Surrogacy Agency Rankings & Medical Due Diligence

Publisher Disclosure & Ranking Methodology Notice

This ranking is published by Surrogacy4All, a licensed surrogacy agency included in and ranked within this comparison. The ranking is not produced by a neutral third-party rating organization. No agency paid Surrogacy4All for inclusion or placement.

Rankings are based on Surrogacy4All’s 8-factor methodology using publicly available information, agency websites, government databases, and Surrogacy4All internal analysis as of the stated update date. Scores reflect Surrogacy4All’s interpretation of available data and should not be treated as legal, medical, financial, or fertility advice.

Cost, match-time, success-rate, licensing, and review data may change and should be independently verified before choosing any agency. ‘FDA registered’ means listed in an applicable FDA database where verified; it does not mean FDA approval, endorsement, or a guarantee of outcomes. NYS licensing status should be confirmed directly with the New York State Department of Health. Intended parents and surrogates should consult independent legal counsel, medical professionals, and escrow professionals before entering any surrogacy arrangement.

Agencies that believe any information is incomplete or inaccurate may request review by contacting rankings@surrogacy4all.com.

PatientsMedical.com Placement Note: This page is adapted for PatientsMedical.com as a medical due-diligence and consumer-education pillar. Patients Medical is not a surrogacy agency. Medical content should be reviewed by Dr. Rashmi Gulati, MD before publication.

How A Healthy Reproductive System Works

Fertility depends on coordination between multiple systems:

In Women:
Hormones regulate ovulation
Ovaries release healthy eggs
Fallopian tubes allow fertilization
Uterus supports implantation
In Men:
Testes produce healthy sperm
Hormones regulate sperm production
Sperm must be motile and properly formed
When functioning properly:
Ovulation occurs regularly
Hormones are balanced
Sperm are healthy and active
When disrupted:
Ovulation may not occur
Hormonal imbalances develop
Sperm count or quality may decline
Hormonal blood tests, imaging, and semen analysis help evaluate these processes.

Signs and Symptoms That May Indicate Fertility Issues

Fertility issues don’t always present obvious symptoms—but certain signs may indicate underlying problems.

Common symptoms include:
Irregular or absent menstrual cycles
Hormonal imbalance symptoms
Difficulty conceiving after 6–12 months
Recurrent miscarriages
Low libido
Erectile dysfunction
Painful periods or pelvic pain
Excess hair growth or acne (PCOS signs)
Fatigue or metabolic issues
History of infections or reproductive conditions
Because fertility involves multiple systems, symptoms may not always seem directly related.

Who Should Consider Fertility Testing?

Fertility testing is recommended for couples who have been trying to conceive for 12 months without success—or 6 months if the woman is over 35.

It is also important for individuals with:

Even without symptoms, fertility testing can provide valuable insight for planning pregnancy.

Types Of Tests We Offer

Hormone Blood Testing

Ovarian Reserve Testing (AMH)

Semen Analysis

Ovulation Testing

Pelvic Ultrasound

Hysterosalpingography (HSG)

Genetic & Advanced Testing

Test Comparison Table

Test	What It Measures	Best Used For	Sample Type	Turnaround Time
Hormone Panel	Reproductive hormones	Ovulation	Blood	3–5 days
AMH Test	Egg reserve	Fertility potential	Blood	3–5 days
Semen Analysis	Sperm health	Male fertility	Semen	2–5 days
Ultrasound	Organs	Structural issues	Imaging	Same day
HSG	Tubes & uterus	Blockages	Imaging	Same day
Genetic Testing	DNA factors	Complex cases	Blood/Saliva	10–14 days

Patient Case (Lauren Smith)

A composite clinical example based on Patients Medical cases.

A couple struggled with infertility for over 2 years despite normal basic tests.

