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?
4 notes
·
View notes
!! (a surprise for you :))
A surprise indeed, haha. As usual, this was how I discovered I had posted something. This was uhh. Not my most prepared night for it.
Hmm... I guess this will just be random rambling, and I don't have any nice, new art for this, so it's going to all be old art that's mostly not colored (lot of it is years old and I hadn't uhhh figured out the color thing). Anyway, Caina Lilindel, the ghost who haunts this blog and I am geased to have as my pfp forever.
First the meta notes: Caina was a grugach (mechanically wood elf- the UA for grugach hadn't been released yet) rogue inquisitive I played in a Curse of Strahd game that ran from 2017 to 2020. He was loosely based on a side character from an abandoned project I worked on periodically during my first year of university (which was then loosely inspired by something in VtM, but that's not important), and I made him as a quick, edgy character who I wouldn't mind dying because the DM was very adamant that the first area was a meat grinder and we might TPK. He survived though, and I was left to play my joke concept straight. And then I got really into that. Really, really into that.
Caina was a secretive exile who had been wandering the world alone for almost three decades at the start of the game. He was sharp-tongued and abrasive, never willing to help anyone for free. He hated risk but easily plunged into recklessness at the behest of emotions he made only the barest efforts to keep in check. He was always pushing away those who might befriend him, and every time someone responded to his vulnerability with kindness he recoiled as if they could burn him- or as if he would burn them. He hated being touched but yearned for intimacy. He killed without a second thought but argued passionately against dealing out further death. He was an absolutely wretched liar on the occasion he tried, and in moments of peace he was an excellent cook and unfailingly kind to children. His primary hobbies were card games and reading unimaginably trashy novels- he was the only member of the party who recognized van Richten, and that was because he was a longtime fan of a horribly prolific series of pulp thrillers based on van Richten's adventures. He had a way of following those he respected or cared about as if starstruck- he never knew what to do with his feelings. And despite his own tendency to break his word or bail on things he could never recover from anything he felt was betrayal. I always loved the combination of vulnerability and prickliness.
(backstory summary that got ahead of me ahead. and this. isn't even everything.)
Caina was born in a small semi-nomadic community in a hilly land and lived his early life without ever straying from his home. Life moved slowly and quietly there, the circular turning of seasons the only visible mark of the gentle passage of time in a community of near immortals. He was one of very few children and the spacing between the youths of the community was easily such that a child could be the only in their age group all their young life until reaching the more even ground of adulthood. But Caina was fortunate. There was another child his age in his home: a boy born the very same year as him, timing so close that the two were often called twins. That boy was Avél, Caina's best friend, constant companion, and the first person to lose his life at Caina's hands.
Caina was a quiet, diligent child who always went along with everything his more outgoing friend wanted to do. From a young age they shared the same dreams of adventure and tale-worthy glory far from home- although Caina would never be able to say if heroic legends had always set his heart racing or if this dream too was simply following Avél. He was known as a sweet child, one constantly fretted over and sheltered by his mother, who feared for a son who had been born sickly, and his grandmother (the family matriarch), who was intent on raising an eldest son who would be useful to his family. He would have duties when he aged, his grandmother knew: to his parents, to his grandparents, to his cousins, and if the Most Revered was good, to a sister who could pass down the name of the family to another generation. It wasn't for eldest sons or only sons to stuff their heads full of fairy tales and stray.
In contrast to quiet Caina, Avél was a troublemaker and a free spirit. He was never one to be confined by a rule if he could challenge it, and as a second son with no sister who would one day rely on him to keep the house for her, Avél's life had a certain openness to it. His tricks and disappearances were met with gentle scolding but never with restriction. He could imagine any future ahead of him, could dream of danger and distant lands, of anything in the world he desired. Anything he wished for might be his. And what he wished for was to be taken under the wing of the gruff old huntress Siyir. Siyir had been further afield than any of the others who wore the title of ranger. She had gone well beyond simply charting the movements of the community or passing messages between the pockets of the grugach people or brokering trade deals. Siyir had slain a griffin. She had descended into human lands, had seen mountains that spat fire and waters that spanned the horizon. She was Avél's vision: a legend who had stepped through campfire flames to stand in the mundane material world. And of course, this meant that Caina worshiped her too.
