Can You Be a Surrogate With Depression?

The decision to explore surrogacy often comes from a place of incredible compassion. By becoming a gestational carrier, you can help a couple experience the joy of parenthood while also creating a brighter future for your own family through surrogacy compensation.

However, this journey is as emotionally demanding as it is rewarding. Before you can move forward, it is important to understand how your mental health — specifically your depression diagnosis — factors into eligibility requirements.

Below, you can learn more about the process and whether you can be a surrogate with depression. If you have specific questions, contact us today. We can provide more information and guidance based on your personal circumstances.

Can You Be a Surrogate if You Have Depression?

Yes. Being diagnosed with depression does not automatically disqualify you from becoming a surrogate. Many women with well-managed depression go on to have fulfilling surrogacy journeys.

That said, being a surrogate is a mentally and emotionally involved journey. The responsibilities of surrogacy, compounded by pregnancy hormones, can be a lot for anyone to process. That's why a surrogate psychological evaluation is a cornerstone of our screening process. This evaluation is designed to ensure that the stress of gestational surrogacy won't jeopardize your well-being.

If your depression is currently interfering with your daily life, you may not be ready to move forward. If you get to a place where your depression is better managed, you can begin the application process again. We’ll be here whenever you’re ready.

Can You Be a Surrogate With a History of Depression?

A history of depression is not the same as active, unmanaged depression. Many women have experienced situational depression during difficult seasons of life. If you have been stable for an extended period and have developed healthy coping mechanisms, your history may actually demonstrate resilience.

Agencies and fertility doctors will typically look at:

  • How long you have been symptom-free or stable
  • Whether you are currently in therapy or under medical supervision
  • Your stress levels and support system
  • Whether you are in a high-pressure life transition

Can You Be a Surrogate if You Take Antidepressants?

Taking antidepressant do not automatically disqualify you. However, surrogates cannot take antidepressants during the journey. You must taper dosage before starting the medical process.

During IVF, you will take powerful hormonal medications to prepare your body for embryo transfer. Clinics aim to create a medically controlled environment and reduce variables that could affect pregnancy outcomes or interact with fertility drugs.

Many clinics require a demonstrated period of stability before approving a surrogate who has recently stopped antidepressants. This allows doctors to confirm that your mental health remains steady before adding IVF hormones.

If you feel like you cannot safely go off your antidepressants at this time, that’s okay. Your mental well-being is just as important as your physical well-being.

Surrogate Requirements

Surrogacy requirements exist to protect you, the baby and the intended parents. These standards are based on medical research and recommended best practices.

To qualify, you must generally meet the following:

Psychological Screening Requirements for Surrogates

You may be wondering what happens in a surrogacy psychological evaluation.

This part of the screening process will be conducted by a licensed mental health professional. It is designed to ensure you feel confident, informed and emotionally supported before starting a surrogacy journey.

During the surrogate psychological evaluation, your professional will assess:

  1. Your motivation for becoming a surrogate
  2. Your emotional stability and coping skills
  3. Your support system at home
  4. Your understanding of the medical and emotional process
  5. Your expectations about delivery and post-birth transitions

How to Support Your Mental Health During Surrogacy

If you are concerned about managing depression during pregnancy, consider these strategies:

  • Therapy: A counselor can help you process the emotional highs and lows of the journey.
  • Support Groups: Connect with other gestational carriers who understand the unique emotions of surrogacy milestones.
  • Your Support System: Keep your partner, family or close friends informed so they can support you during appointments and recovery.
  • Exercise: Doctor-approved movement can help regulate mood during hormonal shifts.
  • Adequate Rest: IVF and pregnancy are physically demanding. Sleep supports emotional resilience.
  • A Nutritious Diet: Balanced nutrition supports both brain health and pregnancy health.

Every situation is different. The best way to determine how to manage your mental health during a gestational pregnancy is to work closely with your doctor or mental health provider.

When Does Depression Disqualify You From Surrogacy?

Depression may not disqualify you from surrogacy if it’s well-managed. However, certain conditions may prevent approval for safety reasons.

These may include:

  • Untreated severe depression
  • Bipolar disorder or psychotic disorders
  • Recent suicidal ideation or self-harm
  • Recent psychiatric hospitalization

These standards are in place to protect you. Surrogacy should never come at the expense of your life or stability. If you are facing these challenges, your priority should be receiving the care and support you deserve.

What if I Don’t Qualify to Be a Surrogate Right Now?

If you are not approved today, that does not mean the door is closed forever.

Remember: You can apply again if you’re not approved the first time. Many women return later when their circumstances have changed and they are in a stronger place emotionally.

Have Questions About Becoming a Surrogate With a Depression Diagnosis?

If you believe you meet the requirements and feel emotionally ready, we would love to speak with you. Our team is committed to protecting your health, answering your questions and guiding you step by step.

If you’re ready to learn more, fill out our form for free information or call 1-800-875-2229.

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