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coochiequeens · 6 months ago

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Even advocates of surrogacy should agree that regulations are needed

BY Samuel Burke August 16, 2024

In Europe, commercial surrogacy is largely banned and seen as a form of body commodification, similar to organ trafficking. Only a few countries permit highly regulated altruistic surrogacy, which limits reimbursement to just expenses and no additional compensation—resulting in limited participation. Demand for surrogacy, however, is soaring due to delayed childbearing, increasing medical challenges, and the growth of LGBTQ+ family-building. The surrogacy market, valued at $14 billion in 2022, is projected to skyrocket to $129 billion by 2032, according to Global Market Insights.

Currently, only a few European countries, such as Ukraine and Greece, permit commercial surrogacy. These nations operate in a legal gray area with minimal oversight, leading to a largely unregulated industry fraught with issues like trafficking women, falsified documents and sham embryo transfers.

Before the 2022 invasion, Ukraine was a global surrogacy hub estimated to have 2,000-2,500 surrogacy contracts annually. Despite the ongoing conflict, the industry continues, with some women still carrying pregnancies in war-torn Ukraine. Controversially, Ukrainian surrogates now leave their families behind and travel to places like Greece and Northern Cyprus (recognized only by Turkey) to complete pregnancies. The women often live with multiple surrogates in the same dwellings while they wait to give birth.

Advocates for reform argue that current practices neglect the welfare of surrogates. Wes Johnson-Ellis, co-founder of the U.K. non-profit My Surrogacy Journey (MSJ), asserts that surrogates should not have to leave their families to move to another country for the pregnancy to help others build theirs.

Pregnancy and birth are vulnerable times for surrogates. They need their support network and family close by to ensure they are fully supported,” Johnson-Ellis says.

MSJ frequently assists families who’ve faced trying circumstances with other agencies. One couple pursuing surrogacy in Cyprus believed their surrogate was Cypriot. However, she was actually from Eastern Europe and returned to her native country, where she gave birth prematurely according to Johnson-Ellis. Tragically, the baby did not survive.

“They are still fighting to have the baby’s body exhumed and sent back to their home country for a proper burial,” says Johnson-Ellis.

Last August, Greek authorities raided the Mediterranean Fertility Institute in Crete and arrested staff amid allegations of trafficking nearly 100 women from Eastern Europe to act as surrogates. Officials also accused the company of falsifying adoption papers for clients from countries where surrogacy is illegal. The institute is now closed and has not responded to inquiries about these allegations. Advocates for affected families, many from Australia, claim they paid for a surrogacy program that was never fulfilled.

The Republic of Georgia had also emerged as a popular surrogacy destination in Europe, but last year, the Georgian prime minister announced that commercial surrogacy would be restricted to Georgian citizens only. This has left the legality of programs in Georgia in limbo, affecting intended parents from around the world who had turned to the country for surrogacy.

Scandals and swiftly shifting surrogacy laws have sent intended parents in Europe scrambling to relocate their embryos to countries with more stable or established surrogacy frameworks, primarily in the Americas.

The United States is the top destination for commercial surrogacy due to its well-established legal framework and advanced medical care. However, it is also the most expensive, with total costs for IVF and surrogacy—including medical, legal, and agency fees—averaging $190,000 to $230,000.

Those high costs have traditionally made Canada a more affordable surrogacy option, with costs for IVF and surrogacy averaging $60,000 to $100,000. Although commercial surrogacy is banned, Canadian law permits altruistic surrogacy, similar to the U.K., Denmark, and the Netherlands. This lower cost has dramatically increased demand, leading to average wait times of 10 to 18 months and driving hopeful parents to seek commercial surrogates in Latin America.

Argentina, Colombia, and Mexico are attracting intended parents as alternatives to Europe, with costs typically under $80,000. Mexico City, in particular, has become a popular choice due to its low costs and progressive surrogacy laws.