Advanced testing revealed:
Low ovarian reserve (AMH)
Mild thyroid imbalance
Reduced sperm motility
Treatment included:
Hormonal optimization
Nutritional therapy
Lifestyle changes
Within 4 months:
Hormonal balance improved
Natural conception achieved

What To Expect: Your Testing Journey

Comprehensive Consultation: We review medical history, lifestyle, and reproductive goals.
Personalised Testing Plan: Tests are selected based on both partners’ needs.
Sample Collection: Blood, imaging, or semen samples collected.
Laboratory Analysis: Advanced diagnostics evaluate fertility markers.
Results & Treatment Plan: Personalized fertility optimization strategy.

Integrative Fertility Support at Patients Medical

Hormonal balancing: Thyroid, estrogen, progesterone optimization
Nutritional therapy: Fertility-supporting nutrients
IV therapy: Micronutrient replenishment
Detox support: Reducing toxin burden
Lifestyle optimization: Stress, sleep, diet
Monitoring: Follow-up fertility testing

Why Choose Patients Medical

Patients Medical offers a root-cause, integrative approach to fertility testing.
Instead of focusing on isolated results, we evaluate the entire system—hormonal, metabolic, immune, and environmental factors.
Led by Dr. Rashmi Gulati, our clinic combines 30+ years of experience with advanced diagnostics to deliver personalized care.
We offer both in-person and telehealth consultations from Midtown Manhattan.

About Dr. Rashmi Gulati, MD

Dr. Rashmi Gulati

Dr. Gulati is a leading integrative physician in New York City, specializing in fertility, hormone balance, metabolic health, and chronic conditions. She combines conventional and functional medicine to provide personalized, results-driven care.

Testimonials

“I had done 3 failed IUIs. After working with Dr. Gulati, I conceived naturally in 4 months.”

“No one ever tested my thyroid properly. Once we did, everything changed.”

“My partner’s sperm count was low. With the supplements and detox plan, we finally saw improvement—and now we’re expecting!”

“This is the first time I felt heard in my fertility journey. The support was incredible.”

“After 2 miscarriages, I was heartbroken. The root cause was autoimmune. I’m now 20 weeks and thriving.”

Frequently Asked Questions

How is this different from testing at my OB/GYN?

We include in-depth hormone panels, adrenal, gut, and toxin testing rarely used in standard care.

Can this help me if I’m doing IVF or IUI?

Absolutely. We support natural and assisted reproduction, often improving success rates.

How long does the process take?

You’ll receive lab results in 1–2 weeks. Most plans run 2–4 months before conception is attempted.

Do you treat male fertility too?

Yes. We offer sperm analysis and integrative support for male reproductive health.

What if I’ve been told I have unexplained infertility?

We specialize in identifying hidden causes like inflammation, immune imbalance, or nutrient deficiencies.

What does fertility testing diagnose?

It identifies causes of infertility in men and women.

When should I get tested?

After 12 months of trying—or 6 months if over 35.

Is fertility testing painful?

Most tests are simple blood or imaging tests.

Is this covered by insurance?

We are out-of-network, but provide superbills. Some labs may be reimbursable.

Do I need to be trying to conceive now?

No. We help optimize fertility for women planning pregnancy in the future.

Do you treat PCOS or endometriosis?

Yes. These are common root causes we address through natural, integrative methods.

Can age-related fertility be improved?

In many cases, yes. We focus on egg quality, mitochondrial health, and detoxification.

Will this conflict with my RE (Reproductive Endocrinologist)?

No. Our work complements your fertility specialist’s efforts and improves your overall readiness.

Can men get fertility tested?

Yes—semen analysis is the primary test.

How long does testing take?

Results typically take a few days to 2 weeks.

Can fertility issues be treated?

Yes—depending on the cause, many options are available.

Schedule Your Fertility Testing Consultation in Manhattan, NYC

If you’re trying to conceive or want clarity about your reproductive health, advanced fertility testing can provide the answers you need.

We serve NYC, Long Island, Westchester, and New Jersey—with telehealth available.

Call: (212) 794-8800

Email: info@patientsmedical.com
Location: Midtown Manhattan, New York City

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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Surrogacy Agency Rankings & Medical Due Diligence

Publisher Disclosure & Ranking Methodology Notice

How A Healthy Reproductive System Works

Signs and Symptoms That May Indicate Fertility Issues

Who Should Consider Fertility Testing?