Show Notes
PGT-A testing is marketed as a smart, science-backed way to improve your chances of a healthy baby. But what if it’s not giving you the full story? In this eye-opening conversation, fertility attorney and IVF mom Allison Freeman joins Alyssa to unpack the science, marketing, and legal implications behind preimplantation genetic testing for aneuploidy (PGT-A). From personal IVF loss to class-action lawsuits, Allison shares why more patients are questioning the test—and why some may be discarding embryos based on misleading or unvalidated results. 🎧 If you’re considering embryo testing—or already making transfer decisions—this episode is a must-listen. What You’ll Learn: 02:16 — Allison’s IVF journey and two very different paths to motherhood
09:08 — How a personal red flag during IUI launched her legal advocacy
16:24 — What PGT-A testing is, and how it’s commonly presented to patients
19:04 — The rise in “zero embryos” after testing—and what that might mean
21:55 — Why PGT-A biopsies aren’t as definitive as many think
26:27 — The risks of relying on embryo testing to avoid miscarriage
29:46 — How PGT-A impacts surrogacy matching and timeline delays
34:54 — What ASRM’s new guidance really says—and what patients often miss
Resources Mentioned: Surrogacy Step-By-Step Guide https://gojunie.com/surrogacy-starter-kit Time Article: IVF Patients Say a Test Caused Them to Discard Embryos. Now They’re Suing Allison Freeman (IG) - @ivf_advocatem, theivfadvocate.com
Key Takeaways: PGT-A is widely used—but hasn’t been validated the way most patients expect
The test analyzes placental (not fetal) tissue, which can cause discrepancies
Surrogates and agencies often require PGT-A without understanding its limitations
Patients should ask: what am I being promised, and is there data to back it up?
🎧 Considering embryo testing? With ASRM’s most recent guidance, and the BloomBridge surrogacy app you'll be prepared for tough decisions.
More from Surrogacy Made Simple
The holidays can feel like the brightest spotlight on what’s missing—especially when intended parents are still waiting, longing, or grieving their path to parenthood. Scrolling through social feeds packed with family celebrations, facing sensitive questions from relatives, or enduring pregnancy announcements at festive gatherings can sting in ways few people understand. It’s exhausting to keep showing up, pretending, or shrinking yourself just to survive the season. But you don’t have to go through it alone or unprepared. In this episode, Alyssa Small Layne shares 8 practical, compassionate strategies to protect your emotional and financial wellbeing, set boundaries without guilt, and create tiny moments of comfort and control—even before your baby arrives. 🎧 Press play and discover how to make holidays survivable, honest, and even full of hope. What You’ll Learn: 02:23 — Why the holidays amplify grief, longing, and comparison for intended parents 07:14 — How to decide your level of participation and give yourself permission to opt out 08:55 — The power of having a “safe person” at every gathering 11:31 — Scripts for handling nosy, insensitive holiday questions about surrogacy or infertility 13:12 — Creating exit plans and time limits to save energy at hard events 16:27 — Handling pregnancy announcements without falling apart 19:48 — Building new traditions—even ones focused on your future child 22:00 — Special tips for navigating surrogacy during the holidays—whether matched or still waiting 24:53 — How to honor both your emotional and financial budget while building your family Resources Mentioned: BloomBridge Surrogacy App
Worried about making a mistake when choosing your surrogate? You’re not alone—one wrong decision can lead to contract battles, lost money, or broken dreams. It’s easy to get caught up in emotions and miss the subtle warning signs hiding in a profile.
Navigating surrogacy insurance is more daunting than ever in 2026. Thinking you’ve found the perfect surrogate, only to worry about the massive, unpredictable expenses hiding in her insurance? You’re not alone. As surrogacy insurance evolves in 2026, many intended parents are blindsided by exclusions, rising premiums, and devastating liens—making “insurance options for surrogacy 2026” more confusing (and essential) than ever. In this episode, Dr. Alyssa Small Layne and Sarah Paige break down every insurance option, debunk myths about surrogacy-friendly plans, and show you how to spot red flags before you match. Feeling overwhelmed? This discussion will help you take control, protect your budget, and safeguard your journey with confidence. Don’t let insurance confusion steal your peace—press play to get clarity now!
Worried about how changing abortion laws might affect your surrogacy journey? You’re not alone. In this urgent episode, Dr. Alyssa Small Layne dives into exactly how abortion laws impact surrogacy—from limiting access to IVF and restricting doctors, to threatening the very care surrogates and intended parents depend on. Even if abortion isn’t part of your plan, these laws can create roadblocks and risks for everyone trying to build a family.
Dr. Alyssa Small Layne digs into why Bloomberg’s “IVF Disrupted” resonated so widely and what it reveals about the modern fertility industry. She explains how a specialty that once covered broad reproductive care narrowed to one core product—IVF—then absorbed private-equity incentives and startup-style operations. The result can be speed over safeguards, glossy lobbies over lab quality, and patients left guessing about real risk.