Surrogacy for Gay Men

5 Questions for Gay Dads Considering Twins in Their Surrogacy Journey

To twin or not to twin: it's a question every gay dad contemplating surrogacy will have to face at some point.

Gay dads-to-be who are creating embryos for surrogacy have a big decision to make: who will be the bio dad? Some dads would BOTH like to be bio dads, and express an interest in having twins, where one baby is biologically related to each dad. The decision to do a Multiple Embryo Transfer (MET) which would possibly lead to a twin pregnancy is a big one, with much to consider in addition to bringing home two bundles of joy from the hospital.

Circle Surrogacy & Egg Donation speaks with gay intended parents every day about the options they have to grow their families, including embarking on a twin journey.

Here are 5 questions to ask yourself if you're considering a twin pregnancy:

1. Am I ready for my surrogacy journey to cost more?

With an average singleton surrogacy journey costing anywhere between $110,000 and $120,000 (excluding IVF), intended parents should prepare for additional fees associated with a twin pregnancy. First, your surrogate will be paid additional compensation to carry twins. Second, the maternity expenses are typically twice as high with a twin pregnancy, as high risk OBGYNs are often involved. There can also be risks to the babies with a twin pregnancy. We have found that twins can be born one month early, with roughly half of twins needing to spend time in the NICU (Newborn Intensive Care Unit). At Circle, we have seen the average cost in the NICU approach $100,000.

2. Have I spoken to my IVF Doctor?

Your IVF clinic is your best resource for understanding what it means to do a multiple embryo transfer and try and for twins. There are some IVF clinics that will allow any IPs that would like to try for twins to transfer 2 embryos, as long as the IPs and surrogate fully understand the risks. However, other clinics will not transfer 2 embryos unless there's a medical reason. You should consult your IVF doctor.

3. Have I discussed twins with my surrogacy agency?

It's important to discuss a twin pregnancy with your agency who will be supporting you and your surrogate throughout your journey. Circle Surrogacy, for example, would support Intended Parents on a twin journey if they make an informed decision to have a twin pregnancy; and Circle would ensure the Intended Parents fully understood the risks associated with transferring two embryos. Considerations include:

  1. A twin pregnancy provides risks to the surrogate and to the babies.
  2. The maternity expenses are typically twice as high with a twin pregnancy, as high risk OBGYNs may be involved.
  3. There are also risks for the children. On average, we find that twins are born one month early, roughly half of twins end up in the NICU and, in our experience, incurring NICU fees.
  4. Matching Intended Parents who want twins may take longer, as many surrogates are either not medically approved to carry twins or are unwilling.
  5. The overall cost of the journey will be greater as complications often occur, most deliveries are via c-section and surrogates often end up on bedrest.

4. Am I ready to care for two babies?

Caring for one baby can feel overwhelming at first, so caring for TWO babies (double the feedings and diapers!) may require additional help and support. You should be prepared to speak to your IVF clinic and agency about your plan for caring for twins once they arrive.

5. Am I open to hearing about doing a 'dual journey' instead of a twin pregnancy?

An option to doing a twin pregnancy is doing what is called a dual journey: when two surrogates are pregnant at the same time with singletons with staggered due dates. Scott Buckley, VP of Client Services at Circle Surrogacy, recommends dual journeys – or sibling journeys – as options to a twin pregnancy: "With a dual journey or sibling journey, there are fewer expenses because there are fewer risks with singleton pregnancies and births. Intended Parents will receive a discount on agency fees for a second journey. Plus, when parents decide to do a sibling journey and work with the same surrogate, their discount is doubled. Essentially, you grow your family with two babies without the risk of a multiples pregnancy."

If you're considering growing your family with twins, the first step is to talk with your IVF clinic, and see what your doctor recommends. From there, speaking with your surrogacy agency will help you understand what a twin pregnancy means for costs and fees, as well as for matching times and surrogate availability. There are a few options to have two bio dads in your family, you just need to find the one that works best for you.

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Expert Advice

What's It Like When You're NOT the Bio Dad to Your Baby

Lauren Mello of Circle Surrogacy breaks down some of the challenges facing the gay dad who will *not* become the biological parent.

If you're a gay couple considering surrogacy, one of the first decisions you'll need to make together is who is going to be the biological father. When it's time to create your embryos with your egg donor's eggs, you have a few choices when it comes to which dad will be providing his biology: one dad only can provide his biology, both dads can provide their biology and leave the fertilization to chance, or both dads can provide their biology and fertilize half of the embryos with each dad's sperm. Some gay dads choose this third option if they plan to have twins, or more than one baby through surrogacy.

Once embryos are created, you'll decide which embryos will be transferred into your surrogate mother. Hopefully a pregnancy results, and you'll be on your way to fatherhood!

The question is: what's is like when you're NOT the bio dad to your baby? We spoke with a few dads through surrogacy from Circle Surrogacy & Egg Donation, about the emotions surrounding being a bio dad...and not being one.

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They hailed from very small and very religious communities that disapproved of homosexuality. Without any positive role models, Jamie and Kenny had internalized those negative views: The way they looked at their own lives, they assumed they would lead lives of ridicule, be unwilling to commit to one partner, would contract HIV and soon after die of AIDS.

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Indiana Court Says Couples Using Sperm Donors​ Can Both Be Listed on Birth Certificate — But Ruling Excludes Male Couples

The 7th US Circuit Court of Appeals ruled in favor of the plaintiffs in the case, a major victory for LGBTQ parents — but the Attorney General may appeal to the Supreme Court.

On Friday, a US Circuit Court of Appeals upheld a ruling from a lower court that said that both parents in a same-sex relationship are entitled to be listed on the birth certificate — previously, the state of Indiana had required the non-biological parent within a same-sex relationship using assisted reproductive technologies to adopt their child after the birth in order to get her or his name listed on the birth certificate, a lengthy and expensive process not required of straight couples in the same situation.

It's a double standard LGBTQ parents have long been subjected to in many states across the country. So this represent a major win. As reported by CNN, this ruling "takes a lot of weight off" the shoulders of LGBTQ parents, said Karen Celestino-Horseman, a lawyer representing one of the couples in the case. "They've been living as families and wondering if this was going to tear them apart."

The 7th US Circuit Court of Appeals deliberated the case, according to CNN, for more than two and a half years, which is one of the longest in the court's history.

However, because all the plaintiffs in the case involved female same-sex couples using sperm donors, the ruling left open the similar question of parenting rights with respect to male couples. Indiana's Attorney General, moreover, may also appeal the case to the Supreme Court.

We'll be following the case closely and be sure to keep you up to date. For more on this recent decision, read CNN's article here.

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Fatherhood, the gay way

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