplementation post-ovulation to support the endometrial lining

At American Surrogacy, we work closely with fertility clinics to determine if this low-intervention method is right for your surrogate and your goals.

Learn more about the embryo transfer process during your surrogacy.

Do Surrogates Have to Take Hormones? Here’s the Truth

It’s easy to assume that natural cycle surrogacy means no medications—but that’s not the full story. While often promoted as a “low-intervention” alternative, a natural frozen embryo transfer still involves hormonal support.

Even in a natural cycle, most surrogates will need:

A trigger shot to force ovulation at the right time
Progesterone supplementation to maintain a uterine lining suitable for implantation

Bottom line: Even in natural protocols, surrogates still take some hormones, but much less than in medicated protocols.

Reddit users share their experiences with medication protocols in natural surrogacy throughout this thread.

Natural vs. Medicated Embryo Transfer: What’s the Difference?

While natural cycle surrogacy offers lower hormone exposure, it also introduces more complexity, unpredictability and potential for disruption. Here’s how the two approaches compare:

Natural Cycle Surrogacy:

Relies on the surrogate’s body, introducing unpredictability and a higher chance of rescheduling
Minimal hormone use; requires ovulation trigger and progesterone
Requires intensive tracking with bloodwork and ultrasounds; small deviations can derail the cycle
Low flexibility; timing can be thrown off by natural variability

Medicated FET

Fully controlled by the clinic, offering precise timing and fewer surprises
High hormone use with consistent dosing of estrogen and progesterone for controlled results
Predictable protocol with fewer monitoring demands once the schedule is set
High flexibility for coordinating schedules across all parties

Natural cycle surrogacy often demands more time, vigilance and patience without guaranteeing better outcomes. Always consult with your clinic to determine which protocol offers the most reliability for your unique case.

Why Natural Cycle Surrogacy Isn’t Always the Simpler Option

For some intended parents and surrogates, the appeal of a natural frozen embryo transfer lies in its lighter medication load and alignment with the body’s natural rhythm.

But despite the name, natural cycle surrogacy is far from hands-off and its benefits can come with tradeoffs that aren’t always obvious at first.

Pros:

Fewer synthetic hormones than a medicated protocol
Potentially lower medication costs
May feel more “natural” or emotionally intuitive for some surrogates
Some surrogates report fewer side effects and a smoother physical experience

Cons:

Requires frequent, precise monitoring (blood draws, ultrasounds)
Offers limited flexibility—timing depends on the surrogate’s body, not the calendar
Higher risk of cancellation or delay if ovulation is missed or mistimed
Not suitable for surrogates with irregular cycles, hormonal imbalances, or inconsistent responses to triggers

Natural cycle surrogacy can seem like a simpler or more holistic route, but in practice, it often demands more vigilance, tighter coordination and an openness to uncertainty.

Still unsure? American Surrogacy helps you evaluate your surrogate’s eligibility to make the right choice for your family-building plan. Fill out our easy form today.

Natural Frozen Embryo Transfer Success Rates: How Effective Is It Really?

Success rates for a natural frozen embryo transfer are often described as comparable to medicated protocols but that comparison comes with caveats.

While some studies do show similar pregnancy outcomes, those results typically apply to a narrow set of ideal conditions.

Natural cycle surrogacy may deliver strong results when:

The surrogate has highly predictable ovulation
Endometrial thickness reaches the clinical threshold
The embryo quality is excellent

However, these factors are harder to control in a natural cycle. Slight variations in timing or hormone levels, things a medicated cycle is designed to regulate, can have an outsized impact on outcomes.

At American Surrogacy, we help you weigh the real-world success rates alongside your personal priorities so you can make the choice that aligns with both your values and your outcome goals.

This guide explains embryo transfer success rates in greater detail.

Why Some Intended Parents Choose Natural Cycle Surrogacy

Intended parents may be drawn to natural cycle surrogacy for a variety of reasons:

Minimizing hormone exposure for the surrogate
Positive past experiences with natural frozen embryo transfer
A desire for a more holistic process aligned with the body’s rhythm
A sense of greater emotional balance throughout the cycle

Surrogates often report feeling more in tune with their body and experiencing fewer side effects, which can lead to a smoother emotional journey overall.

Making the Decision: Which Protocol Is Right for You?

The decision to pursue natural cycle surrogacy should be made collaboratively with your agency, fertility clinic and surrogate. This approach can offer a more natural experience but requires:

A surrogate with regular menstrual cycles
Willingness for intensive monitoring
Comfort with the possibility of schedule shifts or delays

At American Surrogacy, we support both natural and medicated embryo transfer protocols, ensuring that your journey is medically sound and emotionally supported every step of the way.

