LGBTQ/Same-Sex Parents


 

LGBT Fertility Clinic Offering Exclusive Fertility Treatments For Lesbian, Gay & Transgender 

 

Over the years we have helped many gay and lesbian individuals from countries all over the globe build families through assisted reproductive procedures.  Through the options of insemination or in vitro fertilization, we are happy to help you with your decision to have a child and grow your family.

Our doctors will sit down with you and review your lifestyle, needs, and discuss the assisted reproduction options such as donor egg and donor sperm or gestational surrogate carriers.

 

Same-Sex Parents & LGBT Fertility Treatment Options

New York Fertility Institute proudly celebrates the pursuit of parenthood as an inalienable human right. Prejudice against any sexual orientation or identity has never and will never be welcome in the advancement of fertility science. Our mission is simple: with indiscriminate compassion, ease the emotional, physical and financial rigors of every patient who wants to have a baby by any and all ethical means necessary, regardless of sexuality, race, gender identity or religion.

There is unconditional love that flows from a parent to a child that knows no equal. It is why we are happy and proud to help the LGBT community with their family building fertility treatment options in a completely transparent and unbiased way.

What Methods Of Insemination Are Discussed With Same-Sex Couples?

There are methods of insemination available to prospective parents that we can help same-sex couples explore, along with donor options suited for each treatment avenue. Below are the most common scenarios that we can discuss to help you along your journey to having a baby. Every situation is different, and our doctors will tailor a solution that works best for you and your partner

Lesbian Fertility Treatment Options

IUI Fertility Treatment

Many women choose to become pregnant by way of intrauterine insemination (IUI), once a preliminary examination confirms a strong likelihood of conception. This involves placing the sperm inside the a woman’s uterus. To maximize the chances of pregnancy, your doctor may prescribe a hormonal treatment regimen to coincide with insemination or possibly conclude that IVF would more likely result in conceiving a child.

IVF Fertility Treatment

Lesbian couples have the option of choosing one partner to carry the other’s fertilized egg after a round of hormone therapy and IVF facilitated by a sperm donor, a technique known as reciprocal IVF. Of course, there is also the option to select a single partner to both provide viable eggs and carry the pregnancy itself, possibly without need of hormonal treatment if the potential biologically mother is already in prime health for conception.

ICI Fertility Treatment

Intracervical insemination (ICI) presents a third alternative means of assisted reproduction that is relatively quick, comparatively less expensive than IUI or IVF and can be performed either at home or at a clinic according to the patient’s preference. A flexible catheter or other device delivers unwashed sperm directly onto the cervix, closely replicating the process of natural conception. However, existing fertility issues often dramatically reduce its effectiveness and it carries a more significant risk of infection, along with a lower success rate compared to other means of artificial insemination.

Donor Egg Consideration, Depending On Age

 

A conversation about engaging an egg donor is critical for lesbian couples in which both partners are over 35 years of age. Past that threshold, both the quantity and quality of a woman’s ovarian reserve deteriorate right up until menopause. Even if both partners’ bodies are healthy enough to sustain a pregnancy to term, undergoing embryo transfer using the donated egg of a younger woman will likely reduce the chances of miscarriage and significantly increase the probability of a healthy, genetically normal baby.

Selecting A Sperm Donor

The fee many sperm banks charge for providing donor profiles is often worth the cost of the more thorough vetting. Clients often exercise varying personal degrees of discretion when it comes to such factors as a donor’s blood type, physical characteristics, education, ethnicity and occupation, among other criteria. Patients also have the option to arrange for donors chosen from among existing acquaintances to undergo a similarly rigorous screening process before their sperm is obtained and frozen.

Which Partner Should Carry The Baby?

This is a discussion with a number of considerations in play. In many instances, female couples approach their clinical consultation having already begun the discussion to decide their carrier among themselves. Gynecological and medical histories for both partners can shed light on critical bullet points such as genetic markers or existing medical problems that narrow the choice down to a single ideal candidate. However, the conversation should also include an evaluation of each partner’s desire to carry the child until birth.

Gay Men Fertility Treatment Options

Pregnancy rates for in vitro fertilization (IVF) run especially high when pairing the most viable sperm samples possible with a younger, healthy surrogate and high-quality eggs. Several embryos created in a laboratory by combining an egg and sperm sample in a petri dish they can then be implanted in an ideal uterine environment where they can attach and develop. Many patients select a surrogate from among close personal acquaintances, but agency assistance is available to engage a suitably pre-screened candidate as a gestational carrier.

