Considering surrogacy

People don’t often jump at the option of surrogacy. In many cases, they don’t consider it at all. For those who do, they often check into it after pursuing other, more commonly known options for getting to baby, like fertility treatments and adoption. We fall into the latter category. Surrogacy seems like a well-kept secret. Unlike other options, there aren’t billboards and commercials urging you to pursue it, and couples who have used surrogacy don’t usually broadcast this fact. It simply seems to exist quietly. Although there have been celebrities, like Sir Elton John, Martha Stewart’s daughter, and others, who have used surrogates, it still seems like an unknown option among non-celebrities.

To the uninitiated, it might sound scary — but surrogacy is just a variation of fertility treatment. Artificial insemination or In Vitro Fertilization (IVF) are still used — a different woman just carries the child. And although that might sound complicated, it can actually save tens of thousands of dollars and shave years off of your parenthood pursuit.

Although you might not hear much about surrogacy, there are well-established agencies out there that specialize in matching surrogates with hopeful parents. While surrogacy agencies are an easier way to match with a qualified surrogate, be prepared to pay high prices for the service — in most cases, more than $100,000 — some of which goes to the surrogate, but most of which goes to the agency. In these types of arrangements, you can opt to have limited contact with your surrogate, or none at all. You can also use the internet to try to match up with a surrogate on your own, which can not only save money, but also allow you to be more involved with your surrogate during pregnancy and delivery.

If you’ve pursued or just researched adoption, you know the process is regulated by dense and complicated laws. That’s not as true for surrogacy, although retaining good legal counsel and developing written contracts to cover logistics and contingencies is certainly advisable.

What kind of surrogacy arrangement would you prefer? A traditional surrogate uses her own egg and an intended parent’s sperm, while a gestational carrier is impregnated through In Vitro Fertilization with the intended parents’ sperm and eggs, or sperm and eggs of their choosing. The first of the two is less expensive, but the latter may be more appealing for some couples. Remember, if the surrogate uses her own egg, she has more legal standing to change her mind and choose to parent the child.

We examine the intricacies of surrogacy, which is the option that ultimately made us parents, in our book, “Getting to Baby.” Find details on what to expect and how to navigate the process there.

Finding the right clinic is worth the effort

When you’re trying to conceive, it’s easy to get tired, frustrated and scared about not getting pregnant. At a time like this, shopping for a fertility clinic may not seem like an enticing prospect — but it’s important to power through. It’s worth the time, energy and effort to do due diligence on the front end, to make sure your decision is the best for you. At the very least, meet with doctors at two clinics, so you can compare options and discover your preferences.

There is much to consider in choosing a fertility clinic, not the least of which is price. Compare apples to apples. Find ways to equate different pricing structures to get the best big-picture view. Seek out a trusted friend or family member to hold you accountable to your budget, but don’t get too rigidly married to any one price — just make sure you’re reasonable.

Check legal documents, ask about success rates and review products and services offered. And while those are very important considerations, remember that intangibles matter, too. A doctor’s personality can make or break a deal. After all, this doctor is going to be with you through a life-changing process, examining you regularly, determining your fertility drugs, and having very serious discussions. It’s essential that you feel comfortable with him or her.

It’s a lot to think about, isn’t it? You’ll find more help for navigating the process in “Getting to Baby.”

 

Sperm selection

Selecting donor sperm

If you and your partner have to seek a sperm donation from another person to make pregnancy happen, there is a lot to consider. Will a friend or family member agree to help you? Will you get it through a bank from an anonymous donor? How much will you purchase?

Sperm banks have websites with profiles of available sperm donors, outlining everything from height and weight to SAT scores, along with family medical histories. You can search by characteristics, in an attempt to give your child a better chance of looking like a combination of you and your partner.

As with other choices you might make in your “getting to baby” journey, you should consider not just your own desires, but also what your child might want. Some sperm donors allow their identities to be released when the child is 18, while others forbid any contact.

If you choose to seek help from someone you know, it’s probably best to draw up contracts outlining how exactly the process is going to work. A little work on the front end can avoid expensive and upsetting legal problems down the road.

