fertility clinics

As a reproductive endocrinologist (aka a fertility doctor), every day I witness firsthand the profound yearning to build a family. For many individuals and couples, the path to parenthood may not be a straightforward one. Fortunately, advancements in assisted reproductive technologies (ART) have opened doors to alternative family-building options. Third-party reproduction (TPR) can offer hope for those facing fertility challenges or seeking alternative means to complete their families. But what is it?

In this article, I'll dive into the world of TPR, exploring its various facets, the science behind it, and the unique considerations involved. Whether you're a couple struggling with infertility, a single parent by choice, or an LGBTQ+ individual seeking to build a family, understanding TPR can empower you to make informed decisions about your fertility journey.

What is third-party reproduction?

When you hear the term third-party reproduction, it’s referring to a range of techniques that involve using genetic material or gestational services from a third party, someone who is not the intended parent, to achieve pregnancy. This broadens the possibilities for those who may not be able to conceive using their own gametes (eggs and sperm) or carry a pregnancy themselves. Here's a breakdown of the types of TPR:

• Sperm donation: Viable sperm from a carefully screened donor is used to fertilize eggs through intrauterine insemination (IUI) or in vitro fertilization (IVF).
• Egg donation: Donor eggs, retrieved from a healthy egg donor who has undergone rigorous medical and psychological evaluation, are fertilized with the intended father's sperm or donor sperm for implantation in the uterus via IVF.
• Embryo donation: Frozen embryos created by another family undergoing IVF are donated to another couple or individual for implantation. 
• Gestational surrogacy: A gestational carrier, also known as a surrogate, carries a pregnancy for the intended parents using an embryo created either through the intended parents' own gametes or donated sperm and eggs. The gestational carrier has no genetic link to the baby.
• Double donor: Both donor sperm and donor egg come together in IVF. 

More and more families are turning to third-party reproduction to build their families. Third-party reproduction is part science and medicine, and part generosity from someone else who wants to help you build your family. There is a lot of coordination and legal work involved to protect all parties, and if you work with a group like Cofertility, we will help you all along the way. 

What types of families use third-party reproduction?

Third-party reproduction (TPR) opens doors for a diverse range of individuals and couples who may not be able to conceive unassisted or carry a pregnancy to term. I have worked with so many different types of families, who come to me for various reasons. Here's a closer look at some of the families who find hope and fulfillment through TPR:

• Couples facing infertility:  Infertility, the inability to conceive after one year of unprotected intercourse, affects millions of couples worldwide. TPR can offer hope for those struggling with infertility due to various factors including low sperm count, blocked fallopian tubes, or hormonal imbalances.  For these couples, TPR, whether through sperm donation, egg donation, or even embryo donation, allows them to experience the joy of parenthood and build their families.
• Single parents by choice:  An increasing number of single intended parents are opting for TPR to build their families. They can utilize sperm donation, egg donation, and/or surrogacy to create their dream families.  
• LGBTQ+ families: TPR plays a significant role in expanding family-building options for LGBTQ+ individuals and couples. Same-sex male couples can utilize egg donation and surrogacy to have a biological child within their family. Lesbian couples have the option of using sperm donation, either from a known or anonymous donor, and either partner can carry the pregnancy or utilize a gestational carrier.  Transgender individuals can also explore TPR options to complete their families.
• Individuals with medical conditions:  Certain medical conditions may render pregnancy unsafe or even impossible. Uterine fibroids, endometriosis, or a history of complex medical procedures or births are just some examples.  TPR, through gestational surrogacy, allows these women to experience parenthood by having a genetically related child (through egg donation and sperm from their partner) or by adopting an embryo.
• People with genetic concerns:  For couples at risk of passing on a known genetic condition to their biological children, TPR offers a path toward a healthy family.  Preimplantation genetic diagnosis (PGD) can be performed on embryos created through IVF, allowing for the selection of embryos free from the identified genetic condition.  This can give couples peace of mind and increase their chances of having a healthy child.

Regardless of the specific route taken through TPR, the common thread is the unwavering desire to build a loving family.  While genetics play a role, the emotional bonds cultivated through love, nurturing, and shared experiences are the true cornerstones of a family. Studies have shown that children born through TPR thrive in loving environments and develop strong attachments to their intended parents.

The emotional journey of TPR

The decision to pursue TPR is rarely made lightly. It's often born out of a deep longing for parenthood and may be accompanied by a spectrum of emotions. Intended parents may experience a mix of hope, excitement, anxiety, and sometimes even a sense of grief if facing infertility or the inability to use their own genetic material. Open communication is absolutely vital – between intended parents, with any known donors or gestational carrier, with your agency, and within oneself.  Exploring personal feelings and expectations throughout the process  is essential for ensuring everyone is emotionally aligned.

