In re the Marriage of Rooks ( 2016 )


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  • COLORADO COURT OF APPEALS                                     2016COA153
    Court of Appeals No. 15CA0990
    Garfield County District Court No. 14DR30080
    Honorable John F. Neiley, Judge
    In re the Marriage of
    Drake F. Rooks,
    Appellee,
    and
    Mandy Rooks,
    Appellant.
    JUDGMENT AFFIRMED
    Division IV
    Opinion by JUDGE TERRY
    Hawthorne and Fox, JJ., concur
    Announced October 20, 2016
    James W. Giese, P.C., James W. Giese, Grand Junction, Colorado, for Appellee
    Azizpour Donnelly LLC, Katayoun A. Donnelly, Denver, Colorado, for Appellant
    ¶1    This appeal from the permanent orders entered in the
    dissolution of marriage proceedings between Mandy Rooks (wife)
    and Drake F. Rooks (husband) presents an issue of first impression
    in Colorado: how to determine who gets the couple’s cryogenically
    frozen embryos on dissolution of their marriage. (Though the
    accurate medical term for such unimplanted embryos is “pre-
    embryos,” we will refer to them as “embryos” for simplicity.)
    ¶2    The parties already have three children together. It is
    undisputed that wife used her last eggs to create the embryos.
    ¶3    Husband and wife agreed in their storage agreement with the
    fertility clinic that the embryos should be discarded if certain events
    (inapplicable here) occurred. But if they dissolved their marriage,
    unless they could agree who would get the embryos, the agreement
    left it up to the trial court to award them. Wife argued at the
    permanent orders hearing that the embryos should remain frozen in
    cryo-storage so that she can have another child in the future,
    because otherwise she would be infertile. Husband argued that the
    embryos should be discarded.
    ¶4    In its lengthy, detailed, and carefully reasoned permanent
    orders, the trial court awarded the embryos to husband. The court
    1
    relied on two alternative theories derived from the case law of our
    sister states:
    (1) Applying the “contract approach,” the court construed the
    parties’ intent as requiring the embryos to be discarded on
    dissolution of their marriage, unless they could agree otherwise.
    (2) Applying the “balancing of interests approach,” the court
    determined that husband’s interest in not having more children
    with wife outweighed wife’s interest in having another child.
    ¶5    The court determined that both approaches weighed in favor of
    awarding the embryos to husband.
    ¶6    Wife appeals from the portion of the permanent orders
    awarding the embryos. She obtained a stay in the trial court to
    permit the embryos to remain in cryo-storage pending completion of
    appellate proceedings. We affirm the trial court’s judgment under
    the balancing of interests approach.
    I. Background
    ¶7    The parties married in 2002, and husband petitioned for
    dissolution of the marriage in 2014. The major issues decided in
    this dissolution case concerned property division and the wife’s
    plan to relocate with the parties’ children to North Carolina. The
    2
    parties spent relatively little time addressing the issues now raised
    on appeal.
    ¶8     All three of the parties’ children were conceived using in vitro
    fertilization (IVF) techniques, and in that process, six additional
    embryos were created and placed in cryo-storage. Together with the
    fertility clinic, the parties signed two agreements pertaining to the
    embryos: a participation agreement and a storage consent
    agreement.
    ¶9     The participation agreement advises the parties that they can
    choose to leave the cryopreserved embryos in storage indefinitely for
    future use, or they can donate or discard them. The agreement
    describes the embryos as a “unique form of ‘property,’” about which
    the law is still developing, and alerts the parties that it is important
    to have a disposition plan for the embryos in case of the parties’
    death, separation, or divorce.
    ¶ 10   The storage agreement addresses disposition of the
    cryopreserved embryos in the event of dissolution of the parties’
    marriage or a party’s death.
