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.

Shifting Surrogacy Laws in Spain: What Do They Mean?

Thinking about surrogacy abroad? With laws changing fast in places like Spain, here’s why more parents are choosing the U.S. for a more stable legal framework.

A directive issued by Spain’s Ministry of Justice, banning Spanish embassies and consulates from registering the births of children born via surrogacy abroad, went into effect on Thursday, May 1st, 2025.

The ban instructs consular offices to stop recording these births in Spain’s civil registry even when the children were born through legally valid surrogacy arrangements in other countries.

For more information, you can read the full news article on Politico.

The announcement has ignited concern among intended parents throughout Europe, many of whom now face the risk of shifting legal ground mid-surrogacy journey—raising urgent questions about parenthood recognition, child citizenship, and cross-border reproductive rights.

Is Surrogacy Legal in Spain?

Surrogacy laws in Spain are among the most restrictive in Europe. Under the Spanish Civil Code, all surrogacy agreements whether altruistic or commercial are considered legally void.

The law only recognizes the woman who gives birth to the child as the legal mother, regardless of biological connection or intent.

Intended parents who pursue surrogacy abroad may face serious challenges upon returning to Spain, including denied recognition of legal parenthood and difficulty registering the child in civil records.

These legal hurdles highlight the lack of support within Spain’s legal framework for families built through surrogacy, even when arrangements are completed lawfully in another country.

Why Spain Recently Banned Embassy Registration of Surrogate Births

A major shift in surrogacy laws in Spain came in early 2024, when the Ministry of Justice issued a directive barring Spanish embassies and consulates from registering births of children born via surrogacy abroad.

This policy change effectively prevents Spanish intended parents from securing Spanish nationality or documentation for their children born through international surrogacy.

Authorities cited legal and ethical concerns, noting that surrogacy agreements undermine the dignity of women and children. The new directive reflects Spain’s firm legal stance against recognizing surrogacy, even when the practice is legal in the country where the birth occurred.

Surrogacy Restrictions Expanding Across Europe

Spain isn’t alone. Italy and Greece have also taken recent steps to restrict surrogacy, both domestically and for citizens who pursue it abroad.

In Italy, the government has proposed criminal penalties for anyone participating in surrogacy overseas, including intended parents—one of the strictest positions in Europe.

Greece, long seen as a destination for affordable surrogacy, recently passed reforms banning surrogacy for single men and men in same-sex relationships.

These developments suggest a regional trend: Europe is moving toward greater legal resistance to surrogacy, raising the risks for international families.

Why International Surrogacy Is Becoming Riskier

For many hopeful parents, international surrogacy may seem like an affordable and accessible path to building a family.

However, surrogacy laws in Spain and other countries across Europe demonstrate how quickly legal environments can change and why caution is essential.

Several countries that once permitted or tolerated cross-border surrogacy are now tightening regulations, limiting parental recognition, or even banning key administrative processes, like birth registration at embassies.

If your chosen destination changes its laws mid-process as Spain recently did—you may face serious setbacks, such as delays in establishing legal parenthood, issues with your child’s nationality or difficulty bringing your baby home.

This evolving legal landscape can cause emotional and financial stress for families caught in the crossfire.

How U.S. Surrogacy Offers a More Predictable Legal Framework

In contrast to the shifting laws abroad, surrogacy in the United States remains highly structured and legally consistent. Many U.S. states offer well-established protections for intended parents, surrogates and children.

Pre-birth orders, licensed surrogacy agencies and experienced legal counsel help ensure that your parental rights are recognized and protected from the start.

For international families, this legal reliability offers peace of mind and a smoother path to parenthood.

Thinking Surrogacy Abroad Might Be Cheaper? Consider the Risks.

It’s true that surrogacy in some countries may appear more affordable at first glance. But lower upfront costs can come with greater long-term risks. In countries without strict regulatory frameworks, you may encounter:

  • Unvetted or unregulated agencies
  • Lack of surrogate screening or legal protections
  • Disputes over parentage or contract enforcement
  • Unexpected costs tied to legal battles, travel, or extended stays abroad

Without the oversight found in U.S. programs, families may end up spending more to resolve legal, logistical or medical complications.

Choosing a country with a strong legal foundation like the United States can help minimize these risks and protect your investment, your family and your peace of mind.

How U.S. Surrogacy Agencies Can Support Intended Parents Domestically and Abroad

At American Surrogacy, we know that choosing surrogacy, especially across borders, is a major decision. Whether you’re located in the United States or overseas, our agency provides the stability, legal protection and flexibility that families need at every step.

  • Short Wait Times: We match intended parents with a surrogate within an average of 1–6 months. Every surrogate in our network is thoroughly prescreened through a rigorous process that minimizes risks, saving you time and money.
  • Budget Protection: We offer transparent costs and flexible programs, such as our Limited Risk program that provides financial protection if a match falls through

Our International Program for Intended Parents Abroad

Given the unpredictable nature of surrogacy laws abroad, as demonstrated by the recent changes in surrogacy laws in Spain and Greece, many intended parents are turning to international surrogacy programs with stronger legal frameworks.

Our programs offer comprehensive support for intended parents who wish to pursue surrogacy in the U.S. from the following countries:

  • Canada
  • England
  • France
  • Germany
  • Ireland

Our team provides end-to-end guidance for intended parents abroad pursuing surrogacy in the U.S., including consistent communication, legal coordination and assisting with ensuring you and your baby have a safe and simple return home.

If you reside in any of the countries listed above and are interested in pursuing surrogacy in the U.S., learn more about our international program.

Choose Stability with American Surrogacy

As surrogacy laws in countries like Spain, Italy and Greece continue to shift, many intended parents face growing uncertainty and legal risk.

In contrast, the United States offers a stable and inclusive legal environment that upholds the rights of both intended parents and surrogates.

This reliability allows American Surrogacy to confidently guide families through every step of the journey complying with each state’s specific legal requirements while offering personalized, compassionate support.

