What Type of Surrogacy Is Right For Me?: Part One

Congratulations on making the decision to start or grow your family with surrogacy! If you are choosing surrogacy as a family-building option, it is important to decide which type of surrogacy is right for you. There are two different types of surrogacy that you can choose from – gestational or traditional. Although both of these options are a form of surrogacy that can help build your family, they are both very different. Keep reading to learn more about traditional surrogacy!

What is Traditional Surrogacy?

Traditional surrogacy is a type of surrogacy where the Surrogate becomes pregnant through Intrauterine Insemination (IUIs). This process involves using the Surrogate’s egg and sperm from the intended father or a donor. This means that the Surrogate is biologically related to the child. Due to this fact, traditional surrogacy is much less common than gestational surrogacy but it is still a viable option for Intended Parents to grow or start their families!

Who Uses Traditional Surrogacy?

Traditional surrogacy is typically pursued by single men, same-sex male couples, and women who cannot produce healthy eggs. This is because the Intended Parents will have to spend time finding an Egg Donor anyway and in traditional surrogacy, the Surrogate is also the egg donor. This allows for an even more powerful bond to form between the Intended Parents and the Surrogate! Since the Surrogate shares genetics with the child, it is common for traditional Surrogates to be close friends or relatives of the Intended Parents.

How Does Traditional Surrogacy Work?

Once the Intended Parents match with a Surrogate, all the legal documents will be drafted and signed. Traditional surrogacy is more legally complex than gestational surrogacy, since the Surrogate will share biological makeup with the child. This means that the Surrogate will be required to relinquish her parental rights once the baby is born. Once the paperwork is signed, the next step of the process can begin: pregnancy!

Traditional
 Surrogate:
 Medical
 Overview

Traditional
 Surrogates
 recruited
 by
 Simple 
Surrogacy, 
LLC
 are
 carefully 
screened
 by 
the Surrogate’s clinic 
of
 choice,
 using the
 guidelines
 provided
 by
 The
 American
 Society 
for
 Reproductive
 Medicine.
 The
 screening
 includes
 a detailed
 medical
 history,
 physical
 exam,
 comprehensive 
laboratory 
testing
, as well as a medical 
screening. Other 

consultations
 with
 internists
 and
 specialists, 
psychologists and geneticists
 may
 also 
be 
required.
 

Traditional
 Surrogate:
 Simple Surrogacy Screening 

At Simple Surrogacy, there is a list of requirements that all of our Traditional Surrogates must meet. This list includes:

  • Initial
 consultation
 with 
a
 Reproductive 
Endocrinologist 
  • Physical
 examination 
  • Gynecological
 exam 
  • Blood
 count
 and 
chemistry 
  • Blood
 type
 and 
RH
  • Drug
toxicology 
  • Screening
 for 
Rubella,
 Cytomegalovirus,
 Toxoplasmosis 
  • HIV 
Antibody 
  • 
Hepatitis 
A, 
B
 and 
C 
Surface Antigen 
  • RPR
 for 
Syphilis 
  • Cytomegalovirus
(CMV)
  • 
Cervical
 Cultures 
for 
Gonorrhea, 
Chlamydia,
 Ureaplasma, 
and 
Mycoplasma
  • Genetic 
Testing 
for 
Cystic
 Fibrosis,
 Tay
 Sachs
 Disease,
 Sickle
 Cell
 Disease,
 and
 Thalassemia
  • FSH
‐
cycle 
day 
2
 or 
3
  • 
Group 
B
 Strep
  • Hysterosalpingogram
 or 
Sono‐hysterosalpingogram

After all of the above requirements have been met, the Surrogate must attend a consultation 
with 
the 
IVF 
nurse
 coordinator 
regarding 
the 
treatment
 protocol,

 



medication, and learn 
how to properly administer
 injections. The Surrogate must then review
 and
 sign
 all of the 
consent 
forms.

Counseling

Counseling is a large part of every surrogacy journey. Counseling helps prepare all parties for the treatment, the journey, and the birth of the baby! These sessions can help ensure that everyone is confident, comfortable, and shares a mutual trust. Plus, counseling minimizes foreseeable risks which is beneficial to all parties, including the future child! 

Treatment
 of
 the
 Traditional 
Surrogate’s
 Cycle 

In
 general, 
traditional
 Surrogates
 are not required to 
be
 on 
any
 special
 medications.
 They
 are asked to keep 
track
 of 
their
 own
 menstrual 
cycle
 so that it is easier to time 
the 
inseminations
 around
 when
 they 
naturally 
ovulate.
 In
 some 
cases, 
Intended 
Parents 
and 
their
 Surrogate
 will
 choose 
to 
use 
mild
 fertility 
drugs, 
such
 as
 Clomid, 
to 
fine‐tune 
the 
timing 
of
 ovulation
 or 
increase 
the
 chances 
of 
twins.
 Through
 charting
 their 
basal
 body
 temperature, 
watching
 their
 cervical 
mucus,
 and 
using 
ovulation
 predictors
 or
 fertility 
monitors,
 and/or 
through
 ultrasound
 monitoring 
by 
a 
clinic,
 the 
Surrogate
 will be able to 
pinpoint
 when
 she’s
 most 
likely 
to 
ovulate 
and 
schedule 
the 
IUIs 
to 
coincide 
with 
this. 

Methods of Insemination

There 
are
 a 
few 
ways
 to perform inseminations. Doctors
 may 
perform
 intrauterine 
inseminations 
(IUIs) 
or 
cervical 
inseminations
 (ICIs). This is determined by
 the
 quality
 of
 sperm, 
whether the sperm is 
fresh
 or 
frozen
, 
and 
sometimes on personal
 preference.


Cervical 
Inseminations (ICIs)

When discussing ICIs, many people picture the 
“turkey
 baster” method
 seen in film and television. This is not the case. ICIs are completed using a
 small
 catheter
 to 
actually deposit 
the 
semen 
by
 the 
cervix!

Intrauterine 
Inseminations (IUIs)

Unlike ICIs, IUIs
 are
 only
 completed with 
washed 
sperm
. Washed sperm is 
semen that’s 
been
 sent 
through 
a 
centrifuge 
and
 spun
 until 
the 
seminal
 fluid 
is 
removed 
from 
the 
sperm. This leaves only
 the
 strongest swimmers
. 
A
 catheter 
is
 threaded
 through 
the
 cervix 
into 
the 
uterus, 
and 
the 
washed sperm
 is 
inserted
 through 
it
, directly
 into
 the 
uterus.


Regardless of the method of 
insemination, once the process is complete, the Surrogate
 will
 hopefully have a 
positive 
pregnancy 
test within 14 days!

Simple Surrogacy

If you’re thinking about pursuing traditional surrogacy to start or grow your family, contact the team at Simple Surrogacy. We will work with you to ensure that the process is smooth and simple for everyone involved! 
As 
long 
as 
the
 Surrogate
 and 
Intended 
Parents
 keep
 an
 open mind
 and 
be 
honest
 and
 open
 with
 one 
another,
 surrogacy
 can
 be
 a 
very 
rewarding
 and
 fulfilling 
experience 
for 
everyone 
involved!

Curious about gestational surrogacy? Check out our next blog: What Type of Surrogacy Is Right For Me: Part Two!

 

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