    3
    II. Colorado Law
    ¶ 11   The Colorado General Assembly has determined that embryos
    are not “persons” and therefore are also not “children.” See
    § 13-21-1204, C.R.S. 2016 (construing Civil Remedy for Unlawful
    Termination of Pregnancy Act as not “confer[ring] the status of
    ‘person’ upon a human embryo”); § 18-3.5-110, C.R.S. 2016
    (similarly construing Offenses Against Pregnant Women statutes);
    see also Deborah L. Forman, Embryo Disposition, Divorce & Family
    Law Contracting: A Model for Enforceability, 24 Colum. J. Gender &
    L. 378, 423 (2013) (“All appellate decisions to date have rejected the
    notion that embryos are ‘children’ under the law . . . .”).
    ¶ 12   The Uniform Parentage Act (UPA) provides that a former
    spouse will not be a parent of any child born as a result of the
    placement of embryos through assisted reproduction after
    dissolution of marriage unless the former spouse consents to be a
    parent. See § 19-4-106(7)(a), C.R.S. 2016. The Colorado Probate
    Code provides that such a child will not be considered a former
    spouse’s child, unless the former spouse gives consent to that effect
    and the consent is specific to assisted reproduction occurring after
    divorce. See § 15-11-120(9), C.R.S. 2016. Under the UPA, a former
    4
    spouse may withdraw consent to placement of embryos “at any
    time” before they are placed. § 19-4-106(7)(b); see also § 15-11-
    120(10).
    ¶ 13   Because there is no Colorado statute or appellate decision
    addressing the specific issue raised here, namely, the disposition of
    cryopreserved embryos on dissolution of marriage, see Suzanne
    Griffiths & Logan Martin, Assisted Reproduction and Colorado Law:
    Unanswered Questions and Future Challenges, 
    35 Colo. Law. 39
    (Nov. 2006), we look to other jurisdictions that have addressed the
    issue. See P.W. v. Children’s Hosp. Colo., 
    2016 CO 6
    , ¶ 23 (“With no
    Colorado case directly on point, we look to the decisions of other
    jurisdictions for persuasive guidance.”).
    III. Other Jurisdictions
    ¶ 14   Courts in other jurisdictions have adopted three different
    approaches for determining the disposition of divorcing spouses’
    cryopreserved embryos: the contract approach, the balancing of
    interests approach, and the contemporaneous mutual consent
    approach. See Szafranski v. Dunston, 
    993 N.E.2d 502
    , 506 (Ill.
    App. Ct. 2013) (Szafranski I); see also Michael T. Flannery,
    “Rethinking” Embryo Disposition Upon Divorce, 29 J. Contemp.
    5
    Health L. & Pol’y 233, 237-38 (2013); Forman, 24 Colum. J. Gender
    & L. at 383-86.
    A. The Contract Approach
    ¶ 15   Under the contract approach, an agreement between spouses
    that was entered into when the embryos were created and cryo-
    stored will be enforced as to the disposition of the embryos on
    dissolution of marriage. See Davis v. Davis, 
    842 S.W.2d 588
    , 597
    (Tenn. 1992). In Davis, the divorcing spouses had agreed on all
    terms relating to the dissolution of their marriage except one: who
    was to have “custody” of their seven cryopreserved embryos held in
    storage at a fertility clinic. 
    Id. at 589.
    The Tennessee court held
    that, “as a starting point” in resolving such a dispute, an agreement
    regarding disposition of the embryos in the event of divorce “should
    be presumed valid and should be enforced as between the
    progenitors.” 
    Id. at 597.
    ¶ 16   Other states have since followed Tennessee’s lead and have
    ruled, citing Davis, that agreements between spouses that are
    entered into at the time of IVF are enforceable with respect to any
    agreed-upon disposition of cryopreserved embryos on dissolution of
    marriage. See Kass v. Kass, 
    696 N.E.2d 174
    , 180 (N.Y. 1998); In re
    6
    Marriage of Dahl, 
    194 P.3d 834
    , 840 (Or. Ct. App. 2008); Roman v.
