Transfer Day as a Surrogate
“Transfer day” in the context of surrogacy refers to a crucial step in the in vitro fertilization (IVF) process where the intended parents’ fertilized embryo(s) are transferred from the laboratory to the surrogate’s uterus. No, the surrogate is NOT genetically related to the baby – the intended parents created these embryo(s) using either their genetics or those of a donor to create these embryos BEFORE they met their surrogate. Here’s a step-by-step explanation of what typically occurs on transfer day in a surrogacy journey:
- **Embryo Development and Selection**: Prior to transfer day, the intended parents or donors undergo IVF to create embryos. These embryos are cultured in a laboratory for a few days, allowing them to develop and reach a suitable stage for transfer.
- **Embryo Assessment**: The embryology team assesses the quality and viability of the embryos to select the best candidates for transfer. The chosen embryos are typically those deemed most likely to result in a successful pregnancy.
- **Preparation of the Surrogate**: The surrogate’s menstrual cycle is synchronized with the timing of the embryo development and transfer through medications. This ensures that her uterus is in the optimal state to receive the embryos.
- **Uterine Preparation**: The surrogate will receive hormone medications, such as estrogen and progesterone, to prepare her uterine lining for embryo implantation and create a suitable environment for pregnancy.
- **Embryo Transfer**: You will first do some labs so the physician knows your hormone levels the day of the transfer, then they will do one last ultrasound to ensure the uterus is in perfect condition and free of any fluid. Then, the selected embryos are loaded into a thin, flexible catheter, which is then gently passed through the cervix into the uterus. The embryos are placed in the uterine cavity, where they can hopefully implant and develop into a pregnancy.
- **Post-Transfer Care**: The surrogate will be monitored closely in the days and weeks following the transfer to check for signs of successful implantation and early pregnancy.
- **Pregnancy Test and Monitoring**: Typically, a blood test is conducted about 10 to 14 days after the transfer to determine if the surrogate is pregnant. If the pregnancy is confirmed, regular monitoring and prenatal care follow.
The ultimate goal of transfer day is to successfully implant embryos into the surrogate’s uterus, resulting in a viable pregnancy and, eventually, the birth of a healthy baby for the intended parents. Transfer day may take a while to happen, but with the right team behind we hope it is a successful, smooth day!
