Bryan McColgan, MD Bryan McColgan, MD

It’s a Surrogate Rematch with a Couple!

After matching and unmatching with an amazing surrogate / gestational carrier (GC), we have rematched! In this article, I review questions to ask potential matches. I also discuss my own personal experience matching with a GC who has an incredibly supportive husband, and how I think all intended parents (IPs) should view their GCs partner on their journey.

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Bryan McColgan, MD Bryan McColgan, MD

Europe Needs to Make Assisted Reproduction Available to Queer Men

Fertility treatments across Europe are expanding with more than 1.1 million treatment cycles done at nearly 1,400 clinics in 2021.  However, fertility treatment availability across Europe varies widely by country.  In this article, I will review European national policies for assisted reproductive technology (ART), including in vitro fertilization (IVF), surrogacy, gamete (egg/sperm) donation, and embryo donation. After this review, one thing should be clear:  Europe is biased towards queer men when it comes to ART, and I will share some thoughts on why this is and what can be done to change it.

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Bryan McColgan, MD Bryan McColgan, MD

How Swedish Gay Dads Talk About Their Surrogacy Journeys

A 2020 research study interviewed 22 Swedish gay dads about their experiences with IVF and surrogacy. In this article, I review this study, compare my husband and my journey as Americans living in Sweden, and discuss how Sweden and Europe’s conception of ‘family’ is a bit outdated.

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Bryan McColgan, MD Bryan McColgan, MD

Should Physicians Encourage Social Surrogacy?

Social surrogacy refers to a surrogacy arrangement where the female intended parent (IP) has a gestational carrier (GC) even though the female IP has no medical reason not to carry a pregnancy. A recent opinion piece was published in ASRM’s Fertility and Sterility arguing the pros and cons of having physicians engage and facilitate social surrogacies. In this article, I will review the opinion piece and share my own perspective as a gay man and physician on his own surrogacy journey.

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Bryan McColgan, MD Bryan McColgan, MD

We Matched with a Gestational Carrier!

We have officially matched with a gestational carrier! This is a momentous and incredible step in our journey to fatherhood. In this article, I will describe the matching process with our agency, the aspects to a gestational carrier (GC) relationship that are important to us, and how I felt the night before and immediately after our first meeting with the GC.

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Bryan McColgan, MD Bryan McColgan, MD

Surrogacy Needs to Be Regulated, Not Prohibited

In this article, I review the opinions of reproductive lawyers from the United States, United Kingdom, and India with regard to surrogacy regulations. How can surrogacy journeys be regulated without being prohibitively restrictive? What happens when a country’s surrogacy laws are too prohibitive? What is the solution to promote ethical surrogacy around the globe?

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Bryan McColgan, MD Bryan McColgan, MD

My Mom Died, and I Didn’t Cry…

My mom died this past week. In this article, I reflect on how my estrangement from her has affected me, the development of my ‘logical’ or chosen family, and how I now view becoming a parents myself through IVF and surrogacy.

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Bryan McColgan, MD Bryan McColgan, MD

Research Describes U.S. Women Who Become Gestational Carriers

There is little research on the women who become gestational carriers or surrogates. What is their life like? What is their educational background? Do they work? Do they keep in touch with the intended parents (IPs)? Why do they become gestational carriers? New research attempts to answer these questions, and this BabyMoon Family article reviews the results of the study and discusses implications for future research and policies related to surrogacy.

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Bryan McColgan, MD Bryan McColgan, MD

‘The Assessment’ Movie: Parallels for Queer Intended Parents

‘The Assessment’ is a new movie staring Alicia Vikander and Elizabeth Olsen set in a not too distant, dystopian future where having children has striking similarities to what queer intended parents have to go through today. In this article, I discuss these similarities, and how my husband and I experienced the movie while currently on our first journey to fatherhood through IVF and surrogacy. Warning: Movie spoilers ahead.