Celebrities and Surrogacy

Angelina Jolie and Brad Pitt. Madonna. Rosie O’Donnell. Bette Davis. For years, celebrities who choose to adopt children have had plenty of ink. Although it’s a less publicized option, there are also many examples of celebrities who have sought surrogates in their journeys toward parenthood.

After struggling with infertility, Sarah Jessica Parker and Matthew Broderick went through surrogacy to have their twin girls in 2009. Kelsey Grammar, the guy who played Frasier? He’s been through it three times. Ricky Martin’s done it, too, as has Sir Elton John, who had a son with his partner on Christmas Day 2010 through a surrogate.

Because surrogacy seems to attract parents of means, it’s perceived by many potential parents as a prohibitively expensive process. That perception isn’t quite accurate — fertility treatments and adoption, depending on how you choose to approach them, can be more expensive than surrogacy. You don’t have to spend tens of thousands of dollars in surrogacy costs to create your family — it’s all about considering your options and figuring out what works for you, emotionally and financially.

If you’re on the fence about surrogacy, visit http://www.surromomsonline.com to review some ads by potential surrogates and by hopeful parents. It’ll help you figure out what the process can be like.

Choosing and being chosen

Surrogacy creates a unique relationship between the intended parents and the surrogate. It’s not a relationship that should be entered into lightly, especially if you’re not using an agency and plan to have extended and direct contact with the woman who will carry your child.

Consider that a prospective surrogate who already has her own children is less likely to back out. You’ll also want to choose someone you feel comfortable with and can converse with easily. After all, you’ll be having a fairly deep relationship for nine or more months, which is likely to include personal questions and doctor’s visits, along with emotional moments. It’s essential that you like each other.

Experienced surrogates cost more — $25,000 to $35,000 — than going with an inexperienced surrogate, who will likely charge $10,000 to $20,000. Think through the pros and cons of price versus experience in your particular situation before making a decision.

Another important point to remember — since a third party is involved, this isn’t just about you and your choices anymore. Potential surrogates will be sizing you up while you’re looking at them. Some may be comfortable working with same-sex couples, and some might not. Some might want a close relationship with intended parents, kind of like an extended family member, while others don’t feel as strongly about that kind of closeness. Most will seek couples who seem very much in love and able to provide for the child. Money can also be a motivating factor.

Since the laws don’t clearly define what your relationship with your surrogate will be, many questions are left up to you. It’s important to make many of your decisions official, through written contracts, at the outset. Spell out money matters in the contract, from compensation for the act itself, to incidentals, like travel, childcare, lodging and even clothing. Each side needs a lawyer.

Be sensitive to the feelings of your surrogate. She’s a person, too, just like you. If she has trouble getting pregnant, she might feel worried, disappointed and even embarrassed, just like you might. Conversely, when she does get pregnant, she’ll feel joys just like you will. She’s likely to feel intense happiness that she’s been able to help you accomplish something you couldn’t on your own.

Throughout the process, there are many emotional pitfalls and possible problems that can arise, but there’s also potential for much happiness and success. Learn more about how to prepare for and navigate the journey of surrogacy in “Getting to Baby.”

Are you ready for surrogacy?

Are you ready for surrogacy?

If you’re considering pursuing parenthood through surrogacy, open communication and education are just as important as they are with other parenting options, like adoption and fertility treatments. Consider a couple questions.

Are you jealous by nature?

If you are, it doesn’t mean you can’t use a surrogate, but it might be better for you to change your approach. Options exist for you to seek a surrogate from another state, or through a surrogacy agency that limits your contact. If communication between your partner and your surrogate is going to be an issue, or if you will feel jealous that the surrogate is able to become pregnant, or even pregnant with twins or multiples, while you’re not, it’s best to realize the risk from the outset to prevent issues from springing up at an inopportune time.

How involved do you want to be?

Do you want to be present for every doctor’s appointment, or are you comfortable with a hands-off approach? Think it through. You don’t want to end up with regrets.

If you’re comfortable winging it, you might be able to approach the process without using an agency, thereby reducing your surrogacy costs. Attorneys and psychologists will still need to be involved in your surrogacy support, but agencies are much more expensive. If you’re a person who doesn’t need hand-holding, going at it alone might be best.