For those that live in San Diego, surrogacy is an easier option than it is in other parts of the country. Because of the numerous medical procedures and appointments that are necessary in order to complete a surrogacy, it is very time consuming and taxing to undergo this process. Both the intended parents and the gestational surrogate need to be prepared to dedicate a great deal of time and effort to this process or it is unlikely to work.
The process begins with finding a fertility clinic in San Diego. Surrogacy appointments are different for the intended parents than they are for the gestational surrogate. The intended parents will have to undergo pre-cycle testing to determine the best course of In Vitro Fertilization treatment for their situation. These tests usually take between one and two months to complete. Once the In Vitro Fertilization process has begun, the intended parents will need to attend frequent visits, usually every other day or so, for about two weeks while the intended mother’s response to the stimulation medications is being monitored. When the intended mother’s follicles are large enough, she will undergo an egg retrieval procedure. The egg retrieval procedure involves the intended mother’s follicles being punctured with an aspiration needle and the follicular fluid being removed. The intended father will provide a fresh semen sample on this day as well. The embryologist will take the follicular fluid and locate the eggs within it. The eggs will be combined with the sperm to create embryos. The embryos will grow for between three and five days, at which time they will be ready to implant into the gestational surrogate’s uterus.
For the surrogates in San Diego, surrogacy appointments are a little different. The surrogate undergoes initial screening to determine whether she is a viable gestational surrogate candidate. This testing includes a sonohysterogram to determine whether the uterus is capable of carrying a pregnancy and blood tests to determine her hormone levels. Should she pass the screening, she will begin taking medications to prepare her uterus to receive the intended parents’ embryo(s). While she is taking these medications, she will visit the fertility clinic every two or three days, so that her reaction to the medications can be monitored and her uterine lining can be measured. The fertility clinic will coordinate the gestational surrogate’s treatment so that her uterus will be ready to receive the embryos when they are at the optimal developmental stage for implantation. The embryos will be inserted into the gestational surrogate’s uterus in a procedure called an embryo transfer.
The San Diego surrogacy doctor will know whether the surrogate became pregnant or not as soon as ten days after the embryo transfer. In the event that she is pregnant, the gestational surrogate’s pregnancy will be monitored first by the fertility doctor, and then by an obstetrician until she gives birth.