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CRM Blog: Fertility Journey

Third Party Reproduction: Many Ways to Make a Baby

October 3, 2014
By Dr. Randall Loy

In the 1975 solo hit Fifty Ways to Leave Your Lover, Paul Simon’s lyric reads “There must be fifty ways…” and the chorus begins to enumerate the ways. With respect to third party reproduction, there are at least half that many ways to make a baby.

The following is an intriguing list of most of the possibilities in the novel world of assisted reproduction and involves donors, recipients, hosts, intended parent(s) and carriers: 

1 - Female Recipient using her own egg and anonymous sperm donor (own uterus)

2 - Female Recipient using her own egg and known sperm donor (own uterus)

3 - Female Recipient using anonymous egg donor (AED) and partner’s sperm (own uterus)

4- Female Recipient using AED and anonymous sperm donor (own uterus)

5- Female Recipient using AED and known sperm donor (own uterus)

6- Female Recipient using known egg donor and partner’s sperm (own uterus)

7 - Female Recipient using known egg donor and anonymous sperm donor (own uterus)

8 - Female Recipient using known egg donor and known sperm donor (own uterus)

9 - Female intended parent (IP) using her own eggs and partner’s sperm with gestational carrier (GC  or host uterus)

10 - Female IP using her own eggs and anonymous sperm donor with GC (host uterus)

11- Female IP using her own eggs and known sperm donor with GC (host uterus)

12- Female IP using AED and partner’s sperm with GC (host uterus)

13- Female IP using AED and anonymous sperm donor with GC (host uterus)

14- Female IP using AED and known sperm donor with GC (host uterus)

15 - Male IP using AED and own sperm with GC (host uterus)

16 - Male IP using AED and partner’s sperm with GC (host uterus)

17 - Male IP using AED and anonymous sperm donor with GC (host uterus)

18 - Male IP using AED and known sperm donor with GC (host uterus)

19 - Female IP using known egg donor and partner’s sperm with GC (host uterus)

20 - Female IP using known egg donor and anonymous sperm donor with GC (host uterus)

21 - Female IP using known egg donor and known sperm donor with GC (host uterus)

22 - Male IP using known egg donor and partner’s sperm with CG (host uterus)

23 - Male IP using known egg donor and anonymous sperm donor with GC (host uterus)

24 - Male IP using known egg donor and known sperm donor with GC (host uterus)

25 - Female IP using own eggs and partner’s sperm with intent to use a GC (host uterus) in the future.

25a - Either Fresh or Frozen

The options are dizzying and most require FDA screening and eligibility paperwork. In many of the above cases it would be advisable for the intended parent(s) to have legal representation by a healthcare attorney well-versed in adoption, surrogacy and family law.

“…it's really not my habit
To intrude
Furthermore, I hope my meaning
Won't be lost or misconstrued
But I'll repeat myself
At the risk of being crude
There must be fifty ways….” 

(Special thanks to Faith Young and Cassandra Fyotek at the Center for Reproductive Medicine in Orlando, Florida for helping with this list.)

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