    Roman, 
    193 S.W.3d 40
    , 50 (Tex. App. 2006); but see A.Z. v. B.Z.,
    
    725 N.E.2d 1051
    , 1053-59 (Mass. 2000) (refusing to enforce parties’
    agreement that if they separated, the wife, who had already given
    birth to two children using the parties’ embryos, would receive their
    remaining embryos for implantation).
    ¶ 17   Advantages of the contract approach, as the New York court
    observed in Kass, are that it “reserv[es] to the progenitors the
    authority to make what is in the first instance a quintessentially
    personal, private decision”; it avoids litigation in “personal matters
    of reproductive choice”; and it “provide[s] the certainty needed for
    effective operation of IVF 
    programs.” 696 N.E.2d at 180
    ; see also
    Szafranski 
    I, 993 N.E.2d at 515
    ; 
    Roman, 193 S.W.3d at 50
    .
    B. The Balancing of Interests Approach
    ¶ 18   Though the Tennessee Supreme Court in Davis endorsed a
    contract approach, it was unable to use that approach to guide its
    decision because the spouses had not entered into an agreement
    regarding disposition of their embryos. This led the court to use a
    balancing of interests approach, and it ultimately weighed the
    husband’s interest in avoiding procreation more heavily than the
    7
    wife’s interest in wanting to donate the embryos to another couple.
    
    Davis, 842 S.W.2d at 598
    , 603-04.
    ¶ 19   Other courts have also held that, when the parties have not
    agreed as to who should receive cryopreserved embryos on
    dissolution of marriage, the trial court must balance the parties’
    interests to resolve the issue. See J.B. v. M.B., 
    783 A.2d 707
    , 713-
    14, 719-20 (N.J. 2001); Reber v. Reiss, 
    42 A.3d 1131
    , 1136 (Pa.
    Super. Ct. 2012).
    ¶ 20   In applying this approach, the Davis court said, “[o]rdinarily,
    the party wishing to avoid procreation should prevail, assuming
    that the other party has a reasonable possibility of achieving
    parenthood by means other than use of the []embryos in 
    question.” 842 S.W.2d at 604
    ; accord Szafranski 
    I, 993 N.E.2d at 514-15
    ; see
    also Szafranski v. Dunston, 
    34 N.E.3d 1132
    , 1161-64 (Ill. App. Ct.
    2015) (Szafranski II) (upholding lower court’s ruling that the
    interests of a woman, who had embryos created with a male friend
    before undergoing chemotherapy, were paramount because she had
    no other option for having a biological child); 
    J.B., 783 A.2d at 719
    -
    20 (ruling in favor of the wife’s interest to avoid procreation after
    considering that the husband was already a father and was capable
    8
    of fathering other children); 
    Reber, 42 A.3d at 1132-43
    (upholding
    ruling in favor of forty-four-year-old wife, who had no children and
    had undergone IVF before cancer treatment in order to preserve her
    ability to conceive a child).
    C. The Contemporaneous Mutual Consent Approach
    ¶ 21   Iowa employs a contemporaneous mutual consent approach.
    There, if the parties have not previously agreed how to allocate their
    cryopreserved embryos on dissolution of marriage, the dissolution
    court will not allocate them. Instead, the embryos are left in
    storage indefinitely until the parties can agree as to their
    disposition. In re Marriage of Witten, 
    672 N.W.2d 768
    , 783 (Iowa
    2003); see Szafranski 
    I, 993 N.E.2d at 510-11
    .
    ¶ 22   The Iowa court rejected the contract approach, reasoning that
    judicial enforcement of an embryo disposition agreement “in this
    highly personal area of reproductive choice” would be against public
    policy. 
    Witten, 672 N.W.2d at 781
    . The court also noted its “grave
    public policy concerns” with the balancing test, which “substitute[s]
    the courts as decision makers in this highly emotional and personal
    area.” 