“Confidence in Mexico is shifting,” says Johnson-Ellis of My Surrogacy Journey, which has launched a service guiding families there. “Mexico actually has more guardrails and regulations in place than the U.S. and has even had the support of the Mexican Supreme Court since 2021.” He points to Mexico City’s practice of issuing pre-birth orders that recognize the intended parents as the legal parents and even list the surrogate as the gestational carrier, not the biological mother when she’s used donor eggs.

The surrogacy boom in the Americas is coming at Europe’s expense. Advocates argue that Europe’s ban on commercial surrogacy limits access to services and, ironically, increases the exploitation and coercion of women.

“With a commercial model, everyone knows where they stand,” Johnson-Ellis says. “There’s no gray. It’s very black and white. And I think with surrogacy, you need black and white.”

#The surrogacy market was valued at $14 billion in 2022 #trafficking women #falsified documents #sham embryo transfers.#Surrogacy tourism #International surrogacy is international human trafficking #Babies starting out in war torn countries

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coochiequeens · 7 months ago

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Gay men and the wealthy are no longer content to exploit one woman now exploiting two at the same is becoming trendy

Why have one baby when you can have 2? People are paying $500,000 to hire 2 surrogates at once and have 'twiblings'

By Kelsey Vlamis Jul 16, 2024, 3:04 PM EDT

Some people are hiring two surrogates at the same time to carry their babies.

Concurrent surrogacy can be complicated and costly, with prices reaching up to $500,000 or more.

Many people who do it are in their 40s and trying to build out their family quickly.

Bill Houghton still vividly remembers the moment he met his son.

He was sitting in the hospital waiting room, right outside the birthing room, when a nurse appeared carrying a little green bundle.

"I just held him in my arms and just started crying. It was so overwhelming. My husband was like, 'Oh my God, I can't believe that this is it. We're a family,'" Houghton told Business Insider. "This is my son."

Just one week later, Houghton and his husband would have the same experience all over again when their second child, another son, was delivered.

"And it has been like that ever since," he said. "To this day, I still look at them and I think, 'Oh my God, these are my sons.' My father had sons. I never thought that I would have a son."

Houghton and his husband opted to become parents via concurrent surrogacy — a process in which two surrogates are hired to carry two babies at the same, or overlapping, time.

The resulting children can be born anywhere from one week apart, like Houghton's, to nine months apart, and have been referred to by some people in the industry as "tandem siblings" or "twiblings."

Surrogacy agencies told BI that concurrent surrogacy journeys are not uncommon, with some saying it's a rising trend in a growing industry that was valued at $14 billion in 2022 by Global Market Insights and has attracted the investments of private equity firms.

All kinds of people — couples or singles, straight or gay, young or old — have opted to build out their family two at a time via concurrent surrogacy. But there is one thing that most parents of twiblings have in common: the ability to afford them.

While Houghton hired surrogates abroad, couples who choose to go through US-based agencies can easily spend $300,000 to half a million dollars or more on concurrent surrogates, according to five surrogacy agencies that spoke to BI.

"It is a luxury, absolutely," Brooke Kimbrough, cofounder and CEO of Roots Surrogacy, told BI. "Most American families don't have $200,000 in cash to go through surrogacy generally, and then $400,000-plus in cash to be able to go through that twice at the same time."

Still, the use of concurrent surrogates could grow as surrogacy generally grows in the US, in part because celebrities like Kim Kardashian and Chrissy Teigen have started opening up about using surrogates, as well as depictions in film and TV that have made the practice more mainstream. Teigen was even pregnant at the same time as her surrogate.

Surrogacy is also becoming increasingly relevant as more and more people are opting to have kids and start building their families later in life.

Chrissy Teigen and John Legend have opened up about using a surrogate. Dimitrios Kambouris/Getty Images for Sports Illustrated Swimsuit

Concurrent surrogacy can help build a family quickly

Concurrent journeys typically look like regular surrogacy journeys, just times two. Gestational surrogacy, when IVF is used to place a fertilized embryo into a surrogate, is the most common form of surrogacy in the US today. Parents can use their own egg and sperm or that of donors.

