Surrogate health screening

Women who are hoping to become surrogate mothers frequently ask if they’re still eligible if they’ve had their tubes tied. While it is a permanent form of birth control, it does not necessarily disqualify a woman from carrying a child for someone else! 

In this blog post, we’ll explore what it means to “have your tubes tied”, what happens to a woman’s body following the procedure, and whether you can still be a surrogate mother if you already had the procedure. We’ll even discuss how having your tubes tied might actually give you an advantage if you want to be a surrogate mother!

What Does Having Your Tubes Tied Mean?

Having your tubes tied, also known as tubal ligation, is a permanent form of birth control for women. It involves a surgical procedure where a woman’s fallopian tubes are closed off, usually via a precise incision.This prevents eggs from reaching the uterus and makes pregnancy highly unlikely. It should be noted that having your tubes tied does not fully guarantee that pregnancy will not occur. 

Tubal ligation is a surgical procedure that prevents pregnancy. It has also been referred to as female sterilization. The term tubal ligation breaks down like this:

  • Tubal refers to a woman’s fallopian tubes. Each month, an egg is released from an ovary and travels through the fallopian tube to the uterus. 
  • Ligation means to tie off. This prevents the egg and male sperm from connecting to prevent pregnancy.

 

During tubal ligation surgery, both fallopian tubes are blocked or cut. It is usually done in the hospital or in an outpatient surgical clinic. This is a type of permanent birth control for traditional conception methods (i.e. intercourse). 

Tubal ligation prevents an egg from traveling from the ovaries through the fallopian tubes and blocks sperm from traveling up the fallopian tubes to the egg. The procedure doesn’t affect a woman’s menstrual cycle, but it does prevent traditional pregnancy.

The key takeaway from the above is that  having your tubes tied only prevents “traditional pregnancy”, so a woman no longer needs to use birth control. It in no way impacts in vitro fertilization (IVF) the conception method used during gestational surrogacy.

Can I Still Carry A Baby If My Tubes Are Tied?

Women who are interested in becoming gestational surrogates will often ask if having their tubes tied will prevent them carrying a baby for someone else. The good news is that having your tubes tied does not affect your ability to carry a pregnancy as a gestational surrogate!

Surrogacy involves carrying a baby conceived through in vitro fertilization (IVF), where an embryo created from the intended parents’ egg and sperm is transferred to the surrogate’s uterus. Since surrogacy does not require the surrogate’s eggs to be fertilized, having one’s tubes tied does not hinder the process.

In other words, women who have undergone tubal ligation can still have a healthy uterus capable of carrying a pregnancy to term. That means they can still be suitable candidates for gestational surrogacy, as long as they meet the other requirements, including having a healthy BMI, being a non-smoker, having a history of uncomplicated pregnancies, and being within the proper age range.

However, it’s essential for potential gestational surrogates to discuss their medical history, including any past surgeries (like tubal ligation), with their surrogacy agency and medical professionals to ensure they are eligible and prepared for the process. Ultimately, the good news is having your tubes tied does not disqualify you from being a surrogate.

Do You Still Produce Eggs After Having Your Tubes Tied?

Yes, even after undergoing tubal ligation, women continue to ovulate, which means their ovaries release eggs as part of their menstrual cycle. Tubal ligation works by blocking or severing the fallopian tubes, which are the pathways through which eggs travel from the ovaries to the uterus. By interrupting this pathway, tubal ligation prevents the released eggs from reaching the uterus, where fertilization normally occurs during natural conception. However, the procedure does not stop the ovaries from releasing eggs, nor does it interfere with the production of hormones necessary for ovulation.

Tubal ligation is a procedure that blocks the mechanics of fertilization by preventing the eggs from reaching the uterus, but it does not affect a woman’s natural hormonal cycle or her ability to produce eggs. This distinction is important because it means that women who have had their tubes tied still experience regular menstrual cycles and ovulation.

Do I Need Fallopian Tubes To Be A Surrogate Mother?

No, you do not need fallopian tubes to be a surrogate mother. Gestational surrogacy involves carrying a baby conceived through in vitro fertilization (IVF), where an embryo created from the intended parents’ or donors’ egg and sperm is transferred to the surrogate’s uterus. Since the fallopian tubes are not involved in the process of IVF, their absence or non-functionality does not impact a woman’s ability to carry a pregnancy as a gestational surrogate.

In gestational surrogacy, the embryo is typically transferred directly into the surrogate’s uterus, bypassing the need for the fallopian tubes to facilitate fertilization. This process of direct implantation is precisely the reason why the surrogate mother does not share DNA with the baby. Furthermore, this lack of shared genetic material between the surrogate mother and fetus is also why some people prefer to use the term gestational carrier because it more accurately describes the surrogate mother’s role in the surrogacy process.

Can I Be A Surrogate Mother With One Tube?

