Your partners in life.
NES Partnerships, LLC. welcomes all intended parents regardless of age, sexual orientation or relationship status. Although we specialize in finding gestational surrogates in the NorthEast, we are happy to locate a surrogate for you in any of the "Gestational Surrogate Friendly States". A member of our team can guide you in making a decision about a surrogate's location. We are experienced in working with international clients and can assist you in all aspects of care in the United States. top
There are two types of surrogacy: "traditional" and "gestational". Traditional surrogacy is achieved through artificial insemination, using the surrogate's egg and the intended parent's (or a donor's) sperm. Gestational surrogacy is achieved through In-Vitro Fertilization (IVF), by transferring another woman's fertilized egg into the surrogate's uterus. Although traditional surrogacy requires less medications and medical procedures, the surrogate is genetically related to the child. In order to simplify the process and strengthen the legality of the surrogacy arrangement we only coordinate gestational surrogacy partnerships.
We currently locate gestational surrogates through print and internet advertisements. We are a member of the American Society for Reproductive Medicine (ASRM) and follow their guidelines for screening of potential surrogates. A surrogate presented to you will have had an in-person interview, completed a psychological evaluation (MMPI-2 and personal meeting with mental health professional), and have had a criminal / financial background check. Her previous medical records will also be reviewed prior to acceptance into our program. We will request a copy of her insurance policy for our review. Intended parent(s) may request a Homestudy at their own expense after a potential match has been made. top
We prefer to meet our intended parents in person so that we may discuss in detail the surrogacy process and the services we provide. Our first meeting may last 2 - 4 hours and may include one of our mental health professionals, if available. The cost for the initial consultation is $500. If you retain our services, the consultation fee will be deducted from the agency fee. One of our team members will be available to discuss initial inquiries at your convenience via telephone or email. If you decide to retain our services, you will mail a completed intended parent(s) profile, three photographs of yourself and family, a copy of your driver's license(s), signed retainer agreement and retainer fee to our office.
Once you have retained our services, you will have a second consultation with one of our mental health professionals in a private session. The transition to, and acceptance of a surrogacy arrangement may be difficult. Our counselor's mission is to support and guide you throughout your journey. We want you to feel comfortable with your decision and familiar with the surrogacy process. You will continue to talk with our counselors on a monthly basis by telephone. They will also be available to meet with you in our office per your request. We also provide access to a Mentor by telephone or email for additional support. top
NES Partnerships, LLC. matches intended parents and gestational surrogates based on their written profiles, and their individualized needs and requests. A potential surrogate presented to you will be as close to your ideal candidate as possible. Confidentiality is of utmost importance to our agency. Potential matches remain anonymous until both parties agree to proceed. Intended parents and gestational surrogates will receive each other’s profiles without identifying information such as last names and addresses. If both parties agree, a telephone conference will be arranged, followed by a personal meeting at a mutually agreed upon destination.
Once a match is established, your surrogate's legal counsel, medical appointments, and required counseling services will be arranged for her. We require the surrogate to talk with our counselors twice a month (one in-person session is required). A member of NES Partnerships, LLC. is available at any or all appointments per your, or the gestational surrogate's requests. It is our goal to be available for guidance at anytime during your surrogacy experience. top
Your Reproductive Endocrinologist (RE) will provide guidelines for the gestational surrogate's screening. Generally the minimum required screening includes a detailed medical/genetic history and physical, blood tests, and Sonohysterogram. We will forward the surrogate's previous medical records and psychological evaluation to your RE office. The medical tests should include the following:
The surrogate's partner will also be screened for communicable diseases.
Most REs require an initial meeting with your gestational surrogate at their office, but will allow for most of her testing and monitoring at an outside facility (if necessary). Some RE practices require the surrogate to undergo a mock or trial cycle. The mock cycle mimics the transfer cycle and evaluates the surrogate's response to the injectable hormones she will use during the treatment cycle. During the mock cycle she will have vaginal ultrasounds and blood tests. The mock cycle will most likely conclude with an Endometrial Biopsy to assess her uterine lining. top
The laws governing gestational surrogacy are evolving and vary from state to state. Some states have laws specifically allowing surrogacy arrangements. A few states outright prohibit surrogacy, but the majority of states have mixed or unclear laws. What is clear from a practical, as well as a legal point of view, is that a written agreement, a contract, between the gestational surrogate and the intended parents is essential. It ensures that everyone understands and synchronizes expectations and a true "meeting of the minds" is forged. Also, it is important that each party has "informed consent" after "full disclosure" and discussion with appropriate professionals of all the facts and circumstances of your individual situation. A well planned contract will minimize surprises, avoid future conflicts or confusion and maintain the focus on a smooth relationship.
