So you’ve finished your lining check appointment and the embryo transfer at your IPs’ IVF clinic. What comes next?
Surrogate IVF/cycling medications start about 2-4 weeks before the embryo transfer, but can continue as long as 15 weeks in total. Sometimes the medications are to be taken through the first trimester! Every IVF clinic will have a different protocol, so make sure you know when and for how long to continue the medications.
This is entirely up to your intended parents and yourself. Remember that your intended parents may want to wait for the official bloodwork appointments at your local monitoring center as that testing is more accurate than at-home pregnancy tests. The 10-day wait or so after your embryo transfer before your first blood work appointment can be really exciting and challenging! Take a few deep breaths and remember that surrogacy is totally worth the wait!
For hCG appointments, if the HcG numbers start to decrease or are very low and don’t increase at a next appointment, it’s possible that the embryo didn’t take after the transfer. Beta numbers can look good, but then the first or second ultrasounds can come with sad news. This can feel anywhere from disappointing to devastating, which is completely understandable. Of course, everyone wants good news for you and your IPs. Try to remember that it’s unlikely you did anything at all to cause the embryo to not take or an early ultrasound to not confirm a heartbeat. IVF technology has truly come so far in the past decades, but embryo transfers are still far from 100% with success rates.
Lean on your support system of friends, family, our CFC Surrogate Support Facebook group, and your journey coordinator to talk through the emotions around failed transfers. If you feel like you need additional support, please know you can always talk to us. Many of our journey coordinators and current or previous surrogates have gone through these exact bumps in the road and can offer a listening ear or genuine advice for next steps.
Feel free to email your journey coordinator, IVF clinic coordinator, or our recruiting team if you have a question!