Surrogates | American Surrogacy Blog

Using an Auto-Injector for Surrogacy: A Practical Approach to Injections

Discover how auto-injectors simplify surrogacy injections with less pain and more control.

The shots are one of the first things people ask about when they’re considering surrogacy. It makes sense—even if you’re fine with needles at the doctor’s office, giving them to yourself at home feels different. Add in the fact that you’ll be doing this regularly for a few weeks, and it’s natural to wonder if you can handle it.

Auto-injectors could be a helpful way to manage uncertainty. These devices take a lot of the stress out of the process – and you have more options than you might think.

Speak with a Specialist Today

What Is an Auto-Injector and How Does It Work?

An auto-injector is a device that delivers medication through a needle with one button press. You position it against your skin, click, and it handles everything. From start to finish, it takes a couple of seconds.

They’re designed to minimize user error and make self-administration more straightforward. With a traditional syringe, you’re manually controlling the needle angle, insertion speed, and push rate.

By removing those variables, auto-injectors reduce the worry. It’s a bit like any assisted technology—sometimes less manual control means less mental load.

Key advantages of auto-injectors include:

Consistent needle depth and angle every time
Faster process (1-2 seconds)
No need to watch the needle enter your skin
Built-in safety features that prevent accidental needlesticks
Reduced room for user error

Using an Auto-Injector for Surrogacy

Can you use an auto-injector during surrogacy? Often, yes—but it depends on which medication we’re talking about. Most hormonal prescriptions in the early surrogacy stages are given subcutaneously, meaning just under the skin. Auto-injectors handle these well.

Progesterone in oil—or PIO—is given as an intramuscular injection—deeper, into the muscle. PIO is oil-based and noticeably thicker than water-based medications. Why does that matter? Not every auto-injector handles it well.

That said, some auto-injectors are built specifically for intramuscular use and work with PIO. Talking to your doctor early is the important step. They’ll clarify which medications you’ll be taking, which administration methods are medically appropriate, and whether an auto-injector makes sense for your situation.

Understanding the Difference Between Subcutaneous and Intramuscular Injections

Two types of injections are used during surrogacy, and the technique and tools differ for each. Understanding which is which helps you prepare appropriately.

Subcutaneous injections go into the layer of fat just beneath your skin. You’ll give these in your abdomen or thigh area, using a shorter, thinner needle.

Most fertility hormones—Lupron, certain estrogens—fall into this category. They tend to be less uncomfortable and easier to self-administer, which makes them good candidates for auto-injectors.

Intramuscular injections go deeper, directly into muscle tissue. For surrogacy, that mainly means progesterone in oil. You’ll give these in the upper buttock or hip area with a longer needle.

Because of its oil base, the liquid is thicker and makes the shot feel more substantial. Some women have their partner help with these, though plenty manage them solo without issue.

Both techniques have their place in the surrogacy medication protocol, and knowing what to expect with each makes the process less daunting.

What’s the Best Auto-Injector for PIO?

Most standard auto-injectors weren’t designed for progesterone in oil because of the thickness and the intramuscular depth required. But specialized devices exist that handle these challenges.

Union Medico’s Super Grip is one of the more commonly mentioned options among women using surrogacy and IVF patients. It’s specifically built for intramuscular shots and accommodates PIO’s thicker consistency.

Availability varies by location, and you’ll likely need a prescription or your clinic’s approval. What works well for one person might not suit another—individual response to these tools varies more than you’d think.

If an auto-injector isn’t feasible for your PIO shots, other strategies make the process more manageable. Talk directly with your medical team about what’s available and realistic for your circumstances.

Can You Still Be a Surrogate If You Have a Fear of Needles?

Yes. A needle phobia doesn’t automatically rule you out—it just means you’ll benefit from some concrete strategies and possibly additional guidance during the medication phase.

First, this portion of the process is temporary. You’ll use injectable medications for several weeks before embryo transfer and a short period after. Once pregnancy is confirmed and progressing normally, you’ll switch to other forms or taper off certain hormones entirely. It’s not a permanent situation, even if it feels daunting at the start.

Second, familiarity reduces fear. Most women report the first one is the hardest, and each one after gets progressively easier. The more you do it, the less intimidating it becomes. Your fertility clinic will provide hands-on training, and your surrogacy agency will offer ongoing assistance throughout the process.

Infertility Impacts Countless Couples; You Can Make A Difference

Effective Ways to Reduce Injection Discomfort

Women have found these concrete methods helpful for managing discomfort and anxiety:

Before:

Apply numbing cream like lidocaine to the site about 20–30 minutes beforehand
Use a shot-blocker—a small plastic device that confuses your nerve receptors and dulls the needle sensation
Apply an ice pack to numb the area, particularly for subcutaneous shots
Try a vibrating ice pack—the vibration distracts your nerves from registering the needle prick

During:

Take slow, measured breaths to stay relaxed
Use distraction—music, a video, conversation with a friend or partner

After:

Apply a heating pad to relax the muscle (especially useful after PIO)
Use a massage ball to gently work the area and help the oil disperse, preventing lumps or tenderness
Move around a little—light walking helps the medication distribute evenly

Making these adjustments meaningfully improves how you feel during the process. If you discover something that works part

icularly well, others will want to hear about it. The community tends to share what helps—why reinvent the wheel when someone’s already figured out the trick?

For more tips from women who’ve been through this, their experiences can provide additional strategies you might not have considered.

Getting Help During Your Medication Phase

During this phase, you don’t have to figure things out alone. Most surrogacy agencies offer resources (both practical guidance and emotional backup when you need it). If you’re feeling anxious about the shots, talk to your agency team.

They connect you with experienced women who’ve been through it. These women can share what actually worked: which products helped, which techniques made it easier.

Resources typically available through surrogacy agencies include:

Peer connections for advice and shared experiences
Product recommendations based on what’s helped others
Someone to talk through your concerns with
Help knowing what questions to ask your medical team
Regular check-ins during this phase

Your fertility clinic will provide thorough training on safe, correct administration for each prescription. And you’re not the first to navigate this—many women before you have managed these same medications and hormones, and their experiences provide both reassurance and hands-on guidance.

Moving Forward with Confidence

Becoming a surrogate is a meaningful choice, and the shots are just one component of a much larger process. With the right tools, reliable guidance, and some adjustment time, this is quite manageable—even if needles aren’t your strong suit. Manageable, doable, and worth it.

If you have more questions about surrogacy or what the process actually looks like, feel free to reach out.

Speak with a Specialist Today

Can You Be a Surrogate on Medicaid?

You usually can’t be a surrogate on Medicaid, but with the right help, you can switch insurance and still qualify to change a family’s life.

