Tests and examinations for the intended parents before starting a surrogacy journey

The Law No. 787 of 09.09.2013 establishes a list of necessary tests and examinations for both spouses to be allowed to use the ART, especially surrogacy.

Tests for Women

  1. Medical report about the woman’s somatic health and the absence (presence) of any contra-indications to carrying a child to term;
  2. Blood group and Rh-factor test;
  3. Complete Blood Count (CBC), done no more than 1 month earlier;
  4. Coagulogram;
  5. Tests for syphilis, HIV, Hepatitis B and C  (done no more than 3 months earlier);
  6. IgM, IgG blood count for toxoplasmosis, chlamydia, CMV and rubella;
  7. Bacterioscopic analysis of discharges from the vagina, urethra and cervical canal;
  8. Cytological examination of the uterine neck swabs;
  9. Overall gynecological examination;
  10. US of  the small pelvis organs;
  11. Blood count for the AMH (Anti-Mullerian Hormone), prolactin, follitropin, lutropin, progesterone, estradiol.

Additional tests (upon the doctor’s request):

  1. Examination of the uterus and its tubes: hysterosalpingography,  laparoscopy, hysteroscopy;
  2. Colposcopy;
  3. TEB (timed endometrial biopsy);
  4. Bacteriological examination of the urethra and the cervical canal material;
  5. Blood count for testosterone, hydrocortisone, thyroxine, triiodothyronine, thyrotropin, somatotropin;
  6. Karyotyping;
  7. Blood glucose level test;
  8. Urogenital system examination;
  9. Tests for TORCH-infections;
  10. Medical reports by other doctors;
  11. Photoradiography;
  12. US of the internal and thyroid gland;
  13. US of the mammary gland for women under 40;
  14. Mammography for women over 40;
  15. Biochemical blood count (general bilirubin, renal,hepatic and glucose tests).

Tests for Men

  1. Blood group and Rh-factor test;
  2. Complete Blood Count (CBC) for syphilis, HIV, Hepatitis B and C  (done no more than 3 months earlier);
  3. Spermogram;
  4. Photoroentgenography;

Additional tests (upon the doctor’s request):

  1. Examination by an andrologist;
  2. Karyotyping, genetic consultations and molecular-genetic examinations;
  3. Tests for TORCH-infections;
  4. Blood count for thyroxine, thyrotropin,  triiodothyronine, testosterone, prolactin, follitropin, lutropin;
  5. DNA-fragmentation;
  6. MAR-test.

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