If Natural Cycle Surrogacy Is the Path, Our Surrogates Meet the Standard

While natural cycle surrogacy isn’t right for every journey, there are cases where fertility clinics will recommend it, especially if the surrogate has a consistent history of ovulation and previous success with frozen embryo transfers.

If your clinic supports this path, you can feel confident knowing American Surrogacy is fully prepared to match you with a highly-qualified surrogate.

Every surrogate in our program undergoes:

Pre-screening and a review of her medical history
A physical assessment conducted by a fertility clinic
Confirmation of at least one previous successful pregnancy

We work closely with your clinic to ensure that any surrogate recommended for a natural cycle protocol is medically qualified, emotionally prepared and logistically reliable. That means no guesswork, just a clear, coordinated plan built around your family’s goals.

That means no guesswork, just a clear, coordinated plan built around your family’s goals.

Your Next Step: Talk to American Surrogacy

Whether you’re curious about natural frozen embryo transfer or need guidance on hormone protocols for your surrogate, American Surrogacy is here to help.

Contact us today to explore the best embryo transfer option for your family.

Can Hostile Cervical Mucus Prevent Pregnancy? You Still Have Options

Hostile cervical mucus may prevent sperm from reaching the egg. Discover causes, diagnosis, and fertility solutions like IVF or surrogacy.

If you’ve been trying to conceive—tracking ovulation, following every protocol, even going through the physical and emotional toll of IVF, only to face another negative result, you’re not alone.

One possible, yet often overlooked, factor is hostile cervical mucus, a condition where the very fluid meant to help sperm reach the egg ends up preventing pregnancy altogether.

In this guide, we’ll walk you through what hostile cervical mucus is, how it can impact fertility, and what options are available, including how surrogacy may help when other methods haven’t worked.

If you’ve been through one or more failed IVF cycles, we invite you to fill out our simple form to learn more about whether surrogacy could be your next best step, or explore our in-depth resource on what to do when IVF fails. You don’t have to face these decisions alone.

Can Hostile Cervical Mucus Prevent Pregnancy?

Yes—hostile cervical mucus can prevent pregnancy by creating a barrier that makes it difficult or impossible for sperm to survive or reach the egg.

During ovulation, cervical mucus becomes thin, slippery and stretchy, designed to help sperm survive and reach the egg. Hostile cervical mucus is a term used when this fluid is too thick, too acidic or contains antibodies that attack or block sperm.

Think of it as an invisible wall. Everything else may be working, but sperm are stopped before fertilization occurs.

Can a Hostile Uterus Cause a Miscarriage?

While hostile cervical mucus stops sperm before conception, a hostile uterus affects what happens after an embryo is formed. A uterus that’s inflamed, hormonally out of balance or affected by autoimmune conditions can:

Block embryo implantation
Lead to early pregnancy loss
Cause repeated IVF failure

If you’ve experienced unexplained miscarriages or failed transfers, your fertility team may explore uterine receptivity through hormone testing, imaging or biopsy.

How to Know If You Have Hostile Cervical Mucus

Wondering whether hostile cervical mucus could be playing a role in your fertility challenges? Here are some potential signs:

Regular ovulation with no pregnancy after many months
Failed IUI cycles despite good sperm health
Clear timing but no conception

Doctors may use several tests to evaluate mucus quality, including:

Post-coital test (PCT): Assesses how sperm behave in your mucus after sex
Hormone panels: Detects whether estrogen or progesterone is affecting mucus consistency
Cervical cultures: Screens for infections or chronic inflammation
Ultrasounds or sonohysterograms: Examines the uterine lining and overall anatomy

If you’ve been trying to conceive without success, speak with your doctor or fertility clinic about whether cervical mucus is playing a role.

Causes of Hostile Cervical Mucus

Hostile cervical mucus isn’t always permanent, and its causes may vary. Some common contributors include:

Hormonal imbalances (especially low estrogen)
Stress and elevated cortisol
Autoimmune conditions or sperm antibodies
Sexually transmitted infections (STIs) or other cervical infections
Age-related changes in cervical fluid
Overuse of certain fertility medications

In some cases, lifestyle changes or medication may help improve mucus quality. But when multiple treatments fail, you may start wondering whether it’s time to explore other options.

Can IVF Bypass Hostile Cervical Mucus?

