At Conceptions, we are proud to help gay and lesbian couples build their families with the assistance of fertility treatments. Our doctors are committed to compassionate and inclusive care, and we welcome you at Conceptions.
Possible treatments for same-sex couples include: sperm donation, artificial insemination (IUI), in vitro fertilization (IVF), egg donation, and gestational carriers (surrogacy).
All patients will have an initial consultation with one of our physicians to discuss their medical history, evaluation, potential treatment and financial options. The next step is diagnostic testing to discover the level of fertility in either, or both, partners. Once testing is complete, your medical team will develop a specific and individualized protocol so that your treatment regimen can commence.
The couple will decide which partner will carry the pregnancy. This partner will proceed with testing to evaluate hormone levels, egg health and a hysterosalpingogram (HSG) to determine the health of the uterus and fallopian tubes. If she has a good prognosis, then the couple will select a sperm donor to be used to achieve the pregnancy. Donor sperm can be used for an intrauterine insemination (IUI), a simple procedure where the sperm is placed directly into the woman’s uterus. Donor sperm can also be used in an IVF cycle, where egg and sperm create embryos in our lab, maximizing the chances of conceiving a healthy pregnancy.
If medical issues are identified in one partner, a lesbian couple may choose to have one partner provide the eggs and the other partner carry the pregnancy. This is a more complex treatment protocol where both partners will be evaluated and take medication to boost their fertility. The partner who will donate her eggs will also undergo a surgical egg retrieval procedure, part of the IVF process. The eggs will then be fertilized with the donor sperm to create embryos. The embryo will then be transferred to the partner whom will carry the pregnancy. This is an excellent way for both partners to feel connected to the child, and allows for better pregnancy success.
Gay couples planning to build a family through fertility treatments will meet with their physician to discuss the details of using an egg donor and a gestational carrier. One, or both partners wishing to donate sperm will undergo a semen analysis to test volume, concentration/count, motility and morphology of the sperm. The couple will then meet with the Donor Team to review and select an egg donor. Conceptions will provide several options for egg donation as well as gestational carriers. You can visit our egg donor website here. We suggest that you consult with an attorney specializing in artificial reproductive technologies. We can provide this referral, as we frequently work with an excellent specialist in this field.
Once the couple has identified both a gestational carrier and an egg donor, they are ready to build their family. With the use of in vitro fertilization, donor eggs can be fertilized with sperm of the intended parent(s) and the resultant embryo can be transferred into a gestational surrogate to carry the pregnancy.
In accordance with national ASRM standards and the FDA, all patients using donor sperm, donor egg, or a gestational carrier will have infectious disease screening and meet with our psychologist. In this very helpful consultation, you and your partner will explore your views on your planned treatment and how and when to discuss issues of third party reproduction in an age-appropriate way with your future child.
We realize that this process can be somewhat daunting. At Conceptions, we are here to guide you through these processes with ease and confidence; allowing you to fulfill your dreams of becoming a parent, and more importantly, a family.