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Fertility Treatment

Surrogates & Gestational Carriers

Helping you carry your child safely into the world.

What's the Difference?

Surrogates Vs. Gestational Carriers

Surrogates and gestational carriers are terms that are often used interchangeably for women who carry a baby for someone else. While very similar, they actually refer to something slightly different . . . it’s really a technicality, but let’s start there!

  • Surrogate

    A surrogate is someone who in addition to carrying the pregnancy also acted as the “egg donor,” meaning the child is genetically related to them. Can be coupled with IUI or IVF.

  • Gestational Carriers

    A gestational carrier is not genetically related to the child they are carrying. The child can be genetically related to the intended parents or the eggs can be from a completely different egg donor. Can be coupled with IVF or Donor Egg IVF.

While gestational carriers are technically more common, it’s such a nit picky detail, we’re going to let those definitions go. From here on out, we will use the two terms interchangeably.

Helping You Carry

Why Use a Surrogate

While everyone uses a surrogate because they need help carrying a child there are many underlying reasons. Here are some of the most common reasons.

  • Hysterectomy

    Someone who has had her uterus removed due to health problems. 

  • Endometrial Ablation

    An endometrial ablation is a procedure that surgically destroys the lining of your uterus (usually done to reduce menstrual flow) but in most cases also makes carrying difficult and or dangerous.

  • Recurrent Pregnancy Loss

    After experiencing numerous miscarriages with unsuccessful immunological treatments many turn to gestational carriers to help bring their child into the world.

  • Other Medical Conditions

    Some medical conditions like uncontrolled diabetes and heart conditions can make carrying a pregnancy incredibly dangerous. Similarly, some conditions can otherwise cause a non-functional uterus.

How It Works

Surrogacy at CNY

While exchanging money for a surrogate is not (yet) legal in the state of New York, using a surrogate or gestational carrier is still very much an option for those seeking care at CNY.  While you can legally use anyone in the state of New York as long as they are not paid (typically a family member or friend) surrogates can also be coordinated through agencies and as long as the birth takes place outside the state of New York (and in a legal state) money can be exchanged.

Still, due to the legal complexities in any surrogacy agreement (even between family and friends) a lawyer or agency who specializes in third-party reproductive law and arrangements are always recommended

Step By Step

The Surrogacy & Gestational Carrier Process

Determining your Needs

Usually, this means setting up and having a consultation and a full reproductive workup.

If you’ve already had a workup with another facility, great, simply fax us your results. You will still need to have a consultation with one of our doctors.

Contact a Reproductive Lawyer

Many times, undocumented surrogacy “favors” are carried out by friends or family members to great satisfaction and success. But more often now, they are handled by agencies which specialize in surrogate arrangements.

Due to the legal complexities involving surrogacy, we highly recommend contacting a reproductive lawyer who will help you find answers to questions you didn’t even think about asking.

Find Surrogate/GC

We do not have our own gestational carriers here at CNY. You will need to seek out your own carrier via family, friends, or a surrogacy agency.

After finding your surrogate, you will need to instruct her to contact our office to establish herself as a patient.

Surrogate/GC Workup

After the surrogate establishes as a patient she will work with our donor team to have a full fertility medical workup.

This will include a full physical, medical releases from her primary care, ob-gyn, and any relevant specialists that she sees, preconception labs, a saline sonogram, and a mock cycle to fully understand how her uterine lining develops in response to estrogen.

Who’s Eggs

It is important you contact our donor team regardless of whose eggs you will be using. If using your own eggs, you will need to complete FDA infectious disease testing within 30 days of the retrieval to ensure the safety of your carrier.

If using donor eggs you will similarly need to contact our donor team to coordinate the donor egg process.

Who’s Sperm

If using your own or partner sperm the sperm will be required to go through a 6-month quarantine as well as FDA testing.

If you use donor sperm, that sperm will already have gone through the necessary quarantine and testing.

Treatment Cycle

After completing the workup and determining all gamete sources your surrogacy and donor coordinator will discuss and coordinate the treatment cycle.

Getting Additional Support

Recommended Reproductive Lawyers & Agencies

After determining your need a surrogate or gestational carrier with our team we recommend you contact one of our recommended lawyers and or agencies below.

  • Reproductive Possibilities

    RP is dedicated to matching intended parents with gestational carriers with the legal expertise of Melissa Brisman, a Harvard Law Graduate with more than two decades of reproductive law experience.

  • Surrogate Steps

    SS is headed by NY Law School Reproductive Lawyer Yifat and is dedicated to drafting and negotiating reproductive law contracts and analysis health insurance plans in surrogacy arrangements, obtains birth orders, amends birth certificates, and other key steps in successfully using a surrogate or gestational carrier.

  • Los Angeles Surrogacy

    LAS Surrogacy can both find you a suitable surrogate and help guide you through every step of the process in the most cost-effective way.

  • Kathleen Copps-Dipaola

    Located in the Albany Area, Kathleen, “Casey,”  practices in the area of assisted reproductive technology law (egg/sperm/embryo donation and surrogacy/gestational carrier agreements) and kinship guardianship (KinGAP).

  • Patriot Conceptions

    Patriot Conceptions is a veteran-owned surrogacy agency dedicated to exuding honor, integrity, and selfless service and are ready to help you have the child of your dreams through surrogacy.

  • ConceiveAbilities  

    Since 1996, ConceiveAbilities has advocated on behalf of intended parents who want to grow their families. Support includes gestational carrier and donor recruitment, intake, education, agency screening and matching as well as mental health, legal and financial assistance.

Curious for More?

Our Donor Coordinator Will Explain It All!

  • testimonials

    I cannot begin to express my everlasting gratitude to Dr. Kiltz and his amazing staff. I had many years of failed cycles, and was slowly beginning to lose hope. With the help of CNY Fertility and Surrogate Steps, my dream came true this year. My carrier delivered my gift! My baby boy finally arrived! Thank you, from the bottom of my heart.

    Carrie Stone
    Atlanta GA
  • testimonials

    We are a same-sex male couple and have finally welcomed our beautiful baby girl! We have had so many ups and downs like any other couple attempting to complete their family. CNY Fertility has been there for both of us, helping to bring our baby into this world. We cannot thank you enough for your support through what has proven to be an overall amazing journey. I can't believe I'm saying this, but we're ready to do it AGAIN!!

    James & Shawn
  • testimonials

    I cannot express how grateful I am for the help we received. Our son is perfect in every way. I am constantly reminded that another woman gave herself fully so that our family could be complete. I am forever thankful to her and CNY Fertility for our miracle.

    Julia Clark
    Bighamton NY
  • testimonials

    My gestational carrier experience was truly amazing and I am so grateful to have helped such a wonderful family. Thank you CNY Fertility for making it all so easy!

    Clair
    Ithica NY
  • testimonials

    I feel blessed and honored to have been part of this miracle. I can't express enough how grateful and thankful we are that we found Dr. Kiltz and the entire team at CNY Fertility Center to make this dream come true.


    Cleveland Ohio
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