Conceptions is honored to be able to provide services to help our LGBTQ patients achieve their dreams of parenthood. LGBTQ families are unique in that they are not typically dealing with fertility problems, but they still need fertility assistance. Our physicians are committed to provide comprehensive and compassionate care for our patients, regardless of marital status or sexual orientation.
Possible treatment options include sperm donation, intrauterine insemination (IUI), invitro fertilization (IVF), egg donation, and gestational carrier (surrogacy)
All patients will meet with a physician to review medical history, and determine necessary evaluation. Once complete, treatment options will be reviewed and your medical team will develop an individualized treatment plan.
Since our lesbian couples have the option of either partner carrying a pregnancy, the carrying partner will have testing done to evaluate her fertility health, including egg health tests (bloodwork and ultrasound), hysterosalpingogram (HSG) to determine the patency of fallopian tubes, and possible hysteroscopy to evaluate the health of the uterus.
In cases where fertility is not a concern, IUI may be recommended. IUI is a simple procedure where donor sperm is injected into the woman’s uterus. IUIs can be performed with or without fertility medications, as determined by your physician.
Donor sperm can also be used with invitro-fertilization (IVF), where eggs are surgically retrieved and inseminated in our lab to create embryos. The success rates with IVF are considerably higher and offer the opportunities for further pregnancies using frozen embryos.
Finally, lesbian couples have the option to have one partner provide the eggs (biological mother) and the other partner carry the pregnancy (gestational mother). This process is more complex, utilizing IVF with donor sperm to create embryos, which are then transferred to the other partner to achieve a pregnancy. This process allows both mothers to be directly connected to the child, and has high success rates.
Gay couples planning to use fertility treatments need to use donor eggs for IVF and a gestational carrier. One or both male partners may undergo sperm testing. Pending adequate results, one or both partners may provide sperm to create embryos. Gay couples will meet with the Donor Team to discuss selecting an egg donor and receive recommendations for gestational carrier agencies. We highly recommend consulting with an attorney who specializes in reproductive technologies and are happy to provide a referral.
Beginning hormone therapy as part of gender transformation can be very damaging to your gametes. At Conceptions, we offer the latest techniques to effectively collect, freeze, and store your eggs or sperm. If you, or someone that you know, are undergoing female-to-male gender reassignment, you have the choice to preserve your option for a genetic child with oocyte (egg) vitrification. Additionally, if you, or someone that you know, are undergoing male-to-female gender reassignment, sperm can also be frozen to preserve your option for a genetic child. Consider setting up a consultation to discuss this in more detail.
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.
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.