    Id. at 779,
    783.
    9
    ¶ 23   The Iowa court’s approach has been criticized as being “totally
    unrealistic,” because if the parties had any ability to reach an
    agreement on disposition of their embryos, they would not need a
    court’s ruling. 
    Reber, 42 A.3d at 1135
    n.5; see Szafranski 
    I, 993 N.E.2d at 511
    . As the trial court aptly noted in rejecting the Iowa
    approach in this case, it “essentially gives one party a de facto veto
    over the other party” because the issue will inevitably be
    determined by the passage of time. See Szafranski 
    I, 993 N.E.2d at 512
    (noting that Iowa’s approach may provide a bargaining chip for
    an ex-spouse to effectively hold embryos hostage to punish the
    other ex-spouse or to gain other advantages). We join the Reber
    and Szafranski courts in rejecting the contemporaneous mutual
    consent approach.
    IV. Application of the Contract and Balancing Approaches
    ¶ 24   We concur with those courts that have adopted the contract
    approach and have enforced a valid agreement entered into between
    the spouses as to disposition of the embryos on dissolution of
    marriage. We are also in accord that, where there is no such
    agreement between the parties, a balancing of interests approach
    should be taken.
    10
    A. The Trial Court’s Application of the Contract Approach
    ¶ 25   As argued by wife on appeal, the contract approach has two
    components: an oral agreement between her and husband, and the
    written storage agreement.
    ¶ 26   Wife’s appellate briefs argue that the trial court erred by failing
    to enforce an alleged oral agreement between the parties that she
    could have a total of four children using the embryos. Because wife
    did not raise this issue in the district court and did not obtain a
    ruling on it, we do not address it. See Estate of Stevenson v.
    Hollywood Bar & Cafe, Inc., 
    832 P.2d 718
    , 721 n.5 (Colo. 1992)
    (“Arguments never presented to, considered [by,] or ruled upon by a
    trial court may not be raised for the first time on appeal.”). And
    because the record does not show that she preserved her related
    promissory estoppel argument, we will not address that argument,
    either. See 
    id. ¶ 27
      We agree, however, with wife’s contention that the trial court
    erred in interpreting the written storage agreement.
    ¶ 28   We review de novo the trial court’s interpretation of the parties’
    written storage agreement, including the court’s determination that
    the agreement is ambiguous. See Ad Two, Inc. v. City & Cty. of
    11
    Denver ex rel. Manager of Aviation, 
    9 P.3d 373
    , 376-77 (Colo. 2000);
    In re Marriage of Crowder, 
    77 P.3d 858
    , 860 (Colo. App. 2003).
    ¶ 29   The goal in interpreting the agreement is to give effect to the
    parties’ intent as discerned from the contract language. Ad 
    Two, 9 P.3d at 376
    ; 
    Crowder, 77 P.3d at 860-61
    . Extraneous evidence of
    such intent may be considered only if the written agreement is
    ambiguous, meaning that it is fairly susceptible of more than one
    reasonable interpretation. Ad 
    Two, 9 P.3d at 376
    -77; 
    Crowder, 77 P.3d at 861
    .
    ¶ 30   A court may not rewrite an agreement under the guise of
    interpreting it. See Bledsoe Land Co. v. Forest Oil Corp., 
    277 P.3d 838
    , 842 (Colo. App. 2011); see also In re Marriage of Stokes, 
    43 Colo. App. 461
    , 466, 
    608 P.2d 824
    , 829 (1979) (“Courts cannot
    rewrite contracts or add terms thereto.”).
    ¶ 31   We conclude that the storage agreement leaves it to the
    dissolution court to decide which party should receive the embryos
    in the event of dissolution of their marriage.
    ¶ 32   The pertinent language is as follows:
    In the event of divorce or dissolution of our
    marriage, we acknowledge that the disposition
    12
    of our embryos will be part of the
    divorce/dissolution decree paperwork.