Yes. IVF (In Vitro Fertilization) is a common solution when hostile cervical mucus prevents sperm from reaching the egg. Since IVF involves fertilizing the egg in a lab, it bypasses the cervix entirely, eliminating mucus as a barrier.

If IVF is successful, the embryo is then transferred directly into the uterus. However, if uterine issues are also present, implantation may still fail leading some individuals to consider surrogacy as the next step.

Is Surrogacy an Option if You Have Hostile Cervical Mucus?

If you’ve tried IUI, timed intercourse, or even IVF without success and your doctor suspects hostile cervical mucus or uterine conditions are to blame, surrogacy may be a powerful option to consider.

With surrogacy:

Your eggs (or donor eggs) are fertilized via IVF
A healthy embryo is placed in the uterus of a fully screened surrogate
The pregnancy bypasses your cervix and uterine environment altogether

Ask yourself:

Have you had multiple failed fertility treatments?
Has your doctor mentioned cervical factor infertility?
Are you emotionally and physically ready for another option?

If any of these apply, surrogacy may not just be an option, it may be your best path forward.

Choosing surrogacy doesn’t mean giving up, it means stepping into a process that’s designed to remove the biological barriers you’ve been battling and give you the chance to build your family on your terms.

How Surrogacy Supports People Facing Cervical Mucus Infertility

At American Surrogacy, we’ve worked with countless individuals and couples facing challenging, unexplained infertility or implantation failure. Our experienced team offers:

We help you:

Match with a fully screened gestational surrogate
Understand your legal rights and options
Coordinate with your fertility clinic for embryo transfer
Feel supported emotionally and logistically throughout the process

We also understand how important it is to act quickly and carefully. That’s why we offer fast matching timelines and work with families who are emotionally ready to take that next step.

Ready to Explore Surrogacy?

If hostile cervical mucus or a complex uterine environment is preventing pregnancy, know that you’re not alone—and you’re not out of options.

Whether you’re at the beginning of your journey or facing tough decisions after years of trying, surrogacy could be the step that finally moves you from heartbreak to hope.

Let American Surrogacy walk with you on that next chapter with expertise and real solutions. Reach out today.

How Many Embryos Are Normal for IVF? What Nobody Tells You About IVF Attrition

Wondering what the average number of embryos from IVF really means? Learn why counts drop, what’s normal and how to plan your next steps with confidence.

Many intended parents are surprised by how few embryos remain after starting with what seemed like a strong egg retrieval.

Whether you’re still early in your fertility journey or considering next steps like surrogacy, knowing how embryo development works can bring clarity—and hope.

This article is here to help you understand what’s typical, why numbers drop at each stage, and what your options are if you have fewer embryos than expected.

Left with few or no embryos? Read more about how embryos develop by day.

How Many Embryos Are Normal for IVF?

The average number of embryos from IVF can vary significantly depending on the age of the person producing the eggs, the clinic’s protocols, and the underlying fertility diagnosis.

Generally, a woman under 35 might produce 10–15 eggs from a single retrieval cycle, but only a portion of those will fertilize and develop into viable embryos.

Typically, this results in 3–5 good-quality embryos per cycle. It’s important to note that what’s considered “normal” is a range—not a fixed number—and quantity doesn’t always equate to quality.

Intended parents often feel blindsided by the drop-off.

“I wasn’t prepared for the attrition,” says one IVF patient in a popular Reddit thread. “Each update call felt like another letdown.”

What feels “normal” for one patient might feel heartbreaking for another. The key is to understand that variation is expected, and early embryo loss is a normal part of the process.

Why Did I Get So Few Embryos from IVF? Understanding IVF Attrition

It’s one of the hardest questions to ask and even harder to answer when you’re holding test results and feeling heartbroken: Why did I get so few embryos from IVF?

But having fewer embryos than expected doesn’t mean you did anything wrong. Many factors influence embryo yield, including:

Egg quality
Sperm health
Age of the egg provider
How your body responded to ovarian stimulation
Lab conditions and culture protocols
Genetic abnormalities in the embryos

Speak with your fertility specialist about whether adjustments can be made in future cycles or if options like donor gametes or surrogacy might be part of your path forward.

How Many Embryos Make It to Day 5?

It’s common to see only 30–50% of fertilized eggs make it to day 5. That means if 10 eggs are retrieved and 8 are fertilized, you might end up with just 2–4 day-5 blastocysts.

But this part of the process, as painful as it can be, is nature making difficult choices—selecting only the embryos most likely to thrive.

While that may offer some context, it doesn’t make the emotional toll any less real. Your grief is valid, and so is your strength in facing it.