So the stage of life was set. Two boys, near opposites in every way, but each the other's closest confidante and the mirror of his own experiences- or perhaps less a mirror than a shadow and the bright thing that cast it. Avél pulled Caina out of his shell and into new experiences. He supplied dreams enough for two and invented adventures to match. There was an awe that Avél inspired in Caina. He wanted to nurture passion that could match his friend's to more truly inhabit their shared dreams. He wanted skills to match Avél's natural athleticism and way with words. It gave him a hunger to keep up, to learn, to know, to show that he too was equal. But nothing he did ever seemed to bring the two of them even. His boldness crumpled under caution, his hesitance and appeals to the wisdom of elders earning him affectionate teasing as a stick in the mud. He could never run as fast or far as Avél or climb as high or win tussles between them without tricks that brought out whines of "no fair! do it right!" The skills Caina learned alone bored Avél. Cooking was dull and far beneath a legend, Avél insisted. Wayfinding was useful but too much work- Caina was the smart one, so he could take care of it, couldn't he? And the runes of a seldom used writing system (taught to Caina by the community's shaman) were entertaining only for an afternoon or two- he laughed when Caina asked later if he'd been practicing them, and Caina's ears burned with shame for finding them so fascinating in the first place.
With age came a sharper sense of the distance between them. Avél was the golden child of the community, Caina his keeper. When Avél broke his arm falling out of a tree on a forbidden excursion it was worth a day's scolding that quickly melted into doting and repetition of the grand tale of his adventure for months, while Caina was reprimanded for allowing Avél to hurt himself and then quickly forgotten as more than a timid accessory to Avél. Siyir took interest in Avél, but Caina quickly realized had little in him: she hardly acknowledged Caina when she spoke to the two of them together, and she had a way of only offering things when Caina wasn't around. And Avél, for his part, hardly seemed to protest surprise hunting trips at dawn or archery advice when Caina was unavailable. He always shared what he learned afterwards, but no matter how many times Caina asked for Avél to bring him along the next time there was always an excuse when that next time came around. Suspicion set in that his friend was hoarding time with the huntress to himself. And when the changes of puberty began Avél grew taller and filled out better. His features emerged from teen acne as defined and handsome, new edges to his face only making the soft twinkle in his eyes seem brighter and the creases of his smile kinder. Caina stayed spindly and awkward. It was painfully clear that strength would never come to him naturally, and without it a slight edge of grace didn't feel like much. He began to distance himself from Avél to have time to hone skills his friend had and he felt he lacked. But it was never enough to do more than keep up. Just to keep up, and hope desperately that Avél's aimless talent would one day lose to training.
And then Caina's mother gave birth to a daughter, and Caina was too old to miss the meaning of the event. The first brother's duty was to his sister- to be a part of her household more constant than a partner, for those were fluid and often changed over the long turning of the decades, and more vigorous than a mother, who would one day be claimed by the years. To share in her generation and her legacy. Caina would go from a childhood sidekick to Avél to a supporting character in the tale of Cailo. There would be no breath for his own story, his own adventures. Like that he added Avél's freedom to the endless list of envies.
Yet Avél, in his careless optimistic way, never acknowledged the change. They still had the same dreams, the same loves, the same life. Even as Avél spent more time with Siyir as Caina helped care for his baby sister Avél danced around it. Any time the future was questioned Avél suddenly had a new story that needed telling immediately or somewhere to go or something that needed doing. And sometimes he simply laughed and pushed it away.
In the midst of this stormy sea of adolescence, Siyir decided to take an apprentice.
The decision wasn't an announcement, but a challenge. The ranger let it be known to all of the youths that she would take on whichever best passed a series of tests she set. Worth, she said, was the only way to decide who was fit to carry a legacy like hers. And that worth superseded all else: she would take her chosen apprentice and no other, and it was known without ever being said that likewise nothing could take her chosen from her.
Worth.
Worth.
Caina knew all her skills secondhand, but had practiced them to the best perfection he could imagine. He knew the one who would ultimately be the only true competitor inside and out. Siyir had never seen him, but he could make her. He would show her that he was worthy.
He matched Avél in every test. He could shoot, he could hunt, he could track, he could pitch a camp of his own. He was still Avél's superior when it came to navigation, even if his friend had improved. The few other challengers quickly proved half-hearted and dropped out. It was only Caina and Avél, just like it had always been.
The night before Siyir's last test, Caina returned home late. He had gone out to gather herbs for the shaman, Galen, and been sidetracked by the urge to practice one last thing. When he passed by Siyir's dwelling, he caught the sound of a familiar voice that gave him pause: his grandmother was in Siyir's home.
