Gestational Surrogacy

The purpose of Yale Fertility Center Gestational Surrogacy Program is to enable couples and individuals to become parents with the help of a gestational carrier (surrogate). Our program has achieved successful results for couples from around the country and all over the world for more than twenty years.

Who may benefit from Gestational Surrogacy?

The Yale Fertility Center will provide a comprehensive medical evaluation in order to assist in determining if you need a gestational carrier. Reasons for using a gestational carrier may include:

  • Women who were born without a functioning uterus or who have had their uterus surgically removed.
  • Women who have acquired disorders that make their uterus unsuitable for pregnancy such as extensive fibroids, adenomyosis, or Asherman’s.
  • Women who have a medical condition that puts them at significant medical risk if they become pregnant.
  • Women who have a history of recurrent pregnancy loss.
  • Male same-sex couples

In fact, surrogacy is justified in any clinical condition in which pregnancy is desired.

What is the process for joining the Yale program?

The first step in learning more about our program is to have a consultation with Dorothy Greenfeld, our program counselor. This meeting is designed to educate potential intended parents about program issues including finding a gestational carrier, screening, treatment protocols, and program costs. This meeting also includes a discussion of the social and psychological aspects of gestational surrogacy.

Following that meeting, couples interested in entering our program meet with Dr. Emre Seli, the Director of Yale Fertility Center Egg Donation and Gestational Surrogacy Program, for a medical consultation (generally the same day). This meeting includes a comprehensive description of the surrogacy process as well as a thorough evaluation and review of the intended paretns’ medical history, a medical examination, a review of treatment protocols and a discussion of possible side effects and medical complications.

What is a Gestational Carrier?

A Gestational Carrier (GC, also sometimes referred to as Gestational Surrogate) is a woman who carries and delivers a child for a couple or individual through in-vitro fertilization. The Gestational Carrier does not provide the egg, and as a result would not be genetically related to the child. The eggs are provided by the intended mother or an egg donor, and the sperm is provided by the intended father.

How do I find a Gestational Carrier?

Intended parents will need assistance from a surrogacy agency to identify a potential carrier and to establish legal agreements between parties. The Yale fertility center requires that couples choosing a gestational carrier work with an agency and provide a signed contract prior to the initiation of medications. We will provide an agency referral list to interested intended parents.

Can a friend or family member be the Gestational Carrier?

Yes, provided she meets our screening criteria for acceptance into the program.

Is a legal contract necessary?

Yes, a legal contract is obtained for both parties, intended parents and their gestational carrier, before proceeding with medical treatment.

How is the gestational carrier screened?

The ideal surrogate falls within the guidelines of the American Society for Reproductive Medicine (ASRM), and should be a healthy woman between the ages of 21 – 42, and have had a normal pregnancy and full term delivery without complication. Once you are matched with a gestational carrier The Yale Fertility Center will provide the evaluation and medical treatment. Evaluation includes medical and psychological screening by our medical director and a consultation with Yale Maternal Fetal Medicine. The gestational carrier will also undergo a mock or trial cycle that mimics the medication protocol followed during the embryo transfer cycle. The purpose of the Mock Cycle is to evaluate the response of the uterine lining to the medications, which help prepare the uterus for the implantation of an embryo.

What are the program costs?

Total costs may vary depending on whether the intended parents have coverage for their testing and/or medications. You will meet with our financial coordinator, Rebecca Rodriguez, at the time of your initial visit, for a complete review of our fee schedule.

Thank you for your interest in our program. We are looking forward to meeting you.