Coping With Early Embryo Loss: When the Hope You Held Feels Out of Reach

Even before an embryo transfer occurs, intended parents can experience profound grief and loss.

Losing embryos early in the IVF process, whether they fail to fertilize, arrest before day 5 or are deemed non-viable after genetic testing can be deeply emotional.

These losses may feel invisible to others, but they are very real for intended parents. It’s okay to grieve the loss of possibility, even if you hadn’t yet reached transfer.

Here are some strategies to help cope with early embryo loss:

Acknowledge your grief. Give yourself permission to feel the loss.
Seek support. Talk to a therapist who specializes in fertility or join a support group.
Stay informed. Understanding why embryos are lost can help reduce feelings of helplessness.
Focus on next steps. Whether it’s another IVF cycle or exploring surrogacy, planning can be empowering.
Connect with others: You can talk with other hopeful parents who have experienced difficulties with IVF on forums or subreddits.

Remember: you are not alone. Early embryo loss is common, but with the right support and guidance, your path forward is still full of possibility.

Online Communities You Can Connect With

Infertility is a personal journey, but it doesn’t have to be an isolating one. There are many online communities who have experienced hardship similar to yours. Here are some subreddits you can consider:

Only One Embryo Survived, What Can We Do?

If you’re left with only one embryo after IVF, it’s natural to feel anxious. That one embryo may feel like your only chance.

But one embryo can be enough—especially if you give it the best possible conditions for implantation and growth.

That’s why many intended parents with one embryo turn to surrogacy. With the help of a healthy, fully screened gestational carrier, your embryo may have a significantly higher chance of success than if you carried yourself—particularly if you’ve had failed cycles or uterine health concerns.

At American Surrogacy, we are one of the only agencies that proudly work with intended parents with just one embryo. We understand the emotional weight of that final embryo, and we know how to give it the best chance for success.

Learn more about our programs for families with one embryo left.

Planning Ahead: What to Do If IVF Fails

If your cycle didn’t result in a pregnancy or you’re preparing for that outcome, planning ahead can help you feel more in control.

Talk with your fertility team about:

Whether another cycle is advisable
Using donor eggs or sperm
The quality and viability of any remaining embryos
Surrogacy or adoption as your next step

You may have more options than you think, even if the path looks different than expected.

How Surrogacy Can Support IVF Success

Surrogacy isn’t a backup plan; it can be a breakthrough for families with limited embryos.

Working with a gestational carrier can:

Improve implantation odds when uterine conditions are a concern
Offer peace of mind by providing a medically cleared environment
Reduce emotional strain after multiple failed cycles

At American Surrogacy, we are one of the only agencies that proudly support intended parents with just one embryo remaining.

We understand what’s at stake—and we have built a streamlined program to meet you where you are.

If you’ve tried IVF multiple times without success, or if your clinic has expressed concern about your ability to carry, surrogacy could be the safest and most hopeful next chapter.

Your Options with American Surrogacy

At American Surrogacy, we understand that every embryo carries enormous emotional weight—especially when it may be your last.

That’s why we’ve designed our program to support intended parents navigating IVF attrition:

We welcome clients with a single embryo
Our surrogates are fully screened and medically ready
We move quickly to match and support you at every step

We’ll walk beside you with empathy, experience, and clarity—so your last embryo feels like a new beginning, not the end.

Contact American Surrogacy today to explore how surrogacy can give your embryo its best possible chance at becoming the child you’ve been hoping for.

Is It Safe to Find a Surrogate Online? Here’s the Truth

Finding a surrogate online? Learn the risks—and how American Surrogacy offers safe, vetted, expert-backed support for your journey.

Social media groups, forums like Reddit and matching platforms are filled with intended parents and hopeful surrogate mothers trying to connect directly. But is this path safe?

While it’s certainly possible to find a surrogate online, doing so without the guidance of a licensed surrogacy agency introduces serious risks.

Before you move forward, it’s important to understand how online matching works, why some people pursue it, and how an agency can still support you—even in an independent match.

If you’re looking for a surrogate, American Surrogacy can help you skip the uncertainty and connect directly with a highly qualified, pre-screened surrogate. Fill out our form today.

