Yes, you can be a surrogate with fibroids if they stay clear of your uterine cavity. Discovering a fibroid on an ultrasound does not mean you cannot carry for another family.
Fertility doctors evaluate your complete pregnancy history alongside fibroid size, count and location. Our team reviews your prenatal records early so you receive clear answers before matching.
When Can Fibroids Affect Your Ability to Become a Surrogate?
Fibroids affect surrogate eligibility primarily when they distort your uterine cavity or disrupt the lining. The American Society for Reproductive Medicine (ASRM) guidelines recommend keeping the cavity clear so an embryo can implant safely.
Doctors classify fibroids into three main categories based on where they grow:
- Submucosal fibroids develop just beneath the inner uterine lining and can disrupt embryo implantation.
- Intramural fibroids grow within the muscular uterine wall and qualify when small.
- Subserosal fibroids form on the outer uterine wall and rarely cause pregnancy issues.
Fibroids measuring under three centimeters outside the uterine cavity rarely delay a surrogacy journey. Larger fibroids simply receive extra review to confirm you can carry comfortably and safely.
Past healthy deliveries provide strong evidence that your body carries pregnancies well with fibroids. Fertility specialists evaluate your prior delivery records alongside current scans to protect your well-being.
Can You Be a Surrogate After Fibroid Removal or a Myomectomy?
You can qualify as a surrogate after fibroid removal if your uterus has healed securely. Previous treatment alone does not guarantee clearance, so doctors evaluate your operative reports carefully.
A hysteroscopic myomectomy removes fibroids through the cervix, preserving the outer uterine muscle wall. Laparoscopic or open surgeries require incisions into the muscle, creating internal scar tissue.
Deeper scars require careful evaluation to ensure your uterus can safely expand during pregnancy. Doctors review earlier incisions closely to protect your physical safety during labor and delivery.
Carrying a full-term pregnancy after surgery shows doctors that the uterine wall healed soundly. We gather your operative records early so you understand your clearance options before matching.
What If Fibroids Are Discovered After You've Started the Surrogacy Process?
Discovering a fibroid during screening prompts an individualized medical review instead of an automatic cancellation. Ultrasound technicians routinely detect small, symptom-free fibroids during standard baseline pelvic scans.
Next steps depend on the fibroid's location and what the clinic observes on scan. Outer wall fibroids rarely change your timeline, while inner fibroids require a closer look.
A saline infusion sonogram confirms whether the uterine cavity remains smooth and clear. We coordinate these appointments directly with the clinic so you always feel supported through testing.
How American Surrogacy Screens Surrogates
American Surrogacy pre-screens your medical records before matching to confirm you meet foundational agency standards. You can review our basic requirements for surrogacy to see how your pregnancy history aligns:

Our surrogate screening process starts right after you submit your initial application. We request prenatal charts and delivery summaries directly from your previous medical providers. Reviewing records upfront resolves potential clinic questions before you move forward with matching.
We also coordinate background checks, a psychological evaluation and an insurance review. Completing these evaluations early protects your time and gives you confidence before meeting intended parents.
What Happens During Fertility Clinic Screening After You Match?
The intended parents' fertility clinic conducts an in-person medical evaluation to grant transfer clearance. Agency pre-screening prepares your file, though the fertility doctor makes the final medical decision.
After matching, you travel to the fertility clinic for an in-person medical evaluation. American Surrogacy arranges and covers all your flights, hotel stays and meal allowances.
The clinic physician performs a saline sonogram to verify the uterine cavity is clear. Once the physician grants clearance, your care team provides a personalized calendar for embryo transfer.
If You Qualify, How Much Can You Earn as a Surrogate?
Surrogates receive $70,000 - $110,000+ in total compensation recognizing their physical commitment and time. You can explore how much surrogates make to review pay structures and milestone schedules.
First-time surrogates earn $70,000 - $80,000+ in base compensation. Experienced surrogates who have delivered previous surrogacy pregnancies earn $90,000 - $110,000+ in base compensation. If you receive a higher documented offer from another licensed agency, American Surrogacy matches it.
Payments disburse through an independent escrow account in monthly installments after ultrasound heartbeat confirmation. You also receive allowances for maternity clothing, travel expenses and personal medical needs.
Find Out Whether You Could Qualify With American Surrogacy
You can find out if you qualify by applying instead of ruling yourself out. Exploring how to become a surrogate begins with an introductory conversation about your pregnancy background.
Our specialists explain each screening step while licensed fertility doctors make medical decisions. Even if your records show you don't qualify for surrogacy, other meaningful opportunities exist.
Our surrogate referral program allows you to connect other candidates with our team and earn referral rewards. Fill out our online application to speak with a surrogacy specialist.