    . . . [I]f any court of competent jurisdiction
    award[s] to either Husband or Wife all rights
    with respect to the Cryopreserved embryos to
    the exclusion of the other spouse, by an order
    or decree which is final and binding to them,
    the [laboratory] shall have the right to deal
    exclusively with him or her to whom such
    rights were awarded (the prevailing party) . . . .
    In the event that the divorce/dissolution
    decree paperwork does not address the
    disposition of the embryo(s), we elect the
    following disposition of our embryo(s):
    ....
    [Parties’ initials] Thawed and discarded
    without undergoing any further development
    for any purpose.
    ¶ 33     Both husband and wife initialed the above-quoted “thawed
    and discarded” option, and one of them apparently underlined the
    word “discarded.”
    ¶ 34     We construe this contract provision to mean:
    1. The parties elected a default option of discarding the embryos
    if they did not make any other provision for the embryos in a
    stipulation in their dissolution proceeding and if the
    dissolution court did not rule on the issue.
    13
    2. In their dissolution proceeding, the parties could stipulate to a
    disposition other than discarding the embryos.
    3. If the parties disagreed about the disposition of the embryos in
    their dissolution proceeding and sought a ruling from the
    dissolution court on the issue, that court would decide which
    party would be awarded the embryos.
    ¶ 35     The trial court found that the contract was ambiguous as to
    how the court should award the embryos in the event of dissolution.
    It resolved the ambiguity by construing the agreement to require
    both parties’ mutual agreement before any of the embryos could be
    thawed and implanted, and it therefore ruled that absent such an
    agreement, the embryos would be thawed and discarded on
    dissolution of the parties’ marriage. According to the court, “[t]he
    fact that the parties agreed to mutually approve any reproductive
    transfer or use of the embryos is a strong indication of their intent
    that [wife] should not now be awarded that exclusive right in the
    event of divorce.”
    ¶ 36     We conclude that the court erred in attempting to infer
    contract terms that did not exist. The contract gives no guidance as
    to how the court is to make the decision regarding who will be
    14
    awarded control over the embryos in the event of divorce if the
    parties disagree on the issue. The contract approach employed by
    other courts could not be used because there was no agreement
    that could be enforced as to who should receive the embryos.
    ¶ 37   Given the absence of enforceable contract terms on the issue,
    we construe the contract as requiring the dissolution court to
    exercise its inherent equitable power to determine whom to award
    the embryos to if the parties cannot agree on that point. See In re
    Marriage of Balanson, 
    25 P.3d 28
    , 35 (Colo. 2001) (noting trial
    court’s role in ordering equitable distribution of marital property
    based upon facts and circumstances of an individual case); see also
    Szafranski 
    II, 34 N.E.3d at 1161
    ; 
    J.B., 783 A.2d at 713-19
    (where a
    contract did not manifest a clear intent by the parties regarding
    disposition of their embryos on dissolution of their marriage, but
    instead permitted them to obtain a court order directing such
    disposition, “the interests of both parties must be evaluated” by the
    court); 
    Reber, 42 A.3d at 1136
    ; 
    Davis, 842 S.W.2d at 604
    ; but cf.
    
    Roman, 193 S.W.3d at 52-54
    (the parties were well aware of other
    options when they chose the option to have embryos destroyed in
    the event of divorce).
    15
    ¶ 38   Because the court had to rely on its equitable discretion to
    determine how to award the embryos, it necessarily had to employ
    the balancing approach. See 
    Davis, 842 S.W.2d at 598
    , 603-04
    (using balancing approach where spouses had not agreed on
    disposition of embryos in event of divorce).
    B. The Trial Court’s Application of the Balancing Approach
    ¶ 39   Given that there was no enforceable agreement between the
    parties as to disposition of the embryos on dissolution, the court
    was required to balance the parties’ interests. We reject wife’s
    contention that the trial court erred in doing so.