NES Partnerships, LLC. requires written agreement for all its surrogacy partnerships. The contract between the intended parent and gestational surrogate will be established prior to the surrogate's medical treatment and is generally initiated during the surrogate's medical screening phase. The contract period can be very difficult and stressful for all parties involved. As an integral part of our services, we have retained the Reproductive Law Group to oversee all the legal aspects of your experience with our agency. She will interact and coordinate the exchange of documents and information with the independent attorneys each of you select. A list of attorneys experienced in this specialized area of the law will be provided to you as a reference tool, but we will be pleased to work with any attorney of your choice.
Once you have selected your attorney, the Reproductive Law Group will initiate communication and provide a base contract which each counsel can review and modify to meet your needs. Your attorney will guide you in this process after critical information is provided. We ask that you be as candid as possible in establishing your expectations of your surrogacy experience. We will handle preparing the final document with the specific terms agreed upon and then circulate the contract to your attorneys for signatures. Once signed by all parties, the original fully executed contract will be maintained by our attorney for monitoring of the terms, and copies will be provided for all parties.
Our attorney's office will set up an Escrow Account and it will be managed by the "Reproductive Law Group's Client Trust Account". Our attorney will handle all the financial aspects of your arrangement so that each participant in the transaction will have the piece of mind of knowing their funds are secure. All the agreed upon fees and expenses will be paid from the escrowed funds by the Reproductive Law Group in accordance with a disbursal schedule as defined by your contract. You will be provided monthly financial statements. Generally, the carrier's fee and living expenses will be dispersed to her on a monthly basis once pregnancy is confirmed. Please refer to the financial information provided on this website for estimated expenses.
During the second trimester of pregnancy, usually any time after the 20th week of pregnancy, the attorney for the intended parents will begin the final legal phase of the partnership. The attorney will arrange for the intended parent's name(s) to be placed on the birth certificate at the time of birth in accordance with the laws and process required by the government of the appropriate state. We locate gestational surrogates only in "Gestational Surrogate Friendly States" in an effort to simplify this phase of the process for you and to avoid potential problems with this final legal aspect of your surrogacy partnership. top
The Gestational surrogate treatment protocol will most likely require a series of self-administered injectable hormones, as well as oral and vaginal medications. Monitoring of the surrogate's response includes 2 - 3 vaginal ultrasounds and blood tests. The surrogate may be on medications for two to four weeks prior to the Embryo Transfer at your RE office. The injections will continue after the transfer until the surrogate's pregnancy test date. If the surrogate is pregnant she will continue the injectable hormones until approximately 9 weeks of pregnancy.
Your treatment cycle is synchronized with the surrogate's cycle. You will both take medications at the same time. The surrogate's uterus is prepared with hormones to accept an Embryo, while you are stimulated with injectable hormones to produce eggs. The physician will discontinue your medications around the time of the egg retrieval. Your (or egg donor's) treatment protocol also requires a series of injectable hormones, vaginal ultrasounds and blood tests. Your length of treatment also varies from two to four weeks. The RE will decide upon the most appropriate medication treatments for all parties involved. We will provide an overview of the types of medications you will be using and the types of procedures you can anticipate. Once the treatment cycle commences, their office will direct all medical treatment and procedures. We maintain frequent contact with the RE nurse coordinator in order to keep well informed of the gestational surrogate's treatment status and any monitoring requirements. top
Our expectation is that pregnancy will result from the medical treatment and procedures. The RE will continue to monitor the gestational surrogate until approximately 10 weeks of pregnancy and then refer her to an obstetrician (OB). The number and frequency of future ultrasounds will be determined by the OB physician. Additional testing or procedures such as an Amniocentesis will have been previously decided upon in your contractual agreement.
If pregnancy does not result, your legal agreement will have stipulated whether you will proceed with a second attempt. The RE will also have recommendations based on the previous medical treatment to ensure future success.
NES Partnerships, LLC. will continue to coordinate all aspects of your surrogacy commitment. We realize the information we provide on this website is just a small window into your journey. It is our hope that you are able to gain a better insight into the process. We ask that you call or email with any additional questions you may have based on this introduction to surrogacy. top