Every woman considering surrogacy must meet certain requirements to be a surrogate mother.
To best help you understand the health and medical requirements to be a surrogate, you should always speak to a medical or surrogacy professional.
However, to help you get started, we’ve listed several of the most common questions that are asked about surrogate mother requirements:
1. What are the different types of health screenings required for surrogacy?
Before you become a surrogate, you’ll need to work with a surrogacy professional to determine whether you meet the necessary surrogate mother requirements. Usually, this is completed through several different kinds of screening, including:
- Initial application: Surrogacy professionals will usually ask certain questions in your initial application to ensure you meet the basic medical requirements to be a surrogate. This way, they will know quickly whether you’ll be able to proceed with this life-changing journey.
- Background screening: After your initial application is received, a surrogacy professional will arrange for background checks, such as criminal and financial screenings. These will make sure you are fit to be a surrogate.
- Psychosocial screening: As a surrogate, you’ll not only need to be physically fit, but also mentally prepared for the potential challenges of the surrogacy process. Therefore, you’ll need to complete a psychosocial screening with a mental health professional to address any emotions you’re feeling now, what you may feel during your pregnancy and how you’ll feel after you give birth. Only after you understand these challenges can you pursue surrogacy.
- Medical screening: There are often two parts to surrogate medical screening: once before you match with intended parents and once before the legal contracts are signed. A medical screening for surrogacy will be performed by professionals to make sure you are physically fit to be pregnant, and they may include blood and urine tests and overall physical examinations.
Only after you have completed all of these screenings and your surrogacy specialist approves you for the surrogacy process can you start the medical process of surrogacy with your intended parents.
2. What are the main guidelines for surrogacy?
The main purpose of a surrogate medical screening is to make sure you are healthy enough to carry a child for intended parents. The physical challenges of surrogacy and pregnancy can be demanding, so it’s crucial that you are medically approved for the process before you begin.
Each surrogacy professional sets slightly different health requirements to be a surrogate, but many use the basic guidelines provided by the American Society for Reproductive Medicine, or ASRM. These guidelines include:
- Age range of 21-43
- At least one successful pregnancy, but no more than five vaginal births and no more than four Caesarean births
- No major complications from previous pregnancies
- No felony convictions
Again, because professionals’ health requirements to be a surrogate mother may vary, speak with an appropriate professional to determine if you can be medically approved for their particular program.
3. What are the age requirements to be a surrogate?
Many agencies set their own surrogate mother requirements regarding age, but many follow the guidelines of the ASRM, which is typically 21-43 years old to pursue this path.
Surrogacy is a big commitment to make, and many teenagers aren’t fully ready for the physical and emotional challenges of this journey.
Also, remember that all surrogates must have carried one pregnancy successful to term and be raising a child on their own. The vast majority of teenagers cannot meet those surrogate requirements.
Typically, women over 40 can have a harder time getting pregnant than a woman in her 20s or 30s. There’s often a much higher chance of having a riskier pregnancy the older you are.
These surrogate mother requirements are designed to ensure a woman is at her healthiest age for pregnancy when starting the surrogacy process.
4. Can you be a surrogate without having given birth?
Unfortunately, the answer is no. A woman pursuing surrogacy without a previous pregnancy will be disqualified from the surrogacy process.
It’s important that you have proven you can carry a pregnancy to term safely before you become a surrogate. This surrogate requirement is for your own well-being and to ensure the intended parents’ embryos are placed in the uterus of the woman who gives them the best chance at a successful pregnancy.
If you become a surrogate with no previous pregnancy, you could be putting yourself and the intended parents at risk. Until you’ve been through a pregnancy before, you don’t know how your body will react to pregnancy, both emotionally and physically.
5. Can a woman in menopause be a surrogate?
As mentioned, surrogacy professionals only work with women who offer the best chances of a successful pregnancy.
Because menopause comes with effects that stop future pregnancies, being a surrogate mother after menopause is a risky and difficult process. This is why many professionals set age restrictions for surrogacy at 40, before most women experience menopause.
However, there are times where surrogate mothers in menopause have successfully brought babies into the world, typically often as independent surrogacies with family member or friends. A surrogate still has to undergo medical screening at a clinic to ensure she is physically prepared to be a surrogate.
For more information on whether you can be a surrogate after menopause, please contact your local fertility clinic.
6. Can I be a surrogate after tubal ligation?
Yes! It is certainly possible to be a gestational surrogate mother after tubal ligation. In fact, some professionals will even prefer it.
Tubal ligation is a medical process that halts ovulation and prevents women from becoming pregnant. This is an ideal situation for a gestational carrier, as being a surrogate with a tubal ligation will prevent you from becoming pregnant with your own egg during your fertility medication protocol and embryo transfer process.
Being a surrogate can put your reproductive ability at risk but, so it’s important to know whether you and your spouse are finished building your family. While you can be a surrogate after tubal ligation, remember that you will still need to meet all the other health requirements to be a surrogate, too.
7. How many times can you be a surrogate?
A woman’s personal health and pregnancy history will determine how many times a woman can be a surrogate. If having another child will put a prospective surrogate at risk, she will likely be disqualified from the process.
Each surrogacy professional has a different rule when it comes to the number of times you can be a surrogate. Contact a surrogacy professional today to learn more.
