There are a lot of questions intended parents have to ask themselves when they’re considering gestational surrogacy. If you’ve spent months or years on other fertility treatments, you may have already exhausted a great store of your family-building savings along the way.

You might also have depleted another store — that of your previously created embryos.

If other infertility treatments have not worked for you and you have one embryo left, you may be considering surrogacy as your best chance of success. Transferring a healthy embryo into a woman who has proven her ability to carry pregnancies to term may be the last opportunity you have for a biological child.

However, there are a few things to consider before starting the surrogacy process. It’s a long journey, and it will require a great deal from you, your spouse (if applicable) and the surrogate you work with.

While gestational surrogacy with one embryo is certainly possible, certain aspects can also make it more difficult. We encourage any intended parent considering this path to call our specialists for free at 1-800-875-BABY(2229) for answers to all of your questions.

In the meantime, it’s a good idea to think about the following:

The Time (and Expense) That Pre-Surrogacy Screening Takes

Surrogacy is not an easy process. It requires a long application journey, filled with background screening, medical and psychological screening, and matching with the perfect surrogacy candidate. It can take several months to get all of this done — and that’s before you even start the surrogacy medical process.

When most intended parents begin gestational surrogacy, they are committed to more than one embryo transfer. But, when you only have one embryo remaining, you may be limited to one transfer. This can make your surrogacy experience less economical; you will pay the same amount of fees and expenses as other intended parents but your journey may be a great deal shorter.

Here at American Surrogacy, a certain amount of our agency fees last as long as our partnership. You won’t need to pay those expenses again if your first embryo transfer fails; we will honor your payments until you are able to bring a healthy child home. It’s part of our commitment to an affordable surrogacy process.

If you are an intended parent with only one embryo, however, you will need to evaluate whether these expenses (and the pre-surrogacy time commitment) are worth it for you. If you only plan to complete one embryo transfer process, are you prepared for the commitment this process requires?

What happens if the embryo transfer fails? That will be time and money you cannot get back.

Wait Time for Appropriate Surrogates

Intended parents aren’t the only ones that go through a long approval process to start surrogacy; gestational carriers must undergo screening, too.

The women who choose to become surrogates are dedicated to helping someone else become a parent, whatever it takes. They want to create a genuine relationship with the intended parents they carry for, and they are committed to a long journey with those intended parents. Just like you, they want to make sure all the pre-screening and matching steps they go through are worth their time and effort.

That’s why many surrogates will only work with intended parents who are willing to complete two or more embryo transfers. If a surrogate partners with someone who only wants one embryo transfer, and that transfer fails, she will need to go through the screening and matching process all over again.

For this reason, you might expect a longer wait for a match if you are only interested in one embryo transfer. Your surrogacy specialist will do all she can to find you the perfect surrogate, but it must be a candidate who is comfortable with your anticipated timeline.

Your Plan if the Transfer Fails

Optimism is important in any fertility treatment. When you start the surrogacy process, you have to believe that your last embryo will take, and your surrogate will have a successful pregnancy.

But, what if this isn’t the case? What are your next steps?

Before you begin surrogacy with one embryo, you and your spouse (if applicable) need to think long and hard about your next steps. For women under 35, the success rate of an embryo transfer is only 53.9 percent. That means your transfer is just as likely to fail as it is to succeed — and you need to plan for what happens if a pregnancy does not occur.

You have a few options:

• Create more embryos: If you wish to continue with surrogacy, you will need more embryos. You can either create these from donated egg and sperm, or complete the in vitro fertilization process with your own gametes. Both of these paths can take some time, so you may have to pause your surrogacy journey and eventually find another surrogate once your embryos are complete. Talk to your surrogacy specialist before starting to see what how this choice may impact your journey.
• Pursue adoption: If your last embryo transfer fails, and you don’t want to create any more, you can always become a parent through adoption. There are several types of adoption to choose from, and you will need to research each to determine which is right for you. Our team can always connect you to our sister agency, American Adoptions, for more information on this process.

Having a set plan in case of a failed embryo transfer is crucial. That way, you won’t waste precious time trying to figure out your next steps when you could be actively working toward bringing a child into your family.

If you’re unsure of how to proceed with only one embryo, you can always contact a surrogacy specialist at 1-800-875-BABY(2229). They can talk to you about your options for gestational surrogacy with our agency and help you make the best decision for your family, whatever it might be.