Conception Options

Surrogacy – Same Egg Donor & Gestational Carrier

Gay male couples can now choose from two practical options to have a child. The first is to choose a surrogate to both donate an egg to be fertilized by sperm from one of the partners and allow the resulting embryo to be surgically implanted in her uterus. While seemingly straightforward on the surface, legal complexities have left many gay couples perplexed with this avenue.

Surrogacy – Different Egg Donor & Different Gestational Carrier

The second involves selecting two separate women to respectively serve as egg donor and surrogate. Although somewhat less legally tricky to navigate within certain states, others that do not uphold surrogacy contracts can make this alternative equally intricate and frustrating.

Who Will Carry The Baby?

Whether the gestational carrier is a friend or relative or a surrogate recommended by a specialized agency, a previous obstetrical history in conjunction with a transvaginal ultrasound and saline sonogram will speak volumes when evaluating the health of her uterus. Younger surrogates tend to be vastly preferred in terms of optimal reproductive health, but in theory, most women under the age of 35 who meet standard expectations for physical and mental health, economic stability and a sound quality of life could qualify as a suitable carrier. The surrogate should not also have many prior deliveries by cesarean section, since this might increases the risk of complications in subsequent pregnancies.

Who Will Donate The Egg?

For all practical intents and purposes, engaging an egg donor proceeds no differently for same-sex male couples than it would for anyone else. An ideal donor is a woman under the age of 35 (younger donors are often preferred due to the expected greater viability of eggs produced early in a woman’s reproductive years) with an overall positive health history, a sufficient ovarian reserve and no pre-existing reproductive issues that might jeopardize the quality or availability of her eggs.

Which Partner Should Be The Sperm Donor?

Same-sex male couples will almost always choose one partner or the other to donate sperm following routine semen analyses, but some will choose to separately fertilize eggs harvested for IVF with sperm from each individual. Either way, an intensive FDA-standard screening will need to validate the absence of any infectious diseases. Many potential parents also choose to undergo several genetic screenings for autosomal recessive diseases.

Does The Gestational Carrier Pass On DNA To The Child?

No. The environment of the carrier’s body certainly strongly influences the child’s healthy birth – often to a long-lasting extent – but the blueprint that dictates its overall genetic makeup is strictly a product of its biological parents’ combined DNA. Any child’s cumulative development is actually bound to be an inevitable sum of its genetic predispositions and environmental influences.

Transgender Fertility Treatment Options

What Are My Family-Building Options?

If you are planning to transition, your physician will more than likely recommend you freeze your eggs or sperm, depending on your biological gender at birth, before undergoing either hormonal treatment or any surgical procedure that may eventually render you incapable of producing either. In that case, a man who has successfully transitioned into a woman can use the stored sperm to conceive a child with a female partner or choose to use a gestational carrier and egg donor if she remains single or enters a relationship with a man.

Transitioning from a woman into a man leaves the option of later conceiving using frozen eggs with the sperm of either a partner or donor and a gestational carrier, he is single or enters a relationship with a man. In the event of a relationship with a woman, the couple can undergo reciprocal IVF by inseminating the frozen eggs with donor sperm.

I’ve Started Transitioning With Hormone Therapy – Is It Too Late?

Unfortunately, there are no guarantees in this scenario. Sperm production or ovulation may resume if you cease hormone therapy, but there is little data clarifying how long it takes for changes to become irreversible. Many men become severely psychologically distressed after stopping testosterone therapy after living with male physiology. On the other hand, transgender men who have halted their treatments have resumed ovulation and menstruation even after as long as 18 months under their prescribed regimen.

Can I Have Biological Children If My Ovaries Or Testicles Have Been Removed?

This is why preserving sperm or eggs is so important with fertility preservation. Removing the testicles eliminates the ability to produce sperm. Likewise, extracting the ovaries means no longer producing eggs.

Location
New York Fertility Institute
1016 5th Avenue
Upper East Side

New York City, NY 10028
Phone: 212-772-8882
Fax: 212-734-6059
Office Hours

Get in touch

212-772-8882