The Real Risks of Finding a Surrogate Online

Online surrogacy arrangements often skip the professional safeguards that are built into the agency process. That leaves intended parents exposed to a number of potential risks:

Lack of Screening: Many online surrogate candidates haven’t been medically or psychologically evaluated. You may not know if she meets even the basic requirements for a healthy pregnancy.
Fraud Potential: Online platforms are unregulated spaces where scams are all too common. There are documented cases of individuals posing as surrogates—or intended parents—for financial gain.
Legal Vulnerabilities: Without agency oversight or expert legal counsel, critical steps like parentage orders, escrow management, and state-specific compliance can fall through the cracks.
Medical Uncertainty: Without clinical prescreening, you could begin your journey with someone who’s not medically eligible, losing valuable time, money, and hope.
Emotional Fallout: Failed matches or mismatched expectations can take a serious emotional toll, especially without professional support to help mediate.

Learn more about why surrogate screening matters and the benefits of working with a surrogacy pre-screened through American Surrogacy.

Why Some Parents Look for Surrogates Online

There are legitimate reasons why some intended parents explore how to find a surrogate online:

Affordability: Bypassing agency fees might look appealing. But costs like legal disputes, failed matches, or health disqualifications often outweigh short-term savings.
Speed: Some believe finding a surrogate online will be faster than waiting for an agency match. However, timelines vary widely—and unvetted matches can quickly turn into delays.
Autonomy: Independent matching allows parents to take a hands-on role in the process, which some people prefer.
Previous Agency Concerns: If an intended parent had a negative or confusing experience with an agency, they might try a different approach.

While these motivations are understandable, they don’t eliminate the risks that come with self-matching.

Surrogacy Scams and Red Flags to Watch For

It’s one thing to look for surrogate mothers online, it’s another to protect yourself in the process. Be cautious of these warning signs:

Lack of medical documentation or clinic involvement
Requests for money before any legal agreement is in place
Conflicting or evasive personal details
Refusal to involve a surrogacy professional
No references, criminal background checks, or verified screening

Even platforms like Facebook and Reddit, while popular, offer no built-in safeguards. That’s why finding a surrogate online should always be accompanied by professional review and support.

Independent Surrogacy vs. Agency Matching

When comparing agency matching to finding a surrogate online independently, consider the full scope of responsibility.

Independent Surrogacy

You manage everything: legal, financial, emotional, and medical logistics.
It may seem faster or cheaper, but often leads to unplanned complications and higher stress.
If a match falls through, there’s no backup plan.

Agency-Supported Matching:

Professionals screen surrogate candidates before they’re introduced to you.
Legal counsel, escrow services, medical coordination, and emotional support are built-in.
You’ll have ongoing guidance and, if necessary, re-matching support.

For many families, the peace of mind, structure, and safety provided by an agency like American Surrogacy outweigh the perceived freedom of doing it alone.

Finding a Surrogate Through an Agency Can Be Faster Than You Think

Many intended parents turn to finding a surrogate online because they believe it’s the fastest path forward.

But here’s the reality: working with an experienced agency can often be quicker, especially when the agency has a pool of fully pre-screened surrogates ready to match.

At American Surrogacy, we streamline the process by pre-screening surrogates in advance, so you’re not waiting for screening or disqualification delays

In contrast, finding a surrogate online often results in long delays once the initial connection is made. You may have to:

Wait for medical clearance
Discover the match can’t proceed
Start over if anything falls through

Our agency has already done the legwork so your surrogacy journey starts with far fewer roadblocks.

Learn more about how we shorten our wait times so you can become parents faster.

How Agencies Vet Surrogates (And Why it Matters)

One of the biggest benefits of working with an agency is how thoroughly surrogate candidates are screened before matching begins. This includes:

Medical evaluations to ensure she can safely carry a pregnancy
Psychological testing to assess readiness and mental health
Background checks and home studies
Review of previous pregnancies and lifestyle history

This front-end work significantly reduces the chance of failed matches or disruptions during the process. It may even save time and money in the long run by preventing complications.

How Agencies Can Still Help – Even If You Find Your Surrogate Online

Did you know that if you’ve already found a surrogate online, you can still partner with an agency? American Surrogacy offers independent surrogacy services that allow you to keep your match, while still accessing:

Legal support and contract guidance
Medical coordination
Escrow and financial management
Emotional counseling
Risk mitigation and re-matching support, if needed

We bring professional safeguards into your independent journey—so you can move forward with clarity, confidence and support.

Learn more about our independent surrogacy program.

Thinking about finding a surrogate online? You don’t have to do it alone.

Finding a surrogate online is possible, but it comes with real risks. Whether you’ve just started looking or have already connected with someone, American Surrogacy can help ensure your journey is safe, ethical and legally protected.

Let’s build your family the right way—together. Contact us for free surrogacy information now and to take the next step safely and confidently.