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Bryan McColgan, MD Bryan McColgan, MD

Save Rainbow Families, Vote for Kamala Harris

To any undecided U.S. voters on this eve of the 2024 U.S. presidential election, please don’t hurt queer people who only want to have a family. Don’t hurt people who come from any non-traditional family. Don’t hurt people who form their own chosen family. These families are valid.  They exist, and to deny them that existence like Trump and the Project 2025 conservatives do only serves to hurt America and the world. Please vote for Kamala Harris for president, and if you have any reservations, please read this article.

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Bryan McColgan, MD Bryan McColgan, MD

The World Needs More LGBTQ+ Family Building Medical Research

Underrepresented but growing. This summarizes the current state of medical research on queer family building from the largest U.S. conference on assisted reproduction. The American Society of Reproductive Medicine (ASRM) had its annual conference in Denver Colorado from October 19th to the 23rd, and there was an abstract presented that reviewed the last decade of research on LGBTQ+ family building. In this week’s BabyMoon Family article, I review the abstract and share a summary of some previous BabyMoon Family articles on other scientific publications related to rainbow families.

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Bryan McColgan, MD Bryan McColgan, MD

Embryo Donation and Queer Intended Parents

I love hearing about queer people creating rainbow families in any ethical way. This week, I read an article where a gay couple in Pennsylvania are pursuing their dream of fatherhood through ‘non-genetic surrogacy.’ This term meant they were leveraging embryo donation to have children. This got me thinking: How common is embryo donation? How accessible is it for queer IPs? Would my husband and I donate our unused embryos? Read more to find out.

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Bryan McColgan, MD Bryan McColgan, MD

Posthumous Procreation: Should We Be Having Children After We Die?

The Dehli High Court has granted permission for parents of a deceased man to use his sperm to have a grandchild. Should this type of posthumous procreation be allowed? What are the ethical standards that we should have for this type of procreation? How could this impact assisted reproductive technology (ART) for queer intended parents? Read more to find out.

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Bryan McColgan, MD Bryan McColgan, MD

Argentina May Ban International Surrogacy

Argentina has launched an investigation in the practice of surrogacy an other assisted reproductive technology (ART) in the country, especially by foreign intended parents (IPs). In this article, I go over the current state of Argentinian regulations for ART and surrogacy, and I discuss the findings from the ongoing investigation. Will Argentina follow in the footsteps of Thailand and ban surrogacy for international IPs? How can you ensure you are embarking on an ethical surrogacy journey abroad? Read this article to find out more.

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Bryan McColgan, MD Bryan McColgan, MD

Anticipation for ‘The Modern Family Show’ in London

This weekend, I am thrilled to be attending ‘The Modern Family Show’ in London, which is a unique conference that offers educational content on all types of rainbow family creation. Some of the topics include: In vitro fertilization (IVF), intrauterine insemination (IUI), surrogacy, fostering, co-parenting, fertility preservation, solo parenting, and egg/sperm donation. If you are interested in attending, read more and use the BabyMoon Family discount link in the article. I hope to see you there!

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Bryan McColgan, MD Bryan McColgan, MD

Not All Queer Parents Are Treated Equally

While the majority of recent queer celebrity baby announcements have been met with more joy than animosity, this, unfortunately, has not been the case for Joseph and Nathan Hughes. The case of the Hughes demonstrates that not all queer parents are treated equally, and it also highlights queer people's fight for equality and rainbow families and how much further we still need to go.

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Bryan McColgan, MD Bryan McColgan, MD

The Racial and Ethnic Disparity and Homophobia in U.S. Sperm Banks

A new scientific journal article described the racial and ethnic breakdown of sperm donors and compared this to demographics from the United States census as well as sperm donor recipients. The results are surprising from a racial and ethnic perspective, but I also learned from this article that men who have sex with men (MSMs) are prohibited from donating to sperm banks in the U.S. In this article, I discuss the implication for this and how assisted reproductive technology (ART) in general needs to be more queer friendly.

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