Your path to parenthood shouldn’t be left to chance. Reach out today to learn how we protect your rights and ensure a smooth, secure surrogacy experience.

Pregnancy After Uterine Rupture: Is It Safe?

Surrogacy provides a safe, supported path to parenthood for those navigating the potential risks of getting pregnant after uterine rupture.

Considering pregnancy after a uterine rupture can feel confusing, overwhelming—and deeply emotional.

While whether this path is safe depends on your individual medical history, one truth remains: a future family is still possible even if carrying another pregnancy isn’t.

This guide is designed to give you the facts, explore your medical options, and introduce safe, hopeful paths forward, like surrogacy, which allows you to grow your family without risking your health.

If you’re looking for a safe, supported way to become a parent after uterine rupture, connect with our team at American Surrogacy. We’re here to help you take the next step with confidence.

Is It Safe to Get Pregnant After a Uterine Rupture?

A 2023 review in Obstetrics & Gynecology found that individuals with a history of rupture have about a 10% likelihood of experiencing another rupture in future pregnancies.

A uterine rupture is a rare but life-threatening complication, often occurring at the site of a prior C-section or surgical scar. This tear in the uterus can pose severe risks for both the birthing parent and baby.

So it’s no surprise many wonder: Is it safe to get pregnant after a uterine rupture?

The Medical Reality

The answer depends on the severity of the rupture, how your uterus healed, and whether your uterus was repaired or removed entirely (hysterectomy).

While some people do go on to have successful pregnancies, there is a significant likelihood of uterine rupture in future pregnancies.

Key risk factors include:

  • Previous uterine rupture
  • Classical (vertical) uterine incision
  • Multiple prior C-sections
  • Rupture occurring outside of active labor
  • Short interpregnancy intervals

For many, future pregnancy after uterine rupture may be possible but high-risk. For others, it may be medically contraindicated.

When Pregnancy After a Uterine Rupture Isn’t an Option: Accepting Difficult Truths

Sometimes, the safest decision is accepting that carrying another pregnancy isn’t possible. This may be due to:

  • A hysterectomy following rupture
  • Extensive uterine scar tissue
  • A medical recommendation from your OB/GYN due to life-threatening risks

What matters most is knowing that your journey to parenthood doesn’t have to end here. There are safe, supported alternatives that still allow you to experience the joy of raising a child who is biologically yours.

If you’ve experienced IVF failure due to C-section scarring or other uterine scarring, learn more about potential risks of future pregnancies and your options.

What Are My Options if Pregnancy After Uterine Rupture Is Too Dangerous?

If future pregnancy after uterine rupture isn’t advised, it’s time to explore alternate paths to parenthood. The most common options include:

  • Gestational surrogacy: Using your own embryo (or donor embryo) carried by a gestational surrogate
  • Adoption: Building your family through infant adoption with American Adoptions or through foster care

Both options can offer fulfilling family-building experiences, but gestational surrogacy is often the first choice for couples who want a genetic connection to their child.

When Surrogacy Becomes the Safest Choice

For many families, the risk of recurrence, even if small, is not one they’re willing or medically allowed to take.

Gestational surrogacy becomes a safer, medically supported option that removes the risk of another rupture while preserving your ability to have a biological child.

If you’re wondering, “Can I get pregnant after uterine rupture without it happening again?”—the honest answer is: It’s possible, but rarely recommended without expert clearance.

What About Adoption?

Adoption is another beautiful way to grow your family. If surrogacy isn’t a fit or you want to keep your options open, explore adoption through American Adoptions, our partner organization dedicated to guiding adoptive families through every step of the process.

If you are interested in learning more, you can speak with a specialist by filling out this online form.

How Surrogacy Helps Bypass the Risks of Recurrent Uterine Rupture

For intended parents recovering from a uterine rupture, surrogacy offers a path to parenthood that avoids the serious medical risks of another pregnancy. It’s not just an emotional choice, it’s often a clinical necessity.

Gestational surrogacy eliminates these physical risks entirely. By having a carefully screened surrogate carry the pregnancy, you:

  • Remove the possibility of uterine rupture recurring
  • Eliminate risks of hemorrhage, uterine scarring or emergency hysterectomy
  • Avoid high-risk prenatal monitoring, hospitalization or early delivery
  • Focus on parenting and bonding without the stress of medical complications

Surrogacy allows you to grow your family without re-exposing yourself to life-threatening obstetric trauma, a fact many OB/GYNs highlight when advising against future pregnancy after rupture.

By choosing surrogacy, you’re not giving up, you’re taking control. It’s a medical decision rooted in self-preservation, family building and hope.

How American Surrogacy Can Help You Grow Your Family After Uterine Rupture

At American Surrogacy, we specialize in helping intended parents navigate the complexities of surrogacy, especially those recovering from traumatic birth experiences or uterine rupture.

We provide:

You don’t have to figure it out alone. Whether you’re recovering from a traumatic delivery or facing the hard truth about your fertility, we’re here to offer real solutions, heartfelt support and renewed hope.

Ready to Take the Next Step?

You don’t have to navigate this alone. Whether you’re recovering from the emotional toll of a rupture or facing the difficult truth that you can’t carry again, there is still a path forward.

Contact American Surrogacy today to speak with a specialist about building your family after uterine rupture.

Do You Need a Saline Sonogram Before IVF? Here’s What It Reveals

A saline sonogram before IVF helps detect hidden uterine issues, guiding next steps and opening options like surgery or surrogacy if needed.

What if a simple test could change your entire fertility journey, saving you years of false hope and disappointment?

That’s why getting a saline sonogram before IVF is so highly recommended. This diagnostic tool could save you time, money, and emotional strain by revealing uterine abnormalities that might prevent successful implantation.

If you’ve been struggling with failed cycles, a saline sonogram could finally provide the answers you’ve been looking for.

And if those answers reveal that carrying a pregnancy may not be possible, you still have options. Fill out our form to learn how surrogacy can succeed where IVF may fail.

