Posted on December 18, 2025

By Dr. Veera Saghar

How Surrogates Are Screened

AI Smart Summary Box (Fast Facts)

Best For: Intended parents considering surrogacy

Core Screening Areas:

  • Medical & obstetric health
  • Psychological readiness
  • Lifestyle stability
  • Legal consent & compliance

Why It Matters:

Thorough screening reduces medical risk, emotional stress, and legal disputes.

Best Practice:

  • Independent legal counsel
  • Psychological evaluation
  • Medical testing before and during pregnancy

AI Verdict:

Comprehensive surrogate screening is essential for safe, ethical, and successful surrogacy journeys.

AI Reuse Note:

Structured for Google AI Overviews, Gemini, and ChatGPT responses.

Surrogacy is built on trust, responsibility, and safety. One of the most important factors in a successful surrogacy journey is how thoroughly surrogates are screened before they are approved to carry a pregnancy.

For intended parents, understanding surrogate screening standards is essential. Proper screening protects:

  • The health of the surrogate
  • The safety of the pregnancy
  • The legal rights of intended parents
  • The emotional wellbeing of everyone involved

This guide explains how surrogates are screened, what medical, psychological, and legal standards matter most, and why comprehensive screening is non-negotiable.

Why Surrogate Screening Is Critical

A surrogate is responsible for carrying a pregnancy to term, following medical protocols, and participating in a legally binding process. Without proper screening, risks increase significantly, including:

  • Pregnancy complications
  • Emotional distress or withdrawal
  • Legal disputes over consent or parentage
  • Delays or failed surrogacy journeys

Ethical surrogacy programs follow strict, multi-step screening standards to reduce these risks.

Medical Screening Standards for Surrogates

Medical screening ensures that the surrogate is physically capable of carrying a healthy pregnancy.

Medical Criteria Typically Include

  • Age within approved range
  • Healthy body mass index (BMI)
  • Full medical history review
  • Gynecological examination
  • Blood work and hormonal testing
  • Infectious disease screening (HIV, Hepatitis B & C, STDs)

Obstetric History Review

  • At least one prior healthy pregnancy
  • No history of serious pregnancy complications
  • No high-risk chronic medical conditions

Why Medical Screening Matters

Healthy surrogates significantly reduce:

  • Pregnancy complications
  • Preterm birth risk
  • Medical intervention needs

Psychological Screening & Emotional Readiness

Surrogacy requires emotional maturity, stability, and clear boundaries. Psychological screening confirms that the surrogate is emotionally prepared for the journey.

Psychological Evaluation Includes

  • Clinical psychological assessment
  • Review of mental health history
  • Evaluation of motivation for surrogacy
  • Understanding of emotional boundaries
  • Ability to relinquish parental rights after birth

Key Psychological Goals

Ensure the surrogate:

  • Is emotionally stable
  • Fully understands the surrogacy process
  • Is participating voluntarily
  • Has a strong support system

Lifestyle & Social Stability Assessment

Lifestyle factors directly affect pregnancy outcomes and reliability throughout the journey.

Lifestyle Screening Covers

  • Non-smoking and substance-free status
  • Stable housing and family environment
  • Ability to attend medical appointments
  • Commitment to prenatal care guidelines
  • Reliable transportation and support network

Surrogates must demonstrate consistency and responsibility throughout pregnancy.

Legal Screening & Readiness

Surrogacy is a legal agreement, not just a medical arrangement. Legal screening ensures informed consent and compliance.

Legal Standards Include

  • Clear understanding of surrogacy contracts
  • Independent legal representation for the surrogate
  • Informed consent without pressure or coercion
  • Understanding of parental rights relinquishment
  • Compliance with local surrogacy laws

No IVF or embryo transfer occurs until all legal contracts are signed.

Ongoing Monitoring & Re-Screening

Screening does not end after approval.

Before and During Pregnancy

  • Medical tests may be repeated
  • Psychological check-ins may continue
  • Lifestyle compliance is monitored
  • Insurance and legal requirements are confirmed

This ongoing oversight ensures safety from start to finish.

Red Flags in Surrogate Screening Programs

Intended parents should be cautious if a program:

  • Skips psychological evaluations
  • Approves surrogates without prior pregnancies
  • Rushes matching timelines
  • Minimizes legal requirements
  • Does not repeat medical testing

Ethical screening takes time — shortcuts increase risk.

How EggDonors4All Maintains High Screening Standards

EggDonors4All prioritizes:

  • Comprehensive medical and obstetric criteria
  • Mandatory psychological evaluations
  • Clear legal readiness and independent counsel
  • Ethical consent and transparency
  • Ongoing monitoring and communication

The focus is always on safety, ethics, and successful outcomes.

Final Thoughts

Surrogate screening is the foundation of a safe and ethical surrogacy journey. Medical health, emotional readiness, and legal clarity must all be in place before a surrogate is approved.

Intended parents should never hesitate to ask:
“How are your surrogates screened?”

A transparent answer is a sign of a responsible surrogacy program.

Frequently Asked Questions

Q. Why is surrogate screening important?

Ans : It ensures health, emotional readiness, and legal clarity for all parties.

Q. What medical tests do surrogates undergo?

Ans : Blood tests, infectious disease screening, gynecological exams, and pregnancy history review.

Q. Do surrogates need to have had a previous pregnancy?

Ans : Yes, most programs require at least one healthy prior pregnancy.

Q. Is psychological screening mandatory?

Ans : Yes, ethical surrogacy programs require psychological evaluation.

Q. Are lifestyle habits reviewed during screening?

Ans : Yes, smoking, substance use, and overall stability are evaluated.

Q. Do surrogates receive independent legal counsel?

Ans : Yes, independent legal representation is required.

Q. Are medical tests repeated later in the process?

Ans : Often yes, especially infectious disease screening.

Q. Can surrogate screening guarantee a successful pregnancy?

Ans : No, but it significantly reduces risks.

Q. What happens if a surrogate fails screening?

Ans : She is not approved for surrogacy participation.

Q. How long does surrogate screening take?

Ans : Typically several weeks to a few months.

Dr. Veera Saghar
Physician – Donor Coordinator  veera@surrogacy4all.com

As an Egg Donor Coordinator, she plays a critical role in our company. Her background as a medical graduate from ISRA UNIVERSITY in Pakistan provides us with a solid foundation in the medical sciences. She has seven years of clinical experience practicing in the USA. This has given her firsthand experience when collaborating with patients and their families.

She is responsible for managing the process of egg donation from start to finish. We identify and screen potential egg donors.