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:
- A twin pregnancy provides risks to the surrogate and to the babies.
- The maternity expenses are typically twice as high with a twin pregnancy, as high risk OBGYNs may be involved.
- 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.
- Matching Intended Parents who want twins may take longer, as many surrogates are either not medically approved to carry twins or are unwilling.
- 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.
There will be LOTS of people involved in your surrogacy journey. Kristin Marsoli of Circle Surrogacy breaks down the team of people you can expect to work with.
A surrogacy journey, while monumental, is also a complex process with multiple milestones, many of which are new territory for intended parents. You will likely form the strongest relationships with your egg donor and surrogate, however there are many other professionals who you'll encounter on your journey who will educate and support you on your way to parenthood.
Here are the types of professionals you can expect to work with on your surrogacy journey working with an agency such as Circle Surrogacy & Egg Donation:
Parent Outreach Team
When you start your research on surrogacy and surrogacy agencies, if you contact Circle Surrogacy, your first point of contact will be a member of our Parent Outreach Team. This person solely supports intended parents at the very beginning stages of their journeys, before they've signed on with an agency. The Parent Outreach Team is a wonderful resource to answer questions about the surrogacy process, surrogacy costs, how to choose an agency and more. At Circle, many of our Parent Outreach Associates are also parents through surrogacy, so they can share their experiences and understand exactly what it's like to be in your shoes. When you have your surrogacy consultation, you'll meet with a Parent Outreach Associate and a Lawyer to discuss your personal surrogacy needs and journey. Your Parent Outreach Team will support you through signing on with the agency.
Circle's Parent Outreach Team
Egg Donation Matching Coordinator
It's time to match with the first of two women who will be very important in your journey to parenthood: your egg donor! Selecting an egg donor may come easy to some, but others may take more time determining their perfect match. Our egg donor coordination team will help you find the right egg donor to meet your needs. They will help you navigate the egg donor database and coordinate your egg donor match.
IVF Doctor and Clinic Coordinators
You'll work closely with your IVF clinic professionals, including coordinators and, especially, your doctor. Your IVF doctor will advise you on your IVF journey and embryos, evaluate your egg donor and surrogate to determine they are ready for the process medically, and perform the egg retrieval and embryo transfer. Some intended parents come to surrogacy having already identified a clinic, others look for guidance in choosing a clinic that will best suit their needs.
Program Manager and Coordinator
Perhaps the professionals you will work the closest with will be your Program Manager (PM) and Program Coordinator (PC). As your journey support team, your PC and/or PM will be your day-to-day contact during your entire journey, from the moment you sign on with the agency, until the birth of your baby and beyond. Your PC and your PM ensure that you are meeting every milestone, having a smooth journey, and preparing for the arrival of your baby(ies).
Early on in your journey, you'll have an intended parent support call with one of the agency's social workers. During this call, you'll speak with the social worker about your upcoming journey, setting up expectations, talk about matching preferences and more. Social workers are also available to intended parents throughout their journey should they have a bump in the road, or if they need help navigating and talking through a situation.
L-R Alicia Abdella, Manager of Intended Parent Support and Social Worker, Jessica McCaffrey, Intended Parent Attorney and Scott Buckley, VP of Client Services
Lawyers (both at Circle and local attorneys)
During the surrogacy process you will work with a lawyer for the following milestones:
- Drafting, negotiating and finalizing your surrogacy contracts
- Establishing your parental rights
- Safely returning home
Intended parents will be assigned a Circle attorney who will be part of the Coordination team. Parents can also expect to work with local counsel – lawyers who work out of the state from which their gestational carrier resides. Local counsel will help with establishing parental rights.
Surrogate Matching Team
A key milestone during your surrogacy journey is matching with your gestational carrier. At Circle, the Matching Manager – who is also a lawyer – presents intended parents with the profile of a gestational carrier whom she believes will be a great match. The match is based on a few criteria: legal fit, personality fit, geographic location and views on surrogacy. The Matching Team will help coordinate your first call with your potential surrogate, and work with you to find the most suitable match.