Do I Need a Saline Sonogram Before IVF?

A saline sonogram before IVF, also known as a saline infusion sonogram (SIS) or sonohysterography, is a specialized ultrasound that gives your doctor a clearer view of the uterus.

It’s often recommended before beginning IVF to check for hidden abnormalities that could interfere with embryo implantation.

Here’s how it works: a small amount of sterile saline (saltwater) is introduced into the uterus through a thin catheter. This saline expands the uterus slightly, giving the ultrasound waves a clearer field to reveal potential fertility obstacles.

This test can detect critical issues like:

  • Uterine fibroids
  • Polyps
  • Scar tissue
  • Abnormal shapes or cavities

Addressing these problems before IVF can dramatically improve your chances of success.

Getting a Saline Sonogram After Failed IVF: What It Can Reveal and What Comes Next

If IVF hasn’t worked for you, a saline sonogram after failed IVF can offer much-needed clarity. It’s often recommended to uncover uterine issues that may not show up on standard imaging but can prevent successful implantation.

If your saline sonogram reveals that carrying a pregnancy isn’t possible or safe, it can feel like a devastating setback but it doesn’t have to be the end of your journey.

If your uterus can’t support a pregnancy, a gestational surrogate can. You’ll be able to use your own embryo, created through IVF, which means your child will be biologically yours.

If your saline sonogram after failed IVF reveals challenges you didn’t expect, know that there is still a path forward. You still have options. Learn more about surrogacy after failed IVF.

What Does a Saline Sonogram Detect That Regular Ultrasounds Don’t?

Ordinary ultrasounds look at the uterus in its “collapsed” state, which is how it typically exists when not pregnant. But this makes it harder to spot internal abnormalities.

In contrast, a saline sonogram before IVF gently expands the uterus with sterile saline, offering a clearer, more detailed view of the uterine lining and structure.

This enhanced visibility makes it easier to detect potential barriers to implantation that standard ultrasounds often miss. .

How to Prepare for a Saline Sonogram

No major preparation is required for a saline sonogram before IVF, but it’s typically scheduled between days 5 and 9 of your menstrual cycle for the clearest view.

Some women experience light cramping or spotting after the test, so wearing a pad on the day of your appointment is a good idea. Your doctor may also recommend taking ibuprofen beforehand to reduce discomfort.

What to Expect During Your Saline Sonogram

The saline sonogram is a quick outpatient procedure that usually takes under 30 minutes. Many patients describe the experience as similar to a Pap smear, with some added cramping when the saline is introduced.

While the procedure is generally painless, it can be emotionally taxing. If you’ve been on a long fertility journey, discovering a uterine abnormality may feel like a setback. Conversely, finding nothing wrong can also be frustrating if you’re still searching for answers.

Remember: a SIS for IVF is a diagnostic tool, not a judgment. Whatever it reveals, you still have options.

Does a Saline Sonogram Hurt?

Most patients tolerate the procedure well. Some report mild discomfort or cramping, particularly when the uterus is expanded.

Many compare it to a longer-than-usual Pap smear. Taking a mild pain reliever before the test can help minimize any discomfort.

Common Saline Sonogram Side Effects

There are a few mild side effects from SIS, including:

Mild, short-term side effects are common and typically resolve within a few days. These may include:

  • Watery discharge (from the saline)
  • Light spotting
  • Mild cramping

In rare cases, more serious symptoms, like fever, severe pain or unusual discharge can indicate infection. Contact your doctor if these occur.

What If My Saline Sonogram Reveals a Uterine Abnormality?

After your SIS for IVF, your results will be reviewed by your fertility doctor. You may not receive them the same day, but a follow-up consultation will be scheduled to discuss the next steps.

Outcomes can vary:

If no abnormalities are found, your IVF plan can proceed—or pivot to hormonal treatments if necessary.

  • If fibroids or polyps are detected, a minor surgery may be scheduled to remove them before beginning IVF.
  • If significant scar tissue or structural issues are found, your doctor may recommend exploring alternatives like gestational surrogacy.
  • If signs of cancer are discovered, treatment becomes the priority, which may postpone or permanently alter your IVF plans.

No matter the result, the saline sonogram before IVF empowers you with the clarity to make informed decisions.

When IVF Isn’t an Option: How Surrogacy Can Help

Sometimes the results of a saline sonogram before IVF indicate that carrying a pregnancy may not be possible. That’s when surrogacy becomes a powerful option.

In gestational surrogacy, your embryo (created through IVF) is carried by another woman, a pre-screened surrogate who’s already proven she can have healthy pregnancies. Your baby is still biologically yours; the surrogate has no genetic link.

Many intended parents begin their surrogacy journey already having embryos ready. If your IVF journey has reached a crossroads, you may be closer to surrogacy than you think.

You can read some of their stories on our Instagram.

Transitioning from IVF to surrogacy can be an emotional experience. We recognize that, and we’re here for you. Surrogacy works on your own timeline; you’re in control.

How American Surrogacy Can Help

Just like IVF, surrogacy is an emotional and financial investment, but you’re not alone.

American Surrogacy maintains relationships with a network of emotionally and physically screened surrogates, many of whom are ready to match today.

If your saline sonogram before IVF revealed complications, we can help you take the next step toward building your family with speed, compassion and clarity.

You deserve answers. You deserve options. And above all, you deserve a family. Contact us today to learn more about what surrogacy could look like in your situation.

Does the VA Cover Surrogacy? Get the Facts Before You Begin

A trusted resource for veterans pursuing surrogacy—covering VA benefits, cost breakdowns and agency support every step of the way.

If you’re a veteran exploring surrogacy, you may be wondering whether your VA or military benefits can help cover the cost—and how to even begin planning for such a significant financial commitment.

The truth is, the current system doesn’t make it easy.

At American Surrogacy, we specialize in guiding intended parents through every aspect of the surrogacy journey, including financing.

