title: Gay men choosing parenthood through assisted reproduction: medical and psychosocial considerations.
abstract: OBJECTIVE
  To medically and psychologically assess gay men seeking parenthood through assisted reproduction and to provide guidelines for the assessment.
  
  
  METHODS
  Qualitative observational study.
  
  
  METHODS
  Academic medical center.
  
  
  METHODS
  Thirty gay males (15 couples) presenting for assisted reproduction using an oocyte donor and a gestational carrier.
  
  
  METHODS
  Semistructured interview and medical evaluation.
  
  
  METHODS
  Determination of psychological and medical eligibility for treatment.
  
  
  RESULTS
  The average age of men was 38.4 years. All couples were in a committed relationship and had been together for an average 6.4 years. All met medical and psychological criteria for acceptance.
  
  
  CONCLUSIONS
  Gay men increasingly choose fatherhood through assisted reproduction. Counseling these couples on the medical and emotional demands of in vitro fertilization with a gestational carrier and an oocyte donor is a vital component of pretreatment preparation.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut 06511, USA. dorothy.greenfeld@yale.edu
authors.forename: Dorothy A
authors.initials: DA
authors.lastname: Greenfeld
authors.forename: Emre
authors.initials: E
authors.lastname: Seli
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003376:Counseling; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008393:Marriage / Q000523:psychology; D018587:Oocyte Donation; D010290:Parents / Q000523:psychology*; D011584:Psychology; D027724:Reproductive Techniques, Assisted / Q000523:psychology*; D013533:Gestational Carriers