You usually can’t be a surrogate while on Medicaid. Most surrogacy agencies — including American Surrogacy — require private insurance that covers pregnancy-related care. But that doesn’t mean this path is off the table.

With the right guidance, you can transition to a qualifying plan and move forward with confidence — helping a hopeful family experience parenthood while improving your own family’s financial future.

Schedule a consultation today to learn how you can still become a surrogate, even if you’re currently on Medicaid.

We’ll explain why Medicaid typically disqualifies you, what insurance options are available, how to make the switch, and how American Surrogacy can support you every step of the way.

Can You Be a Surrogate on Medicaid?

In most cases, no—you can’t be a surrogate on Medicaid getting Medicaid coverage. Nearly every surrogacy agency, including us, requires surrogates to have private health insurance that covers pregnancy and childbirth.

Here’s the deal: Medicaid has income limits. When you get paid as a surrogate (we’re talking $65,000 or more), that money usually pushes you over Medicaid’s income threshold.

If you stay on Medicaid while getting paid, you could face serious problems, more on that in a second.

Plus, Medicaid wasn’t designed to cover surrogacy pregnancies.

You’re carrying someone else’s baby, and Medicaid sees that as outside what they’re supposed to pay for. Using Medicaid for a surrogacy pregnancy breaks program rules and creates legal and financial risks for you and the intended parents.

Why Medicaid Usually Disqualifies Surrogates

Most surrogacy agencies won’t work with surrogates on Medicaid for three big reasons:

Your income changes everything

Medicaid eligibility depends on how much money your household makes. When you earn surrogate compensation, your income will likely jump above Medicaid limits.

That means you’d lose coverage halfway through your pregnancy, leaving you stuck without insurance when you need it most.

Insurance fraud is a real risk

If you keep getting Medicaid benefits while earning money that makes you ineligible, you could get accused of not reporting your income.

The consequences are serious—you might have to pay back benefits and face legal trouble.

Medicaid doesn’t cover surrogacy

Federal Medicaid rules don’t allow coverage for pregnancies where you’re carrying a baby for someone else.

Even if your income technically keeps you eligible, using Medicaid for surrogacy breaks the rules and puts everyone at risk.

Do I Need Insurance to Become a Surrogate?

No, you don’t need insurance before you apply.

If you already have coverage through work, your spouse, or somewhere else, we will look at your plan and figure out what it covers for surrogacy.

If your current insurance doesn’t fully cover a surrogate pregnancy, or specifically excludes surrogacy, we’ll work with the intended parents to fill those gaps.

Usually, intended parents buy extra insurance or set up complete coverage to make sure you’re protected.

Here’s how it works

Once you match with intended parents, they pay for any pregnancy-related medical costs your insurance doesn’t cover.

That includes deductibles, co-pays, and any special care you need. You won’t pay anything out of pocket for surrogacy healthcare.

Sometimes intended parents buy a separate surrogacy insurance policy just for you. These plans cover everything about a surrogate pregnancy, giving you full protection from start to finish.

What If You’re Currently on Medicaid?

If you’re on Medicaid now and want to become a surrogate, you’ll need to switch to private insurance first.

It might sound like a roadblock, but American Surrogacy helps women through this transition all the time. Your main options:

Work insurance. If you or your spouse have a job that offers health benefits, you can sign up during open enrollment or after a life event. Many employer plans cover pregnancy, making them perfect for surrogacy.
Marketplace plans. You can buy private insurance through healthcare.gov. These plans are available during open enrollment or after qualifying life events. Some are affordable and cover everything you need for maternity care.
Insurance paid by intended parents. Sometimes intended parents will buy a private policy for you to make sure you have the right coverage. This removes the financial barrier completely.

American Surrogacy works with you to figure out which path fits your situation. We’ll explain timelines, costs, and what’s covered so you can make the switch confidently.

Once you have qualifying insurance, you can start the screening and matching process.

Can My Kids Receive Medicaid if I’m a Surrogate?

Probably not once you start getting surrogate pay.

Medicaid looks at your entire household income, and the money you earn as a surrogate counts toward that—which could determine whether or not your kids can receive Medicaid if you’re a surrogate .

But your children won’t go without healthcare. Here’s how you can keep them covered:

Family plans through work often cover dependents at a reasonable price. If you or your spouse have employer insurance, you can add your kids to that plan.
CHIP (Children’s Health Insurance Program) gives low-cost coverage to kids whose families make too much for Medicaid but still need affordable options. CHIP eligibility varies by state and might work depending on your total household income.
Private insurance through the Marketplace lets you buy family coverage that includes your children. Based on your income and family size, you might qualify for help that lowers your monthly payments.

American Surrogacy gets how important your whole family’s healthcare is. We’ll help you look at coverage options for your kids and connect you with resources to make everything easier.

Reach out, and we’ll guide you through getting coverage for everyone.

Transitioning from Medicaid: How to Become a Surrogate with Confidence

Switching from Medicaid to private insurance might feel overwhelming, but you’re not doing this alone. American Surrogacy helps women in your exact situation every single day.

Whether you’re looking at work plans, considering Marketplace options, or need help with intended parent-paid insurance, we’re here for each step.

Schedule a consultation today—because somewhere out there, a family is waiting, and your surrogacy journey begins with just one conversation.

We’ll explain enrollment timelines, what needs to be covered, and how to protect your family’s healthcare during your surrogacy journey.

How Long Are You On Meds Before Embryo Transfer in Surrogacy?

The medical phase before the embryo transfer for surrogacy is a vital piece to the puzzle. Here’s what it can look like.

Feeling nervous about post placement contact with the birth family is one of the most common concerns adoptive parents share—and these worries are completely valid.

Surrogates typically take medication before embryo transfer for 3 to 6 weeks, though individual timelines may vary based on your body’s response and cycle synchronization needs.

Get answers about the medical process timeline for surrogates today when you fill out our form.

Understanding what to expect during this medication phase helps you feel confident and prepared for your surrogacy journey.

Disclaimer:This content is for informational and educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment.

How Long Are Surrogates on Medications Before Embryo Transfer?

How long you’ll be on medication before embryo transfer depends on several factors specific to your situation. Most surrogates begin their medication protocol 3 to 6 weeks before the scheduled transfer date.

Your fertility clinic creates a personalized medication schedule based on your menstrual cycle, how your body responds to hormones, and the intended parents’ timeline.

Some surrogates may need a shorter preparation period if their body responds quickly, while others might require additional time to achieve optimal uterine lining thickness.

The medication before embryo transfer serves a vital purpose: preparing your uterus for a successful embryo transfer.

This careful timing coordination ensures the best possible environment for pregnancy.

Essential Medications Surrogates Take Before Transfer

Birth control pills often start your medication protocol, helping synchronize your cycle with the intended parents’ timeline. This synchronization is fundamental to the entire process and typically begins several weeks before other medications.