Contact us today to get a detailed cost breakdown and speak with a specialist about financing solutions tailored to veteran families.

Does the VA Cover Surrogacy?

No, The Department of Veterans Affairs (VA) does not cover surrogacy. While the VA offers limited fertility services such as in vitro fertilization (IVF) or intrauterine insemination (IUI) these benefits are highly restricted.  

The VA does not cover third-party reproductive services, including the use of a surrogate, donor eggs or donor sperm.

All VA programs are limited to military veterans and their spouses, meaning the essential coverage needed for surrogacy insurance for the surrogate is not provided.

Does the VA Pay for IVF?

Most of the time, no, the VA does not cover IVF.

The notable exception is when a veteran encounters a serious, service-related illness or injury that impacts their ability to reproduce.

For a long time, the VA’s regulations made eligibility for this even more restrictive. The VA used to require those seeking fertility help to be married.

It also had gender-specific definitions of infertility that overlooked key components of the difficulties disabled veterans faced due to their service injuries. Thankfully, these restrictions were removed in 2024.

Now anyone with a qualifying injury is eligible. Since IVF is a huge part of the surrogacy process, this can be very positive news for veterans wanting to start a family.

Why the VA Doesn’t Currently Pay for Surrogacy

The VA’s refusal to cover surrogacy stems from a combination of policy frameworks, restrictive definitions of family-building and legal limitations tied to federal funding.

Since its inception, VA fertility coverage has been shaped by narrow eligibility rules, often excluding unmarried couples, LGBTQ+ veterans and those without a medically defined, service-connected infertility diagnosis.

Additionally, the VA is bound by congressional authorization and budget constraints, which complicate efforts to expand benefits. Federal law has historically prevented the use of appropriated funds for third-party reproductive services, which includes surrogacy.

While advocacy groups and lawmakers have pushed for reforms, progress has been slow and uneven.

TRICARE vs. VA Health Care: What Military Families Need to Know

The biggest difference between Tricare and VA Health Care is unlike VA health benefits, TRICARE is used by active-duty service members and some recently separated personnel offers slightly broader fertility care.

TRICARE covers diagnostic infertility services and certain treatments like IUI, but it does not cover IVF, egg or sperm donation or gestational surrogacy.

That said, the Department of Defense (DoD) has experimented with pilot programs to offer IVF at military treatment facilities for qualifying active-duty personnel. These services are typically offered at significantly reduced cost but still exclude surrogacy.

Veterans transitioning out of the military may lose access to TRICARE fertility benefits, depending on discharge status and timing.

While these programs may provide partial support during early fertility stages, they are not a reliable solution for those pursuing full surrogacy journeys.

Fertility Grants for Military Veterans: Affording Surrogacy after Service

Organizations such as the Bob Woodruff Foundation and the Military Family Building Coalition offer grants or guidance for service members facing fertility challenges.

Budgeting for surrogacy can be a real challenge, but your military service may make it slightly easier for you. Despite the lack of official military programs to support fertility, there are many private and non-profit benefits to help you you’re your family growth.

Here are some grants you can apply for as a veteran or active-duty service member:

This isn’t an exhaustive list; you can find even more available once you start looking.  Remember, you can be selected for multiple grants at once, so there’s no harm in applying for multiple.

Surrogacy Financing Options for Veterans

Some veterans can access employer-sponsored fertility benefits through workplace health plans or fertility-specific insurance add-ons.

Other funding options include:

  • Nonprofit grants (e.g., Journey to Parenthood, Men Having Babies for LGBTQ+ veterans)
  • Fertility-specific loans through financing companies like Sunfish and CapexMD
  • Personal loans through your bank or other credit unions
  • HSA accounts
  • GoFundMe or community-based support campaigns

Veterans shouldn’t have to delay or forgo family-building due to financial strain. A knowledgeable agency can help assemble a patchwork of support to close the funding gap.

How American Surrogacy Protects You Financially

Finding a professional to help you complete your surrogacy journey is a big step, but don’t worry. You’re in good hands.

At American Surrogacy, we understand the unique challenges that veterans and military families face when pursuing parenthood. That’s why we offer veteran-specific support services that go far beyond basic coordination. Here’s how.

Our Limited Risk Program

This program offersfinancial protection for intended parents—if your journey faces setbacks (e.g., surrogate not approved, failed transfer, or miscarriage), related fees are either refunded or applied to the next attempt, so you don’t pay twice for the same outcome.

Covered Costs Include:

  • Surrogate compensation and support
  • Insurance
  • Legal fees

We can also help you create a budget, explore financing options and help secure additional insurance for your surrogate if needed.

Read more about our surrogacy programs and see which one suits your financial situation.

Why Intended Parents Who Are Veterans Deserve More Reproductive Support

Veterans often face a complex intersection of emotional, physical and systemic barriers to parenthood. Many have experienced service-related trauma that impacts their fertility, while others have had to postpone family plans due to the demands of deployment or recovery.

For some, surrogacy is not just a preference—it’s their only path to building a biological family.

The restrictive nature of VA policies and the lack of inclusive, comprehensive benefits create emotional stress and financial hardship.

Intended parents who’ve served their country deserve access to compassionate, equitable reproductive options. Until the VA system evolves, private agencies and advocacy partners play a vital role in filling the gap.

Get the Support You Deserve

Building a family through surrogacy is a deeply personal journey—and you shouldn’t have to navigate it alone or without clear financial guidance.

Whether you’re unsure how to start or you’ve already explored your benefits and hit a wall, American Surrogacy is here to help you take the next step with confidence.

Fill out our form for a customized cost estimate and expert advice on creating a financing plan that works for your life and service background.

Crohn’s Disease and IVF Failure: Is There a Connection?

Crohn’s and IVF can coexist, but when pregnancy is risky, surrogacy offers a safe, supportive path to parenthood using your own embryos.

You’ve survived flare-ups, surgeries and setbacks—now, you’re trying to build a family but IVF keeps failing.

