You are prepared to bounce into your surrogacy process. You’ve read the books, and you’re looking forward to the next adventure. Naturally, you are aware of the lengthy nature of surrogacy procedures. A surrogacy journey can last up to 18 months, nine of which are consumed by the pregnancy, even in the ideal timeline. Subsequently, you intend to limit the potential for delays by means of constantly exhaustive screening and coordination with an organization. Nonetheless, surrogacy teaches us all to anticipate the unexpected.
Even though your surrogacy team wants to have a solid plan and a clear timeline, many things can make the surrogacy process take longer.
Delay in Admission and Beginning Screening
Clinical Records
The surrogacy group should demand clinical records for every single past pregnancy and conveyances from the GC’s clinical supplier for audit. These records can be received in a matter of weeks or even months. To obtain the precise information required, the agency candidate or GC candidate may have to call providers multiple times. They can’t push ahead into the following phase of the excursion until this is finished.
Abnormal PAP Results Before being approved for surrogacy, GCs must have a current PAP. On the off chance that the new PAP results are unusual, a colposcopy, rehash PAP, or further clinical mediation might be required.
Tangible Wellbeing Delays
Certain actual well-being standards should be met before an up-and-comer can be cleared as a substitute. This may necessitate taking extra time to lower one’s BMI and receive up-to-date physical exams and vaccinations.
Due to the fluidity of a surrogacy timeline, surrogates must plan their pregnancy or travel experience, avoiding major life events or travel to the best of their ability. A surrogacy candidate may be required to wait until major upcoming travel or events have passed before beginning the surrogacy process.
Delays in the Schedule and Review of the Medical Screening Clinic
A GC’s records are reviewed by the IVF clinic of her intended parents after she is matched. The completion of this review may take weeks or months. Then, this equivalent facility should see the GC for a clinical screening which should be booked in light of her accessibility and her monthly cycle. As a result, arranging this may require additional time.
Abnormal Findings
During the Clinic’s Screening Sometimes, something unusual is found, like polyps or abnormal cells. Your surrogacy journey and medical clearance may be slowed down as a result of these findings.
Delays in cycling and embryo transfer
- Modifications to the medication protocol The IVF clinic creates a medication protocol to help the GC’s body prepare for embryo transfer. The substitute is checked routinely during this time to guarantee her body is answering suitably. To increase the likelihood of a successful transfer, the cycle may need to be stopped and the protocol modified from time to time.
- Problems with the lining
During the medication cycle, the GC’s endometrial lining is checked to see if it is thickening enough for embryo transfer. That particular cycle will be canceled if problems are discovered, further delaying the process.
Issues with Intended Parent (IP) Delays
Donor search and cycling of intended parents are required to make several choices that affect how and when their embryos are created. If they are using a donor, they must confirm this. If that is the case, they will need to take the time to find one that meets their requirements. Additionally, regardless of whether a donor is utilized, egg retrieval may not be successful on the first attempt.
Inadequate embryos
An embryo divides and multiplies for five to six days after successful fertilization to develop into a blastocyst. Sadly, not every embryo reaches this stage, and in some instances, none develops at all.
Hereditary Testing
A greater part of IPs decides to have their incipient organisms hereditarily tried using Pre-implantation Hereditary Testing (PGT). This method is used to find genetic defects in embryos and gives IPs a chance to choose embryos that are genetically normal, increasing their chances of success. Unfortunately, IPs learns after PGT testing that none of their embryos are genetically viable. On this occasion, they could end up starting the whole undeveloped organism creation process once more.
Financial Delays Financial Planning and Funds Acquisition For many IPs, financing the costs of surrogacy can take months or even years. A trip is delayed longer the longer it takes to obtain the necessary funds.
Rematching Delays
The GC is Denied Clinical Flexibility
Once in a blue moon, the matched GC doesn’t get clinical leeway bringing about the failure of the IPs to push ahead until another match has been made.
Premature delivery
We generally trust for an effective first incipient organism move and for a sound pregnancy and conveyance to follow. However, the IPs and GC will need to prepare for a second cycle and embryo transfer if this does not occur. Unexpected occasions that can create further setbacks:
- Adding more embryos
- Conducting additional GC testing (ERA, mock cycle, etc.)
- Moving centers
- Intrusive techniques for GC (D&C, D&E)
- Reusing
- Rematching
Individual Occasions
Life is unusual, and everybody, in the surrogacy way, should be ready for the unexplored world. Unforeseen individual occasions can introduce significant obstructions and deferrals. A portion of these include:
- Family death
- Divorce or separation (for GC or IP)
- Changes in employment (for GC or IP)
- Unexpected pregnancy
- Cycle timing based on IP’s ability to travel for the baby’s birth
Ravi Sharma is a self-motivated, successful entrepreneur and has a solid experience in the fertility segment. and he is the director at ARTbaby Global (ARThealthcare). He is a pharmacy graduate with post-graduation in business administration and has 14 years of rich experience in the field of infertility segment. He loves to write about IVF, Surrogacy, and other ART (assisted reproductive technology) news, issues, and updates. He is a Pharmacy graduate (B. Pharm) and M.B.A (marketing).
His most recent success includes the successful launch of the medical tourism company, ARTbaby, which offers treatment options for infertility, egg donation, and surrogacy. He likes spending time with his family and writing about various aspects of IVF surrogacy and donating eggs.