What IVF Medications Do Surrogates Take?

Baby onesies surrounded by a heart made of syringes

If you're exploring surrogacy, chances are you've experienced pregnancy before—but this time, things are a bit different. Carrying a child for someone else is both an emotional and physical journey, and IVF medications are a key part of the process. Here’s what you need to know about the medications gestational surrogates typically take and what to expect at each stage.

How Does IVF Work in Surrogacy?

Since gestational surrogates don’t conceive naturally, hormonal medications are used to prepare the body for pregnancy. The process begins with in vitro fertilization (IVF), where eggs are retrieved from the intended mother or donor, fertilized with sperm in a lab, and then transferred to the surrogate's uterus.

Before this transfer, the surrogate meets with the intended parents’ fertility clinic. There, you’ll receive a full rundown on your medication protocol, how to administer the meds, and what your schedule will look like.

What IVF Medications Will You Take as a Surrogate?

To increase the chances of a healthy pregnancy, surrogates typically take a combination of the following:

Estrogen

Naturally produced during your menstrual cycle, estrogen helps thicken the uterine lining to prepare for embryo implantation. You'll likely take estrogen supplements orally two or three times a week until pregnancy is confirmed.

Progesterone

Once your uterine lining reaches the right thickness, progesterone is added to help the uterus support a pregnancy. It’s usually administered vaginally via inserts or creams.

Lupron (Leuprolide Acetate)

Some surrogacy protocols include Lupron, an injectable medication that helps prevent your natural cycle from interfering with the IVF timeline. It’s self-administered and only used during the early stages of the cycle.

When Do IVF Medications Start and Stop?

Hormonal medications typically begin 3 to 4 weeks before embryo transfer. During this phase, you’ll have regular ultrasounds and bloodwork to monitor how your body is responding.

If the transfer is successful, you’ll continue taking estrogen and progesterone for about 8 to 9 weeks, until your body starts producing enough of its own hormones to support the pregnancy. After that—no more meds!

Are There Side Effects?

The medications used in IVF are generally well-tolerated. Some surrogates experience mild cramping, bloating, or slight mood changes, but these symptoms are usually short-lived and manageable.

How Else Can You Prepare for a Healthy Surrogacy Pregnancy?

In addition to taking IVF meds, there are a few lifestyle tips to help support your journey:

• Healthy Diet & Exercise: Stick to a balanced diet and stay active with doctor-approved exercise. A prenatal nutritionist can help if you need guidance.

• Prenatal Vitamins: Start these early! OTC prenatal vitamins contain essential nutrients to support both you and the baby throughout the pregnancy.

• Prenatal Massage: Regular sessions with a certified massage therapist can reduce stress, improve well-being, and may even lead to shorter labor.

Ready to Start Your Surrogacy Journey?

Understanding your role—and the medications involved—can make all the difference in a smooth and successful experience. The hormone treatments are simple, effective, and an essential step toward helping someone build their family.

If you feel called to be a surrogate, check if you meet the requirements to become a gestational carrier. When you’re ready to begin your journey,visit our website inclusivesurrogacy.com.