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Inside the Hidden Global Supply Chain for Frozen Sperm, Eggs, and Embryos

In a world with porous borders and wildly divergent surrogacy laws, making a baby can be a global affair: The eggs might come from a woman in South Africa, the sperm from a man in Canada, and the surrogate herself might be in Cambodia. What connects them, literally, is a cold chain.

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When Parents and Surrogates Disagree on Abortion

When a woman agrees to become a gestational surrogate—meaning she’ll gestate an IVF-created embryo as it grows into a fetus—she and the commissioning parents will typically sign a legally binding contract. The terms vary widely from contract to contract and state to state, but the vast majority will include a clause allowing the parents to make decisions about abortion.

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India Scales Back ‘Rent-a-Womb’ Services

Long before she married, at 14, Sushila Sunar had stopped going to school. She never learned to read. After her two children were born, she broke rocks at a construction site for a few dollars a day, the only work she could find. Then a woman approached Sunar with a job that paid nearly $6,000, a sum so large she and her husband felt she could not refuse. She became a surrogate mother, delivering a light-skinned baby for a foreign couple she never met.

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Foreign Couples in Limbo After India Restricts Surrogacy Services

Gea Bassett and Doug Smith of Seattle counted on a surrogacy service in India to fulfill their years’ long desire to have a second child. Now the couple is scrambling to recover their frozen fertilized eggs from a Mumbai fertility clinic after the country’s recent move to bar foreigners from hiring surrogate mothers.

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Starting a Family Against the Odds

At 33, Candice Ismirle is battling an aggressive, metastatic breast cancer. She and her husband, who live in Washington, conceived the twins through in vitro fertilization. Candice’s cousin Erin McKenney, also 33, a nurse at the hospital in Upland, served as a gestational surrogate, carrying and delivering the babies.

Fertility Clock Headlines, Fertility Headlines

Starting a Family Against the Odds

At 33, Candice Ismirle is battling an aggressive, metastatic breast cancer. She and her husband, who live in Washington, conceived the twins through in vitro fertilization. Candice’s cousin Erin McKenney, also 33, a nurse at the hospital in Upland, served as a gestational surrogate, carrying and delivering the babies.