The Road to Fatherhood Using Assisted Reproductive Technology: Decision Making Processes and Experiences Among Gay Male Intended Parents and Gestational Surrogates
DOI:
https://doi.org/10.17140/GOROJ-1-104Keywords:
Gay men, Fatherhood, Gestational surrogacy, Assisted reproductive technologyAbstract
Background: With the progression of the gay rights movement, including increased legalization of same sex marriage and parenting options through joint adoption and Assisted Reproductive Technology (ART), there is support of access to ART regardless of marital status or sexual orientation. As an increasing number of gay men are now seeking biological parenthood through gestational surrogacy, there is limited data on the decision making processes and experiences for gay male couples and their Gestational Surrogates (GS) using ART in order to identify potential needs for programmatic improvement.
Materials and Methods: Retrospective qualitative survey was sent to 102 gay men in a committed relationship and 51 GS. Data from responses of 22 gay male intended parents and 11 GS who underwent ART was analyzed regarding their decision making processes and experiences. Statistical analysis including descriptive and Kappa correlations were completed.
Results: All gay men had considered different options for having children. Their families were more supportive of this process than when the men had disclosed their sexual orientation. When selecting GS, men prioritized surrogates’ attitudes towards gay men. All GS felt comfort able carrying for gay men. Twenty-two percent of GS reported postpartum depression despite considerable ante- and postpartum support and lack of separation difficulty from the infant(s). Sixty four percent reported they would carry for the same couple again, while only 38% of gay men expressed a desire to use the same GS. Both groups reported an overall lack of support from ART programs, attorneys, obstetricians and pediatricians.
Conclusion: There are identified areas for needed improvement for the ART process for both gay men and GS, including the need for increased sensitivity and support from those providing care/services to the intended parents and GS. Meticulous detail to pre- and post-ART treatment is essential to coordinating the medical, emotional and legal needs of gay men couples undergoing ART and their GS.
References
US Bureau of the Census. Table CH-1: living arrangements of children under 18 years of age: 1960 to present. Website: http:// www.census.gov/hhes/families/files/graphics/CH-1.pdf. 2012; Accessed 2013.
Gates GJ. LGBT Parenting in the United States. Website: http://williamsinstitute.law.ucla.edu/wp-content/uploads/LG-BT-Parenting.pdf. 2013; Accessed 2014.
Krivickas KM, Lofquist D. Demographics of same-sex couple households with children. U.S. Census Bureau. Website: http:// www.census.gov/hhes/samesex/files/Krivickas-Lofquist%20 PAA%202011.pdf. 2011; Accessed 2013.
Ethics Committee of the American Society for Reproductive Medicine. Access to fertility treatment by gays, lesbians, and un-married persons. Fertil Steril. 2009; 92: 1190-1193. doi: http:// dx.doi.org/10.1016/j.fertnstert.2006.08.085
Stacey J, Biblarz T. (How) does the sexual orientation of parents matter? American Sociological Review. 2001; 66: 159- 183.
Bigner JJ, Bozett FW. Parenting by gay fathers. Marriage Fam Rev. 1989; 14: 155-175.
Bigner JJ. Raising our sons: gay men as fathers. J Gay Les-bian Soc Serv. 1999; 10: 61-68. doi: 10.1300J041v10n01_04
Anderssen N, Amlie C, Ytterov EA. Outcomes for children with lesbian or gay parents. A review of studies from 1978 to 2000. Scand J Psychol. 2002; 43: 335-351. doi: 10.1111/1467- 9450.00302
Maccallum F, Golombok S. Children raised in fatherless families from infancy: a follow-up of children of lesbian and single heterosexual mothers at early adolescence. J Child Psy-chol Psychiatry. 2004; 45: 1407-1419. doi: 10.1111/j.1469-7610- .2004.00324.x
American Psychological Association. Sexual Orientation, Parents & Children. Website: http://www.apa.org/about/gover-nance/council/policy/parenting.aspx. 2004; Accessed 2012.
