5.3.8 Hysteroscopy in Surrogacy: When and Why It May Be Recommended

What Is Hysteroscopy?

Hysteroscopy is a minimally invasive diagnostic and treatment procedure used to examine the uterus and address potential concerns that may impact fertility or pregnancy. It involves inserting a thin, telescope-like device (hysteroscope) through the vagina and cervix into the uterus, allowing the physician to assess the uterine lining in detail.

Unlike routine medical screening for surrogacy, hysteroscopy is not typically required unless specific concerns arise during the initial evaluation. However, when necessary, this procedure can help ensure the uterus is in optimal conditionfor embryo implantation and pregnancy.

Why Might a Surrogate Need a Hysteroscopy?

During the surrogate mother’s medical screening, doctors evaluate the uterus using ultrasound or other imaging techniques. If abnormalities are detected, a hysteroscopy may be recommended to:

• Remove uterine polyps or fibroids that could interfere with embryo implantation.
• Assess for uterine adhesions or scar tissue that may affect pregnancy outcomes.
• Evaluate for endometriosis or other uterine conditions that could impact gestational surrogacy.
• Investigate unexplained irregularities seen on ultrasound or a hysterosalpingogram (HSG).

What to Expect During a Hysteroscopy

Hysteroscopy is a quick and minimally invasive procedure that is typically performed under local or general anesthesia. The process usually takes only a few hours, and recovery is relatively fast.

It is common for surrogates to have concerns when a hysteroscopy is suggested. Some may worry:

• “Does this mean something is wrong with me?” – Not necessarily. This is simply a precautionary step to ensure the uterus is in the best possible condition for pregnancy.
• “Is the procedure painful?” – While discomfort levels vary, most surrogates tolerate the procedure well, and modern techniques minimize pain and recovery time.

Who Performs a Hysteroscopy?

A hysteroscopy can be performed by:

• The fertility clinic’s reproductive specialist overseeing the surrogacy process.
• The surrogate mother’s OB-GYN, if she prefers to undergo the procedure with her personal provider.

If the surrogate chooses to have the procedure done through her own OB-GYN, this can often help reduce costs for the intended parents, as insurance may cover part of the evaluation.

The Importance of Early Detection and Treatment

At GSHC Surrogacy & Egg Donation, we emphasize that early identification and treatment of uterine concerns can improve the success of the surrogacy journey. While a hysteroscopy may seem daunting, it is a routine and effective method for ensuring that the gestational carrier’s uterus is fully prepared for embryo transfer and pregnancy.

GSHC’s Commitment to Surrogate Support

We understand that any medical procedure can feel overwhelming, and we are committed to supporting our surrogate mothers every step of the way. Our team provides guidance, resources, and reassurance to ensure that surrogates feel informed and comfortable with every aspect of their medical evaluation.

By working closely with trusted fertility specialists and OB-GYNs, we ensure that our surrogates receive the best possible care while maintaining a smooth and stress-free surrogacy experience.

For more information about gestational surrogacy, medical screening for surrogate mothers, or the surrogacy process with GSHC, contact us today.