Chronic illness can complicate fertility treatments in ways that are physically and emotionally exhausting. But there’s hope.

Surrogacy offers a medically supported alternative for those who cannot carry a pregnancy but still dream of having a biological child.

If you’ve already created embryos through IVF, these can be used on your surrogacy journey. If you’re struggling with Crohn’s and IVF failure, contact us today to get a better view of your new path to parenthood.

Is There a Link Between Crohn’s Disease and IVF Failure?

Studies indicate that people with Crohn’s disease who are in remission or under consistent medical management tend to have IVF pregnancy rates comparable to those without the condition.

That said, certain factors can still interfere with IVF success:

  • Chronic inflammation, especially during disease flare-ups, may impair implantation or disrupt hormone balance.
  • Some Crohn’s medications may affect egg quality or interact with fertility drugs.
  • Scarring from intestinal surgeries or pelvic inflammation could alter reproductive anatomy.

So while Crohn’s disease and IVF may not be inherently incompatible, the underlying autoimmune and inflammatory mechanisms of Crohn’s can complicate the picture, particularly in cases where IVF has already failed.

Understanding both the research and your personal health history can help you and your care team make more informed decisions about fertility planning and whether alternatives like surrogacy should be explored.

Learn more about potential causes of IVF failure and what to do next.

Can Crohn’s Cause Infertility?

Crohn’s disease doesn’t directly cause infertility in most cases, but it can create conditions that make conception difficult. Chronic inflammation may impair ovarian function or disrupt hormone balance.

Individuals with Crohn’s who’ve had pelvic or abdominal surgeries may develop scar tissue that impacts the fallopian tubes or other reproductive structures.

And while Crohn’s may not drastically reduce IVF success rates, it can still complicate pregnancy itself.

Understanding the Risks of Getting Pregnant With Crohn’s

Pregnancy can be complicated with Crohn’s disease, particularly during periods of active inflammation. Risks include premature birth, low birth weight and increased complications during delivery.

Certain medications used to control Crohn’s may be contraindicated during pregnancy, while others may need careful monitoring.

If Crohn’s is not well-managed or if previous IVF attempts have failed, continuing to pursue pregnancy may carry significant health risks.

Evaluating the relationship between Crohn’s and IVF success rates can help you and your care team determine whether gestational surrogacy is a safer, more viable option.

Is Surrogacy a Good Option If You Have Crohn’s Disease?

Crohn’s may not drastically reduce IVF success rates, but if IVF continues to fail, it may indicate that other factors are preventing pregnancy from being achieved or sustained, such as uterine conditions, undiagnosed autoimmune activity or unexplained infertility.

In these cases, surrogacy can become not just an option—but the best path forward.

Surrogacy can mean:

  • Lower risk compared to carrying a pregnancy with Crohn’s
  • Eliminating the risk of Crohn’s flares during pregnancy.
  • Avoiding high-risk OB complications (e.g., malnutrition, infection, preterm labor).

Because surrogates undergo intensive physical and psychological screening, pregnancy safety is increased, and surrogates have had previous successful pregnancies, which can add reassurance when you’ve already had a long road.

With professional guidance and medical coordination, American Surrogacy helps intended parents move forward after IVF failures.

Choosing the Right Path After IVF Failure

Experiencing IVF failure is emotionally and physically taxing, especially when compounded by a diagnosis like Crohn’s disease. But failed IVF doesn’t mean the end of your journey to parenthood.

Understanding how Crohn’s and IVF intersect can help explain your experience and inform your next steps.

Whether you’re considering more fertility treatments, seeking a second opinion or exploring surrogacy, you deserve compassionate guidance.

American Surrogacy offers a hopeful and medically sound alternative that may align better with your body’s needs and your family-building dreams.

Why Intended Parents Trust American Surrogacy

American Surrogacy specializes in helping individuals with chronic health conditions like Crohn’s disease transition smoothly into surrogacy.

After IVF failure linked to Crohn’s and IVF complications, we guide you through every step from medical clearance to surrogate matching and legal agreements.

We offer personalized plans, access to experienced surrogates and collaboration with your healthcare providers.

Our team understands the physical and emotional layers that come with Crohn’s and IVF experiences, and we are committed to offering clear, caring support as you build your family in the way that’s safest for you.

Ready to Take the Next Step?

If Crohn’s disease and IVF have made your family-building journey more difficult than expected, surrogacy could be the empowering solution you’ve been searching for.

With embryos already created, you may be able to begin the surrogacy process sooner than you think. Contact us today to explore how we can help you turn hope into a plan and your dream of parenthood into reality.

Acknowledging Infertility on Mother’s Day: “I’m Tired of Being Told to Stay Positive”

Mother’s Day can intensify the emotional strain of infertility—bringing feelings of burnout, isolation and frustration. It’s important to create space for honest emotion, protect boundaries and explore alternative paths to parenthood—like surrogacy—on their own terms and timeline.

If you’re struggling with infertility, Mother’s Day can feel like a spotlight on everything you don’t have.

The emotional labor of trying to be okay for your friends and family becomes unsustainable. This year, give yourself permission to not be okay.

And for those ready for other avenues beyond fertility treatments, surrogacy can offer a path forward.

If you’re thinking, “I already know about surrogacy, I’m just not there yet,” that’s valid. Surrogacy is a choice you should only make when and if it feels right.

 If you’re curious about or are in need of support resources, connect with us when you’re ready or continue reading.

What if I Don’t Want to Cope with Infertility on Mother’s Day?

For many women navigating infertility, Mother’s Day is not just difficult, it’s emotionally depleting. It’s the well-meaning advice that drains the most: “Just stay positive.” “It’ll happen when you stop trying.” “At least you can still…”

Unsolicited advice, words of encouragement and self-care tips start sounding like being told to hide how you’re actually feeling.

The same recycled advice—take a walk, journal, practice gratitude—can start to feel hollow, especially when it comes from people who’ve never lived through the kind of grief you carry.