Lupron

Lupron suppresses your natural ovarian function, allowing doctors to control your hormone levels precisely.

You might experience mild menopausal symptoms like hot flashes or headaches, but these side effects are temporary and manageable.

Estrogen

Estrogen medications build up your uterine lining and come in various forms including pills, patches, or injections. Your doctor monitors your estrogen levels through regular blood tests and adjusts dosages as needed to achieve optimal lining thickness.

Progesterone

Progesterone supports embryo implantation and early pregnancy maintenance.

This medication before embryo transfer comes as intramuscular injections, vaginal suppositories, or gel applications. If pregnancy occurs, progesterone continues through the first trimester.

Concerned about needles? Learn pain management techniques for before, during and after injections for surrogacy.

Monitoring and Adjustments During the Medication Phase

Regular blood tests monitor your hormone levels to ensure medication before embryo transfer is working effectively. These tests help your medical team adjust dosages and timing for optimal results.

Transvaginal ultrasounds measure your uterine lining thickness, with the goal of achieving at least 8-10 millimeters before transfer. Your doctor tracks this measurement throughout your medication cycle to determine transfer readiness.

Medication adjustments are common and expected during this process. Your fertility team may modify dosages, timing, or medication types based on your body’s response. These changes optimize your preparation and improve transfer success rates.

American Surrogacy coordinates with your clinic to ensure seamless communication throughout this process.

Learn more about the surrogacy medical process.

What If the Transfer Timeline Changes?

Transfer timelines sometimes change due to various factors, and this flexibility often improves success rates. Your uterine lining might need additional time to reach optimal thickness, or the intended parents may need schedule adjustments.

Medical teams prioritize giving embryos the best chance for successful implantation, even if it means extending your medication before embryo transfer period.

These delays typically occur for important medical reasons and don’t negatively impact pregnancy outcomes.

Many successful surrogates have experienced timeline changes without affecting their journey’s success. Trust that your medical team’s decisions prioritize both your health and the pregnancy’s viability.

Common Questions Surrogates Ask About Medications

“Are the shots going to hurt?”

Progesterone injections are often surrogates’ biggest concern, but they become manageable with practice.

Many partners learn to administer these shots, and techniques like ice application before injection or heat afterward can minimize discomfort.

“What happens if I forget to take something?”

If you forget to take medication before embryo transfer, contact your clinic immediately. Medical teams handle missed doses regularly and will provide specific instructions for your situation.

Don’t panic—they’re prepared to help you get back on track.

“What kind of side effects should I expect?”

Side effects typically resemble PMS symptoms including mood changes, bloating, breast tenderness, and fatigue. These effects are temporary and resolve once your medication protocol ends.

“Can I still work out?”

Exercise guidelines vary by clinic, but most surrogates can continue light to moderate physical activity during their medication phase.

Follow your specific clinic’s recommendations for the safest approach.

How American Surrogacy Supports You Through the Process

Here’s what sets us apart: we get that this whole medication thing can feel overwhelming, so we’re with you every single step of the way.

We Handle the Coordination: We stay in constant contact with your fertility clinic so you don’t have to worry about miscommunications or feeling lost in the shuffle.
You Get Paid What You Deserve: We believe surrogates should get top-dollar compensation because what you’re doing is priceless. All the time you spend on meds, appointments, and everything else—it’s all valued.
Expert Support: Our team knows this process inside and out. We’re here for questions, reassurance, celebration—whatever you need.
Great Matches: We take our time helping you find intended parents who truly appreciate what you’re doing. These relationships often turn into lifelong friendships.

With our support, you can feel confident that you’re making someone’s dream come true while getting the respect and compensation you absolutely deserve.

Ready to start your surrogacy journey with expert support? Fill out our form today to hear from a specialist who understands the medication process and can answer all your questions.

Disclaimer: This content is for informational and educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment. All medical decisions should be made in consultation with a licensed healthcare provider or reproductive specialist familiar with your personal medical history.

Let’s Talk Surrogacy: Facing Setbacks and Finding Joy

Real conversations with surrogates, intended parents and industry professionals sharing their experiences and insights from the surrogacy journey.

In this episode of Let’s Talk Surrogacy, we sit down with Madie—mom of three, two-time surrogate and self-described optimist—to unpack a journey she sums up in one word: unique.

Madie opens up about the inspiration that first led her to surrogacy, the challenges she faced along the way, and the unforgettable moments that made it all worthwhile.

Subscribe to our YouTube channel or listen on the go:

Spotify
Apple Podcasts

New episodes drop on the first Tuesday of each month!

Episode Highlights

Madie recalls the emotional rollercoaster of her first journey, the lessons she learned from setbacks, and the joy of finally helping a family welcome their baby.

She also opens up about the challenges of later matches, including the stress of going independent, and why she now believes agency support makes all the difference.

Finally, Madie reflects on carrying for two dads and the unforgettable moment of watching them meet their daughter for the first time.

Key Takeaways

Agencies provide better support than independent arrangements
Embryo grades don’t predict success
Failed transfers don’t mean the surrogate is “damaged goods”
Trust your instincts and don’t give up

Join the Conversation!

Have specific questions about your situation? Fill out our quick form and speak directly with our experts.

Follow us on Instagram for behind-the-scenes content and daily surrogacy insights.

I Have No Immunity to Hepatitis B after Vaccination: Can I Still Be a Surrogate?

No immunity to hep B after vaccination doesn’t end your surrogacy dreams. Learn pathways for vaccine non-responders to become surrogates.

Approximately 5-15% of healthy adults don’t develop detectable immunity after completing the hepatitis B vaccination series, yet many successfully become surrogates.

Being a hep B vaccine non-responder doesn’t automatically disqualify you from surrogacy—it simply means you’ll need to explore alternative pathways and work with agencies and clinics that understand this medical situation.

Reach out today to learn more about how you can qualify to be a surrogate.

We’re here to help you understand your options, navigate medical requirements, and connect you with fertility clinics experienced in working with vaccine non-responders.

Can I Be a Surrogate if I Have No Immunity to Hep B after Vaccination?

Yes. Having no detectable immunity to hepatitis B doesn’t automatically end your surrogacy journey.

Many prospective surrogates discover they lack immunity after vaccination, yet still qualify for surrogacy programs through alternative pathways.

Having no detectable immunity to hepatitis B is fundamentally different from having an active hepatitis B infection. You can still qualify for surrogacy when your hepatitis B surface antigen (HBsAg) test is negative, meaning no active infection exists.

Learn more about the health requirements to be a surrogate.