    ¶ 40   Application of the balancing test is an exercise of the trial
    court’s equitable discretion, and we therefore review its decision for
    an abuse of discretion. See 
    Balanson, 25 P.3d at 35
    (trial court has
    great latitude to effect an equitable distribution of marital property
    based on facts and circumstances of each case, and an appellate
    court will not disturb a trial court’s decision absent a clear abuse of
    discretion); Szafranski 
    II, 34 N.E.3d at 1161
    -62 (balancing of
    interests approach involves “a fact-intensive inquiry into each
    party’s interest in using or preventing the use of the []embryos”); cf.
    In re Marriage of Ciesluk, 
    113 P.3d 135
    , 142, 147-48 (Colo. 2005) (in
    16
    parental relocation case, conducting abuse of discretion review of
    trial court’s balancing of child’s best interests with relocating
    parent’s constitutional right to travel and other parent’s
    constitutional right to parent).
    ¶ 41   Wife argues that some of the factors the trial court applied in
    its balancing approach are legally erroneous and that others violate
    her constitutional rights. We conclude that the trial court properly
    exercised its discretion in balancing the parties’ competing interests
    in the embryos and in deciding to award them to husband.
    1. Wife’s Interest in Having a Fourth Child
    ¶ 42   As previously discussed, we do not address wife’s contention
    that she had a binding agreement with husband to have four
    children because she failed to preserve that issue for appeal.
    ¶ 43   Nevertheless, she argues that the court was required to
    balance her desire to have another child with husband’s desire not
    to father additional children with her. We conclude that the court
    appropriately balanced the parties’ competing interests.
    ¶ 44   Given that wife has already borne three children, this is not a
    situation like 
    Davis, 842 S.W.2d at 591-92
    , Szafranski 
    I, 993 N.E.2d at 503-05
    , or 
    Reber, 42 A.3d at 1132-33
    , where the woman’s
    17
    only opportunity to bear children would be foreclosed if the court
    did not award the embryos to her. See 
    J.B., 783 A.2d at 717
    (considering, when balancing parties’ interests, that the husband
    was already a father); cf. 
    A.Z., 725 N.E.2d at 1053-55
    , 1057-59
    (upholding lower court’s refusal to enforce contract allowing the
    wife, who had already conceived and given birth to twins during the
    marriage, to implant the parties’ four remaining cryopreserved
    embryos on the parties’ separation).
    ¶ 45   Accordingly, under the balancing of interests approach, the
    court could reasonably conclude that husband’s interest in not
    producing additional offspring prevails over wife’s interest in having
    a fourth child. See 
    Davis, 842 S.W.2d at 603-04
    ; see also
    Szafranski 
    I, 993 N.E.2d at 515
    ; 
    J.B., 783 A.2d at 719
    -20; but cf.
    Szafranski 
    II, 34 N.E.3d at 1162-63
    (upholding ruling that childless
    woman’s interest in using embryos she created with friend before
    she underwent fertility-destroying chemotherapy was paramount
    over friend’s interest in not procreating); 
    Reber, 42 A.3d at 1140-42
    (holding that balancing of interests tipped in favor of the wife
    because the embryos were “likely her only chance at genetic
    parenthood”).
    18
    ¶ 46     The court appropriately considered husband’s emotional and
    psychological well-being, in that he would likely feel a moral and
    social obligation for a fourth biological child, even though he may
    have no legal obligation to the child. This finding further supports
    the court’s allocation of the embryos to husband under the
    balancing of interests approach. See 
    J.B., 783 A.2d at 717
    (noting
    “life-long emotional and psychological repercussions” for the wife if
    her biological child is born in the future to the husband and a
    surrogate mother).
    2. Financial Responsibility for Additional Children Born of the
    Embryos
    ¶ 47     Wife next argues that the trial court erred as a matter of law
    by considering the potential risk that husband could face financial
    obligations for a child born in the future using the embryos. We are
    not persuaded.