Trust Accountant Team
Each surrogacy operates a little differently; however if you work with a full-service agency such as Circle Surrogacy, a Trust Accountant will manage any outgoing payments to surrogates, egg donors and third parties. Upon matching, trust accountants keep intended parents informed of the monies needed to fund all expected expenses up until 6 months post delivery. They can also answer any financial questions intended parents may have.
Medical Billing Team
Intended parents will interact with the Medical Billing Team when they are matched with their gestational carrier. The team determines what intended parents can expect to pay for medical expenses from local monitoring, pregnancy and delivery, based on their specific case. The Medical Billing Team also reviews each medical bill from monitoring, physicians and the hospital prior to payment to ensure accuracy, and advocate for intended parents should medical facilities need to be called for any discrepancies.
Gestational Carrier's OBGYN
Around the 10th week of pregnancy, the IVF clinic will discharge your surrogate from their care and she will start seeing her OBGYN. Your surrogate will select her OBGYN that is local to her, and usually the same doctor she saw for her own pregnancies. Many intended parents attend the 20-week ultrasound with their surrogate, at which time they meet the OBGYN in person (in some cases, IPs have been "attended" ultrasound appointments via video on their surrogate's phone!).
The entire team at Circle
Your baby will be delivered at a hospital in your gestational carrier's home state; many times, it's the hospital where she delivered her own children. Circle recommends touring the Labor & Delivery section of your surrogate's hospital to help familiarize yourself with its staff and layout in advance. Many intended parents combine their visit for the 20-week ultrasound and the hospital tour. Touring the hospital with your surrogate enables you both to ask questions of the hospital staff and prepare for baby's delivery.
Embassy personnel (international intended parents)
International parents will work with their agency's legal team as well as local counsel to ensure they can return home safely. Some intended parents will need to travel to the embassy to secure travel documents for their baby(ies).
There are so many experienced professionals involved in a surrogacy and egg donation journey. It's important to understand with whom you'll be working throughout each milestone. While every agency operates differently – and an independent surrogacy journey will involve fewer agency professionals – these are the professionals intended parents can expect to work with on a journey with Circle Surrogacy. And because Circle is a full-service agency, many of the professionals mentioned above – outside of IVF clinics, local attorneys, hospital and embassy personnel – are all under one roof, making the management of your journey smooth and secure.
Bret and Stephen talk about meeting their potential surrogate for the first time, and their second "team day" at RMA of Connecticut
In their latest video documenting their surrogacy journey, Bret and Stephen talk about meeting their potential surrogate and her husband for the first time.
Bret played tour guide for the couple, he said, who had never been to New York.
"It was super exciting, I think we were a little nervous," Bret said. "Would we even recognize each other even though we'd FaceTime'd each other? Would there be weird things, ticks we didn't catch? I was worried that I would weird them out, which I think I did."
"He did," said Stephen with a smile.
In the rest of the video, Bret and Stephen talk about their second "team day" at RMA of Connecticut, where the husbands had another opportunity to meet and greet all the professionals involved in their journey.
Check out more videos from the Broadway Husbands here!
Broadway Husbands Talk Second Team Day
In this video you'll hear Bret and Stephen discuss:
Bret and Stephen discuss meeting their potential surrogate for the first time in person (0:43)
The dads-to-be chat about about their emotions around meeting their potential surrogate for the first time (1:15)
Recap of their first Team Day with RMA of Connecticut (watch the video about their first Team Day here) (1:38)
Bret and Stephen describe what's involved in their second Team Day and the medical side of matching with their surrogate (2:25)
They discuss the group therapy session with their surrogate and her husband (3:18)
They husbands wrap up by talking about their overall experience with RMA of Connecticut (4:51)
Gay Parents To Be®
Gay Parents To Be® is the leading international fertility program serving the LGBTQ community. Our full-suite of fertility services was founded by our Medical Director, Dr. Mark Leondires, a gay dad through surrogacy and egg donation, and leading advocate for the LGBTQ family-building community. Gay Parents To Be® is a single-source destination with a trusted partner network, including surrogacy and egg donation agencies and reproductive attorneys. We are the only East Coast IVF Clinic designated as a fully-inclusive LGBTQ Healthcare Leader by the Human Rights Campaign (HRC) .