Medical Reasons Behind Hepatitis B Vaccine Non-Response

Understanding why some people have no immunity to hep B after vaccination can help you feel more confident about your situation and explore potential solutions with your medical team.

Primary medical reasons for non-response:

Genetic factors: Some people have genetic variations affecting immune response to hepatitis B vaccines
Individual immune system variations: Different people process and remember vaccines differently
HLA (Human Leukocyte Antigen) variations: Specific genetic markers that can predict vaccine response

Protocol and administration issues:

Incomplete vaccine series: Missing doses or not completing the full three-shot series
Improper vaccine administration: Incorrect location, needle depth, or technique
Storage problems: Vaccines not properly stored may lose effectiveness
Concurrent medications: Certain drugs can interfere with vaccine response

Important Reassurance: Being a hep B vaccine non-responder doesn’t indicate serious health problems or increased risk of other infections.

Interpreting Hepatitis B Immunity Test Results

Test results for hepatitis B immunity can be confusing. Understanding what different results mean for your surrogacy eligibility is vital.

Testing protocols can vary between facilities, so always consult with a medical professional to interpret your specific results.

Key Tests and Their Meanings:

Anti-HBs (Hepatitis B Surface Antibodies):

Positive (≥10 mIU/mL): Indicates immunity from vaccination or recovery from infection
Negative (<10 mIU/mL): Shows no detectable immunity to hepatitis B

This test identifies whether you have no immunity to hep B after vaccination

HBsAg (Hepatitis B Surface Antigen):

Negative: No active infection present (essential for surrogacy qualification)
Positive: Active hepatitis B infection (would disqualify you from surrogacy)

Anti-HBc (Hepatitis B Core Antibodies):

Negative: No previous exposure to hepatitis B
Positive: May indicate past infection or vaccination response patterns requiring evaluation

Common Test Result Scenarios:

Scenario 1 – Typical Non-Responder Pattern:

Anti-HBs: Negative
HBsAg: Negative
Anti-HBc: Negative

Translation: Not immune but no active infection – most amenable to surrogacy workarounds

Scenario 2 – Past Exposure with Lost Immunity:

Anti-HBs: Negative
HBsAg: Negative
Anti-HBc: Positive

Translation: May have had past exposure but lost detectable immunity – requires medical evaluation

Critical Distinction: A negative hep B antibody test doesn’t mean you have hepatitis B—it means you don’t have detectable immunity. This is a vital distinction many people misunderstand when evaluating surrogacy eligibility.

Alternative Pathways for Hep B Vaccine Non-Responders

If standard protocols don’t accommodate your situation, several alternative approaches may still lead to surrogacy qualification for those with no immunity to hep B after vaccination.

Additional booster shots may stimulate immunity in people who didn’t respond initially
Higher-dose vaccines sometimes work for those who didn’t respond to standard doses
Alternative vaccine formulations may be more effective for certain individuals

If after these changes you are still non-responsive to the vaccine, you and the intended parents may have the opportunity to sign a waiver acknowledging the results.

Many surrogates with no immunity to hep B after vaccination have successfully carried pregnancies by finding flexible clinics and maintaining excellent communication throughout the process.

Surrogacy Agency Approaches to Hepatitis B Immunity Requirements

Different surrogacy agencies and fertility clinics have varying approaches to handling candidates with no immunity to hep B after vaccination.

Most surrogacy programs require a negative hepatitis B surface antigen (HBsAg) test, confirming no active infection exists.

However, the critical distinction between having no immunity and having an active infection allows many agencies to work with vaccine non-responders.

Agencies typically look for medical honesty about vaccination history and test results. Required documentation usually includes vaccination records, recent hepatitis B panel results, and a letter from your healthcare provider. Some may require consultation with an infectious disease specialist.

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

Working with American Surrogacy: Specialized Support for Medical Complexities

Navigating surrogacy qualification with no immunity to hepatitis B after vaccination requires an agency with experience and commitment to finding solutions. Here’s how we do it:

Our personalized screening process: We analyze your medical history to understand vaccination timeline and response patterns.
Transparency with the intended parents: We educate prospective parents about your medical situation and facilitate honest discussions about actual versus perceived risks.

Our communication support helps explain your situation to intended parents, while our documentation assistance helps present medical information effectively.

Moving Forward: Your Surrogacy Options with Hepatitis B Vaccine Non-Response

Many women in your exact situation have successfully become surrogates by working with the right medical teams and agencies. With proper precautions, you can safely participate in surrogacy.

Ready to explore your surrogacy options despite having no immunity to hep B after vaccination? Fill out our form to discuss your specific situation and learn about available pathways forward.

Shipping Breast Milk as a Surrogate: Tips You Don’t Want to Miss

Complete guide to shipping breast milk in surrogacy: safety steps, costs, duration, and support for surrogates helping families postpartum.

Shipping breast milk in surrogacy gives intended parents the best possible start for their newborn while providing irreplaceable immunological benefits that only you can offer.

The nutritional and emotional value you provide through breast milk shipping gives intended parents peace of mind and their child optimal health benefits during those critical first weeks.

Ready to make an even greater impact as a surrogate? Learn how American Surrogacy supports your entire journey. Fill out our simple form now.

Can Surrogates Provide Breast Milk After Birth?

Yes, surrogates can absolutely provide breast milk after birth.

This decision is entirely voluntary and depends on your personal preferences, physical ability to pump and the intended parents’ wishes regarding shipping breast milk in surrogacy arrangements.

Shipping breast milk in surrogacy represents a continuation of the nurturing relationship that develops during pregnancy.

Many surrogates find this emotionally fulfilling, as it allows them to provide ongoing benefits while helping intended parents give their child optimal nutrition during those critical first weeks.

The decision should be discussed during matching and clearly outlined in your surrogacy agreement.

Learn more about how surrogacy agreements work and what they include to ensure your journey is protected.

The Complete Guide to Safe Breast Milk Shipping for Surrogates (7 Essential Steps)

Shipping breast milk in surrogacy requires careful attention to safety protocols to ensure the milk arrives nutritionally valuable for the baby.

Step 1: Pump and Store Properly Use clean, sanitized equipment and store immediately in breast milk storage bags designed for freezing. Label each container with date and pumping time.
Step 2: Freeze Completely
Ensure all milk is frozen solid before shipping. Freeze milk flat in storage bags to maximize space and promote even freezing.
Step 3: Prepare Shipping Container Use an insulated container designed for frozen goods. Line with plastic bags to prevent leaks and contamination.
Step 4: Pack with Adequate Dry Ice Place dry ice in the bottom, add frozen milk, then top with more dry ice. Use 5-10 pounds of dry ice per 24-hour shipping period.
Step 5: Seal and Label Correctly Seal tightly and apply required shipping labels, including hazardous material labels for dry ice. Include recipient contact information.
Step 6: Ship Overnight Use overnight or express shipping to minimize transit time and ensure milk stays frozen throughout transport.
Step 7: Communicate Delivery Details Notify intended parents of tracking information and expected delivery so they can receive and store milk immediately.