Gartrell N, Hamilton J, Banks A, et al. The national lesbian family study: 1. Interviews with prospective mothers. Am J Or-thopsychiatry. 1996; 66: 272-281. doi: 10.1037/h0080178
Baetens P, Brewaeys A. Lesbian couples requesting donor insemination: an update of the knowledge with regard to lesbian mother families. J Hum Reprod. 2001; 7: 512-519. doi: 10.1093/ humupd/7.5.512
Werner C, Westerståhl A. Donor insemination and parenting: Concerns and strategies of lesbian couples. A review of interna-tional studies. Acta Obstet Gynecol Scand. 2008; 87: 697-701. doi: 10.1080/00016340802011603
Marina S, Marina D, Marina F, Fosas N, Galiana N, Jové I. Sharing motherhood: biological lesbian co-mothers, a new IVF indication. Hum Reprod. 2010; 25: 938-941. doi: 10.1093/hum-rep/deq008
Braeways A, Ponjaert I, Van Hall E, Golombok S. Donor insemination: child and family development in lesbian-mother families with children of 4 to 8 years old. Hum Reprod. 1997; 12: 1349-1359. doi: 10.1093/humrep/12.6.1349
Chan R, Raboy B, Patterson CJ. Psychosocial adjustment among children conceived via donor insemination by lesbian and heterosexual mothers. Child Dev. 1998; 69: 443-457. doi: 10.1111/j.1467-8624.1998.tb06201.x
Golombok S, Tasker F, Murray C. Children raised in father-less families from infancy: family relationships and the socioe-motional development of children of lesbian and heterosexual mothers. J Child Psychol Psychiatry. 1997; 38: 783-791. doi: 10.1111/j.1469-7610.2004.00324.x
Lindheim SR, Kavic S, Sauer MV. Understanding differ-ences in the perception of anonymous parties: A comparison be-tween gamete donors and their recipients. J Assis Reprod Genet. 2000; 17: 127-130.
Rabun C, Oswald RF. Upholding and expanding the normal family: Future fatherhood through the eyes of gay male emerging adults. Fathering. 2009; 7: 269-285. doi: 10.3149/fth.0703.269
D’Augelli AR, Rendina HJ, Sinclair KO. Lesbian and gay youths’aspirations for marriage and raising children. Journal of LGBT Issues in Counseling. 2008; 1: 77-98. doi: 10.1300/ J462v01n04_06
Mallon GP. Gay men choosing parenthood. New York: Co-lumbia University Press. 2004.
Harris MD, Turner PH. Gay and lesbian parents. J Homosex. 1985; 12: 101-13.
Bozett FW. Children of gay fathers. In: Bozett FW, ed. Gay and lesbian parents. New York: Praeger, 1987: 39-57.
Bozett FW. Gay fathers: a review of the literature. In: Bozett FW, ed. Homosexuality and the family. New York: Harrington Park. 1989:137-162.
Miller B. Gay fathers and their children. Fam Coord. 1979; 28: 544-552.
Barrett H, Tasker F. Growing up with a gay parent: views of 101 gay fathers on their sons’ and daughters’ experiences. Educ Child Psychol. 2001; 18: 62-77.
Jenny C, Roesler TA, Poyer KL. Are children at risk for sex-ual abuse by homosexuals? Pediatrics. 1994; 94: 41-46.
Ethics Committee of the American Society for Reproductive Medicine. Consideration of the gestational carrier: a commit-tee opinion. Fertil Steril. 2013; 99: 1838-1841. doi: 10.1016/j. fertnstert.2013.02.042
Van den Akker O. Genetic and gestational surro-gate mothers’ experience of surrogacy. Journal of Repro-ductive and Infant Psychology. 2003; 21: 145-161. doi: 10.1080/0264683031000124091
Ciccarelli JC, Beckman LJ. Navigating rough waters: An overview of psychological aspects of surrogacy. Journal of Social Issues. 2005; 61: 21-43. doi: 10.1111/j.0022-4537- .2005.00392.x
O’Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol. 2013; 9: 6.1-6.30. doi: 10.1146/annurev-clinpsy-050212-185612
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