    ¶ 48     The court noted that wife declared her intention to relocate to
    North Carolina, and that the court allocated parental
    responsibilities to allow the parties’ three children to move there
    with her. According to the court, North Carolina does not have
    statutory provisions, such as Colorado’s sections 19-4-106(7) and
    19
    15-11-120(10), that would relieve husband of financial
    responsibility for a future child born using the embryos without his
    consent.
    ¶ 49   To the extent wife further argues that the trial court erred by
    considering the potential increase in husband’s child support
    obligation for the parties’ existing children if wife chooses to have a
    fourth child, we discern no abuse of discretion by the court in
    considering this factor. We disagree that, in doing so, the court
    impermissibly implied that wife should not have another child.
    Rather, the court merely noted an inevitable financial consequence
    for husband if wife chooses to have another child using the embryos
    — an appropriate consideration when balancing the parties’
    interests.
    3. Wife’s Constitutional Arguments
    ¶ 50   Wife relies on various provisions of the constitutions of the
    United States and Colorado to raise numerous challenges to the
    trial court’s balancing of interests. She contends that she was not
    required to take specific action to preserve those arguments in the
    trial court because they arose from the trial court’s various
    comments in its permanent orders. We agree that her arguments
    20
    are sufficiently preserved, but we disagree that her constitutional
    rights were violated by the permanent orders.
    ¶ 51   To the extent that the Colorado Constitution may have
    provisions different from those of the United States Constitution,
    wife has not identified any different analysis that would be required
    under the state constitution. We therefore confine our analysis to
    the United States Constitution’s provisions. See Holliday v. Reg’l
    Transp. Dist., 
    43 P.3d 676
    , 681 (Colo. App. 2001).
    ¶ 52   Wife asserts that the following rights were violated, and that
    these rights derive from the United States Constitution:
     the right to equal protection of the law;
     the right to due process;
     the right to “procreational autonomy”;
     the right of privacy;
     the “freedom of choice in procreation”; and
     the “fundamental liberty interest in the care, custody,
    and management of her children.”
    ¶ 53   We begin by recognizing that for every one of the rights
    identified by wife, husband has corresponding and equal rights,
    including the right to determine that he does not want to have
    21
    additional children who are joint genetic offspring of husband and
    wife. See 
    Davis, 842 S.W.2d at 601
    (noting that “right of
    procreational autonomy is composed of two rights of equal
    significance — the right to procreate and the right to avoid
    procreation”); Forman, 24 Colum. J. Gender & L. at 425 (“[B]oth
    parties have constitutional procreation rights at stake.”).
    ¶ 54   Wife argues that husband would have no future financial
    responsibility for any additional children born from the embryos.
    Even if she were correct about that — and it is not entirely clear
    under the law of North Carolina where she now lives whether that is
    so — it is nevertheless true that father would in fact (though not in
    law) be the father of any such children. And any such children
    would be the siblings of father’s three existing children, and would
    be part of their lives.
    ¶ 55   The trial court’s task, then, was to balance all of those
    competing rights of wife and husband and come to a difficult,
    discretionary decision. We conclude that, in reaching that decision,
    it did not violate wife’s constitutional rights.
    ¶ 56   Specifically, it was not a violation of her constitutional rights
    for the trial court to discuss the following matters in its final orders:
    22
     The fact that wife already has three children. As other
    courts applying the balancing approach have recognized,
    it may weigh in a party’s favor if preserving the embryos
    would provide a party’s only chance to create genetic
    offspring. See Szafranski 
    II, 34 N.E.3d at 1161
    -64
    (considering woman’s infertility in weighing competing
    interest of male friend who no longer wanted to
    procreate); 
    Reber, 42 A.3d at 1132-43
    (ruling that
    interests of divorcing wife, who was forty-four, had no
    children, and had undergone IVF before cancer treatment
    in order to preserve her ability to conceive a child,
    prevailed over those of the husband); cf. 