The One Thing Intended Parents Want Most – A Happy and Healthy Baby

When intended parents request shipping breast milk in surrogacy arrangements, it stems from their desire to provide optimal nutrition and health benefits.

Breast milk offers unique immunological properties—antibodies, enzymes, and beneficial bacteria—that formula cannot replicate.

It ensures their baby receives the same nurturing sustenance that supported healthy development in utero, which can be especially meaningful for parents who felt disconnected from the pregnancy experience.

The immunological benefits are particularly valuable during those first months when babies’ immune systems are developing.

Antibodies in breast milk help protect against infections and allergies, giving intended parents peace of mind about their baby’s wellbeing.

How Long Should You Really Pump? (The Truth About Duration)

Duration of pumping for shipping breast milk in surrogacy varies significantly among surrogates. Most who choose this path pump anywhere from two weeks to three months postpartum.

Short-term pumping (2-6 weeks) is most common. This allows surrogates to provide valuable colostrum and early breast milk while bodies naturally transition away from lactation without extended intervention.
Extended pumping (2-3 months or longer) requires more commitment but provides substantial benefits. These arrangements need clear communication and flexibility built in to accommodate changing circumstances.

The decision about duration should be collaborative between you and intended parents.

Remember, milk supply naturally fluctuates, and you should never feel pressured to continue if pumping becomes physically or emotionally challenging.

What Nobody Tells You About Low Milk Supply (And How to Handle It)

Milk supply challenges are completely normal when shipping breast milk in surrogacy.

Several factors impact supply: delivery stress, separation from baby, irregular pumping schedules, and the body’s natural tendency to decrease production without consistent stimulation.

These challenges don’t reflect failure—they’re simply reality of pumping without nursing.

If experiencing supply issues, communicate openly with intended parents and your support team. Sometimes adjusting pumping frequency, ensuring proper nutrition and hydration, or consulting with a lactation specialist helps.

Remember that any amount of breast milk provided through surrogacy shipping is valuable. Intended parents understand supply can be unpredictable.

Don’t Worry About the Costs—Here’s Who Actually Pays

Financial responsibility for shipping breast milk in surrogacy is typically covered by intended parents, though arrangements should be clearly outlined in your surrogacy agreement.

This includes pumping equipment, storage supplies, shipping materials, and shipping fees.

Pumping equipment costs range from $200-$500 for quality electric pumps, while storage bags and supplies add ongoing expenses. Shipping costs vary by frequency and distance, but overnight shipping with dry ice typically costs $75-$150 per shipment.

At American Surrogacy, we work with both parties to ensure clear understanding of financial responsibilities.

The Top-Rated Services Surrogates Trust for Breast Milk Shipping

Several specialized companies handle shipping breast milk in surrogacy with proper safety protocols:

Milk Stork offers comprehensive breast milk shipping with specialized packaging, dry ice handling, and temperature monitoring throughout transit. They provide complete shipping kits and handle door-to-door logistics.
FedEx offers specialized frozen shipping services for breast milk when properly packaged with dry ice. These include temperature monitoring and guaranteed delivery times.
Local Medical Supply Companies often provide breast milk shipping services or recommend appropriate solutions for your specific location.

When selecting services for shipping breast milk in surrogacy, consider reliability, temperature monitoring, insurance coverage, and cost. Many offer tracking and temperature verification.

Your Must-Haves for Shipping Breast Milk (Don’t Ship Without These)

Proper supplies ensure safe shipping breast milk in surrogacy arrangements:

Storage Containers: Heavy-duty breast milk storage bags designed for freezing, or hard plastic containers made specifically for breast milk storage.
Insulated Shipping Container: Styrofoam or specialized insulated containers designed for frozen shipping, appropriately sized for milk quantity.
Dry Ice: Food-grade dry ice in sufficient quantities—generally 5-10 pounds per 24-hour shipping period.
Protective Packaging: Plastic bags to line containers, bubble wrap for cushioning, and tape to secure packaging.
Labels and Documentation: Shipping labels, hazardous material labels for dry ice, and required documentation.
Safety Equipment: Insulated gloves for handling dry ice safely, and ensure adequate ventilation when packing.

This Temperature Mistake Could Ruin Everything (Critical Requirements)

Maintaining proper temperature when shipping breast milk is vital for preserving nutritional and safety qualities. Breast milk must remain frozen at 0°F (-18°C) or below throughout the entire shipping process.

Temperature fluctuations compromise safety and quality, potentially causing bacterial growth or nutrient breakdown. This makes adequate dry ice quantities and proper insulation non-negotiable for safe shipping.

Temperature monitoring devices provide additional assurance that proper temperatures were maintained. Some specialized services include temperature logging as standard.

7 Pro Tips That Make Breast Milk Shipping Actually Manageable

Managing pumping and shipping breast milk in surrogacy while recovering from childbirth requires organization and realistic expectations:

Establish Routine Early: Start pumping within hours of delivery if possible. Maintain consistent schedules that work with your recovery and daily activities.
Prepare Supplies in Advance: Have all shipping supplies ready before delivery so you’re not scrambling for materials while managing recovery.
Communicate Regularly: Maintain open communication with intended parents about supply, shipping schedules, and challenges. They can provide encouragement and practical support.
Focus on Self-Care: Adequate rest, nutrition, and hydration are essential for supply and recovery. Don’t sacrifice your health for pumping goals.
Set Realistic Expectations: Supply fluctuations are normal. It’s okay to adjust plans based on your circumstances—quality matters more than quantity.
Plan for Flexibility: Build flexibility into shipping schedules to accommodate unexpected changes in supply or circumstances.

You Don’t Have to Navigate This Alone—American Surrogacy Has Your Back

Many surrogates find fulfillment in shipping breast milk in surrogacy arrangements, and we support you through every aspect of this process.

Your commitment demonstrates the incredible generosity that makes surrogacy possible.

Ready to learn more about shipping breast milk in surrogacy and the support we provide? Contact American Surrogacy today—we’re here for every step of your journey and beyond.

How Long After Embryo Transfer Can You Swim? Timeline and Guidelines for Surrogates

Safe swimming timeline after embryo transfer: 48-72 hours typical wait, clinic clearance needed, infection prevention guidelines included.

After embryo transfer, many surrogates wonder when they can return to their normal activities, including swimming.

The answer isn’t the same for everyone, as individual circumstances and clinic protocols vary.

However, understanding the general guidelines and the reasons behind swimming restrictions can help you plan your activities while prioritizing the best possible outcome for the intended family you’re helping.