He crept closer, and the conversation became clearer. His grandmother was asking what she was meant to do if Caina won the contest. Who would be there for Cailo? Was their family simply to dwindle, plagued by foolish wanderlust and misfortune? Caina could hear in his mind Siyir's counterargument: that many daughters grew up alone, that Cailo didn't want for cousins who could help her, that their father was still with them and far from old. That one son was an acceptable concession for a woman who had once shot a griffin from the sky. That maybe Cailo didn't want her legacy either.
But Siyir said none of those things.
"Avél is my apprentice." It wasn't her usual brusque tone. It was a reassurance, a gentle correction. "I just couldn't let it get to the boy's fool head by letting him have that without a little fight."
Every semblance of hope evaporated. He hardly remembered the rest of the night- only the listless dreams that tore at him whenever he tried to rest. He was trapped in a haze.
He was still in that haze when he rose before dawn and found Avél.
They walked out and away from the early spring camp, Avél chattering all the way and glancing over here and there at Caina with something that sometimes looked like relief and other times looked like guilt. Caina was quiet for the most part. He smiled and nodded and urged Avél on. Once or twice he laughed. It was so easy to slip into familiar patterns while following familiar paths. By the time they reached the cliff over the falls, the light made it clear that despite the lingering morning mist dawn was well behind them.
Many years before, a lone long-branched pine growing at the edge of the falls had fallen. The reason was unknown- no one had been around to see it go- but now it lingered in death as persistently as it had in life, laying its lattice of branches out across the open air to form a precarious bridge from one side of the gorge to the other. Mist from the falls left it permanently slick, and between the spring rains and the snowmelt still trickling down the surging falls had crept in precariously close.
When they were younger, they had often talked about crossing it. Avél had take a few steps out, falls plunging down on one side and open air on the other, and Caina managed a half step before begging Avél to come back. "Next time I'll do it," Avél always laughed.
"What do you say- for old time's sake?"
To hear the proposal come from Caina stopped Avél dead. His laughter wasn't the familiar bell of joy. It cracked at the edges- nerves, perhaps, or surprise.
"As if I could say no."
And Avél stepped forward, hesitating a moment at the edge. His eyes flicked to Caina and his mouth hardened into a thin smile. He took his first step onto the trunk. A few steps later, Caina followed.
Looking back, Caina was never sure what he had wanted from that morning. It was like a dream, the roaring falls eating the sound of the world around them and the mists swallowing everything outside that tiny expanse and the figure of his friend.
Somewhere near the center, Avél stopped. He turned and shouted something. Caina read the words on his lips: Let's go back.
Avél was moving his feet, trying to reposition to walk back, when the dreadful inevitable happened. In the blink of an eye he had gone from upright to clinging to one of the branches jutting out from the edge of the trunk below. There was no thought when Caina rushed forward recklessly, bracing himself against one of the more solid branches as he grabbed a slick hand just in time as his beloved friend's support cracked and fell away, useless. Avel dangled at Caina's mercy, clinging with both hands onto Caina's arm as he struggled to find a foothold to pull himself up.
In this moment of nightmare, lucidity returned.
Caina would never be able to say why he brought his friend to the falls. He didn't know why he challenged him at their stupidest, most dangerous childhood game. He didn't know why he followed so close, never allowing Avél the space to turn around. All coincidence. All error. None of it conscious. None of it him.
But he could never forget the moment he chose to let go.
If Avél screamed, Caina never heard. The falls swallowed the sound greedily. In the constant roar of white noise, it seemed like Avél was as silent as a shadow, and when he disappeared into the mist below he became every bit as transient.
There were searches, of course. There was weeping. And finally there was blame. Caina hadn't planned the crime, and only began to hide it too late. Put before the gods in all of Galen's power, he cracked. He had believed like a fool that he had hated Avél. Now as its target he understood what true hate was. Yet for all that, there wasn't heart in a community that couldn't remember ever having an execution to kill another so soon after their loss. No one could remember the curse ever being used either, but Galen knew it all the same.
It was with nothing but the clothes on his back and a new fear of death that Caina left the home he had been cast out of. The brand of defilement burned on his hand, the angry red scar weeks from true healing. Cast out from his home, from all kin, from the sight of the gods themselves, who had sealed his exile with the cursed brand. The legend he had made for himself was one of misery. And beyond its edge, only wandering without rest- always running from the guilt carved into skin and soul.
5 notes
·
View notes