Avoiding Conflict in Third-party Reproduction

Revised 2014


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What is “third-party reproduction”? 

Third-party reproduction is an arrangement where a person or couple receives help from other(s) to have a child. This help can be in the form of donated eggs, sperm, or embryos; carrying the pregnancy; or a combination of these types of reproductive assistance. The person(s) who will raise the child after birth are called “intended parent(s).” The person who is donating sperm, eggs, or embryos or carrying the pregnancy (gestational carrier) is called the “third party.” The third party is involved in the reproductive process only and does not participate in the raising of the child. Third-party donors can be someone the intended parents know or they may be anonymous.

Who else is involved?

Third-party reproduction is becoming more common and gives more individuals or couples a chance to build their families. It also involves attorneys, doctors, and sometimes donor agencies. However, including a third party in an individual’s/couple’s reproduction can also make it more complicated if conflicts arise among the various parties. Attorneys who are familiar with federal and state laws about reproductive medicine draft contracts between the third party(s) and intended parent(s). Doctors coordinate the medical care for the intended parent(s), gestational carrier if used, and, sometimes, the donor(s). Donor agencies can be used to provide the sperm, eggs, or embryos for the intended parent(s).

What is the typical process for using a third party in reproduction?

There are three main steps in third-party reproduction. First, intended parent(s) are evaluated by a healthcare professional to discuss potential options. Next, the intended parent(s) will decide whether to use a known or anonymous donor(s) and/or a gestational carrier. Finally, legal documents are signed that outline the rights and responsibilities of the donor(s) and/or gestational carrier, intended parent(s), and other involved parties.

Psychological counseling before donation and gestational surrogacy is strongly recommended, and often required, for intended parents, donors, and gestational carriers.

The third-party reproduction process involves a very detailed contract that is created to protect both the intended parents and the third parties. Despite this careful planning, sometimes during third-party reproduction, situations occur or information is discovered that affects the outcome and may cause legal problems in the future.

What are some examples of possible conflicts that can occur with third-party reproduction?

As with any situation that involves more than one person, conflicts or disagreements can come up. Third-party reproduction can be an emotionally charged arrangement. It is helpful to know what kinds of conflicts can occur so they can be avoided or minimized:
  • Conflicts involving egg, embryo, or sperm donors: Example: A sperm donor may decide later that he wants to parent the child as his own.
  • Example: An egg donor may lie about how many times she has donated in the past.
  • Conflicts involving gestational carriers:
  • Example: A gestational carrier may purposefully lie or not disclose relevant medical information that may be important to the health of the pregnancy.
  • Example: A gestational carrier may use harmful drugs or engage in high-risk lifestyle behaviors not suitable for a healthy pregnancy.
  • Conflicts with the intended parents:
  • Example: The intended parents may decide that they plan to divorce prior to the birth of their child, but the gestational carrier made it clear that she agreed to do this only for a stable, married couple.
  • Conflicts with the physician:
  • Example: The physician may not tell the intended parent(s) health information that is discovered about the gestational carrier that could affect the outcome of the pregnancy.
  • Conflicts with the donor agency or attorneys:
  • Example: The agency may not make an agreed-upon payment to the gestational carrier after she has begun the medical process.
  • Example: Attorneys may say that they are experts in this type of agreement, but, in reality, may not be familiar with unique state laws and unknowingly leave out important parts of a third-party reproduction contract.

What is the best way to avoid these conflicts?

  • Be informed. Everyone involved (physician, intended parents, donors, gestational carriers, agencies, and attorneys) must read the consent forms and contracts in detail.

  • Be transparent. Everyone involved should be honest and forthcoming about their qualifications and expectations surrounding the arrangement.
  • Express concerns. If there are any doubts or concerns, it is important to bring these up early in the process.
  • Ask and document. It is common to request that all of the donor’s or gestational carrier’s medical information be disclosed and have the donor or gestational carrier sign a legal contract that documents this.
  • Keep an open dialogue with your physician. If a physician learns of any medical problems with the donor or gestational carrier that may affect the process, it is generally accepted that this will be told to the intended parents. This means that the physician will tell the intended parent(s) everything needed to ensure a healthy pregnancy. If the physician learns of any information about the intended parent(s) that may affect the contract with the donor or carrier, this information may also be disclosed.
  • Use experienced professionals. Finally, it is extremely important that the attorney and/or agency being used has experience with this type of contract and is licensed to do such.

Fact Sheets/Booklets

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Resources For You

The American Society for Reproductive Medicine (ASRM) is committed to providing patients with the highest quality information about reproductive care.

Third-Party Reproduction

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SART Fertility Experts - Egg Donor Screening

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SART Fertility Experts - Gestational Carrier and Intended Parents

Some fertility patients are unable to carry a pregnancy to term. 
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SART Fertility Experts - LGBTQ Fertility

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SART Fertility Experts - Egg Donor and Recipient

Yuki describes her challenges with infertility and pathway to parenthood through egg donation with Dr. Cristin Slater.
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SART Fertility Experts - Fertility and LGBTQ

In this episode, Dr. Daniel Grow interviews Dr. Mark Leondires, the founder of Gay Parents To Be.  Listen to the Episode
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SART Fertility Experts - Gestational Carriers

What’s the difference between a surrogate and a gestational carrier?   Listen to the Episode
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A gestational carrier (GC), also called a gestational surrogate, is an arrangement where a woman carries and delivers a child for another couple or person (intended parent[s]). When using a GC, the eggs used to make the embryos do not come from the carrier.  View this Fact Sheet
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SART FAQ About IVF

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