Like many gay couples, Houghton and his husband each used their sperm for one of the babies, as well as the same egg donor, so their sons are technically half brothers.

While there has been increased awareness around what some call "social surrogacy" — using a surrogate when it's not medically or biologically necessary — the majority of people who conceive via surrogacy do so because they have to.

"Typically, when people come to us, they've been through a lot. This is not their plan A, it's often not plan B, maybe it's plan C," Kim Bergman, a psychologist and senior partner at Growing Generations, told BI. "They've had a lot of disappointment, and they've had a lot of trials and tribulations."

Many hopeful parents are in their 40s and are simply eager to build their families, the agencies said. A surrogacy journey can easily take one and a half to two years, so for intended parents who know they want multiple kids, concurrent surrogates can be appealing.

Certainly, some people who opt for concurrent surrogates do not fit the definition of medically necessary, at least according to the standards laid out by the American Society for Reproductive Medicine (ASRM).

Some people have mental health reasons or a fear of giving birth. Others are actors or brain surgeons who spend 12 hours a day on their feet and who can't get pregnant and continue to do their jobs. All the surrogacy agencies BI spoke with said it's essentially never the case that someone opts for surrogacy simply for vanity reasons.

David Sher, founder and CEO of Elite IVF, told BI they've helped coordinate surrogates for celebrities, politicians, and people in demanding careers like finance or tech. He said he currently has a client who serves on the cabinet of a Western country and is trying to have a baby via surrogate in part due to her demanding schedule.

Sher said he thinks concurrent surrogacy has long been an option for intended parents but that there does seem to be an uptick in people who are opting to do it.

Part of the reason for that could be because fewer and fewer agencies are willing to do double embryo transfers, which were previously more common and could result in a twin pregnancy. The ASRM recommends against them, as twin pregnancies come with heightened risks for both the surrogate and the babies. So concurrent surrogacy is a safer option for intended parents who want to have two kids at the same time or in close succession.

Costly and complicated

Though it's viewed as a safer option, concurrent surrogacy is controversial. The ASRM guidelines actually recommend against concurrent surrogacy, as well as against social, or not medically necessary, surrogacy. But all five surrogacy agencies that BI spoke to will facilitate concurrent surrogacies.

The agencies said they've seen many concurrent surrogacy journeys be successful and that a lot of care and prior planning goes into making them happen.

"It's not taken lightly," Bergman said, adding that concurrent journeys are rarely chosen by 30-year-olds who have plenty of time to build their families, though that does occasionally happen.

Surrogacy, in general, is expensive — commonly ranging from $150,000 to $250,000 for one child. The costs go toward surrogate compensation, agency fees, legal fees for contracts, and clinical bills.

The agencies BI spoke with said a concurrent surrogacy journey would essentially cost twice that. Meaning there's no two-for-one special.

But cost isn't the only factor to consider. Perhaps the primary drawback to pursuing concurrent surrogacy (that is, besides the high price tag) is the logistics of it.

All the agencies emphasized that concurrent surrogacy should only be pursued with full transparency and the fully informed consent of every person involved. That means matching intended parents to surrogates who are fully aware and OK with the fact that they will not be the only surrogate.

Gestational surrogacy, in which a fertilized embryo is implanted in a surrogate, is most common in the US. Jay L. Clendenin/for The Washington Post/Getty Images

There's also tons of planning and talking through hypotheticals. Are the surrogates based in the same area? Can the parents attend both births? Are we staggering expected delivery times enough? What's the plan if one surrogate gets pregnant on the first try but the other doesn't?

There's also a psychological aspect. Will both surrogates feel fully supported? How will one feel if she doesn't get pregnant right away and the other does?

"All of these conversations are front-loaded. Anytime in the conversation, the surrogate can say, 'I'm not comfortable doing this,'" Bergman said, adding that sometimes, after thinking through the logistics, some parents will change their minds and plan to space the deliveries out further than they initially wanted, like to six or nine months.

