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Table 1 Stages of surrogacy preconception and possible disruptions (Source: Author’s Research)

From: Failed surrogate conceptions: social and ethical aspects of preconception disruptions during commercial surrogacy in India

Process of surrogacy: preconception

Labour involved for the surrogates

Possible reproductive disruptions

Screening of surrogate (and donors)

Frequent visits to clinics for ultrasonography (vaginal and abdominal) and blood tests, hormonal shots & medicines

Need for re-matching

Hormonal stimulations

Intended parents & surrogate (& donor) matching

Ovum pickup &/or sperm collection (if needed)

Fertilisation & incubation

Embryo freezing (usually)

Signing of contract

Embryo transfer

Embodiment of embryo, movement restrictions, hormonal shots

 

Waiting period

Embodiment of embryo, movement restrictions, hormonal shots

 

Pregnancy test (betaHCG)

Blood test followed by abdominal ultrasonography

Missed conceptions, chemical pregnancies