When you're ready, we're here to welcome you: https://www.GayParentsToBe.com
The guys behind Daddy Squared are back with the second season of their podcast! And they're starting by tackling a common question: why is surrogacy so expensive?
Through our podcast we have met so many dads in various stages of the parenthood journey. But whether it's in gay dad Facebook groups or in face-to-face interaction, there's no doubt that the biggest issue gay dads tackle is the cost of surrogacy.
Bringing a biological baby into the world can cost $180,000. For twins it can be around a quarter million. The biggest question is: Can we make it cheaper?
From the minute you sign with a surrogacy agency, how long will it take until you have a baby in your arms?
You've been waiting a long time to become a gay dad. You've done your research, and decided that surrogacy is the best fit for you. You're excited to get started, and even more excited at the prospect of the arrival of your little one.
But exactly how long is it going to take from the minute you sign on, until you have your baby in your arms?
On average, a surrogacy journey – from start to finish – can average between 16-21 months.
And while that sounds like a long time, remember that 9 months of that is your surrogate's pregnancy!
To help you better understand how long a surrogacy journey takes to complete, it's helpful to understand the different milestones along the way. Below is a general surrogacy process timeline from Circle Surrogacy. Remember, every surrogacy journey is unique, so the exact timing of your journey may be different than these estimates.
If you are a gay man interested in surrogacy, and live in or around the Chicago area, you will want to attend this event.
Join Men Having Babies at their next surrogacy event in Chicago on April 13-14.
You will hear practical and peer advice from those who have become dads through surrogacy; be introduced to a wide range of leading service providers from across the United States and Canada, as well as opportunities for break-out sessions and private consultations. There will be a Q&A period as well as social opportunities to meet with others who are also beginning their journey.
In-depth programs will offer insight on insurance, budgeting, and the medical and psychological aspects of surrogacy. You will also learn about the Gay Parenting Assistance Program which helps put surrogacy within reach for many gay dad families.
Date: April 13 & 14th
Location: Wyndham Grand Chicago Riverfront, 71 East Wacker Drive, Chicago, IL 60601
In the latest "Broadway Husbands" vlog, Bret and Stephen discuss the rather unconventional way in which they found their surrogate: through a Facebook group.
In this, the Broadway Husbands' sixth video, Bret Shuford and Stephen Hanna discuss the rather unprecedented process they went through to find their surrogate. The lucky couple also chat about winning an "Intended Parents" competition, which granted them the free services of a surrogacy agency who is now helping guide them (and their new surrogate!) on their journey.
In the first video below, get caught up to speed with the dads-to-be. Plus: there's bonus footage! Ever wondered about the financial side of their journey? In the second video, Bret and Stephen talk candidly about how they're managing to afford their dream of fatherhood.
In our latest guest post by Circle Surrogacy, we learn about some of the benefits gay men should come to expect when working with an agency
You've already made the big decision. You're ready to start your journey as a gay parent, and surrogacy and egg donation is the way you'd like to do it. Now, you have to decide if you want to find a surrogate and egg donor independently, or if you want to work with an agency. While both options have great benefits, this is a monumental decision and you'll want to be sure you're in good hands. Working with an agency can help reduce the stress and uncertainty in a surrogacy journey. The key is to find the right agency for you and your needs.
A surrogacy journey is like a detailed puzzle, the two most important pieces of which are trust and honesty. Trust and honesty are critical in this process and working with an established, flexible, and reputable agency make this process much less intimidating.