    J.B., 783 A.2d at 719
    -20 (ruling that divorcing wife’s interest in avoiding
    procreation outweighed the husband’s where he was
    already a father and was capable of fathering other
    children).
     What would happen if wife had another child (or children)
    from the embryos. The court noted that if she were to
    have more children, she would get a credit on any child
    support worksheet, which would indirectly increase the
    23
    amount of child support owed by husband to wife. Given
    that husband’s constitutional rights in not having
    additional children were implicated by the court’s
    decision, we see no abuse of discretion in the court’s
    consideration of the potential economic impact on the
    parties.
     How the addition of another child (or children) might
    affect the parties’ existing children, and whether such an
    addition might challenge wife’s ability to “manage such a
    large family alone as a single parent,” given her lack of
    employment and financial resources, and the significant
    health issues faced by one of the children. The court
    remarked on those circumstances as part of its
    ruminations on how the parties might fare in the future.
    We see no constitutional impediment to the court’s
    discussion of the practicalities of wife’s situation.
    Contrary to her assertions on appeal, there is no
    indication that the court ruled in favor of husband based
    on improper considerations, i.e., because wife is poor. It
    is clear to us that the court did not base its decision on
    24
    wife’s economic or social circumstances. Rather, it
    carefully balanced the parties’ competing interests.
    ¶ 57   Though wife argues that the trial court improperly injected a
    “best interest of the child” test in the final orders, we find no
    instance where the court applied such a test. The court merely
    mentioned the potential impacts of various factual circumstances
    on the parties’ existing children, and we discern no constitutional
    violation or abuse of its discretion in doing so.
    ¶ 58   Wife cites Skinner v. Oklahoma ex rel. Williamson, 
    316 U.S. 535
    (1942), which dealt with involuntary sterilization of persons
    convicted of certain felonies, and argues that “the court may not
    dictate to American citizens the number of children they may have.”
    To the extent that the permanent orders may result in a limitation
    on the number of children wife may ultimately wind up bearing
    through biological means, that is simply a consequence of the
    parties’ having left it up to the court to decide who gets the
    remaining embryos. Wife could have contracted to receive the
    embryos on dissolution of the marriage, but did not do so, and
    instead requested in her supplemental trial brief that the court
    decide the issue based on a balancing of the parties’ interests.
    25
    ¶ 59   By leaving such an important decision up to the court, the
    parties should have expected the court to thoroughly examine the
    parties’ desires, life circumstances, and financial state, as it does in
    balancing the interests in every permanent orders case. See
    
    Balanson, 25 P.3d at 35
    .
    ¶ 60   We reject wife’s unsupported argument that husband
    relinquished his constitutional right not to procreate by consenting
    to the use of his sperm to fertilize wife’s “last eggs.” The storage
    agreement contradicts this theory by specifically providing for
    allocation of the embryos on dissolution to be decided in the
    “divorce/dissolution decree paperwork.” Moreover, the UPA
    expressly allows husband, as a former spouse, to withdraw his
    consent for placement of the embryos “at any time” before they are
    placed. § 19-4-106(7)(b).
    ¶ 61   Wife and husband have equal claim to constitutional and
    other rights. The decision allocating the embryos required the court
    to balance those competing interests, and the court did so
    appropriately.
    ¶ 62   Accordingly, we perceive no constitutional violation. See
    Szafranski 
    I, 993 N.E.2d at 516
    (finding no constitutional obstacle
    26
    to contract or balancing of interests approach because friend who
    participated in creating embryos did not have unilateral
    constitutional right to prohibit their use without regard to the
    woman’s equal rights); see also Szafranski 
    II, 34 N.E.3d at 1163-64
    .
    V. Conclusion
    ¶ 63   The trial court’s judgment awarding the parties’ embryos to
    husband under the balancing of interests approach is affirmed.
    JUDGE HAWTHORNE and JUDGE FOX concur.
    27