8. Can I be a surrogate if I’m breastfeeding?
Surrogacy professionals will require prospective surrogates to have stopped breastfeeding before they begin the medical process of surrogacy, as breastfeeding causes a natural delay in your return to fertility.
However, you can likely begin the initial surrogacy application process while you are still breastfeeding, as long as you have plans to stop before you begin the medical procedures.
9. Can I be an HIV-positive surrogate mother?
You cannot have HIV and become a surrogate, as HIV can transfer to a baby during pregnancy.
10. Can I be a surrogate if I have HPV?
HPV is the most common type of STD in the U.S. and, in most cases, the disease will not affect a developing baby. However, if you have an outbreak of genital warts close to your due date, you may be scheduled for a cesarean-section to prevent the transmission of HPV to the baby.
11. Can you be a surrogate mother with herpes?
Similar to HPV, herpes rarely affects a baby born from a woman who has the disease, so someone with herpes can be a surrogate if she meets all the other surrogate mother requirements. Again, if you have an outbreak before your due date, you may need to have a C-section instead of a vaginal birth.
12. Is being a surrogate with PCOS (polycystic ovarian syndrome) possible?
Although PCOS mainly affects a woman’s ability to ovulate, it can still cause risks in a gestational surrogacy. For example, women with this condition are more likely to develop gestational diabetes, preeclampsia, and other pregnancy complications.
Speak with your fertility specialist and doctor to determine if your PCOS diagnosis may affect your ability to be a surrogate.
13. Can a female with adenomyosis be a surrogate?
Adenomyosis is a condition that causes endometrial tissue to grow into the muscle layers of the uterus, which can make the implantation of an embryo very difficult. Your doctor can best determine if your condition can be treated successfully so you can be a surrogate.
14. Can I pursue surrogacy with endometriosis?
Endometriosis is another reproductive disorder that can make it difficult for you to become pregnant and may increase your risk of miscarriage. Your doctor can best determine the severity of your condition and whether it will affect your ability to become a surrogate.
15. Can you be a surrogate after ablation?
Endometrial ablation can make future implantations of embryos very difficult, as it destroys the uterine lining. Most surrogacy professionals will disqualify you from being a surrogate if you’ve experienced ablation because of the risks it will bring to your pregnancy.
16. What pregnancy conditions disqualify you from surrogacy?
Most surrogacy professionals will look for prospective surrogates who have had no or minimal complications in their previous pregnancies. It’s always a good idea to speak with your doctor about your pregnancy history to determine whether past complications will affect your ability to be a surrogate.
Some possible conditions that might affect your surrogacy include:
- Preterm labor
- Placenta previa
- And more
Remember, intended parents want a surrogate with the best chance of a successful pregnancy, which certain pregnancy complications will make difficult or near impossible.
17. Can someone with sickle cell be a surrogate?
Sickle cell can cause health complications during pregnancy, such as miscarriage, premature birth, and a low birth rate. Therefore, this condition means it is too dangerous to pursue surrogacy — both for you as a surrogate and the baby you’ll carry.
18. Can you be a surrogate with diabetes?
Diabetes makes it difficult for people to control their blood glucose levels and, during pregnancy, this can be incredibly dangerous. If you have Type 1 or Type 2 diabetes, you will often be disqualified from being a surrogate.
Like any other pregnancy, a surrogate pregnancy comes with the risk of developing gestational diabetes, which lasts until the baby is born. If you have a history of gestational diabetes in earlier pregnancies, speak with your surrogacy professional and your doctor to see if pursuing surrogacy will be safe for you.
19. What are the BMI requirements to be a surrogate?
Part of being a healthy surrogate is meeting surrogate mother weight requirements. While your weight will always be evaluated by a medical professional during your initial screening, surrogacy professionals often set a required BMI to be a surrogate early on. That way, you can know before applying whether you will be eligible.
Every professional has a different standard for what’s the best BMI for a surrogate, but many adhere to the recommendations of the ASRM: a BMI between 19 and 32. It’s for a reason; any woman who is underweight or obese can have a riskier pregnancy that a woman at a healthy weight.
As always, we encourage you to speak with a surrogacy professional or fertility clinic. BMI can be a misleading measurement of health, so an in-person exam can sometimes be the best determination of whether your weight is healthy enough for pregnancy.
20. Can you be a surrogate if you’re on antidepressants?
Every woman who wishes to become a surrogate must pass certain psychosocial screenings to ensure she is mentally prepared for the emotional challenges of surrogacy. Either during this screening or before, your surrogacy professional will ask you about your history of mental illness, including any medication you might be taking.
Simply put, you cannot be a surrogate if you’re on antidepressants during the pregnancy. You must stop taking antidepressants or antianxiety medication 12 months before applying to be a surrogate.
Asking whether you can be a surrogate with a history of depression will bring a bit of a different answer.
If your illness has been treated and is manageable, it likely won’t affect your ability to be a surrogate. However, if your condition will prevent you from properly scheduling and attending appointments, taking medication correctly, or legally consenting to your surrogacy agreement, it will likely prevent you from pursuing surrogacy.
Because your personal mental health situation is always unique, speak with a surrogacy professional for more information.
Learn More Today
Understanding and meeting the necessary health requirements to be a surrogate mother is an important part of your surrogacy journey. Doing so will help you safely carry a baby for intended parents and help their family dreams come true, while also keep you healthy and safe.
If you have a question that wasn’t answered here, or you want to learn more about surrogate mother requirements, contact a surrogacy professional today.