Ready to start your surrogacy journey with expert guidance? Learn how American Surrogacy supports you through every step, including post-transfer support. Fill out our simple form.

How Long After Embryo Transfer Can You Swim?

Most fertility clinics recommend waiting 48-72 hours before swimming after embryo transfer, though some suggest up to one week.

This waiting period protects against infection risk and supports optimal conditions for embryo implantation during the critical first few days.

With proper timing and your clinic’s clearance, you can safely return to swimming and enjoy the physical and emotional benefits of this activity throughout your surrogacy journey.

Always reach out to your fertility clinic for questions regarding post-embryo transfer protocol.

When Swimming Is Generally Safe After Embryo Transfer

Most fertility clinics follow a structured timeline for returning to swimming after embryo transfer. The exact timing depends on your clinic’s protocols, your recovery and the type of water activity you’re planning.

Standard timeline guidelines:

First 24-48 hours: Avoid all water submersion
48-72 hours: Some clinics allow gentle swimming in clean, well-maintained pools
One week: Conservative timeline most clinics consider completely safe
Two weeks: When most activity restrictions are fully lifted

Individual factors that affect timing:

Your clinic’s specific protocols and medical philosophy
Type of embryo transfer (fresh vs. frozen)
Any complications during the transfer procedure
Your overall health and previous pregnancy history
Recovery progress and individual risk factors

The first few days after embryo transfer are vital for implantation. While no scientific evidence shows swimming prevents implantation, many clinics prefer a cautious approach during this critical window.

Your clinic’s recommendations should always take priority over general guidelines.

Have questions about safe activities during your surrogacy? Learn more about what to do after embryo transfer to increase chances of success.

Medical Reasons Behind Swimming Restrictions

The temporary swimming restriction after embryo transfer isn’t arbitrary—it’s based on several important medical considerations that protect both you and the potential pregnancy.

Infection Risk Management: During the first few days after transfer, your cervix may remain slightly open from the procedure. Swimming in pools, hot tubs, or natural bodies of water could potentially introduce bacteria that might cause infections.
Uterine Environment Stability: Your body works to create ideal conditions for embryo implantation. Avoiding potential bacterial exposure or chemical irritants helps maintain optimal conditions during this critical period.
Physical Recovery Needs: While embryo transfer is generally gentle, your body needs time to recover from speculum insertion and catheter placement, which can cause minor cervical irritation.
Temperature Regulation: Very hot or cold water affects core body temperature, and some clinics prefer surrogates avoid temperature extremes during the implantation window.

Following your clinic’s guidelines provides emotional reassurance that you’re doing everything possible to support success for the intended family while meeting your contractual obligations as a surrogate.

Water Activities to Avoid vs. Those That May Be Acceptable

Not all swimming activities carry the same risk level after embryo transfer. Understanding which water activities to completely avoid versus those that might be acceptable with medical clearance helps you make informed decisions.

High-Risk water activities to avoid:

Hot tubs and spas: High temperatures plus bacteria risk make these off-limits throughout pregnancy
Natural bodies of water: Lakes, rivers, ponds, and oceans contain unpredictable bacteria levels
Poorly maintained pools: Inadequate chlorination poses unnecessary infection risks
Very cold water: Sudden temperature changes can shock your system
Crowded public pools: High-traffic areas may have higher bacteria levels and illness exposure

Lower-Risk swimming options (with medical clearance):

Well-maintained private pools: Clean, properly chlorinated pools with known maintenance standards
Lap swimming in clean facilities: Gentle swimming in well-maintained pools after waiting period
Shallow water activities: Standing or walking in clean, shallow water typically poses minimal risk
Climate-controlled indoor pools: Temperature-controlled environments reduce thermal shock risk

Important reminders: Always get specific clearance from your clinic before resuming any swimming.

How Different Clinics Approach Swimming Restrictions

Fertility clinics approach post-transfer swimming restrictions differently based on their protocols, patient populations, and medical philosophies. This variation explains why personalized guidance from your specific clinic is essential.

Factors Influencing Your Clinic’s Recommendations:

Transfer complexity: Difficult transfers may result in longer restriction periods
Patient history: Previous pregnancy losses might lead to more conservative approaches
Clinic protocols: Each develops guidelines based on experience and medical literature
Geographic considerations: Areas with water-related health risks may require extra caution
Legal factors: Some restrictions reflect liability management rather than strict medical necessity

Key questions to ask your clinic:

What’s your specific timeline for swimming after my transfer?
Are there differences between pool types I should consider?
What symptoms should prompt me to avoid swimming longer?
How do my individual circumstances affect these recommendations?

Comprehensive Support Throughout Your Surrogacy Journey

The period after embryo transfer can feel both exciting and anxiety-provoking as you consider every activity and decision. Questions about swimming and other activities reflect your natural concern for the intended family’s success.

How American Surrogacy supports you:

Comprehensive compensation packages: We offer competitive surrogate compensation to support you and your family throughout your journey
Clear communication channels: Direct access to case coordinators for questions or medical professional connections
Medical coordination: We work with your fertility clinic to ensure consistent, clear guidance about activities and restrictions
Educational resources: Comprehensive information about post-transfer expectations so you feel prepared

Every question about swimming, exercise, diet, or activities after embryo transfer demonstrates your dedication to this journey. That commitment is exactly why intended families choose to work with surrogates like you.

Ready for personalized support throughout your surrogacy journey? Connect with a surrogacy specialist today.

Who is Responsible for Obtaining Surrogate Life Insurance: Me or the Intended Parents?

Wondering about surrogate life insurance responsibility? Learn who covers costs, what policies include, and how American Surrogacy handles insurance logistics for your protection.

Intended parents are responsible for securing and paying for surrogate life insurance—not you.

With comprehensive life insurance coverage managed by others, you can focus on maintaining a healthy pregnancy while knowing your family is completely protected if pregnancy-related complications occur.

Ready to learn how American Surrogacy handles every detail of your protection? Fill out our simple form to get more information today.

We’ll walk you through exactly how surrogate life insurance works, who handles each step of the process and how American Surrogacy ensures every surrogate receives comprehensive protection without any administrative burden on your part.

Who is Responsible for Obtaining Surrogate Life Insurance: Me or the Intended Parents?

Intended parents are responsible for securing and paying for surrogate life insurance. This protection is a standard, non-negotiable part of surrogacy arrangements that provides vital financial security for your family during pregnancy.

This arrangement benefits everyone involved because intended parents have allocated financial resources for surrogacy expenses, the policy protects their investment in the process, and it ensures consistent coverage regardless of your personal financial situation.

