Fertility centers work very closely with gestational carriers and their agencies. These agencies find people who are interested in becoming surrogates and they perform the initial evaluation. Once the candidate is approved by the gestational carrier agency, she is then sent to the fertility clinic for a full evaluation. The fertility doctor will go over the medical history of the patient, their sexual history, their prior pregnancy experience, to make sure that she will be able to carry a healthy baby to term. The fertility center will then decide if the intended gestational carrier is a good candidate for surrogacy.
Once the gestational carrier is approved by the doctor, further testing is done on the surrogate in order to determine is shes going to be a strong candidate for surrogacy. This testing usually involves an evaluation of the uterus to make sure that everything looks normal for the implantation. They will also make sure that the patient is healthy enough, medically, to be able to carry a pregnancy.
After the gestational carrier is approved again, she will begin a stimulation cycle in order to do the embryo transfer. The doctor is responsible to make sure that the uterine lining looks normal and that the patient is responding well to the stimulation. At this time the doctors can get a good feel for if the gestational carrier will or will not have a successful transfer. If everything looks good then the doctors will perform the embryo transfer.
After the transfer, the gestational carrier is then monitored by the fertility doctor until she is eight weeks pregnant. After eight weeks the gestational carrier is then transferred to her OBGYN in order to start prenatal care and have testing done for the pregnancy. At this time they also will plan for the delivery.
The major role of the fertility clinic is to make sure that a potential candidate will be a successful gestational carrier. They are also responsible for doing the treatment and stimulation as well as the embryo transfer and monitoring the first eight weeks of the pregnancy.