Most agencies recommended staggering the planned deliveries by at least three months. But at the end of the day, parents need to be ready for the timeline to not go exactly as planned.

Houghton and his husband had actually planned to have their babies six weeks apart, but when one of the babies was born five weeks premature, they ended up with birthdays one week apart.

Concurrent surrogacy may not be for everyone — even if you can afford it

Although the cost of concurrent surrogacy makes it prohibitive for most people, that could change in the future as more and more companies expand their fertility benefits.

There are also more nonprofits popping up that will provide grants or partial funds to people who want to build their families via surrogacy but may not have the means to.

Jarret Zafran, founder and executive director at Brownstone Surrogacy, told BI that it's not necessarily only the ultrawealthy who pursue concurrent surrogacy. He said he currently has clients who are lifelong educators on the older side who are getting ready to start the surrogacy process. They recently asked about what it would look like for them to do a concurrent journey.

"I guess it is still a luxury in the sense that most Americans would not even be in a financial position to afford it the first time," Zafran, who also had a child with his husband through surrogacy, said. "But for them, this is not a frivolous decision, and they're scraping together every single little penny that they have, all of their savings, their retirement funds, and I get it."

By using surrogates abroad over a decade ago, Houghton and his husband, who are based in Spain, spent much less on their concurrent surrogates than they would have in the US. But he's still not totally sure why they chose to do concurrent journeys rather than space the children out a bit more.

"We just liked the idea of having two kids that were about the same age that would sort of grow up together," he said, adding, "I didn't realize at the time the challenges that would come with having two kids."

In reality, he said having the two boys grow up so close together in age, not twins but in the same class in school, ended up leading to a lot of conflict and constant competition as they were growing up. He said it has gotten better now that the boys are facing their teen years and developing their own identities.

Still, if he could do it over again, he thinks he would stagger them more.

"They're unbelievable young men, and I'm so proud of everything about them," he said. "But having the two together has been a challenge."

Have a news tip or a story to share about concurrent surrogacy? Contact this reporter at [email protected].

If a brain surgeon or politician can't do their job while pregnant have they thought about how kids in general will impact their job? What if their kid wakes them up the night before surgery because they got of had a nightmare? Are they counting on a reliable spouse or a nanny to take care to the unpleasant parts of parenting.

Finally at the very end of the article they address how being born so close together impacts kids. We're they really surprised that there was a lot of competition? And they article just touched on how one of the twins was born 5 weeks premature. That means at one week old the dudes in charge of its care were focused on its twibling. Considering that surrogacy pregnancies are more likely to have complications do the parents consider how they will care for one baby while another baby is in the hospital longer than expected?

#anti surrogacy #Twibling #Surrogacy exploits women #Twibling Surrogacy exploits two women at the same time #Babies are not commodities #If people want to build their families quickly why can't they just have one then adopt one?#Half a million dollars spent on having bio offspring when so many kids are up for adoption #concurrent surrogacy #tandem siblings #Surrogacy is an industry that was valued at $14 billion in 2022 by Global Market insights #The dude in this article choose foreign surrogates both times #Using foreign surrogates leads to the human trafficking of infants #Being in a same sex relationship is not infertility #Waiting too long to have kids is not infertility #social surrogacy" — using a surrogate when it's not medically or biologically necessary #Surrogacy is never necessary it just means the reproductive purchasers never considered adoption #American Society for Reproductive Medicine (ASRM)#If people have jobs too demanding to go through pregnancy how they hell are they going to raise the kid?#fewer and fewer agencies are willing to do double embryo transfers which were previously more common and could result in twin pregnancy #All the questions about feelings were about how will the reproductive purchasers balance two pregnancies at the same time #Not about how being born so close together will impact two half siblings #Brownstone Surrogacy #Elite IVF #Roots Surrogacy #Growing Generations

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