The evolving world of ART: who are the intended parents and how are their children doing?

Treatment advances in assisted reproductive technology (ART) such as oocyte donation and gestational surrogacy have introduced a new cohort of intended parents and new family constellations. Who these parents are and how their children are doing is the focus of this paper. Special emphasis will be paid to the impact of delayed parenthood on oocyte donation, the increasing numbers of gestational surrogacy participants (intended parents and surrogates), and the growing numbers of gay male couples seeking fatherhood through ART. While it appears that children of these new family constellations are doing well, research is limited and longitudinal studies of their health and well being are needed.