Yes, it is possible to be a surrogate mother with only one functioning fallopian tube, provided that the remaining tube and uterus are healthy and capable of supporting a pregnancy. It’s important to remember that in gestational surrogacy, the fallopian tubes are not involved in the proces of impregnating the surrogate mother, as the embryo is typically created via IVF while using the intended parents’ or donors’ egg and sperm. The embryo is then transferred directly into the surrogate’s uterus, bypassing the need for the fallopian tubes to facilitate fertilization.

While having only one fallopian tube may reduce the chances of conceiving naturally, it does not necessarily impact a woman’s ability to carry a pregnancy as a gestational surrogate. As long as the remaining fallopian tube is healthy and there are no other underlying reproductive issues, such as uterine abnormalities or hormonal imbalances, a woman with one tube can still meet the medical requirements for gestational surrogacy. 

However, it’s essential for potential surrogates to undergo thorough medical evaluations and screenings to ensure they are suitable candidates for the process and to address any potential concerns regarding fertility and reproductive health. Ultimately, what matters most in gestational surrogacy is the surrogate’s ability to provide a safe and supportive environment for the developing fetus during pregnancy, regardless of the number of fallopian tubes.

Can A Fertility Clinic Still Harvest My Eggs After A Tubal Ligation?

Yes, it is still possible for a fertility clinic to harvest eggs from a woman who has undergone tubal ligation, although the process may be slightly more complex. It’s important to remember that tubal ligation does not affect a woman’s ability to produce eggs, as ovulation continues after the procedure. Therefore, eggs can still be retrieved from the ovaries through a procedure that’s commonly used in IVF treatments called ovarian stimulation and egg retrieval.

During the ovarian stimulation process, fertility medications are administered to stimulate the ovaries to produce multiple eggs. These eggs are then retrieved from the ovaries using a minimally invasive procedure in which the fertility specialist uses a thin needle to collect the mature eggs directly from the ovaries. Once retrieved, the eggs can be fertilized in the laboratory with sperm to create embryos for use in IVF, either for the intended parents or for donation to others. 

Therefore, while tubal ligation prevents eggs from traveling through the fallopian tubes to the uterus for natural conception, it does not hinder the ability to harvest eggs from the ovaries.

Can It Actually Be A Benefit To Have My Tubes Tied?

If you want to be a surrogate and you’ve had your tubes tied, there might actually be some benefits to having already undergone the procedure. 

First, it offers a permanent form of birth control, providing the surrogate with peace of mind that she will not conceive a child during the surrogacy process. This assurance can help alleviate concerns about accidental pregnancies, allowing the surrogate to focus fully on the pregnancy and the well-being of the intended parents’ baby without worrying about her own reproductive plans.

Furthermore, having undergone tubal ligation may streamline the surrogacy process by eliminating the need for additional contraceptive measures during the preparation and duration of the pregnancy. Surrogates who have had their tubes tied do not require hormonal contraceptives or other birth control methods to prevent pregnancy while carrying the intended parents’ child. This can simplify the medical and logistical aspects of the surrogacy journey, making it more straightforward for both the surrogate and the intended parents. Finally, for surrogates who had their tubes tied after already completing their own families, serving as a gestational surrogate allows them to experience the joy of pregnancy and childbirth again while still honoring their decision not to have more biological children of their own. They may even choose to return to the same agency as before and serve as a surrogate mother for other intended parents!

How To Choose The Right Fertility Clinic and Surrogacy Agency

Finding the right fertility clinic and surrogacy agency is crucial for both intended parents and surrogate mothers to ensure a smooth and successful surrogacy journey. For intended parents, it’s essential to research and choose a reputable fertility clinic with a track record of success in assisted reproductive technologies (ART), including IVF and embryo transfer. You should look for clinics with experienced fertility specialists, state-of-the-art facilities, and a comprehensive range of services to meet your specific needs and preferences. 

Similarly, surrogate mothers should carefully vet surrogacy agencies to find one that prioritizes their well-being, respects their rights and preferences, and provides comprehensive support throughout the surrogacy process. Look for agencies with a proven track record of matching surrogates with intended parents, clear communication practices, and thorough screening procedures to ensure the safety and suitability of all parties involved. 

Surrogates should also consider factors such as compensation, contractual terms, and the level of support and guidance offered to surrogates before, during, and after pregnancy. Building a trusting and supportive relationship with your surrogacy agency is essential for navigating the emotional, legal, and logistical complexities of the surrogacy journey successfully.

At Surrogacy by Faith, we treat the needs of the intended parents and surrogate mothers equally and always prioritize the health of the baby. We are guided by our Christian faith and a strong conviction in what we do: bringing new lives into the world and helping people build new families. We can’t think of a more important job! 

If you’re hoping to become a parent, please complete our initial Inquiry Form. We will answer any questions you might have and if you wish to proceed, we’ll start looking for the angel that will carry your child. If you’re looking to become a surrogate, make sure you fill out our surrogate inquiry form

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