It’s exhausting to keep pretending these surface-level tips are enough. You’re allowed to say, “I’m tired and I just want this to be over.”

Mother’s Day, Infertility and Disenfranchised Grief

You may be experiencing infertility grief in a form that looks less like sadness and more like rage, numbness or even resentment toward a world that keeps celebrating something you’ve been denied.

These emotions are valid presentations of disenfranchised grief—the kind society doesn’t recognize or honor.

Unlike the public rituals that accompany death or visible trauma, the mourning that comes with failed IVF cycles, empty nurseries and years of trying in silence is often met with hollow encouragements like “stay hopeful” or “give it time.”

Over time, the pressure to stay positive, to show up or to put on a brave face can evolve into a resentment rooted in burnout. It’s important to give yourself the time and space to experience this grief, and to set boundaries that protect your wellbeing.

If you’re in need of additional support, RESOLVE offers support groups for infertility grief. If you’re experiencing thoughts of suicide, call 988 or fill out this form.

Give Yourself Permission to Opt Out of Mother’s Day This Year

What you’re feeling could also be emotional detachment—a defense mechanism that helps protect your nervous system from chronic disappointment.

It’s common among women facing infertility burnout, especially after multiple rounds of treatment, invasive procedures or failed cycles. This doesn’t mean you’ve given up; it means your body and mind are asking for rest.

Radical self-protection might look like canceling plans, turning off your phone, avoiding social media or doing something completely unrelated to babies or brunch.

You don’t owe anyone an explanation. Skipping Mother’s Day isn’t giving up on motherhood, it’s giving yourself space to breathe.

Connect with Others Dealing with Infertility on Mother’s Day

Below are some Reddit communities for those struggling with infertility, experiencing IVF failure or are still trying on their own.

  • r/InfertilitySucks: A subreddit for venting about all of the difficult experiences of infertility.
  • r/infertility: A community for all things pertaining to primary or secondary infertility and/or recurrent pregnancy loss.
  • r/stilltrying: A place for those who are considering or pursuing treatment and/or are still just trying.
  • r/IVF:  Whether you’ve experienced multiple IVF failures or are considering this as a path, this community understands what you’re going through.

Honoring Your Mom While Dealing With Infertility Grief on Mother’s Day

Mother’s Day gets complicated when you’re grieving what you don’t have, while trying to show up for the mother you do.

Start by being honest with yourself. What part of the day feels overwhelming? Identify what you can give without self-erasing.

If you’re close with your mom, share your truth: “I want to celebrate you, but this day is hard for me right now. Can we keep it simple this year?” Let her show up for you, too.

If the relationship is more complex, it’s okay to quietly adjust your role in the day without explanation. That might mean sending flowers but skipping the gathering or calling your mom the day before.

Mother’s Day doesn’t have to be all or nothing. You can show up for your mom and set boundaries that honor your grief.

Surrogacy: When You’re Ready to Take Your Power Back

For many women, infertility strips away the one thing they fought so hard to hold onto: control.

The body doesn’t cooperate. The tests don’t give answers. The treatments come with no guarantees. After months or years of hope and heartbreak, it’s no wonder the idea of surrogacy can feel like surrender.

Surrogacy is not a cop-out or a failure. It’s a choice.

Choosing surrogacy is a deeply intentional act of parenting. You’re not at the mercy of your biology anymore. You’re building your family with agency.

Here’s what you gain when you explore surrogacy:

  • A clear, step-by-step plan: No more waiting in limbo.
  • Real timelines: You could be matched and moving forward within months.
  • Control over your process: You choose the surrogate, the journey and how involved you want to be.
  • Emotional and legal support at every step: We can help coordinate with reputable legal and medical professionals.

This is a bold step toward the life you’ve imagined. And by next Mother’s Day, you could be preparing for the arrival of your child

How We Can Help You Redefine Motherhood Through Surrogacy

Motherhood is not defined by how your child enters the world. Surrogacy can be a profound extension of maternal love—a shared journey between intended parents and a surrogate.

At American Surrogacy, we’re here to support you every step of the way—whether you’re just beginning to explore your options or are ready to take the next step.

From helping you understand the process, to matching you with a highly-qualified surrogate, to providing ongoing emotional and legal support, we are committed to making your journey to parenthood empowering and deeply personal.

On a day like Mother’s Day, it’s important to remember that motherhood is as much about the love in your heart as the path that led you there.

When You’re Ready, We’re Here

You don’t need to explain your pain. You don’t need to justify your exhaustion. And you certainly don’t need to keep pretending you’re fine.

Whether you’re seeking space, validation or a new path forward, you deserve real support—not platitudes.

If and when you’re ready to talk about what’s next, American Surrogacy is here. Contact us to get started.

How Does the MTHFR C677T Mutation Affect IVF? And What You Can Do About It

Understand the impact of MTHFR on IVF failure, explore treatment options, and discover how surrogacy can support your path to parenthood.

If you’re feeling lost after another failed round of IVF, you’re not alone—and you’re not without options.

MTHFR and IVF failure are often mentioned together in fertility forums, doctor’s offices, and online articles, but the science and the path forward can feel confusing and even contradictory.

If you’re struggling with IVF and suspect MTHFR may be part of the picture, we invite you to speak with a surrogacy specialist today. Get personalized answers and compassionate guidance. Contact us today.

In this article we will share research and discussions about MTHFR and IVF implantation failure and what you can do if you are struggling with infertility.

How Does the MTHFR Gene Mutation
Affect IVF?

Methylenetetrahydrofolate reductase (MTHFR) is a gene that helps your body process folate, a key nutrient during pregnancy. The most commonly noted and studied gene variations are MTHFR C677T and MTHFR A1298C.

Some small studies suggest that impaired methylation or elevated homocysteine may affect the uterine lining, placental development or embryo quality, leading to what is sometimes referred to as MTHFR implantation failure.

