📅 April 6, 2026 | ⏱ 8 minutes to read | 🏷 Surrogacy knowledge
Complete version of the pre-surrogacy physical examination checklist: What examinations and materials should be prepared before consultation
summary:Many consultations are inefficient not because the questions are too complex, but because the basic information is not prepared. As long as the sperm and egg conditions, basic physical examination report, identity documents, budget range and time schedule are sorted out in advance, the first consultation can go directly from "general chat" to a promotion plan. This article gives you the most practical preparation checklist item by item.
1. Why is it that the more prepared you are before a consultation, the more time you will save later?
Surrogacy and IVF options are highly dependent on individual circumstances. Consultants and doctors need to know your age, ovarian reserve, semen quality, past medical history, marital status and budget to determine: which national path is suitable for you, whether you need egg donation, whether PGT-A is recommended, how long the project is expected to take, and what range the total cost falls within.
If this basic information is blank during consultation, the first communication will most likely become "inquiring about the market situation" rather than a real plan discussion.
Practical suggestions:Before the first consultation, take 30 minutes to compile the following four categories of information into a short document and send it to the consultant as background material. You will find that the efficiency is completely different.
2. Category 1: Physical examination related to sperm and egg conditions
This is the medical basis for all program judgments. The more complete the inspection results can be provided, the more accurate the plan design will be.
Woman (or egg donation evaluation)
Suggested preparation of the woman’s examination results
AMH (Anti-Müllerian Hormone): a core indicator for assessing ovarian reserve
AFC (antral follicle count): counts the number of basal follicles under ultrasound
Six basic hormones: FSH, LH, E2, P4, T, PRL (it is recommended to draw blood on the 2nd to 3rd day of menstruation)
Cooperate with AMH to determine the actual function of the ovary
within the period
Six items of hormones
Determine ovarian function and menstrual cycle status
Day 2-3 of this menstrual cycle
semen analysis
Sperm quality directly affects fertilization rate and embryo quality
within 3 months
Sperm DNA fragmentation rate
High DFI affects embryo quality and requires targeted intervention
within 3 months
3. Category 2: Whole body basic health screening
For surrogacy projects, the client itself also needs to conduct a basic health assessment to confirm whether there are any medical contraindications or problems that need to be dealt with that will affect the advancement of the plan.
Basic health checkup recommended in advance
Blood routine, blood type (ABO + Rh)
Liver function, kidney function, blood sugar
Hepatitis B, hepatitis C, syphilis, HIV screening (usually required)
Karyotype analysis (if there is a history of miscarriage or family genetic history)
Thyroid function (TSH, etc., affecting fertility and pregnancy health)
Evaluation of the woman’s uterine cavity (hysteroscopy or ultrasound, if there is a history of uterine cavity abnormalities)
Regarding infectious disease screening:No matter which country you choose, screening results for infectious diseases such as hepatitis B, syphilis, and HIV are the standard threshold requirements for entering a surrogacy program. Being prepared in advance can avoid delays.
4. Category 3: Identity and Marriage Documents
The surrogacy project involves legal notarization and parent-child relationship identification, and the integrity of the identity documents is very important. Sorting these out in advance can avoid being passive later on.
Married couples are advised to prepare
Valid passports for both parties (confirm the validity period, it is recommended to be valid for at least 6 months before departure)
Original marriage certificate and notarized translation
Household register (required for some routes)
If there is a name change history, relevant name change certificates
Singles are advised to prepare extra
Single declaration or certificate of unmarried status (required for some national routes)
Confirm whether the target country is open to single clients and the specific restrictions
If you need to donate eggs, learn about the egg donation screening requirements in advance.
5. Category 4: Budget and Time Planning
The design of a surrogacy program is directly affected by budget and time constraints. Clarifying these two parameters in advance can help consultants give more realistic solutions instead of just reporting an "ideal scenario".
It is recommended to think through the budget in advance
What is the total budget limit?(Including IVF/egg retrieval, PGT-A, volunteer fees, legal notarization, institution management, return documents)
Can I accept the budget flexibility of potentially needing 2–3 transplants?(In actual operation, many solutions are not completed at one time)
Do you accept the egg donation route?(Donating eggs will increase the cost, but it can improve the success rate for some people)
Would you like to join PGT-A?(It will add about 20,000-40,000 yuan, but usually improves overall efficiency)
It is recommended to confirm the time in advance
Travel time window:Egg retrieval usually requires 10–14 days in the target country and must be arranged in advance
Expected total project duration:It usually takes 14–22 months from consultation to taking your baby home, so be mentally prepared
Are work or family arrangements restrictive:Notifying the consultant in advance will help arrange a more suitable time node
A practical suggestion:Organize the above information into a one-page Word document or table and send it to the consultant before the first WeChat/video consultation. This action typically saves you 30–60 minutes on your first consultation and moves you straight into an effective discussion of options.
6. Under what circumstances can I consult first and then do an examination?
If your goal is to first establish an overall understanding—which country, how much it will cost, what route is right for you—then there is no need to wait for all the tests to be completed before consulting. The core of preliminary consultation is to determine the direction, not to come up with a plan.
But if you have already made it clear that you want to move forward, making the above preparations in advance will allow the second consultation to directly become "confirmation of the plan" instead of re-gathering information.
Most common misunderstandings:Many people only asked "how much is the price" when they first came up. However, due to the lack of prerequisite information, what they got was not a plan, but a very rough statement. Specific protocols need to be based on specific medical and personal conditions.
7. What preparations can significantly reduce later rework?
First identify your most important priorities:Is it cost controllability, legal certainty, or the conditions of a particular country? Priority determines country selection.
First, establish awareness of return documents:Instead of waiting until the child is born to think about it, ask about the file path before signing the contract.
Consider first whether to accept donor eggs:This decision will affect the entire program structure, and the sooner it is made clear, the better.
First, get the basic data on semen and ovarian reserve:These two data determine the starting point of the strategy for the IVF session.
8. Conclusion: Good consultation starts with a preparation list
When you sort out the four basic information of medicine, documents, budget and time, the consultation will change from "investigation chat" to real decision-making. For the consultant, the more complete the information, the more targeted the plan given; for you, the less time spent on information collection, the more time spent on real decision-making.
Have you prepared the materials and want to know more about Kyrgyzstan’s paths and plans?