Why Intended Parents Handle Surrogate Life Insurance Arrangements

Intended parents take responsibility for surrogate life insurance because they’re financially invested in the surrogacy process and have the resources to secure appropriate coverage.

Most agencies work with insurance specialists to streamline this process, leveraging their experience to find policies that meet surrogacy-specific needs efficiently.

This system also ensures contract compliance—the chosen policy will meet all requirements specified in your surrogacy agreement.

As a surrogate, you retain important rights including reviewing policy details before signing your contract, asking questions about coverage amounts and exclusions, and requesting clarification about any aspects you don’t understand.

Learn more about how surrogacy contracts protect your surrogacy journey.

What Surrogate Life Insurance Covers During Your Journey

Surrogate life insurance policies provide comprehensive protection specifically designed for pregnancy-related risks. Coverage typically includes:

Accidental death benefits for pregnancy
Delivery or related medical procedures
Benefits for serious pregnancy complications that could affect your long-term health or ability to work

Most policies provide coverage from the start of medication protocols through several weeks after delivery, ensuring protection during the entire high-risk period.

Benefit amounts typically range from $250,000 to $750,000, depending on your specific arrangement and intended parents’ preferences.

Policies generally exclude pre-existing conditions and situations unrelated to pregnancy, with all coverage details clearly outlined in your surrogacy contract.

Understanding the Medical Risks That Make Life Insurance Essential

While pregnancy-related complications are rare, surrogate life insurance provides financial protection if serious complications occur during pregnancy or delivery that could impact your long-term health, reproductive capacity or ability to work.

Beyond covering the extremely rare possibility of pregnancy-related death, these policies address real medical scenarios like:

Emergency cesarean complications
Severe hemorrhaging requiring blood transfusion
Pregnancy-induced hypertension leading to organ damage
Rare conditions requiring emergency hysterectomy.

The comprehensive protection ensures your family receives financial support to maintain their lifestyle and meet ongoing expenses if pregnancy-related complications affect your health or earning capacity.

Life insurance protects your family if complications arise—but what about the compensation you’ll earn for your incredible contribution? Learn about our surrogate compensation packages.

How American Surrogacy Manages Insurance Logistics for You

At American Surrogacy, we coordinate all insurance logistics so you can focus entirely on maintaining a healthy pregnancy.

Our comprehensive insurance management approach includes several key services that remove all administrative burden from your surrogacy experience. Our insurance support services include:

Administrative Handling: From policy applications to premium payments, we coordinate with intended parents to handle all administrative aspects
Expert Guidance: Our team partners with insurance specialists who understand surrogacy-specific risks and coverage needs
Seamless Integration: Insurance requirements are outlined clearly as you begin your journey, so there are no surprises about coverage or timing
Ongoing Support: If questions arise about your coverage during pregnancy, we’re here to help you get answers quickly
Quality Assurance: We ensure all policies meet our minimum coverage requirements, providing consistent protection for all our surrogates

This comprehensive approach means you’ll have complete confidence in your coverage and professional support throughout your entire surrogacy journey.

Learn more about how we ensure our surrogates are safe and supported every step of the way.

The Peace of Mind That Comes with Professional Insurance Management

Knowing that experienced professionals handle your life insurance coverage allows you to focus completely on pregnancy health and well-being.

You can feel confident that your family is protected by appropriate coverage amounts, trust that insurance specialists familiar with surrogacy risks selected your policy, and move forward knowing comprehensive protection is in place throughout your journey.

The result is a surrogacy experience where you can fully commit to helping intended parents achieve their dreams of parenthood, knowing that every detail of your protection has been carefully considered and professionally managed.

Ready to Begin Your Surrogacy Journey with Complete Protection?

We understand that insurance questions can feel overwhelming, especially for first-time surrogates, which is why we manage every aspect of your coverage from policy selection through ongoing support.

Contact us today to learn more about becoming a surrogate with comprehensive protection and professional support every step of the way.

With our professional insurance management, you’ll have complete confidence in your coverage and peace of mind throughout your entire journey.

Let’s Talk Surrogacy: Why I Became a Surrogate (Episode 1)

Let’s Talk Surrogacy is your go-to podcast for real, unfiltered conversations about the surrogacy journey from both sides of the experience.

Welcome to Let’s Talk Surrogacy

New episodes drop on the first Tuesday of every month! Make sure to subscribe to our YouTube channel so you never miss a story that could inspire or inform your own surrogacy journey.

Featuring surrogates, intended parents, and industry professionals, we explore the emotional, physical, and legal realities of creating a family through surrogacy.

Whether you’re thinking about becoming a surrogate, navigating infertility, or simply curious about how the process works, this podcast offers insight, guidance, and support every step of the way.

Prefer to listen? Stream this episode on your favorite podcast platform:

Episode Highlight: Meg’s Surrogacy Journey

In this heartfelt episode, we meet Meg, a two-time surrogate and mom of four, who shares why she chose to carry for others and how her journey evolved between her two experiences.

Meg discusses the real-life physical and emotional demands of surrogacy. She also opens up about experiencing a miscarriage during her second journey and how strong agency support helped her find resilience and success in a second transfer attempt.

Meg’s story is a powerful reminder of the strength, empathy, and support it takes to walk the surrogacy path—and how deeply meaningful it can be for both surrogates and intended parents.

Join the Conversation

Have thoughts on this episode? Leave a comment below or follow us on Instagram—we’d love to hear your story, questions or reflections on surrogacy.

What Happens if You Miscarry During Surrogacy? How Agencies Stand Beside Surrogates

Surrogate miscarriage is painful, but you’re not alone. Learn how American Surrogacy supports surrogates with care, clarity, and compassion.

No one begins a surrogacy journey expecting loss, but sometimes, heartbreak becomes part of the story. A surrogate miscarriage is one of the most emotionally complex experiences a woman can face.

If you’re navigating this path or preparing for the “what ifs”—please know this: you are not alone, and you are not to blame. At American Surrogacy, we believe that real support means showing up for the hardest parts of the journey, not just the milestones.

If you’re navigating a surrogate miscarriage or simply want to know you’ll be supported no matter what, our team is here for you. Reach out to a surrogacy specialist today for support that puts your wellbeing first.

What Happens if You Miscarry During Surrogacy?

A surrogate miscarriage can be a heartbreaking and overwhelming experience, but surrogates are never expected to face it alone.

When a miscarriage occurs, the first step is medical care. Your OB-GYN or fertility clinic will provide the necessary procedures, testing, and follow-up to ensure your health and safety.

Legally, your surrogacy contract outlines what happens in this situation, including how intended parents are informed and how compensation is handled. Emotionally, the agency becomes your lifeline.

The emotional and physical recovery timeline varies, and we honor each surrogate’s unique path forward with unwavering support.

