Seeing chronic cervicitis with squamous metaplasia on a Pap smear or biopsy report can stop you in your tracks, especially when you’re considering becoming a gestational surrogate.
If you’re exploring surrogacy, you deserve clear answers — not confusing medical terminology or worst-case scenarios.
In this guide, you’ll learn what this diagnosis means, whether you can still qualify as a surrogate and how American Surrogacy evaluates cervical health during screening.
When you’re ready, you can get free information about your next steps.
Can You Be a Surrogate With Chronic Cervicitis With Squamous Metaplasia?
Chronic cervicitis doesn’t automatically disqualify you from surrogacy. Many women are relieved to learn that these cervical changes don’t usually cause long-term issues or affect their surrogacy goals.
What matters most is whether your cervix is healthy and working the way it should — not just one diagnosis.
If your OB-GYN has treated any underlying causes and your Pap results are stable, you may still be a strong candidate.
What Is Chronic Cervicitis With Squamous Metaplasia?
Chronic cervicitis is long-term inflammation of the cervix. Many people never feel symptoms, and it’s often discovered during routine checkups.
Some of the most frequent causes of cervicitis include mild infections, pH changes, hormone shifts or irritation from everyday activities.
Squamous metaplasia of the cervix is a benign and incredibly common cellular change.
It happens when the softer cells near your cervical opening are naturally replaced with stronger, protective cells. On its own, this is considered a normal protective response, not a precancerous condition.
These two findings often appear together because inflammation can cause the cervix’s cells to shift.
In most cases, squamous metaplasia isn’t dangerous during pregnancy. It does not affect fertility or your ability to carry a pregnancy.
Medical Screening at American Surrogacy: What We Look For
At American Surrogacy, we look at your overall reproductive health. Our team takes a human-centered, case-by-case approach because every body is different.
Here’s how the review process works:
- We request your medical records, including Pap smear history and OB-GYN notes.
- A nurse or medical consultant reviews your reproductive history and past pregnancies.
- If needed, we may ask for updated testing.
You’re never expected to navigate this alone. If you have questions, your surrogacy specialist is here to support you through every step. They can explain how the screening process works, what the clinic typically reviews and what you can expect next.
How Cervical Health Affects Surrogacy Eligibility
Cervical health matters in surrogacy because the embryo transfer process relies on a healthy uterus and cervix. This foundation gives the embryo its best chance to succeed.
Cervical squamous metaplasia is considered a normal variation. It does not interfere with conception, doesn’t increase pregnancy risk and rarely requires treatment.
Other medical conditions that make you ineligible for surrogacy — such as severe uterine abnormalities, untreated infections or high-risk pregnancy complications — are far more concerning to clinics than benign cervical findings.
What intended parents’ clinics care most about is your overall reproductive function:
- Have you had healthy pregnancies?
- Are your Pap smears up to date and within normal limits?
- Are any infections treated and resolved?
If the answer to these questions is yes, your diagnosis may not be a barrier at all.
What to Expect From the Surrogacy Medical Clearance Process
Once you’re matched with intended parents, your records are sent to their fertility clinic for review. This step allows the clinic to make an informed decision about your medical readiness.
If everything looks good, the next step is an in-person screening. This can include:
- A full physical exam
- A transvaginal ultrasound to check cervical and uterine health
- Bloodwork and infectious disease testing
- A review of recent Pap smear and HPV results
Every fertility clinic is different, so each one may review chronic cervicitis and squamous metaplasia in its own way. Some clinicians simply confirm that your most recent tests are normal or that any inflammation has been treated. Others may ask for a repeat Pap or a brief follow-up exam.
Regardless of the clinic’s approach, your surrogacy specialist will walk with you through every step.
Can You Treat Cervicitis Before Becoming a Surrogate?
Yes. Many women treat cervicitis successfully before beginning the screening process.
Common treatments include:
- Antibiotics (if an infection is present)
- pH-balancing care recommended by your provider
- Avoiding irritants such as certain soaps or products
- Routine follow-up exams or Pap testing
In some cases, chronic cervicitis is simply monitored over time rather than treated.
If your screening shows abnormal Pap smears, or if your provider recommends repeat testing, it’s important to follow their guidance. Your OB-GYN may or may not clear you for surrogacy with cervix issues, depending on what your test results show.
Ready to Find Out If You Qualify? Let’s Talk
If you’ve been diagnosed with chronic cervicitis with squamous metaplasia, it doesn’t mean your surrogacy journey is over before it begins. Many women with this diagnosis go on to become gestational carriers.
If you’re ready to find out whether you qualify, we’re here to help you take the next step. Fill out our form to get free information and connect with a surrogacy specialist.