The eggs are thawed, fertilized with sperm via in vitro fertilization (IVF), cultured in a lab, and then transferred to the gestational carrier’s uterus.įemale couples come into the process with eggs and a uterus, but they have an important decision to make. The couple also chooses donor eggs, which typically arrive frozen from an egg bank.
“We know they’re able to carry a pregnancy to term and had a history of having a healthy infant.” She adds, “Studies have shown that women who have given birth to their own child are less likely to feel an attachment to the baby they're carrying for somebody else.” The ideal gestational carrier should be between the ages of 21 and 45, in good health, and have had at least one child of her own. There are a battery of tests to make sure her uterus is healthy enough to carry a pregnancy, she has no infectious diseases, and she’s emotionally ready to undergo the process. Gestational carriers must undergo a “rigorous screening process,” says Leondires, who is also founder and medical director of Reproductive Medicine Associates of Connecticut (RMACT). Mark Leondires, MD, and his husband had two different surrogates, one for each of their two children. Instead, most gay couples use a donor egg and a gestational carrier, or surrogate, who could be a friend, family member, or a woman the couple find through an agency. Eaton, MD, director of the Division of Reproductive Endocrinology and Infertility at Women & Infants Hospital and the Warren Alpert Medical School of Brown University in Providence, RI. “The general consensus is that it’s not ethical to do so, and it poses too many potential problems for the couple because the infant carries the woman’s genetic material,” says Jennifer L. What they lack is an egg and a uterus, which typically don’t come from the same woman. Gay couples start out with sperm, which either partner can contribute. In the absence of any of these elements, couples need help - often from a fertility clinic. “To conceive, you need a sperm, an egg, and a uterus,” says Amanda Adeleye, MD, assistant professor of obstetrics and gynecology, and reproductive endocrinologist at the University of Chicago Medicine.
When a couple is gay or lesbian, they’re missing at least one essential piece of the conception puzzle.
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