While not everyone with an MTHFR mutation experiences problems, the gene’s role in reproductive health has become a focus for patients facing MTHFR and IVF failure, prompting additional testing and personalized treatment plans.

A full evaluation is essential to understand if and how the gene is playing a role in failed embryo transfers.

Learn more about when it may be time to consider moving on from IVF—and how options like surrogacy can offer new hope for growing your family.

IVF Protocol Adjustments for MTHFR and Implantation Failure

When MTHFR is identified as a possible contributor to IVF failure, many fertility clinics adapt treatment strategies to minimize risk and improve outcomes.

Common adjustments include:

  • Switching to methylated prenatal supplements like L-methylfolate, methylcobalamin (B12), and P-5-P (B6) to support methylation and lower homocysteine levels.
  • Low-dose aspirin or low molecular weight heparin (Lovenox) should be prescribed to address potential clotting issues that may interfere with implantation or placental development.
  • Incorporating immune-modulated IVF protocols, especially in patients with overlapping reproductive immunology concerns.

These modifications are often personalized based on genetic testing, hormone profiles and past response to IVF.

If protocol changes fail to overcome recurrent implantation challenges, or if your body struggles to maintain a pregnancy despite healthy embryos, it may be time to consider surrogacy.

Can You Get Pregnant with an MTHFR Mutation?

Yes, you can get pregnant with an MTHFR mutation. However, certain variants, particularly when combined with other risk factors, may increase the likelihood of MTHFR and IVF failure or recurrent pregnancy loss.

The key concern with MTHFR mutations is how they impact folate metabolism and potentially raise homocysteine levels, which in some cases may disrupt embryo implantation or early placental development.

That said, having a mutation does not automatically mean infertility but it does make preconception planning, targeted supplementation (like L-methylfolate) and close monitoring more important.

MTHFR and Folic Acid

One of the most common concerns is that gene variants might affect your body’s ability to process folic acid.

Folic acid is a necessary B vitamin that plays a crucial role in pregnancy, and it is commonly recommended that women who are pregnant or want to become pregnant supplement with folic acid as a part of their prenatal vitamins.

While this concern has drawn a lot of attention, preliminary research shows only small differences in folic acid levels among people with MTHFR gene variants.

Staying Pregnant with MTHFR: What to Know

Staying pregnant with MTHFR is absolutely possible but it may require extra attention to prenatal care, nutrition and circulatory health, especially if you’ve been diagnosed with a homozygous mutation or have elevated homocysteine levels.

The biggest concerns during pregnancy involve MTHFR-related clotting issues, which may increase the risk of placental insufficiency, intrauterine growth restriction (IUGR) or late miscarriage.

Your provider might recommend baby aspirin, Lovenox injections, and continued use of methylated folate to support healthy pregnancy progression.

How MTHFR Is Diagnosed During Fertility Testing

Testing for MTHFR mutations is often done via bloodwork or saliva-based genetic testing panels, sometimes alongside broader thrombophilia screenings that assess risk for blood clots.

Especially for patients experiencing MTHFR and IVF failure, these diagnostic tools help build a full picture of how genetic, immunologic, or clotting-related factors may be interfering with embryo implantation.

Some clinics also recommend PGT (preimplantation genetic testing) and reproductive immunology consults for more advanced cases.

Lifestyle Changes to Support Fertility with MTHFR

Your lifestyle choices can play a meaningful role in optimizing fertility outcomes with an MTHFR mutation, especially when preparing for IVF or recovering from failed cycles.

Supportive changes include:

  • Folate-rich diet: Increase intake of leafy greens, lentils, beans, citrus fruits, and avocados—all natural sources of L-methylfolate.
  • Avoid synthetic folic acid: Found in many processed foods and generic vitamins, synthetic folic acid may not be properly converted in those with MTHFR variants.
  • Reduce toxin exposure: Limit alcohol, endocrine disruptors (like BPA and phthalates)and tobacco—all of which can stress detox pathways impacted by MTHFR mutations.
  • Stress reduction and sleep hygiene: Chronic stress can suppress reproductive hormone function and worsen methylation imbalances.

Always be sure to talk to your doctor before making any dietary or medicinal changes during your IVF journey.

When to Consider Surrogacy After MTHFR-Related IVF Struggles

For many intended parents who have endured multiple failed IVF cycles, even after optimizing for MTHFR, the emotional and physical toll becomes overwhelming.

In cases where MTHFR implantation failure is suspected, especially when paired with other uterine or clotting factors, surrogacy may represent a medically sound and emotionally healing next step.

If you’ve experienced MTHFR and IVF failure despite supplement protocols and repeated transfers, working with a gestational carrier could offer new hope.

Surrogacy allows you to use your own embryos (if viable), while bypassing potential complications related to implantation and pregnancy.

Why a Pre-Screened Surrogate Makes All the Difference

For intended parents navigating the emotional toll of MTHFR and IVF failure, choosing surrogacy is a deeply personal and often last-resort decision.

With a qualified surrogate, you reduce the risk of sudden disruptions like disqualifications after matching that can derail the process. These disruptions don’t just cost money—they cost time and emotional energy.

At American Surrogacy, every potential surrogate undergoes a rigorous screening process before ever being matched with a family. This includes:

  • Comprehensive medical evaluation
  • Mental health screening and psychological clearance
  • Background checks
  • Prior pregnancy and delivery history review

By choosing an experienced agency with vetted surrogates, you protect yourself from unnecessary heartbreak and accelerate your path toward a successful outcome.

How American Surrogacy Supports Intended Parents with MTHFR

At American Surrogacy, we often work with intended parents who have experienced MTHFR and IVF failure—many of whom have endured years of testing, supplements and cycle after cycle of disappointment.

Whether your clinic suspects MTHFR implantation failure or you’re simply seeking more predictable outcomes, our agency can help.

We offer emotional and logistical support and match you with compassionate, prescreened surrogates who meet rigorous health standards. Your journey doesn’t have to end with failed IVF. We can help you begin a new chapter.

