Steps to Gestational Surrogacy

First, call Little Flower Assisted Reproduction Services at 214-206-3571 for an initial phone consultation. A Little Flower Assisted Reproduction Services caseworker will explain the process to you and will be happy to answer any questions or concerns you may have. You may also complete the Information Request online and a caseworker will contact you for your initial phone consultation within 24 to 48 hours.
 
If you meet our general requirements, we will e-mail or mail you a Gestational Mother Application. Please complete the application and submit it with several clear photos of yourself to Little Flower Assisted Reproduction Services, 3631 Fairmount Street, Suite 201, Dallas, Texas 75219.
 
Upon receipt of your application, you will receive a verbal or written notice from Little Flower Assisted Reproduction Services regarding your potential participation in the program.
 
Psychological Assessment
 
Following your potential acceptance to the program, your caseworker will begin to coordinate the psychological assessment for you and your husband (if married). This assessment is composed of a clinical interview and the Minnesota Multiphasic Personality Inventory (MMPI-2), both of which are conducted by a licensed mental health professional. Results from the clinical interview and MMPI-2 are indicators of your final acceptance or exclusion to our program.
 
Clinical Interview
 
During the clinical interview, the licensed mental health professional will explore your family history, educational background, motivation to participate as a gestational mother, current life stressors and coping skills, difficult or traumatic reproductive history, interpersonal relationships, sexual history, history of major psychiatric or personality disorders, legal history, and any history of abuse or neglect. The clinical interview will ensure that you are well informed of the risks involved in a gestational arrangement, as well as the medical, psychological and physical aspects of the process.
 
Minnesota Multiphasic Personality Inventory (MMPI-2)
 
The MMPI-2 is a written, multiple-choice test that will assess your overall personality in addition to your mental and emotional well-being. The psychological assessment is a reliable evaluation of your participation in our program.
 
If the psychological assessment meets American Society of Reproductive Medicine (ASRM) standards, your profile will be submitted to the intended parents we believe will be a good match for you. We will match you with a couple who has similar views regarding level of contact before, during, and after pregnancy, religious beliefs, beliefs on abortion and selective reduction, etc. Your caseworker will keep you well informed on any possible matches.
 
Gestational Agreement
 
Upon verbal confirmation from the intended parents, Little Flower Assisted Reproduction Services will coordinate a match meeting with you, your husband if you are married, the intended parents, and your caseworker. We will cover many of the issues that will be included in your Gestational Agreement, including fees, abortion and selective reduction, reimbursable expenses, and medical and life insurance. We must receive a verbal confirmation from both parties indicating a willingness to proceed forward before initiating a written Gestational Agreement.
 
We will prepare this Gestational Agreement that lines up with the discussions and desires of the parties, then submit it to both parties to review. The gestational mother has the option to hire separate legal counsel to review her Agreement. Upon execution of the Agreement, you will begin the medical portion of your screening process.
 
Medical Process
 
The Intended Parents’ physician will conduct your initial medical evaluation. The medical screening process consists of an interview with the physician, certain laboratory tests, a physical exam, and an injection course.
 
Achieving pregnancy for a gestational mother is accomplished by administering a series of fertility medications designed to synchronize the gestational mother’s menstrual cycle with that of the intended mother or egg donor, and to assist in thickening the uterus for implantation of the embryos. The medication regimen lasts approximately seven to fourteen weeks.
 
Most Assisted Reproduction Technology (ART) facilities will begin the medication regimen with a daily agonist injection which will “down regulate” your natural hormones. In doing this, the physician will stop you from ovulating. You will administer the agonist treatment by injection for approximately 14 to 21 days. You may experience menopausal side effects while on the agonist such as hot flashes, headaches, and mood swings.
 
While taking the agonist you will also be taking a hormone replacement called estrogen. Estrogen intake is approximately 3 to 8 weeks and assists in thickening the lining of your uterus. You may experience weight gain and headaches while on this medication, and it is typically administered through oral tablets, injection, or an adhesive patch. You will also take progesterone, which is a medication that will assist in supporting the pregnancy. It is common for this medication to be injected daily up to 4 weeks following confirmation of pregnancy. While on the medication, the physician will gather a blood collection to determine your hormone levels. The embryo transfer is a five minute procedure. The embryos are released into the gestational mother’s uterus through a catheter. You may experience some mild discomfort and minimal bleeding post-transfer. It is common for the physician to order bed rest for 24 to 48 hours post-transfer. 10 to 14 days following the transfer, you will visit the physician to complete a pregnancy test.
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