Course / Dr. Kaser’s Story
In this course, I (as a fertility expert) share the medical, legal, psychological, and practical roadmap for individuals and couples considering surrogacy — whether for same-sex couples, single parents, or heterosexual couples facing infertility. The course is structured to demystify the complexities, bring clarity to decision points, and offer evidence-based guidance at every step.
You will learn:
The biology and technology behind third-party reproduction (egg donation, embryo creation, gestational surrogacy)
How to evaluate and select donors and gestational carriers
Legal, ethical, and psychosocial considerations
What to expect at each stage (preparation, embryo transfer, pregnancy, birth)
Risk management, contingency planning, and emotional support
Realistic timelines, costs, and success factors
By the end of this course, participants should feel empowered to make informed decisions and partner confidently with clinics, agencies, and legal teams.
Module / Lesson Structure
Below is a suggested breakdown of modules and lessons, with detailed content per lesson. You can adjust the number of modules or depth depending on your audience (laypersons, intended parents, medical professionals).
| Module | Lesson / Topic | Key Subtopics / Learning Points |
|---|---|---|
| 1. Foundations & Science | 1.1 Why Surrogacy? When & Why It’s Chosen | – Medical indications (uterine issues, recurrent miscarriage, hysterectomy, etc.) – Social / family structure reasons (same-sex parenting, single parenthood) – Alternatives (adoption, foster care, donor insemination) |
| 1.2 Reproductive Biology & ART Techniques | – Ovarian stimulation, egg retrieval – Fertilization (IVF / ICSI) – Embryo culture, freezing, biopsy (PGT) – Cryopreservation, thawing, embryo transfer | |
| 2. Egg Donor Selection & Screening | 2.1 Types of Donors & Matching Principles | – Anonymous vs known donors – Compensation, donor pools, matching criteria (ethnicity, phenotype, health) – Psychosocial screening |
| 2.2 Medical & Genetic Screening | – Infectious disease testing – Genetic carrier screening – Ovarian reserve evaluation, hormonal testing – Ethical considerations in screening | |
| 3. Gestational Carrier (Surrogate) Selection | 3.1 Eligibility Criteria & Screening | – Medical history, BMI, obstetric history – Uterine evaluation, endocrine, infectious disease screening – Psychological evaluation |
| 3.2 Matching Intended Parents & Surrogates | – Matching criteria (geography, personality, preferences) – Communication protocols – Agency’s role vs direct matching | |
| 4. Legal, Ethical & Contract Framework | 4.1 Legal Issues by State / Jurisdiction | – Parentage, birth certificates, parental rights – Surrogacy laws (gestational vs traditional) – Interstate and international surrogacy |
| 4.2 Contract Elements & Protections | – Financial aspects, reimbursement, insurance – Medical decision-making, termination clauses, contingency planning – Dispute resolution, confidentiality | |
| 5. Coordinating Medical Protocol & Transfer | 5.1 Endometrial Preparation & Synchronization | – Hormonal protocols (estrogen, progesterone) – Monitoring, ultrasounds, timing of transfer – Luteal support |
| 5.2 Embryo Transfer & Implantation | – Fresh vs frozen embryo transfer – Single embryo vs multiple transfer – Risk mitigation (OHSS, multiple pregnancy) | |
| 6. Pregnancy, Monitoring & Delivery | 6.1 Prenatal Care Coordination | – Obstetric monitoring, ultrasounds – High-risk considerations (if any) – Communication between clinic, surrogate, intended parents |
| 6.2 Delivery, Birth & Postnatal Steps | – Choosing hospital, birth plan – Neonatal care, health checks – Legal transfer of custody, paperwork, logistics | |
| 7. Risks, Ethics & Psychological Support | 7.1 Medical Risks & Complications | – Miscarriage, preterm birth, gestational hypertension – Multiple pregnancies, vanishing twin – Maternal health in surrogate |
| 7.2 Ethical Dilemmas & Decision Points | – Rights of surrogate vs intended parents – Embryo disposition (unused embryos) – Disclosure to child, anonymity, future access | |
| 7.3 Emotional Support & Counseling | – Handling grief, expectations, bonding – Role of mental health professionals – Communication strategies among all parties | |
| 8. Cost, Timeline & Success Optimization | 8.1 Cost Breakdown & Insurance | – Medical costs, agency fees, legal, surrogate compensation – Insurance, risk pools, backup fund – Hidden costs & margin of contingency |
| 8.2 Timeline, Milestones & Delays | – Typical durations for each step – Causes of delay (screening, matching, synchronization) – Strategies to avoid or mitigate delays | |
| 8.3 Maximizing Success & Quality Control | – Clinic selection criteria, lab quality, success metrics – Monitoring, protocols, embryo quality – Data tracking, continuous improvement |
Our job is to listen, to connect the dots between your needs, and to determine how we can best help you have your baby. If you’re asking how much does it cost for a surrogate, we’ll walk you through every step of the process to ensure there are no surprises.
To make an appointment with one of our counselors or physicians, please call (212) 661-7673 or email info@surrogacy4all.com. We look forward to hearing from you.
Secret Guide to Minimizing Surrogacy Costs
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