Clear. Compassionate. Thorough.
Welcome back to our Surrogacy 101 blog series at Simple Surrogacy, where we walk with you through every stage of the surrogacy journey—from the very first conversation to the unforgettable delivery day and beyond.
Now that you’ve matched with your Intended Parents—whether a loving couple, single parent, or same-sex pair—you’re ready for the next essential phase: Medical Screening.
This is the part of the journey where dreams begin to take root in science and preparation. It may sound clinical at first, but with the right information and support, you’ll find that medical screening is a clear, organized, and empowering step in your surrogacy path. At Simple Surrogacy, we make this phase feel less like a hurdle and more like what it truly is: a moment of affirmation that your body is ready to help create life.
Surrogacy is both a medical and emotional commitment. Medical screening ensures that everyone begins this journey from a place of health, safety, and readiness. For surrogates, this step is designed to confirm:
This screening is not a test of perfection—it’s a supportive, informative check-in to ensure that everything is aligned for a successful and smooth journey.
The medical screening process begins once you and your matched Intended Parents have officially agreed to move forward. You’ll be scheduled to visit their fertility clinic of choice, where you’ll meet a Reproductive Endocrinologist—a doctor who specializes in helping families grow.
This clinic visit typically involves one or two days of appointments. Depending on how close you live to the clinic, you may travel for the visit—Simple Surrogacy assists with travel arrangements and costs, making this step as convenient and comfortable as possible.
Your screening will follow the protocols set by the American Society for Reproductive Medicine (ASRM)—the national gold standard in fertility medicine. This means your experience is backed by science, ethics, and safety at every step.
Here’s a breakdown of what’s included:
You’ll meet with a Reproductive Endocrinologist (RE) who will:
This is your time to get comfortable with the medical team and begin building trust. Most surrogates walk away from this visit feeling excited and reassured.
Your RE will perform a full physical exam, including a gynecological check-up. This helps them understand your current health status and ensure there are no concerns that could complicate pregnancy.
What it includes:
This part is quick, thorough, and performed by professionals who specialize in working with surrogates every day.
You’ll have several blood draws that provide key insights into your body’s systems and overall wellness. These tests check for:
These tests aren’t invasive and can usually be completed in one sitting. The goal is to ensure your safety and the baby’s well-being, and to give doctors a full picture of your health.
Your uterus will be evaluated using an imaging technique such as a Hysterosalpingogram (HSG) or a Sono-Hysterosalpingogram (Sonohysterogram). These scans help doctors assess:
Most women report minimal discomfort, and the procedure is typically over in 15–30 minutes. This test gives a detailed look at how well your body can support implantation and pregnancy.
Surrogacy is a deeply emotional journey, and this screening supports your mental and emotional preparedness. You’ll meet with a psychologist or mental health professional who specializes in third-party reproduction.
What it involves:
This isn’t about “passing” or “failing”—it’s about ensuring you have the tools and support to thrive through the experience.
You’ll also meet with an IVF nurse coordinator, who will walk you through the next steps of the treatment process. They’ll explain:
You’ll also review and sign the necessary medical consent forms. This part of the visit is incredibly helpful and sets the stage for everything to come.
The medical screening visit itself is usually completed in one or two days. Afterward, lab results typically return within 1–2 weeks. If everything looks good, you’ll be officially medically cleared to move forward with the surrogacy journey.
If anything unusual shows up (like a vitamin deficiency or a previously unknown issue), don’t worry—you’ll have time to address it with your doctor. In most cases, any minor concerns are easily resolved.
Once you’re medically cleared, you’ll move on to the next exciting steps:
You and your Intended Parents may participate in joint or individual sessions with a counselor to ensure everyone’s on the same page emotionally.
You’ll work with a surrogacy attorney (provided at no cost to you) to draw up clear, protective agreements that outline everyone’s rights, responsibilities, and expectations.
You’ll begin preparing for the embryo transfer, using a customized protocol of medications (usually estrogen and progesterone). You’ll receive full training and 24/7 support throughout this stage.
Is the medical screening painful?
Most of it is painless! The only mildly uncomfortable part might be the uterine scan, which is over quickly. Everything else feels like a routine doctor’s visit.
Do I have to travel for screening?
If the Intended Parents’ clinic is in another city or state, yes—but we handle all travel, hotels, and logistics. Many surrogates enjoy the brief getaway and use it as “me time.”
What if something is found in my labs?
You’ll be fully informed and supported. In many cases, minor issues (like needing a vaccine booster or vitamin supplement) are easily addressed. If anything major is found, we’ll walk with you compassionately through your options.
Can I bring someone with me?
Absolutely. Many surrogates bring a partner, friend, or family member for support—and we’ll help cover associated travel if needed.
We know that undergoing medical screening can feel overwhelming at first glance. But here’s what we want you to know:
👉 You are not alone.
Our team will guide you every step of the way.
👉 You are in expert hands.
We only work with top fertility clinics that treat surrogates with care and respect.
👉 You are already extraordinary.
This step isn’t a test of worth—it’s a confirmation of your amazing potential to help someone become a parent.
Here’s what some of our past surrogates had to say about their screening:
“I was nervous about the screenings, but the clinic staff made me feel like a VIP. Everything was explained so clearly. I left feeling confident and proud of myself.”
— Danica, surrogate and mom of two
“The psychological screening was so validating. It helped me feel prepared and supported—not judged. I appreciated how thoughtful the process was.”
— Brianna, first-time surrogate
“The whole screening process was easier than I expected. I got to ask all my questions, and the nurse gave me so many helpful tips. It really set the tone for the rest of my journey.”
— Lauren, repeat surrogate
Medical screening is a vital and exciting part of the surrogacy journey. It confirms that your body and mind are ready to carry this beautiful responsibility. With our caring team, clear timelines, and clinic partnerships across the country, Simple Surrogacy ensures this step feels smooth, safe, and empowering.
If you’re just starting to explore surrogacy or are ready to match and move forward, we’re here for you.
Connect with our team today and let us walk you through the process, answer your questions, and cheer you on.
Because when you’re supported, informed, and respected—anything is possible.
Go back
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