Is It My Fault? What Every Surrogate Needs to Know About Miscarriage

One of the most painful myths surrounding a surrogate miscarriage is the belief that the surrogate somehow did something wrong.

In reality, miscarriages are common and usually caused by chromosomal or developmental issues that are entirely out of anyone’s control.

At American Surrogacy, we ensure that our surrogates understand from the beginning that they are never to blame if a loss occurs. Our agency provides ongoing emotional support, including access to therapists who specialize in reproductive grief.

We help surrogates navigate feelings of guilt, shame, or confusion with empathy and clinical clarity. Surrogacy is built on courage and generosity. Even in the face of loss, those qualities remain deeply respected and protected.

What Support Do Surrogates Receive After a Pregnancy Loss?

After a surrogate miscarriage, emotional healing and personal care become the top priorities and with American Surrogacy, that support is both immediate and ongoing.

Our surrogates are offered access to licensed mental health professionals who specialize in reproductive loss, so they have a safe, confidential space to process their grief.

We also provide continued case management support, regular check-ins from our team and optional participation in surrogate support groups where shared experiences create comfort and connection.

Every surrogate is different, and so is every healing journey. That’s why our support is never one-size-fits-all. Whether you want space, conversation or ongoing resources, American Surrogacy adapts to your needs, because you deserve to be supported fully, not just medically, but emotionally, too.

Emotional Support Resources After a Surrogacy Loss

Whether you need someone to talk to immediately or prefer quiet reflection with the option to reach out later, we respect your process.

That’s why we connect our surrogates with licensed counselors and support groups while providing ongoing agency communication tailored to your needs.

You can also explore the virtual support groups and forums below.

Empty Arms Bereavement Support: A free support group for those who have experience a miscarriage or early pregnancy loss. All meeting are through Zoom.
Rachel’s Gift: Free virtual support groups for those who have experienced miscarriage, stillbirths and infant loss.
r/Miscarriage: A community for those who have experienced miscarriage to talk about their loss and seek peer support.
r/PregnancyAfterLoss: A subreddit for those who become pregnant after miscarriage or infant loss.

Why Agency Support Matters During a Surrogate Miscarriage

In the wake of a surrogate miscarriage, having the right agency by your side isn’t just helpful—it’s everything. The emotional, medical, and logistical challenges that follow a pregnancy loss can feel overwhelming.

That’s why surrogates who partner with American Surrogacy receive wraparound care designed to meet every need: emotional counseling, clear communication protocols, legal clarity and heartfelt check-ins that don’t stop after the initial crisis fades.

Without an experienced, empathetic agency, surrogates may be left to navigate grief, legalities, or conversations with intended parents on their own. But with American Surrogacy, you are never alone. We advocate for you every step of the way.

Choosing the right agency means choosing a team that stands beside you when things don’t go as planned—and that’s when it matters most.

What the Surrogacy Contract Says About Miscarriage

Every surrogacy journey begins with a carefully crafted legal agreement and that includes planning for difficult moments like a surrogate miscarriage.

Your contract outlines what happens in the event of a pregnancy loss, including how compensation is handled, who is responsible for medical costs, and how communication with intended parents is managed. This legal clarity is essential: it protects you emotionally and financially during a vulnerable time.

Our agency works closely with experienced surrogacy attorneys to ensure that every surrogate’s rights, health and peace of mind are prioritized in the contract. Knowing that you’re protected allows you to focus on healing, not logistics and reinforces that your agency is with you, every step of the way.

Learn more about surrogacy contracts.

Do Surrogates Get Paid if They Miscarry?

Yes, in most cases, you are compensated up until the miscarriage occurs.

Surrogate miscarriage does not typically negate earned payments, and any escrowed funds are managed per the terms of your contract. American Surrogacy ensures transparency and fairness in all financial matters, so you can focus on recovery without added stress.

Just as with the previous pregnancy, if you and the intended parents decide to try again after your doctor has medically cleared you to do so, payments will resume once a pregnancy is confirmed. You will still receive the full amount of compensation outlined in your contract.

How Intended Parents Are Involved When a Surrogate Miscarriage Occurs

One of the hardest parts of a surrogate miscarriage is the emotional weight of telling the intended parents. You might worry about their reaction or feel like you let them down.

While intended parents may feel deeply saddened, surrogates need to know: they are not to blame. Miscarriage is no one’s fault. Intended parents often respond with empathy, gratitude and heartbreak rather than anger.

Your surrogacy specialist can provide sensitive mediation and emotional support to help all sides navigate this complex moment. Our agency plays a key role in helping surrogates and intended parents communicate with clarity and care, while also respecting each individual’s grieving process.

Surrogates are never left to carry the emotional weight or explain difficult news alone. We also help intended parents process their grief while reinforcing their continued respect for the surrogate’s bravery and effort.

In many cases, these shared hardships actually strengthen the bond between surrogate and family. With the right emotional support, healing happens—together, not apart.

Can I Be a Surrogate Again After a Miscarriage?

Experiencing a surrogate miscarriage doesn’t automatically disqualify you from future journeys. After medical clearance from your doctor and a recovery period, many surrogates go on to complete successful pregnancies.

American Surrogacy will support you in making a decision that aligns with your emotional readiness and health. Some surrogates choose to try again; others decide their journey ends here—either path is honored.

How Common is Miscarriage in Surrogacy?

It might surprise you to learn that miscarriage, including surrogate miscarriage, is relatively common. It affects about 10-20% of all pregnancies. Even when the embryo is healthy, and everything seems perfect, miscarriage can still happen.

Age, embryo quality, and other health factors can play a role, but sometimes there’s simply no clear reason. Knowing this doesn’t make the loss easier, but it can help you release some of the self-blame and understand that this experience is sadly a part of many women’s reproductive journeys.

How American Surrogacy Supports You Through Every Step

Experiencing a surrogate miscarriage is an emotionally difficult and deeply personal event. At American Surrogacy, our priority is ensuring that no surrogate ever faces that pain alone.

When a miscarriage occurs, our team offers emotional support, licensed counseling referrals, and guidance through next steps.

Surrogates are offered access to mental health professionals experienced in reproductive loss, as well as ongoing check-ins from our staff. We also facilitate peer support networks so surrogates can connect with others who’ve walked a similar path.

Importantly, every step is guided by empathy, not pressure or blame. Surrogacy is a journey that comes with joy and, sometimes, loss. We’re here for all of it, with full-circle care that honors your experience and well-being.

You Don’t Have to Face This Alone

Loss is never easy, but with the right agency, you’ll never walk through it unsupported. At American Surrogacy, we care for every aspect of yourself that you’ve invested in this journey: heart, body and mind. If you’re ready to learn more or just need someone to listen, we’re here.

Connect with a specialist today by filling out our quick form.