Why is a medical clearance needed for a Gestational Candidate?

As Intended Parents, there are many steps in the surrogacy process that might seem confusing or daunting but are absolutely necessary for ensuring a safe and secure transition.

Once you’ve been matched with a Gestational Candidate the next step in the process is for the surrogate to get her medical clearance done. The medical clearance is a fairly simple yet crucial step in the procedure.


The GC will be required to visit the chosen fertility clinic where her screening will take place. The visit normally entails some blood tests for eliminating the risk of infectious diseases. The nature of surrogacy is such that it’s imperative to ensure that the GC’s body is in perfect health to carry a pregnancy successfully due to which the fertility team also conducts a physical exam, including a vaginal ultrasound and a hysteroscopy or sono-hysterogram (HSG) for examining the uterus.



The endometrium or uterine lining is an important factor in implantation. The endometrial receptivity and thickness need to be optimum for the embryo to successfully implant into the uterine lining.


Another optional step during the medical clearance process is a Mock Embryo Transfer. During this step the doctor measures the length of the uterine cavity for the purpose of determining the most suitable location for embryo transfer



In addition to all the steps discussed above, medical clearance appointments at times can also be accompanied by Psychological Testing for the GC. This allows the psychologist to get an understanding of the GC’s motivation and emotional preparedness for following through with the surrogacy journey.

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