At NYU Langone Fertility Center, we are dedicated to helping individuals and couples achieve their dream of parenthood. NYULFC has been leading the way in New York City since we were founded, seeing the changes both social and technological that have made modern family building possible for all people – straight, gay, married, unmarried, partnered or single – to achieve the dream of parenthood. Building a family via Gestational Carrier introduces many variables, including the donor gamete selection process (if using donor eggs or sperm), legal and financial agreements, and the concept of future disclosure to offspring. Our team is here to help guide you through the process. Your dedicated care team will include your physician, our donor tissue specialists, a genetic counselor, a psychologist, several nurses, coordinators, and medical and administrative assistants, all of whom are here to help you navigate every step of your journey to parenthood.
What is Gestational Surrogacy?
A gestational surrogate is a woman who agrees to attempt to become pregnant by receiving an embryo transfer from an individual or couple who created an embryo using their own eggs and sperm ("autologous IVF"), donor eggs, donor sperm, or some combination of autologous and donor tissue.
When is using a Gestational Surrogate recommended?
Patients arriving at NYULFC are first evaluated by a reproductive endocrinologist who will formulate a customized treatment plan unique to each individual or couple. If you are unable to carry a pregnancy for any reason, NYU Langone Fertility Center can work with you to identify a gestational surrogate to carry your baby.
Gestational surrogacy may be recommended for individuals or couples who:
- Do not have a uterus
- Experience uterine problems
- Have experienced recurrent pregnancy loss
- Suffer from certain medical conditions that inhibit carrying a pregnancy to term
What is the difference between "compensated" and "altruistic" Gestational Surrogacy?
In a compensated Gestational Surrogacy cycle, the gestational surrogate receives financial compensation in exchange for carrying the pregnancy. In an altruistic Gestational Surrogacy cycle, the gestational surrogate does not receive any financial compensation in exchange for carrying the pregnancy.
Gestational Surrogacy at NYU Langone Fertility Center
Here is a step by step guide to the Gestational Surrogacy process at NYULFC for an altruistic Gestational Surrogacy cycle:
- Once the patient and the physician determine that gestational surrogacy is the appropriate course of care, the Intended Parent (the patient) may identify an altruistic Gestational Carrier who has volunteered to carry the pregnancy. The Intended Parent(s) and the Gestational Carrier will work with our dedicated team to develop a treatment plan.
- NYULFC requires a legal contract between all parties involved in an altruistic gestational carrier cycle. This legal agreement between the Intended Parent(s) and Gestational Carrier is conducted outside of NYULFC. While NYULFC cannot recommend specific attorneys, we strongly recommend the Intended Parent(s) and Gestational Carrier have independent legal counsel who specialize in Reproductive and Family law.
- The Intended Parent(s), Gestational Carrier, and if applicable, the Gestational Carrier’s partner must meet with an NYULFC clinical psychologist. Once the Intended Parent(s) and Gestational Carrier have met with the psychologist separately, they will attend one session together. Each meeting is approximately 2 hours in length.
- Prior to creating embryos, Intended Parent(s) must complete comprehensive genetic carrier screenings.
- Testing for patients with ovaries must be done 30 days prior to egg retrieval.
- In addition to an initial screening, testing for patients with XY reproductive anatomy must be done following a three month semen quarantine during which time the semen is frozen via cryopreservation.
- If the Intended Parent(s) have created embryos prior to their decision to use a gestational carrier, those embryos must be frozen for six months before testing to use in an altruistic carrier cycle.
- If the Intended Parents are using their own gametes, the Intended Parents undergo a cycle of In Vitro Fertilization to create embryos.
- Prior to Embryo Transfer, the Gestational Carrier must receive medical clearance from a Primary Care physician.
- Following clearance from a Primary Care physician, a Gestational Carrier may undergo an embryo transfer and may take a pregnancy test nine days after the procedure.
Gestational Surrogacy: Frequently Asked Questions
What are the surrogacy laws in New York?
New York State law does not currently allow compensated gestational carrier cycles. Patients who require the services of a paid gestational carrier will create embryos at NYULFC and subsequently transport the frozen embryo(s) to an out of state facility where the embryo transfer procedure will be conducted. The ban on paid surrogacy in the state of New York will be lifted in February 15, 2021. New York State does not prohibit the use of altruistic gestational carriers.
How much does an altruistic gestational surrogacy cycle cost?
Pricing for an altruistic carrier cycle at NYULFC can be broken down as follows:
- Administrative fee for female genetic screening - $500
- Administrative fee for male genetic screening - $750
- Intended Parent(s) psychological consultation - $450
- Gestational Carrier psychological consultation - $450
- Psychological consultation with both the Intended Parent(s) and the Gestational Carrier - $200
- IVF cycle (if intended parents are using their own gametes - $12,650
- Frozen Embryo Transfer - $4,000
How does a gestational surrogate get pregnant?
A gestational carrier gets pregnant via In Vitro Fertilization (IVF). An embryo is created using the egg/sperm of the intended parent and/or a donor. Once an embryo is created, the embryo is transferred to the gestational carrier in a separate procedure called an embryo transfer.
Prior to any embryo transfer into a gestational surrogate, the U.S. Food and Drug Administration (FDA) mandates extensive screening for both the sperm and egg source, involving a questionnaire, physical exam, and blood tests. The gestational surrogate must also pass a physical and psychological examination.
Is the gestational surrogate genetically related to the baby?
No. When using a gestational carrier there is no genetic link between the gestational carrier and the baby. Using a gestational carrier is different from traditional surrogacy (where the surrogate who carries the pregnancy is also the egg donor) as the gestational carrier does not contribute to the genetic makeup of the child.