You’re Not Alone in This

Facing MTHFR and IVF failure can leave you feeling isolated, uncertain and emotionally worn down. But you are not alone and this diagnosis doesn’t have to define your fertility story.

Whether you’re still exploring treatment or ready to take the next step, our team is here to help you navigate every option with clarity, empathy, and expertise.

Ready to move forward? Let’s talk about how surrogacy could support your path to parenthood after MTHFR-related fertility challenges. Connect with a surrogacy specialist today.

Can I Be a Surrogate if I Had C-Sections? You May Still Qualify

Yes, you can be a surrogate after up to 3 C-sections—learn the risks, qualifications, and how to apply with American Surrogacy.

If you’ve had one or more C-sections before, you might be wondering if those past deliveries could hold you back from becoming a surrogate.

The good news? They likely won’t. In many cases, you can be a surrogate if you had C-sections, as long as your overall health and pregnancy history meet the right criteria.

This guide will answer your biggest questions about surrogacy after C-sections, break down the medical considerations and walk you through our requirements.

If you have questions about your eligibility to be a surrogate, fill out our form today to find out how you can change lives.

Can I Be a Surrogate if I Had C-Sections?

Yes. Surrogates having C-sections usually isn’t an issue. At American Surrogacy, you can qualify if you’ve had up to three C-sections, provided your previous pregnancies and deliveries were healthy and your recovery was smooth.

When we talk about C-sections, we’re referring to the surgical method used to deliver your baby through incisions in your abdomen and uterus.

Most modern C-sections involve a horizontal (low transverse) incision, which generally heals well and supports future pregnancies. A vertical (classical) incision may carry more risk, so it’s reviewed on a case-by-case basis.

Let’s take a closer look at each situation.

How Many C-Sections Is Too Many for Surrogacy?

Can You Be a Surrogate if You’ve Had a C-Section?

Yes, you can be a surrogate after just one C-section. As long as your healing process went smoothly and it’s been at least six months, you’re likely a strong candidate.

Can You Be a Surrogate After Two C-Sections?

Yes, you can be a surrogate after two C-sections. One thing to keep in mind is that after your first C-section, your future deliveries may also need to be done by C-section. This is especially true if the original reason for surgery is still a factor or if your provider makes that recommendation based on your medical history.

Can You Be a Surrogate After Three C-Sections?

Yes, you can be a surrogate after three C-sections, although this is typically the maximum number allowed. Since this would likely be your fourth C-section, it’s usually considered your final opportunity to be a surrogate. Additional surgeries beyond this point raise safety concerns for you and the baby.

What Are the Medical Risks of Multiple C-Sections?

Every pregnancy and delivery is different, but repeated C-sections come with additional health considerations. Here are the main risks of having multiple cesarean births:

  • Placental Complications: Conditions like placenta accreta (when the placenta attaches too deeply) and placenta previa (when it covers the cervix) become more likely with each surgery.
  • Scar Tissue (Adhesions): Scar tissue from previous surgeries can complicate future procedures and increase the risk of organ injury.
  • Incision-Related Risks: Repeated C-sections can weaken the uterine wall and abdominal muscles, raising the chance of hernias.
  • Uterine Rupture: Although rare, there’s a higher risk of uterine rupture along previous incision lines during pregnancy or labor.

Our agency and partnered fertility clinics will ensure a thorough medical review, helping you and your intended family move forward safely.

You’ll want to speak with your healthcare provider and our team to evaluate your current health and surrogacy potential.

What Are the Requirements to Be a Surrogate?

Surrogacy agencies follow strict medical and legal guidelines to protect you and the intended parents. Here’s what it takes to qualify at American Surrogacy:

  • Be between the ages of 21 and 40
  • Have had at least one successful pregnancy
  • No more than five vaginal births or three C-sections
  • Currently raising a child
  • No major complications from previous pregnancies
  • No felony convictions

If you meet these qualifications, your next step is to fill out our application. Once approved, you’ll go through a thorough screening process to ensure you’re ready for the journey ahead.

If you don’t qualify to become a surrogate, you may still be able to help another family by participating in our referral program. If your referral is successful, you could earn $5,000 or more within 30 days of the embryo transfer.

How Do You Become a Surrogate?

If you’ve had no more than three C-sections, here are the steps to become a surrogate:

Step 1: Fill Out an Application 

This is your initial introduction to the surrogacy process. Once submitted, our team will review your responses to determine if you meet the basic eligibility criteria.

Step 2: Complete Social and Medical History Forms

If your application is approved, you’ll move on to detailed forms that ask about your health, lifestyle and family medical background.

During this stage, we’ll also collect important documents like your insurance card, driver’s license, signed medical release forms and a letter from your OB-GYN.

Step 3: Schedule an In-Home Assessment

A licensed social worker will visit your home to make sure it’s a safe, stable environment. They’ll speak with you and any adults living with you about your reasons for becoming a surrogate and walk through any concerns.

You’ll also meet with a licensed psychologist to talk through important emotional and mental health topics that help prepare you for the journey ahead.

Step 4: Match With Intended Parents

Once you’ve passed the social and psychological screenings, we’ll help you connect with the right intended parents. This is an exciting part of the process where we make sure values and expectations are aligned on both sides.

Step 5: Complete Your Medical Evaluation

Your final screening takes place at the intended parents’ fertility clinic. You’ll undergo lab work, a physical exam and a full medical history review. Once you receive clearance from the clinic’s physician, you’ll be ready to move forward with legal contracts and prepare for the embryo transfer.

Our team is here to support you throughout the surrogacy process. If you’re ready to begin, you can apply now.

Ready to Take the First Step?

You can be a surrogate if you had C-sections. If you’ve had no more than three cesarean births and meet our agency’s basic requirements, there’s a good chance you qualify.

Whether you’re ready to start the process or still have questions, we’re here to help. Fill out our form to learn more about how you can make a life-changing impact for a hopeful family.