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Gay men choosing parenthood through assisted reproduction: medical and psychosocial considerations
Dorothy A Greenfeld1, Emre Seli
1Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut 06511, USA. dorothy.greenfeld@yale.edu
Objective:
To medically and psychologically assess gay men seeking parenthood through assisted reproduction and to provide guidelines for the assessment.
Design:
Qualitative observational study.
Setting:
Academic medical center.
Patient(S):
Thirty gay males (15 couples) presenting for assisted reproduction using an oocyte donor and a gestational carrier.
Intervention(S):
Semistructured interview and medical evaluation.
Main Outcome Measure(S):
Determination of psychological and medical eligibility for treatment.
Result(S):
The average age of men was 38.4 years. All couples were in a committed relationship and had been together for an average 6.4 years. All met medical and psychological criteria for acceptance.
Conclusion(S):
Gay men increasingly choose fatherhood through assisted reproduction. Counseling these couples on the medical and emotional demands of in vitro fertilization with a gestational carrier and an oocyte donor is a vital component of pretreatment preparation.
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