Donors and gestational carriers also carry complex emotional feelings throughout the process.  Donors may derive a sense of altruism and fulfillment from helping others build families.  Gestational carriers often express feelings of deep satisfaction from carrying a child for intended parents who cannot do so themselves.  However, feelings of uncertainty, potential vulnerability, and even moments of hesitation are also natural parts of the experience.

Psychological support in the form of counseling provides a safe space to unpack these emotions for everyone involved.  It can help intended parents cope with potential setbacks, foster healthy communication with stakeholders, and build a strong emotional foundation as they navigate their unique path to parenthood.

If you work with Cofertility, we have a fertility psychologist on our team who supports all parties involved. 

Do I need a doctor who specializes in third-party reproduction?

The short answer is yes! Building a family through third-party reproduction involves a mix of medical, legal, and emotional considerations. While seeking guidance from any fertility doctor is a good starting point, partnering with a board-certified reproductive endocrinologist who specializes in TPR will go a long way. These specialists possess in-depth knowledge of the various TPR techniques, from sperm and egg donation to embryo donation and gestational surrogacy. Their expertise allows them to create tailored treatment plans that perfectly align with your unique circumstances – whether that means selecting the right donor, navigating IVF procedures, or understanding complex legal agreements.

A fertility doctor with TPR experience understands the potential risks and necessary medical monitoring throughout the process. They ensure your safety and well-being, always keeping your best interests in mind. Perhaps just as importantly, they offer compassionate support throughout your emotional journey, answering any questions and providing a safe space to process the complex feelings that may arise.  Building a trusting relationship with your doctor is important when making personal decisions that affect your ability to build a family.

Finding the right specialist takes a little research. Look for board-certified reproductive endocrinologists affiliated with reputable fertility clinics that offer comprehensive TPR services. Ask for recommendations from trusted sources or schedule consultations with a few specialists to find a provider whose approach aligns with your needs. Ask them about their experience with TPR, and how they approach treatment differently. Ultimately, a specialist in TPR will be your invaluable guide, increasing your chances of a positive outcome on your path to creating the family you've always dreamed of.

Summing it up

Third-party reproduction (TPR) is a powerful testament to where science and compassion meet. It expands our horizons of possibility, offering alternative paths to parenthood for many individuals and couples. Whether it's sperm donation, egg donation, embryo donation, or working with a gestational carrier – the techniques behind TPR are ever-evolving, giving more people the chance to fulfill their dreams of family.

While the science is complex, the heart of TPR is simple: it's about love, determination, and the generosity of those who offer the incredible gift of helping others build their families. Naturally, navigating the medical, emotional, and legal aspects of TPR necessitates a guiding hand. That's where a specialized reproductive endocrinologist, a team like Cofertility, and a strong support system are invaluable, turning what can seem daunting into a well-supported, empowering journey.

If this is a path calling to you, know that you're not alone. Seek out the knowledge and support that will enable you to make informed choices and feel confident at every step along the way.  The joy of parenthood, experienced through whichever means resonate with you, is a beautiful path of unwavering love.

Find an amazing egg donor at Cofertility

At Cofertility, our program is unique. After meeting with hundreds of intended parents, egg donors, and donor-conceived people, we decided on an egg donation model that we think best serves everyone involved: egg sharing.

Here’s how it works: our unique model empowers women to take control of their own reproductive health while giving you the gift of a lifetime. Our donors aren’t doing it for cash – they keep half the eggs retrieved for their own future use and donate half to your family.

We aim to be the best egg-sharing program, providing an experience that honors, respects, and uplifts everyone involved. Here’s what sets us apart:

• Human-centered. We didn’t like the status quo in egg donation. So we’re doing things differently, starting with our human-centered matching platform.
• Donor empowerment. Our model empowers donors to preserve their own fertility, while lifting you up on your own journey. It’s a win-win.
• Diversity: We’re proud of the fact that the donors on our platform are as diverse as the intended parents seeking to match with them. We work with intended parents to understand their own cultural values — including regional nuances — in hopes of finding them the perfect match.
• Baby guarantee. We truly want to help you bring your baby home, and we will re-match you for free until that happens.
• Lifetime support: Historically, other egg donation options have treated egg donor matching as a one-and-done experience. Beyond matching, beyond a pregnancy, beyond a birth…we believe in supporting the donor-conceived family for life. Our resources and education provide intended parents with the guidance they need to raise happy, healthy kids and celebrate their origin stories.

We are obsessed with improving the family-building journey — today or in the future — and are in an endless pursuit to make these experiences more positive. Create a free account to get started today!

Read more:

• Double Donor IVF: Making Embryos with Donor Eggs and Sperm
• Reciprocal IVF: What Should My Partner and I Consider?
• Gay Men Having Babies: Four Genetic Options with Donor Eggs